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Group Medical Insurance

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What is Group Medical Insurance in UAE?

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.

Benefits of SME Group Health Insurance

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.

Best SME Insurance Companies in UAE 2026

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 SMEs is a health insurance policy provided by employers to cover their employees under a single plan, offering medical benefits such as hospitalization, outpatient care, and emergency treatment.

It typically covers inpatient hospitalization, outpatient consultations, emergency treatment, diagnostic tests, prescribed medicines, maternity care, and sometimes dental and optical benefits.

Employees of small and medium enterprises can be covered, and many plans also allow coverage for dependents such as spouses and children.

Most SME group health insurance plans require a minimum of 2 to 5 employees and can cover up to 100–150 employees depending on the insurer.

Yes, in many UAE emirates like Dubai and Abu Dhabi, employers are required by law to provide health insurance coverage to their employees.

Yes, many plans cover pre-existing and chronic conditions, but coverage may be subject to waiting periods or policy terms.

Yes, many SME health insurance plans include maternity benefits such as prenatal, delivery, and postnatal care, depending on the policy.

Benefits include cost savings, simplified administration, employee health protection, improved retention, and access to a wide network of healthcare providers.

Common exclusions include cosmetic treatments, non-medically necessary procedures, obesity treatments, hazardous sports injuries, and certain medical supplies.

Yes, policies can be customized with add-ons such as dental, optical, international coverage, maternity upgrades, and wellness programs.

Premium depends on number of employees, age distribution, medical history, coverage level, benefits selected, and claims history.

Yes, most plans offer direct billing with a network of hospitals and clinics, allowing employees to receive treatment without paying upfront.

Yes, employers can structure plans with different coverage levels or sub-groups for employees based on roles or seniority.

Claims can be filed through direct billing at network hospitals or by submitting reimbursement claims with medical reports and invoices.