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Group Medical Insurance

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What is Group Health Insurance?

Group health insurance is a type of policy designed to cover a group of individuals under a single plan, most often the employees of a company or members of an organisation. Group health insurance plans play an important role in supporting employee well-being by providing financial security against medical costs.

One of the key advantages of group health insurance is its affordability. Compared to individual health insurance, the premium is usually lower, making it a cost-effective solution for both employers and employees.

Most group health insurance policies offer wide-ranging benefits. Coverage generally includes hospitalisation, surgical treatments, medicines, and even expenses incurred after hospital discharge for a certain period. Some plans also extend coverage to outpatient treatments, further enhancing their value.

Most group health insurance policies offer wide-ranging benefits. Coverage generally includes hospitalisation, surgical treatments, medicines, and even expenses incurred after hospital discharge for a certain period. Some plans also extend coverage to outpatient treatments, further enhancing their value.

Why is group health insurance important for employees and employers?

Here's how a group health insurance policy benefits employers and employee:

For Employers
For Employees
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Cost-effective coverage

Group health medical insurance plans generally command lower premiums than individual plans. This is because risk is distributed across a broader pool of employees. This makes a group health insurance policy cost-effective for employers, especially for small and medium-sized companies.

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Tax Benefits

Contributions towards corporate health insurance premiums qualify for tax deduction under section 37(1) of the Income Tax Act. This results in a substantial reduction in your tax liability.

Features of eSanad Group Health Insurance Policy

With our group medical insurance policy, you get the following benefits:

10,200+ network hospitals

10,200+ network hospitals

We have 10,200+ network hospitals across India where your employees can get cashless treatment. We have tied up with leading health institutions across India. Whether your employees reside in urban centers or re...Read More

Tele consultations

Tele consultations

This is another significant benefit of our group health insurance policy. We offer unlimited general physical consultations for routine health issues by a qualified doctor. Your employees can avail of this facilit...Read More

Health assistance services

Health assistance services

Our group health insurance policy goes beyond covering medical expenses by offering health assistance services. This service supports you in all your health-related needs. Whether searching for a specialist, schedulin...Read More

In-house claims processing

In-house claims processing

One of the standout features of our group medical insurance policy is the provision for cashless settlement. By seeking treatment at our network of hospitals, your employees can avail the necessary medical se...Read More

Wellness programmes

Wellness programmes

Our group medical insurance policy allows your workforce to choose a range of wellness plans to suit their needs. These plans promote proactive health management and focus on preventive care and overall well-being.Read More

What is Covered Under a Group Health Insurance Policy?

1.

Pre and Post-Hospitalisation

Our group health insurance policy covers pre and post-hospitalisation expenses. This means not only the costs of your hospital stay are covered, but also the expenses you bear before and after your hospital visit.

2.

Pre-Existing Diseases

Group health insurance coverage for pre-existing diseases ensures your employees with prior health issues aren't left unprotected. It offers peace of mind and fosters a sense of security within the workforce. They feel reassured knowing their health needs are addressed despite pre-existing ailments.

3.

Maternity Expenses

Our group health insurance policy offers coverage for maternity expenses to your employees. This is a significant benefit for those planning to start or expand their families. It covers pre and post-natal expenses and offers coverage to the baby from day one. This not only offers access to quality healthcare services but also eases financial strain.

4.

In-Patient Department Expenses

Our group health insurance plan provides comprehensive coverage for in-patient department expenses, including room charges, doctor's fees, medical tests, surgical procedures, medications administered, etc., during hospital stays. It safeguards your employees against high costs associated with hospitalisation, requiring a minimum of 24 hours' stay.

5.

Ambulance Charges

Our policy covers ambulance charges that can be significantly high. These charges depend on various factors, including distance travelled, type of ambulance, and level of medical care provided. Coverage for ambulance charges ensures well-rounded financial protection.

6.

Day Care Expenses

Day care expenses are those for which your employees need to stay in hospitals. They are done within a few hours or less than a day. Costs associated with such treatments can be pretty high, and coverage for them ensures peace of mind and holistic healthcare.

Who Should Buy Group Health Insurance?

Small businesses
Small businesses

Group health insurance can offer multiple benefits for small businesses with approximately 20 to 50 employees. These companies often have limited resources. They may not have the financial flexibility to provide ext...Read More

Medium Businesses
Medium Businesses

Medium-sized firms with around 250 employees also benefit significantly from corporate health insurance. While they generally have more resources than small businesses, they still face similar challenges ...Read More

Large Businesses
Large Businesses

Large businesses are companies that have with more than 250 employees. Though they have greater financial muscle for employee benefits, group mediclaim policy is an essential cog in the wheel of their benefit ...Read More

Group Health Documents

Buy Group Health Insurance Policy.

Documents required for buying group health insurance policy

You need to provide certain basic and essential documents to buy a group health medical insurance. The common documents you need to provide are:

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Address and Identity proof, which could include your voter's card, Aadhaar card, passport, driving licence, etc.

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PAN card copy

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Income proof, including IT returns of your business=

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Copy of business registration

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Recent photographs (passport or stamp size)

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Employee details

Check with the insurer regarding any additional documents that you need to provide. Make sure you provide all the documents requested by your insurer. Failure to do so can result in application rejection. Also, ensure that the documents are in proper condition where everything is legible.

What is The Claiming Process for a Group Health Insurance Policy?

The claim process from a group health medical insurance plan is simple. All you need to do is:

1. Inform the insurer promptly. Use the various channels of communication. The earlier you inform, the better it is.

2. Submit the claim form and the necessary documents, including copies of reports, bills, and discharge summaries.

3. The insurance company will process the claim based on the claim form, documents provided, and the policy terms and conditions

Ensure you know your insurer claims process after you buy the policy.

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Frequently Asked Questions

Group medical insurance for large companies is a comprehensive health insurance policy designed to cover employees and their dependents under a single plan, offering extensive medical benefits and high coverage limits.

It covers inpatient hospitalization, outpatient treatment, emergency care, diagnostics, maternity benefits, chronic conditions, mental health services, and sometimes dental and optical coverage.

Large corporate group medical insurance plans are typically designed for companies with 50 or more employees, though this may vary by insurer.

Yes, most large corporate plans cover pre-existing and chronic conditions, often from day one, depending on prior coverage and policy terms.

Yes, many large corporate plans offer regional or worldwide coverage, making them suitable for multinational companies and employees who travel frequently.

Yes, many corporate health insurance plans allow coverage for spouses, children, and sometimes parents, depending on the policy.

Benefits include comprehensive healthcare coverage, employee retention, cost efficiency, access to large hospital networks, wellness programs, and improved workforce productivity.

Yes, employers in many UAE emirates are required to provide health insurance coverage to their employees as part of labor regulations.

Direct billing allows employees to receive treatment at network hospitals without paying upfront, as the insurer settles the bills directly with the provider.

Yes, large corporate plans can be highly customized with benefits such as wellness programs, mental health support, dental, optical, maternity upgrades, and international coverage.

Premium is based on factors such as number of employees, age distribution, claims history, industry risk, coverage limits, and benefits selected.

Common exclusions include cosmetic procedures, experimental treatments, self-inflicted injuries, and treatments related to illegal activities.

Claims can be made through cashless treatment at network hospitals or reimbursement by submitting medical bills, reports, and claim forms.

SME plans are designed for smaller teams with standardized benefits, while large corporate plans offer higher coverage limits, global options, advanced customization, and broader healthcare networks.