Cover Your Work Family Against Medical Emergencies
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SI of āā¹50K & ā¹1 Lac Available
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7-1000 Workers can be Covered
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10ā,0ā00āāā+ Cashless Network Hospitals
Group Mediclaim Insurance Policy
A Thereās 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 thatāll 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:
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.
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. āProfits in lieu of salary" is the clause that states the tax deductions that employers receive.
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.
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
āIndusInd 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 | ā¹50,000 & ā¹1,00,000 |
Employees that can be covered | 7 to 1,000 employees |
Number of Cashless Hospitals | 1āā0,000+ Network Hospitals |
Key Features of Group Mediclaim Insurance Policy
Here's what your employees get under a group health insurance plan:
Inclusions & Exclusions of Group Mediclaim Policy
What is Covered
Individual cover for your worker
Pre-existing disease covered**
Workers aged 18-60 years can be covered
Maternity benefit**
Room rent charges covered*
Pre-30 days & post 60 days hospitalization
Road ambulance charges covered
Day care procedure covered
What is Not Covered?
Domiciliary hospitalisation
Robotic surgery/treatment done using this technology/robotically assisted surgery
Stem Cell Transplantation/bone marrow transplant
Septoplasty
Cochlear Implant or related aids
RFQMR - Rotational Field Quantum Magnetic Resonance Device - Cytotron
C3R
Balloon Sinuplasty
Bariatric surgery
Inj Avastin /Lucentis/Macugen
Ozone Therapy
Enhanced External Counter Pulsation Therapy (EECP)
Rejuvenation therapy
Lasik Surgery
Click here to know morāe 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 |
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
Inform the claims team. You can inform them by emailing, logging into the Self-i App or calling 022-48903009 (paid)
Submit details like type of treatment and all relevant documents
The claims team will settle the bill directly with the hospital
Reimbursement Claim
Inform the claims team. You can inform them by emailing, logging into the Self-i App or calling 022-48903009 (paid)
Submit details to the claims team and make the necessary payment at the hospital.
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:
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.
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.
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.
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.
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.ā
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:
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.
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.
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.
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 insuranceā 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 youār 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 āindustrial 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.āāāāāā
What is the current GST rate on heaālth insurance premiums?
During the 56th GST Council Meeting in New Delhi, the Indian Government revealed a groundbreaking decision to exempt all health insuāārance 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 iāāmpact my health insurance premium?
With Zero GST, your premium isā 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 āāearlier cost ā¹15,000 (including ā¹2,288 GST) will now cost approximately ā¹12,712 - saving you nearly ā¹2,300
Will my existing health insurancāāe 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 insurāance 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 effāective 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 renewāāal 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 toāā 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 Iānfinity, 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 Toāp-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 Septembāer with GST - am I eligible for adjustment?
If your health insurance policy was reneweāād 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.āā
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 ā¹3 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