Key Features that a Startup Should Evaluate in a Group Mediclaim Policy

Group medical insurance is one of the essential policies that an employer should provide to the employees. However, such insurance might be expensive for the startup firm. There are several key features that a startup should evaluate in a group mediclaim policy to avoid irrelevant expenses.

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Key Features that a Startup Should Evaluate in a Group Mediclaim Policy

Group health insurance offers different kinds of coverage. The employer must learn the policy coverage provided by the insurance company and select one wisely. Let us discuss some key features that a startup should evaluate in a group mediclaim policy.

  • Adequate Coverage

    A startup must ensure adequate coverage to the employees. It is the core of a group health insurance that should not be compromised. In addition, such coverage should not be only limited to hospitalization.

    Instead, it should fulfill the cost post-hospitalization. Further, the employees are also required to pay the pre-hospitalization cost. Thus, adequate coverage is the one that covers both pre and post-hospitalization costs.

    Let us explain this key feature with an example.

    Suppose an employee suffers from a stomach ache and visits his doctor. The doctor conducts the test due to the severity of the stomach ache. The test result recommends the hospitalization of the insured. The required treatment gets completed in a few weeks and the patient is advised to follow some more tests post-discharge. An ideal adequate coverage, in this case, shall include every cost which is required to be paid to the doctor in the aforementioned example.

  • Sum Insured

    The sum insured is the amount paid by an insurance company to the policyholder at the time of claim. The sum insured reduces the burden of the hospitalizations and treatment costs. Therefore, the employer must opt for the optimum sum insured for the employee.

    The sum insured can be upgraded as per the requirement of the policyholder. The upgrade can be made on the basis of work and designation or location of the employee. However, the employee should be at least given INR 5 lakh total sum insured by the employer. This will ensure fair treatment for the employee.

  • New Born Baby Cover from Day 1

    This coverage can only be found in the group health insurance. The policy is famous to provide coverage to newborn babies after 90 days of their birth. Respiratory disorder is a common issue that a newborn faces. This treatment needs hospitalization. By adding this key feature, the employer may ensure coverage for a newborn baby from day 1.

  • Family Coverage

    Family coverage is another key feature that a startup should evaluate in a group mediclaim policy. The group mediclaim policy offers such coverage which may add the family members of the employees. This ensures the extension of health coverage to the family members.


The group mediclaim policy offers different kinds of coverage which may be considered by the start-up and provided to the employees. Employers are recommended to go through the policy documents thoroughly to learn about the coverages in detail.

Written By: PolicyBazaar - Updated: 04 August 2023

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