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Key Points of Group Health Insurance for Employees

Key Points of Group Health Insurance for Employees

Employers arrange group mediclaim insurance policies for employees to provide both health and money. Employees are able to acquire basic coverage via this insurance. These policies must be properly understood by all employees.

Let’s have a look at this post and talk about some of the basics of group mediclaim insurance for employees.

What Is a Group Mediclaim Insurance Policy?

A group mediclaim policy for employees by companies, often known as a group health insurance plan, provides numerous benefits to the policyholder. Some firms remove a set amount from their workers’ CTC in order to offer this protection. Companies subtract the premium cost of the employer-provided health plan. Some companies, on the other hand, provide free group health insurance to their employees. The blueprints are less expensive since they are acquired in bulk.

Employees might profit from a Group Mediclaim Insurance Policy in a variety of ways. This coverage covers both the policyholder (employee) and his or her family. For professionals, this level of assistance is rather outstanding.

Key Features of a Group Health Insurance Plan

Some of the most typical aspects of a Group Health Insurance coverage are listed below:

  • Other than anaesthetist, surgeon, and consultation fees, certain group health insurance policies may cover boarding costs. Among the expenditures covered are those for oxygen, anaesthetic, and diagnostic materials, as well as dialysis and X- rays.
  • Policyholders entitle themselves to a cashless hospitalisation service, in which the insurance company pays the hospital directly.
  • Domiciliary hospitalisation is also covered by several corporate health insurance policies.
  • For a set amount of time, group health insurance policies cover the policyholder’s pre-hospitalization and post hospitalization expenditures.
  • Covers certain therapeutic treatments such as eye surgery, chemotherapy, tonsillectomy, and other operations that need less than 24 hours of hospitalisation.
  • Over and above the hospitalisation coverage, group health insurance policies provide coverage for specified critical conditions.
  • Waiver of the waiting period, exclusion for the first year other than payment for ambulance charges, and other optional advantages of workplace health insurance policies are available.
  • Several group health insurance policies are there which cover Maternity-related expenditures.

Group Health Insurance Plan Advantages

The following are some of the most prevalent advantages of group health insurance plans:

  • Employees feel valued: Employees appreciate the fact that the company values them by providing group health insurance coverage. In exchange, they strive hard to offer their best and escort beylikdüzü improve.
  • Low cost because of larger risk: Individual and family floater health insurancepolicies are always more expensive than group health insurance plans. This is owing to the fact that the employees’ premium is shared.
  • Include Family protection : Although it varies by policy, corporate health insurance policies frequently include your family members as well. These plans provide financial help to employees’ dependents in times of need. If this does not occur, the members of the family may oblige to purchase a new family floater health insurance plan and pay the payments out of pocket.
  • A higher number of people increases the plan advantages: As the number of people covered by group health insurance policies grows, the benefits to policyholders grow as well. They receive a greater value as a result of additional advantages like as coverage for pre-existing conditions, hospitalisation bills, and so forth.
  • Easy to claim: Instead of chasing down health insurance companies for a claim, all you have to do with group health insurance plans is contact your workplace with pertinent bills. The company guarantees that your claim is a type of authorised claim since it covers a big number of employees. The cashless system might also benefit employees.

These plans cover pre-existing conditions as well as maternity-related expenditures. Employees can get the cover of their additional family members under the plan with a little greater deductible in some cases.

Which Company Offers Group Health Insurance Plans?

Every company, whether private or public, requires to provide group medical insurance to its employees. The schemes, however, may differ. Government-sponsored schemes, such as CGHS, are available, while private-sector insurance and health services, such as ESI, are available.

Although, in terms of clarity and extensibility, government plans are more superior. The amount of the money insured or coverage is unrestricted. Network hospitals and cashless hospitalisation benefits, on the other hand, may differ from one organisation to the next, whether it is a government or private company.

Is it Necessary to Purchase Personal Health Insurance? Even If You avail any Group Health Insurance Plan From Your Company?

Yes, you must. The reason for this is because, despite the cost savings and other benefits of a group plan, there are occasions when it is not the best option. This might be related to a number of things, including:

  • Some coverage features have a limit.
  • When an employee leaves a company, it represents a loss for the company.
  • Employees who have retired will not benefit.
  • Regardless of whether it is omportant to buy a personal health plan or not they fit, everyone pays the same rate.
  • Renewal premium prices may rise as a result of the large claim amount.

We may have talked a lot about the advantages of group health insurance for employees, but it would be unjust if we didn’t also talk about the issues that employees may have with these plans.

Let’s look at an example to help you understand.

You join a company, but your boss wants you to quit after a few months with no notice. You may be concerned not just about finding a new work, but also about getting a new health insurance plan in this situation. There’s a chance you’ll have to start over-choose a plan, buy it, serve a waiting period, and you won’t be able to take advantage of any accumulated advantages from your previous policy.

So, regardless of why you quit the firm, the advantages of group health insurance plans stop the day you depart. Furthermore, if you locate a plan at another business, it may not be as advantageous as the one at your present employer.


Even if you are covered by a company health plan, it is suggested that you get personal health insurance.