How to Customize Your Group Health Insurance Policy?

To customize a group health insurance plan, specific modifications are made to cater to the unique requirements of a particular group. Although customization options may differ based on the insurance provider and policy, here are some general steps you can take:

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  • Employee, spouse & kids

  • Employee only

Customize Your Group Health Insurance Policy

It is essential to customize your group health insurance policy according to the requirement. The insurance company offers various options to the policy buyer for the customization of the policy. 

Let us discuss how to customize your group health insurance policy.

Identify the Needs of Your Employees

Before purchasing the group health insurance policy, make sure to identify the specific requirements and preferences your employees might have. You can consider factors such as health conditions, age and any other specific healthcare needs.

Choose Coverage Options

Review the coverage choices offered by the insurance company and choose the ones that meet the needs of your group. These options can include medical, dental, vision, prescription drugs, mental health, and maternity coverage.

Determine the Contribution Structure

Decide how much both the employer and employees will contribute to the group mediclaim plan. This involves determining the percentage of the premium costs that each party will cover. You can also consider different contribution levels based on job position or seniority.

Check the Number of Network Hospitals

The main advantage of network hospitals is that the insured can get cashless claims for the specified coverages in the insurance policy. While customizing the group mediclaim policy, check the number of network hospitals. The more network hospitals would be registered with the insurance company, the easier it would be for the employees to reach out to that hospital and get cashless claims.

Check Add-ons 

Explore the additional benefits or add-ons offered by the insurance company. If you find out that some of the employees have some specific needs and need any particular kind of coverage that is not included in the mediclaim policy then you can add them by paying an extra amount that you can ask your employee to pay for.

Inform the Employees

Inform the employees once the customisation process is done. Clearly explain the coverage, costs, enrollment process, and any other important information. Encourage employees to ask questions and seek clarification if needed.


The policyholder may remove the deductible if any form of insurance coverage. According to the deductible, the policyholder is expected to pay the predefined amount. Later, the insurance company shall pay the rest of the amount. The policyholder may remove it and obtain full coverage in the group mediclaim policy.

Written By: PolicyBazaar - Updated: 18 July 2023

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Policybazaar for Business - Group Health Insurance - Customer Reviews
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3.8 April 09, 2023
Excellent Support
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Thankyou PolicyBazaar for providing such a great plan at affordable premium rates. It was a budget-freindly purchase.
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I purchased Group health Insurance which offered me plans with affordable rates Thankyou PB.