Importance of Group Medical Insurance for Oil & Gas Industry

Without a doubt, employees of any organisation are the most important asset. Hence protecting them from any unforeseen expense is employer’s responsibility. Since, the employees working in an oil & gas factory are prone to getting sick as they are surrounded by containers filled with hazardous gases and oil, it becomes necessary for them to be covered under a group health insurance plan that could help them get financial coverage whenever they need.

Coverage under Group Medical Insurance for Oil & Gas Industry

Group health insurance for Oil & Gas Inudstry covers the following:

• Coverage against pre-existing diseases
• Employee’s new born baby gets coverage from the day of delivery
• Doctor’s fee & Consultation charges are covered
• Pre and post hospitalisation charges are covered
• Ambulance charges as per specified in the policy are covered
• Room rent expense is covered
• Medical tests are covered such as chemotherapy, radiotherapy, etc.
• Maternity coverage is provided
• Domiciliary and day care charges are covered
• Financial coverage for x-rays, medicines, etc.

Group Insurance for Oil & Gas Industry does not Covers

Group medical insurance for oil & gas industry does not provide coverage for the following:

• Complications arising due to alcohol or drug abuse are not covered
• Treatments such as Ayurveda and homeopathy are not covered
• Charges incurred in treatment of AIDS or any other related ailments are not covered
• Some of the insurance companies do not provides coverage for parents
• Diseases present since the birth of the employees are not covered

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

Group Mediclaim for Oil & Gas Industry: Claim Process

Follow the steps mentioned below to raise cashless claim through TPA:

• Go to the TPA desk once you reach hospital
• Fill in pre-authorisation form
• TPA will get the pre-approval from insurer
• Insurance company settles the claim

Follow the steps for re-imbursement claim:

• Inform the insurance company as soon as the insured gets hospitalised
• Collect reports, bills and other important documents
• Submit claim form within 7 days of discharge
• The insurance company will process the claim
• Provide cancelled cheque to process the claimed amount
• Insurance company reimburses the amount within 15 days

Group Medical Cover for Oil & Gas Firm: Required Documents

To raise the claim, you need to keep the following documents ready to submit along with the claim form:

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