Group Health Insurance for Healthcare Industry

Group health insurance for healthcare industry provides financial coverage to the employees working in the healthcare organisation against medical expenses incurred during the course of their employment. The group health plan coverage extends to parents as well.

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Whom do you want to insure?

  • Employee, spouse & kids

  • Employee only

Importance of Group Health Insurance for Healthcare Industry

The healthcare industry works for the welfare of the citizens, the employees working in this industry also deserves to get healthcare benefits such as group health insurance coverage. Since the healthcare industry workers would be aware of everything that could go wrong and turn out to become an expensive affair, group medical plan helps in taking off the burden of unexpected expenses.

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Who do you want to insure?

  • Employees
  • Employees & their family
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Minimum lives should be 7

  • 1 Lakh
  • 2 Lakh
  • 3 Lakh
  • 4 Lakh
  • 5 Lakh

Include maternity coverage

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Coverage under Group Medical Insurance for Healthcare Industry

Group medical insurance for healthcare industry provides coverage for the following:

  • Doctor’s fee
  • Consultation charges
  • Pre-existing diseases
  • Pre and post hospitalisation cover
  • Room rent charges
  • Maternity coverage
  • Day care charges
  • Domiciliary charges
  • Financial coverage for x-rays, medicines, etc.
  • Medical test expenses as specified in the policy
  • New born baby is covered from the day of delivery
  • Ambulance charges

Group Medical Cover for Healthcare Industry Does Not Cover

Group medical cover for healthcare industry does not provide coverage for the following:

  • Ayurveda and Homeopathy treatments are not covered
  • Diseases present in the body of the insured are not covered
  • Any complication cause due to drug or alcohol abuse are not covered
  • Several insurance companies do not provides coverage for the parents
  • Charges incurred in treatment of AIDS or other related diseases are not covered

Group Medical Cover for Healthcare Industry: Claim Process

Follow the steps to raise cashless claim through Third-party Administrator:

  • Go to the TPA desk in the hospital
  • Fill the pre-authorisation form
  • Third-party administrator get the pre-approval from insurance company
  • Insurer settles the claim

Follow the steps below for re-imbursement claim:

  • Tell the insurer within 24 hours of getting hospitalised
  • Keep all the reports, bills and other documents handy
  • Fill and submit claim form within 7 days of discharge
  • Insurer will process the claim
  • Provide cancelled cheque to process claim amount
  • Insurer reimburse the claim amount within 15 days

Group Mediclaim Policy for Healthcare Industry: Documents Required

Keep the following documents handy to submit along with the claim form to raise the claim:

  • Doctor’s prescriptions
  • Claim Form
  • FIR, if any
  • Discharge summary with list of treatments
  • Cash memo
  • Any other document as per insurer’s requirement
  • Final bill

Written By: PolicyBazaar - Updated: 21 September 2023

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Policybazaar for Business - Group Health Insurance - Customer Reviews
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4.4/5
Based on 189 reviews
4.4
out of 5
Based on 189 reviews
38 users
136 users
15 users
0 users
0 users
3.8 April 09, 2023
Mansi
Excellent Support
It was easy to buy insurance from PolicyBazaar website and customer support was also amazing to clear all the doubts.Thankyou. Highly worth it.
Dehradun
4.3 April 01, 2023
Mahesh
Necessary Investment
It is a good and necessary investment. Thanks PB.
Lucknow
4.3 March 24, 2023
Surya
Provides Satisfactory Results
I purchased Group health insurance at policybazaar recently and i am so much satisfied with the plan. The application process was smooth and efficient, making the typically tedious task of getting insurance surprisingly hassle-free.Thanks PB.
Bareilly
3.8 March 16, 2023
Naveen
Helpful In Making Decisions
When it came to selcting the right Group Health Insurance, Policybazaar offered an impressive range of options from reputable insurers. I appreciated the comprehensive details avalable for each policy which helped me to take the better decisions. Thankyou.
Delhi
4.3 March 15, 2023
Rajesh
Increases Clients Expectations
I recently had the pleasure of securing a Group Health Insurance policy throug PolicyBazaar and I must say the Entire process exceeded my expectations! From start to finish, their service werw great. Thankyou.
Delhi
3.8 March 02, 2023
Ravi
Great Experience
I got great deals on PolicyBazaar website. Highly recommend.
Pune
4.3 February 17, 2023
Diljeet
Excellent Purchase
It was a excellent purchase at PolicyBazaaar. Thankyou team.
Coimbatore
4.3 February 04, 2023
Satya
Prompt Services
Policybazaar's efficient claims process was impressive. In case of any medical emergencies, my employees were able to get their claims settled swiftly, allowing them to focus on their health and recovery without worrying about financial aspects.Thankyou
Chennai
4.3 January 22, 2023
Abhishek
Budget Friendly Purchase
Thankyou PolicyBazaar for providing such a great plan at affordable premium rates. It was a budget-freindly purchase.
Delhi
4.3 January 09, 2023
Abhash
Multiple Range Of Benefits
I purchased Group health Insurance which offered me plans with affordable rates Thankyou PB.
Pune