Importance of Group Health Insurance for FMCG Industry

Covering employees under group health plan is the FMCG industry is important. The insurance plan not only helps the employee in paying their unexpected hospital bills but also help the employer to retain employees for a longer period of time. This is why providing group medical plan to employees now a days has become necessary.

Coverage under Group Health Insurance for FMCG Industry

Group medical insurance for FMCG firm provides coverage for the following:

• The insurance plan covers doctor’s fees
• It covers pre-existing diseases
• Covers consultation charges
• Provides coverage for pre and post hospitalisation charges
• Maternity coverage is also provided
• Room rent cover as per specified in the policy is provided
• Domiciliary charges are also covered
• Employee’s new born baby gets coverage from day 1
• Day care charges are also covered
• Financial coverage for medicine, x-rays, etc. is provided
• Ambulance charges are also covered

Group Medical Insurance Does not Cover

Group medical insurance for FMCG Industry does not provide coverage for the following:

• Several insurance companies do not extend coverage to the parents of the employee
• Ayurveda and homeopathy treatment expenses are not covered
• Complications caused out of drug abuse or alcohol abuse are not covered
• Expenses coming out of the treatment of AIDS and any other related illnesses
• Diseases that are present in the insured person since birth are not covered

Group Mediclaim for FMCG Industry: Claim Process

To raise cashless claim through TPA:

• Go to the TPA desk in the hospital
• Take the pre-authorisation form and fill it up
• Third-party administrator gets the pre-approval from the insurer
• Then insurance company settles the claim

To raise claim for re-imbursement:

• Tell the insurance company within 24 hours of hospitalisation
• Collect all bills, reports and documents
• Within 7 days of discharge, submit the claim form along with the required documents
• After this, insurance company will process the claim
• The amount will get into your account within the seven working days

Group Medical Cover for FMCG Firm: Required Documents

Submit the following documents with claim form to raise claim:

• Claim form
• Discharge summary
• Cash memo
• Doctor’s prescription
• FIR, if any
• Any other document as per the insurer’s requirement
• Final bill