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Cover Your Work Family Against Medical Emergencies

  • zero-waiting

    SI of ​₹50K & ₹1 Lac Available

  • zero-waiting

    7-1000 Workers can be Covered

  • zero-waiting

    10​,0​00​​​+ Cashless Network Hospitals

Group Mediclaim Insurance Policy

knowledge

A There’s more you can do for your employees than a salary. Taking care of their health with the help of a group health insurance plan can be the very thing they need. With Reliance General Insurance, you have a group mediclaim policy that’ll keep you and your employees happy.

When a group of individuals, generally those working in the same organisation, are covered under a single health insurance policy, it is known as a group health insurance. 

Companies offer this as a perk to current and potential employees as a way to retain or attract them. 

A group health insurance policy is an economical and efficient way to offer health coverage to an organisation's employees. 

Benefits of Buying a Group Health Insurance Plan

Securing health insurance coverage for employees via a group mediclaim policy has several benefits. These benefits apply to both employees and employers alike. Take a look at the benefits of buying a group health insurance plan: 

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Helps employers maintain their manpower

Offering health insurance coverage for its employees is one of the most attractive perks they can give. Employees would always look for this benefit when they're looking to switch or whether they're deciding to stay.

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Tax benefits for employers

Under Section 17 of the Income Tax Act, 1961 employers get tax deductions for payment of premiums towards group health insurance. “Profits in lieu of salary" is the clause that states the tax deductions that employers receive.

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Employees get free health coverage

Since the premiums are paid by the employers, it effectively means that employees get free health insurance for themselves and, depending on the company, their dependents.

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Better job satisfaction

A perk through a group health insurance is the slight job satisfaction and mental well-being boost. It'll keep employees or attract them to your organisation. 

Group Health Insurance Plan from IndusInd General Insurance

​IndusInd General Health Insurance Plan for Groups

Every organisation needs a group mediclaim policy that will make the lives of both employers and employees better. At IndusInd General Insurance, we have a comprehensive employee health insurance plan that will keep your team happy.

Feature

Benefit

Sum Insured    

₹50,000 & ₹1,00,000

Employees that can be covered    

7 to 1,000 employees

Number of Cashless Hospitals    

1​​0,000+ Network Hospitals

Reliance’s Heading Second Table

Reliance’s online set up helps ease the process of purchasing a health plan.

Features Features
Premium starting at Premium starting at

Key Features of Group Mediclaim Insurance Policy

Here's what your employees get under a group health insurance plan: 

This covers a variety of treatments that require at least overnight hospitalisation. Medical procedures like surgeries which require a prolonged stay at the hospital are covered under a group health insurance. 
Any expenses incurred during any procedures before the actual hospitalisation and even those that are required after the treatment are covered under a group mediclaim policy. 
Illnesses that an employee had before issuing the group health insurance are covered. These include diseases like heart problems, diabetes, blood pressure, etc. No waiting period is imposed on employees unlike an individual health plan. 
One of the primary benefits of an employee health insurance is the facility of cashless treatments. Cashless treatments can be availed at network hospitals where the medical bills are settled between the insurer and the hospital. Having cashless treatments eases the ordeal that an employee goes through in the unfortunate event of a hospitalisation.
Some group health insurance plans offer the option to include spouses and children too. This is an additional benefit that will keep employees happy and relieved that their family is covered with a health insurance.

Inclusions & Exclusions of Group Mediclaim Policy

What is Covered

inclusion

Individual cover for your worker

inclusion

Pre-existing disease covered**

inclusion

Workers aged 18-60 years can be covered

inclusion

Maternity benefit**

inclusion

Room rent charges covered*

inclusion

Pre-30 days & post 60 days hospitalization

inclusion

Road ambulance charges covered

inclusion

Day care procedure covered 

What is Not Covered?

exclusion

Domiciliary hospitalisation

exclusion

Robotic surgery/treatment done using this technology/robotically assisted surgery

exclusion

Stem Cell Transplantation/bone marrow transplant

exclusion

Septoplasty

exclusion

Cochlear Implant or related aids

exclusion

RFQMR - Rotational Field Quantum Magnetic Resonance Device - Cytotron

exclusion

C3R

exclusion

Balloon Sinuplasty

exclusion

Bariatric surgery

exclusion

Inj Avastin /Lucentis/Macugen

exclusion

Ozone Therapy

exclusion

Enhanced External Counter Pulsation Therapy (EECP)

exclusion

Rejuvenation therapy

exclusion

Lasik Surgery

Click here to know mor​e about the policy exclusions of the Group Mediclaim Policy. T&C apply. Details mentioned here are for the product- Group Mediclaim Policy.

Eligibility Criteria For Group Health Insurance

Check out the criteria for a group mediclaim policy below

Parameter

Criteria

Entry Age for Employee    

18 years to 70 years

Entry Age for Spouse

18 years to 70 years

Entry Age for Dependent Children

91 days to 25 years

Newborn Cover

From birth till 90 days

Reliance’s Heading Second Table

Reliance’s online set up helps ease the process of purchasing a health plan.

Features Features
Premium starting at Premium starting at

How to File a Claim?

Filing a claim is simple and quick today. Here's how you can file a claim with Reliance General Insurance:

Cashless Claim

1

Inform the claims team. You can inform them by emailing, logging into the Self-i App or calling 022-48903009 (paid)

2

Submit details like type of treatment and all relevant documents

3

The claims team will settle the bill directly with the hospital

Reimbursement Claim

1

Inform the claims team. You can inform them by emailing, logging into the Self-i App or calling 022-48903009 (paid)

2

Submit details to the claims team and make the necessary payment at the hospital.

3

Scan and send your bill and other document to the claims team within 7 days of recharge to get reimbursed.

Why Every Organisation Should Buy a Group Medical Insurance?

As stated earlier, there are many benefits an employers can reap by purchasing a group mediclaim plan. This not only benefits employers but even employees benefit from it. Given the importance of a group health insurance, here are some advantages of buying one:

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My Employer is taking care of my Health Insurance and so I do not need one

Group health insurance is affordable

In today's day where almost every company is offering medical insurance coverage for its employees, you don't want to be left behind. Therefore, it is imperative that you find the most economical way to cover your employees. So rather than depending on individual policies, a group health insurance plan will prove more affordable than the former option. 

insurance
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My Employer is taking care of my Health Insurance and so I do not need one

Extend coverage to family members

Employees can experience some kind of mental peace when they know that their family - be it a spouse, kids, or parents - are covered with health insurance. Depending on the group health insurance policy, employees can include their dependents too. 

insurance
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My Employer is taking care of my Health Insurance and so I do not need one

 PEDs are covered from day 1

Generally health insurance plans come with waiting periods ranging from the initial 30-day waiting period to the longer waiting period for pre-existing diseases. In a group health insurance plan, there are no waiting periods and even pre-existing diseases are covered from the day the policy is issued. 

insurance
inverted
My Employer is taking care of my Health Insurance and so I do not need one

Employees get free coverage

The primary benefit for employees is the benefit of free health coverage. Since all payment of premiums are borne by the organisation, employees can rest easy knowing they've got their health covered. 

insurance
inverted
My Employer is taking care of my Health Insurance and so I do not need one

It keeps employees happy

Ultimately, all the perks of an employee health insurance leads to this, that is, a sense of security in times of a medical crises. It'll keep them happy and motivated to continue.​

What Should an Organisation Consider Before Buying a Group Health Insurance Plan?

Before buying a group mediclaim policy, an employer should keep certain factors in mind. This will help them get an affordable health plan that will benefit employees the most. So, here are some factors to consider before buying a group health insurance plan: 

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Useful Benefits

The most important part of selecting group health insurance is finding out whether it has benefits that will prove useful to the employees. Having such a health plan will bring that added delight to an organisation's employees. 

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Coverage and Premium Amount

The best group mediclaim policy will offer valuable benefits while being economical at the same time. Therefore, an employer should consider premium amounts and how much the sum insured will be. 

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Network Hospitals

One of the most vital deciding factors to selecting a group health insurance plan, or even an individual health insurance, is the number of network hospitals. More number of network hospitals means employees can avail cashless treatments easier. Thus, you can make it smoother for employees to deal with emergency treatments with a group health insurance that has more number of network hospitals. 

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Service

Another deciding factor in buying a group health insurance policy is the service the insurer provides. Are they quick in providing resolutions? How is the claim process? Do they have a good track record in servicing its clients? Check online reviews of the insurer and its claim settlement ratios to understand how they deal with its customers. 

What is the Difference Between a Group Health Insurance Plan and an Individual Health Insurance Plan?

Health insurance plans for groups and individuals share some similarities while being vastly different in whom they serve. The primary purpose remains the same, however, that is to provide health coverage. Here are the main differences at a glance: 

Individual Health Insurance

  • An individual health insurance​ plan is a policy that is purchased by a person to insure themselves from paying high medical expenses and hospitalization bills.

  • You can buy a health policy for yourself, or you​r spouse, or children, or even for your elderly parents. The premium rate is calculated based on policyholder's age, gender, medical history, and much more. You should know that premium paid in this type of health plan can be expensive. 

  • However, in such plans, you can get a more comprehensive cover that will target your personal needs. You can also avail add-ons to enhance your coverage. 

Group Health Insurance

  • As the name suggests, group health insurance plans are purchased when a group of people wants to get insured. These are more common in the corporate world where employers buy this plan for their staff. 

  • But social groups, sports teams, and joint families can also buy this health plan. The premium is calculated based on the size of the group, the industry the company operates in, demographics of the people involved, and much more. Buying a plan for a group will reduce the premium rates but it will also reduce some of the benefits that you would typicallly get in an individual health plan. 

Individual vs Group Health Insurance: Pros & Cons

Pros

Individual Health Insurance    

Group Health Insurance

More flexibility in the tailoring of coverage    

Cheaper coverage for better conditions

You will have more control over co-pays, deductibles, and benefit limits    

Even if you are suffering from a pre-existing condition, you will get the coverage without any test.

You can research and choose the insurance company that you like    

Some brokers offer extra administration and claims support to corporate clients

You don't have to be employed with a company or be with a group to be eligible for the health plan.    

Lower premium rates

Cons

Individual Health Insurance    

Group Health Insurance

Premium starting at Premium starting at
Premium starting at Premium starting at
Premium starting at Premium starting at

RGI has all your answers, view them below

Who all can be covered in a group health insurance policy?

Any individuals who are part of an organisation as employees can be covered under a group health insurance policy. In some case, even credit card companies offer health insurance to its customers, which is another form of group health insurance. 

Can I have a corporate health insurance and individual health insurance at the same time?

Yes, you can have both a corporate health insurance and an individual health policy at the same time. A corporate, or employee health insurance, is given at the sole discretion of the organisation as a perk. But buying an individual health insurance plan is completely dependent upon the individual. 

What are the limitations of a group health insurance?

A group health insurance policy, though very useful to employees, has certain limitations. The main limitation comes in the form of over dependence on an employee health insurance. However, this can easily be countered by taking an individual policy. Then there's the limitation of no tax benefits for employees, lack of customisation options, etc. 

How is a group health insurance different from an individual health insurance?

As the name suggests, the main difference lies in who is covered under the plan. An individual plan covers only the individual (plus any family if a family floater plan is taken). A group health insurance, on the other hand, covers a group of people, usually employees in an organisation. 

When should I get a group health insurance for my employees?

As of April 2020, the IRDAI mandated all “industrial and commercial establishments, work places, offices, etc." to provide health insurance for their employees. So, as an employer, you're required to offer health insurance coverage to all existing and new employees. 

Does a group health insurance plan offer maternity benefits?

There are some group medical insurance plans that offer maternity benefits. Maternity benefits may include coverage for childbirth, pre-hospitalisation and post-hospitalisation expenses, care for newborn, vaccination cover for newborn, etc. 

Do I have to undergo medical tests to be included in a group health insurance policy?

No, companies generally don't require you to undergo a medical test to be included in the employee health insurance. The process to add you in a group mediclaim policy begins from the day you join the organisation. 

Is there any age limit to be covered under a group health insurance plan?

There is an age limit for a group health insurance policy which generally starts from 18 years till the individual is with the company. For dependent children, coverage starts from 91 days till 25 years and newborns will be covered from birth till 90 days.​​​​​​

What is the current GST rate on hea​lth insurance premiums?

During the 56th GST Council Meeting in New Delhi, the Indian Government revealed a groundbreaking decision to exempt all health insu​​rance policies from GST, starting September 22, 2025. The GST rate on health insurance premiums has been lowered to zero. Previously, premiums faced an 18% GST, which greatly raised the total cost.With this exemption, only the base premium is charged - making health insurance more affordable and accessible for individuals.

How does the GST exemption i​​mpact my health insurance premium?

With Zero GST, your premium is​ now reduced by up to 18% compared to before.You won't have to pay tax on health insurance policies anymore.This change is effective for new purchases and renewals starting September 22, 2025.

Example: A policy that ​​earlier cost ₹15,000 (including ₹2,288 GST) will now cost approximately ₹12,712 - saving you nearly ₹2,300

Will my existing health insuranc​​e policy benefit from the GST exemption?

Yes, renewals made on or after September 22, 2025 will benefit from Zero GST.If your policy was issued before this date, GST still applies.The exemption is tied to the policy issuance and renewal date, not just payment.Future renewals will reflect the GST-free pricing, reducing your premium cost.

Do I need to pay GST on health insur​ance purchased before September 22, 2025?

Yes, policies purchased or issued before September 22, 2025 still include 18% GST.The Zero GST exemption applies only to policies issued or renewed on or after that date.Future renewals will reflect the GST-free pricing.

What does the new GST regulation eff​ective 22nd September mean for Health Insurance premiums?

Starting 22nd September 2025, the GST (Goods and Services Tax) on individual health insurance premiums has been reduced to 0%, down from the earlier rate of 18%.

What this means for you:
Lower Premiums: You'll now pay only the base premium-no GST added.

Will my Health Infinity renew​​al premium reduce after the GST removal?

Yes, Your Health Infinity renewal premium will decrease if the renewal takes place on or after September 22, 2025.

Does the GST regulation apply to​​ both new purchases and renewals of Health Insurance?

Yes, the new GST regulation effective from 22nd September 2025 applies to both new purchases and renewals of individual health insurance policies.

Does the GST change impact Health Gain, Health I​nfinity, Super Top-Up, and Hospi Care plans equally?

Yes, The GST exemption starting from 22nd September 2025 is applicable to health insurance plans such as Health Gain, Health Infinity, Super To​p-Up, and Hospi Care. Provided that the policy is issued and the risk begins on or after this date, there will be no 18% GST charged on premiums. This change makes these plans more budget-friendly for both new purchases and renewals.

I renewed my health policy before 22nd Septemb​er with GST - am I eligible for adjustment?

If your health insurance policy was renewe​​d before September 22, 2025, and you paid GST, you are not eligible for any refunds or adjustments,The GST exemption applies only to transactions made on or after the effective date. Since your payment was completed earlier, the GST charged was valid under the previous tax rules and cannot be retrospectively refunded.​​

Disclaimer: 

*T&C Apply. For more details on risk factors, terms conditions, brochure, and exclusions, please read the policy wording and CIS carefully before concluding a sale.

The total no. of customers insured data is for FY24 and has been picked up from the number of lives insured for Health, Personal Accident, Overseas Travel, Domestic Travel, Workmen Compensation and Crop Insurance, Weather LOB & Fire LOB provided by IRDAI count that is master policy count. Other than these LOBs, we have also provided data for the number of certificates issued.

Claim Settlement: This is the overall claim settlement ratio for FY 2023-24 without claim outstanding at the start of the financial year as per public disclosure of IndusInd General Insurance Co. Ltd.

Premium: The premium mentioned is excluding taxes for single person aged between 5 years to 20 years with individual health policy for Sum Insured of ₹3 lakhs considering no adverse health conditions/pre-existing disease/medical conditions with waiting period of 3 years. For more details, please refer to the policy wordings. Premium used is 2,919/year converted into a month which gives us Rs.243/month (2,919/12).

Health Infinity UIN: The details mentioned above are for IndusInd Health Infinity Insurance UIN: RELHLIP23120V042223

Health Gain UIN: The details mentioned above are for IndusInd Health Gain Policy. IndusInd Health Gain UIN: RELHLIP22229V032122

Health Super Top-Up UIN: The details mentioned above are for IndusInd Health Super Top Up. UIN- RELHLIP21617V012021.

Heath Global UIN: Details mentioned above are for IndusInd Health Global UIN: IRDAN103RP0001V01202324

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