Importance of Group Health Insurance Cover for Automobile Industry

Be it two-wheelers, four-wheelers, trucks, etc. automobile industry plays a huge role in creating our day to day life easier. Whether it is about traveling from one place to another or transportation of goods, automobile industry build all kinds of vehicles to meet the customer requirements. However, there are several risk involved while building a vehicle and the workers are prone to those risks.

This is where group health insurance for automobile industry steps in. This insurance policy provides financial coverage to the employees in case they get injured during the course of their employment and the insurance plan provides them financial coverage for the expenses incurred in the treatment.

Group Medical Insurance Coverage for Automobile Industry

Group health insurance for Automobile companies provides coverage for the following:

• Pre-existing diseases covered from 1st day of joining the company
• Pre and post hospitalisation charges are covered
• Doctor’s fee covered
• New born child of the insured is covered from the 1st day of delivery.
• Maternity coverage
• Domiciliary charges as well as day care treatment expenses are covered
• Room rent expenses are covered
• Medical tests such as chemotherapy, radiotherapy, etc. are covered
• Extended cover for supplies such as oxygen, drugs, medicines are covered

Group Health Plan for Automobile Industry does not Cover

Group health insurance for Automobile firms does not provide coverage for the following:

• Non-allopathic treatments like Homeopathy or Ayurveda are not covered
• Health-related complications due to overdose of alcohol or drugs is not covered
• Expenses incurred due to diseases like AIDS are not covered
• Policy does not cover congenital diseases
• Several insurance companies do not cover parents

Group Medical Insurance for Automobile Industry: Claiming Process

To raise cashless claim through Third-party Administrator, follow the steps mentioned below:

• Once you reach hospital, find TPA desk and fill in the form
• TPA will inform the insurer for pre-approval
• Insurance company will send the approval along with the initial amount to be paid by insured
• Post treatment the insurance company pays the amount as per terms and conditions

In case of re-Imbursement, follow the steps mentioned below:

• Inform the insurer about hospitalisation within 24 hours
• Keep all the required documents handy
• Insurance company will process the claim after the submission of claim form along with the required documents
• Provide a cancelled cheque to get the claim amount
• Insurer settles the claim within 15 days

Group Health Cover for Automobile Industry: Required Documents

Keep the following documents ready to submit along with the claim form:

• Claim form
• Doctor’s prescription
• FIR, if any
• Cash memo
• Hospital bills
• Discharge summary with listed treatments
• Any other required documents asked by insurer