Group Mediclaim Insurance

In our day to day lives, we are exposed to many unforeseen risks associated either with accidents or illnesses. Medical costs are becoming increasingly expensive. The cost of an artery bypass surgery is upwards of INR two to three lakhs. Cancer treatment would cost anywhere between INR two lakhs to five million. In such contingency even among the upper middle class, a lot of people must sell their valuable assets to meet the medical expenses. Other expenses like travel, lodging, loss of income account for as much as 35% of the overall cost of treatment. Most of us ignore this fact.

While many of us insure our homes, vehicles, children’s education etc., we do not often insure our health! The fact that any illness can strike us without warning and eat up our savings should not be overlooked. Thus, with the ever-increasing costs associated with Hospitalization, it can mean a drain on your precious savings and making life unstable for self and family.

 

The policy is meant to cover Hospitalization Expenses incurred by the members of an organization in case they happen to suffer from a disease or sustain an accidental injury, the following Hospitalization expenses will be paid under following heads: 

  • Room, Boarding and Nursing Expense. 
  • Medical Practitioner/ Anesthetist, Consultant fees, fees of surgeon 
  • Expenses on Anesthesia, Blood, Oxygen, Operation Theater, Surgical Appliances, Medicines and Drugs, Diagnostic Materials and X-ray, Dialysis, Chemotherapy, Radiotherapy, Cost of Pacemaker, Artificial Limbs, Cost of Organ and similar expenses 
  • Expenses on Vitamins and Tonics only if forming part of treatment as certified by the attending Medical Practitioner. 
  • The relevant expenses incurred for Domiciliary Hospitalization
  • An additional Daily Allowance for the duration of Hospitalization towards defraying of miscellaneous expenses. 
  • Ambulance charges in connection with any admissible claim limited 
  • Admissible day care treatment (less than 24 hrs hospitalization), pre and post hospitalization 
  • Cost of Health Check-up – Reimbursement of cost of medical check-up once at the end of a block of every four continuous claim free policy years, subject to maximum of 1% of the average sum insured during the period 
  • Other admissible expenses. 
  • This policy will trigger when there is minimum 24 hours hospitalization. 
  • The hospital where treatment is taken should have minimum 15 beds. 
  • The policy holder can avail cashless facility for the treatment taken or he may go for reimbursement of expenses incurred. 

The basic cover can be enhanced by opting for Add-on covers by paying an extra premium and such Add-on covers are as below: 

  • Waiver for Pre-existing diseases. 
  • Waiver for first 30 days exclusion. 
  • Waiver for first year / first two years / first four years exclusion. 
  • Maternity Benefits and Newborn Baby cover from day one. 
  • Corporate Buffer. 
  • Dependents of Employees can also be covered including the extension of covering parents 
  • There can also be a single-Family Floater Limit rather than an individual limit per member

This policy is a very good tool to for an organization to ensure that their employees are fully covered to meet any sort of medical emergency. 

Strength in Unity, Health in Coverage

We strive to use an innovative approach to develop group health insurance products that cut costs while maintaining superior coverage. Health Insurance Package is tailored specifically to fit the requirement of your group.

Our dedicated support team is ready to address your queries, provide guidance, and ensure a prompt resolution to any concerns you may have.

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