Group Medical Insurance Policy in India

- Group medical insurance in India is gaining popularity by the day as more and more people are becoming aware of the ad​vantage associated with it. Unlike individual and family health insurance, a group medical insurance is designed to provide coverage to group of people like members of a society, employees of a common employer, etc. Advantages of group medical insurance policy in comparison to other policies are comprehensive cover at lower premium payment amounts and coverage irrespective of insured’s past medical and mediclaim history.

-  Group medical insurance provides coverage to many people under one group. The sum insured offered to all the members under group health insurance is more or less similar irrespective of the risk factor. Thus due to lack of flexibility in the sum insured amount and also large number of members dividing the risk factor for the health insurance provider, premium payment cost for a group health insurance policy is much lower in comparison to other types of policies.

-  Group medical insurance apart from the initial setup amount is extremely affordable. Employees benefit largely from group health insurance policy as they not only share the premium payment amount with the employer but also get a comprehensive cover at minimal premium payment amount. Thus group health insurance policies are extremely affordable unless few employees wish to add more features to their policy which are not common among other members in the group.

-  Most group medical insurance policies also provide reimbursement for out-patient expenses like optical care, dental and mental care at nominal premium charges. If the same benefits are opted for in individual or family medical insurance policy, the premium payment charges would be much higher comparatively.

-  As mentioned group medical insurance is offered to individuals in the group. There are very few chances of a medical coverage denied to an individual under group health insurance due to his/her past health and claim records. For instance smoking/drinking habit, unhealthy eating habits, filing of a claim in the past, would increase your premium payment amount sharply in case of an individual or family health insurance policy. You may even be denied coverage, but not in the case of group medical insurance.

FAQ

What benefits does Niva Bupa Group Health Insurance offer to employees?

Niva Bupa Group Health Insurance offers a comprehensive range of employee benefits, making it one of the most trusted choices for corporate healthcare coverage. Employees can access cashless hospitalisation across a vast network of hospitals, pre-existing disease coverage from day one (depending on the plan), and maternity and newborn cover. Additionally, wellness programs, teleconsultations, and annual health check-ups are often part of the package.

One of the standout features of Niva Bupa Group Health Insurance is its flexibility, employers can customise the plan based on the needs of their workforce. With a quick and hassle-free claims process, Niva Bupa Group Medical Insurance ensures employees feel secure and supported in medical need. Overall, the benefits of group medical insurance under Niva Bupa are designed to promote employee well-being and satisfaction.

How does group medical insurance work?

Group medical insurance is a health policy an employer or organisation purchases to cover their employees. The premium is usually fully paid by the employer or shared with the employee. Once enrolled, employees are covered under the group medical insurance plan and can avail themselves of healthcare services without bearing the full cost.

When an employee visits a hospital from the insurer’s network, cashless treatment is available. In case of non-network hospitals, reimbursement claims can be filed. Plans like Niva Bupa Group Medical Insurance offer seamless integration with HR systems, allowing easy onboarding, tracking of benefits, and paperless claims. This ease of use is one of the significant benefits of group medical insurance.

What are the key benefits of group medical insurance in India?

The benefits of group medical insurance in India are numerous and highly valuable for both employees and employers. Some of the key advantages include:

• Pre-existing disease coverage from day one
• No pre-policy medical check-up required for most employees
• Maternity and newborn baby cover
• Mental health support and wellness programs
• Affordable premiums due to group pooling

Plans like Niva Bupa Group Medical Insurance stand out for their vast hospital network, fast claim approvals, and add-on options such as personal accident and critical illness cover. These features make Niva Bupa Group Health Insurance a preferred choice for Indian companies aiming to enhance employee retention and health security.

Can I include my family in group medical insurance?

Yes, many group medical insurance policies allow the inclusion of family members such as spouses, children, and even dependent parents. With Niva Bupa Group Health Insurance, employers can opt for family floater plans where the entire family is insured under a single sum. This offers peace of mind to employees and adds value to their employment benefits.

Adding family members under the Niva Bupa Group Medical Insurance plan means that they too can enjoy the benefits of group medical insurance like cashless treatment, wellness services, and specialised healthcare programs. This feature is especially helpful in building employee loyalty and fostering a culture of care within organisations.