307 - B Sai Complex, Above Hotel Giriraj Kathyawadi, GIDC Char Rasta Vapi. 396195.
Group Health Insurance
A form of medical coverage plan called group medical coverage provides coverage for a number of individuals who are employed by the same company. Given that the business pays the cost, this is frequently provided as a useful advantage to staff. In some circumstances, the staff’s family may be covered by the group health plan. The term “business medical coverage” is also used to describe this health coverage plan.
Group Medical Coverage benefits
Better Advantages
Pre-existing conditions and childbirth are covered by our group medical coverage commencing from the First day. Holding periods are avoided, health checks are not required, and special perks like institutional buffers are available.
Cheaper Price
For both staff and their family, economical collective medical coverage is available. As a result of our negotiations with insurers, prices are considerably cheaper than if medical coverage were purchased separately.
Personalized Cover
According to your objectives and financial strength, we may adjust the staff medical coverage plan. For instance, up to three children, spouses, or parents may be incorporated. Outpatient services or maternal and child care may be added.
Assurance of Issue
Under our group insurance plan, all employees and their families are guaranteed coverage, regardless if they have health complications like high blood pressure or diabetes. Neither a health check nor a previous case record is required.
FAQ
General Question
? Does my group's medical coverage cover the cashless hospital?
Yes. All of the company's network health centres will provide cashless claims services. Each company typically seems to have more than 3000 hospitals in its nationwide network. You must provide your policy cashless card or a copy of your policy to the TPA support desk at any network hospital if you want to use the cashless service.
? If I choose not to have treatment at a network hospital while covered by group health insurance, will my claim still be redeemed?
In accordance with the terms of the group health insurance plan, the insurance provider will cover costs even if the insured person does not visit a hospital in the network. Your hospital expenses and any other necessary paperwork, as defined by the health insurer, must be provided in order to get paid.
? What tends to happen if a group medical coverage policy's spending cap is reached?
Beyond the sum covered indicated in the group medical coverage policy, compensation is not offered. If an employee's sum assured runs out, you might want to take into account a different benefit called Corporate Buffer.
? What required paperwork is necessary for claims?
When stating a claim, supporting evidence is crucial. If the appropriate paperwork is submitted, claims are quickly resolved. The appropriate claim form signed by the hospital or doctor, the analysis summary, the total bill with a break - down, the medical reports, and the doctor's prescription is some of the usual papers required when submitting a claim under a group health insurance policy. The originals of all the documents must be supplied.
Talk To Our Insurance Experts
Are you perplexed by complicated insurance terminology? Don't worry. Speak with an IRDAI-certified insurance expert at Plum to get the best group insurance quote.