Group Health Insurance / Group Mediclaim Policy

Provides health coverage to a group of people, typically employees, offering medical expense reimbursement and hospitalization benefits

Protect Your Team, Empower Your Growth
Group Health Insurance (GMI), also known as Group Mediclaim Insurance (GHI), is a type of health insurance policy that provides medical coverage to a defined group of people and their dependents under a single policy. This comprehensive healthcare solution covers hospitalization, surgery, and various treatment costs for employees/members and their families.
No Pre-Policy Medical Check-Up
Coverage Without Any Waiting Period
Pay Premium in Installments
Who can buy Group Health Insurance?
Any legally recognized group or organization with minimum 7 individuals can purchase group mediclaim insurance
Companies/Corporations - Private limited, public limited, multinational corporations, SMEs
Partnership Firms and Sole Proprietorships - Business partnerships and individual proprietorships
Non-Governmental Organizations (NGOs) - Charitable and social organizations
Associations and Societies - Professional associations, trade unions, cooperative societies, clubs
Government and Public Sector Units - Government departments, public sector undertakings
Educational Institutions - Schools, colleges, universities, and other educational organizations
Conditions for Group Eligibility
Purpose of forming the group shall not be primarily only for getting Group Health Insurance
Age of the group does not matter to take such insurance
Need not be employer-employee relation
Evidence of relation between group & member is sufficient
Why Choose Group Health Insurance?
Comprehensive healthcare coverage for entire group under single policy
Cost-effective solution with negotiable premiums and shared risk
Immediate coverage without waiting periods or medical check-ups
Highly customizable coverage options and negotiable exclusions
Easy enrollment process for all eligible group members
Additional wellness benefits and employee engagement programs
Group vs Individual Health Insurance Comparison
ParameterPrivate Insurers
Private
Public Insurers
Public
Enterprise SuitabilityMore suitable for small & medium enterprisesMore suitable for larger enterprises with over 1000 members
Premium CostGenerally more flexible and competitiveOften standardized and less negotiable
Claim SettlementFaster claim settlement with paperless processesSlower claim settlement with more paperwork requirements
Policy CustomizabilityHighly customizable policiesStandardized policies with lesser flexibility
Network HospitalsMore empanelled hospitalsLesser than private insurers
Choice Between Private Insurers & Public Undertaking Insurers

No Medical Check-Up

No pre-policy medical examination required, making enrollment quick and hassle-free.

No Waiting Period

Coverage without waiting periods, providing immediate access to healthcare benefits.

Flexible Payments

Pay premiums in installments, making it budget-friendly for organizations.

Cost-Effective

Highly negotiable and economical compared to individual health insurance policies.

Customizable Coverage

Highly customizable policies to meet specific organizational needs and requirements.

Suggestions for Efficient & Cost-Effective Group Health Insurance

Small Enterprise (7-100 members)

Coverage

Uniform coverage across all hierarchy levels

OPD Coverage

Comparatively costlier

Insurer Choice

Private insurers more competitive

Top-Up Facility

Comparatively costlier

Medium Enterprise (100-500 members)

Coverage

Mildly flexible coverage across different levels

OPD Coverage

Mildly economical

Insurer Choice

Private insurers more competitive

Top-Up Facility

Mildly economical

Large Enterprise (500+ members)

Coverage

Highly flexible coverage for all hierarchy levels

OPD Coverage

Most economical

Insurer Choice

Public sector insurers more competitive

Top-Up Facility

Most economical

Private vs Public Insurers Comparison

Enterprise Suitability

Private Insurers

More suitable for small & medium enterprises

Public Insurers

More suitable for larger enterprises with over 1000 members

Premium Cost

Private Insurers

Generally more flexible and competitive

Public Insurers

Often standardized and less negotiable

Claim Settlement

Private Insurers

Faster claim settlement with paperless processes

Public Insurers

Slower claim settlement with more paperwork requirements

Policy Customizability

Private Insurers

Highly customizable policies

Public Insurers

Standardized policies with lesser flexibility

Network Hospitals

Private Insurers

More empanelled hospitals

Public Insurers

Lesser than private insurers

Benefits of Choosing GoInsureIndia.com
Industry benchmarking on coverage and pricing
Comprehensive assessment of employee health needs and risk profiles
Tailored policy design to meet specific organizational requirements
Assistance in selecting most suitable insurance plans from leading insurers
Ensuring customers pay reasonable costs for their choice of coverage
Seamless Customer Onboarding
Access to mobile-cum-web app for policy benefits and digital health cards
Thorough policy awareness sessions onsite or online
HR team education about policy administration and management
Employee training on mobile app usage and claims process
Customer Service Excellence
GoInsure Mobile App access to all policy members
24/7 dedicated contact center team
Dedicated Service Manager for special concerns
Dedicated WhatsApp number with AI support
Paperless claim settlement process
Claims expertise with industry experience since privatization
Health and Wellness Programs
Bi-monthly wellness webinars covering physical, emotional, mental health
Free doctor consultations, dental care, and mental wellness sessions
20% flat discount on health check-ups with comprehensive tests
Discounts on at-home nursing care and physiotherapy sessions
Free pre-surgery consultations and post-hospitalization benefits
Access to wide network of empanelled hospitals
Group Health Insurance FAQs
Common queries about Group Health Insurance / Group Mediclaim Policy

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