Group Health Insurance Plans for Startups, SMBs & Corporates

Plans starting from ₹99/person/month*

* Average price for a sum insured of ₹1 Lac/person aged < 25 yrs

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Why is Group Health Insurance important for employees?

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Retain your employees

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For tax benefits

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Affordable premiums

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Discounted health benefits

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Customised plans

Why PlanCover?

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Digital employee
onboarding

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Transparent
pricing

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Personalised
claim support

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Enhanced
HR reporting

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Discounted
health benefits

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eCards for
cashless support

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Access to
top insurers

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Affordable
premiums

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Experts in
health domain

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Customised
insurance plans

Group Health Insurance for your employees

Go beyond health insurance, and make sure employees get the care they need. We work with best-in-class healthcare ecosystem partners.

What is Group Health Insurance

Group Health Insurance is a risk cover issued by an insurance company to an organisation for covering its members against financial expenses resulting from hospitalisation.

In a Group Health Insurance policy, a group of employees (and their dependents) are insured under a single policy that is issued to an employer or the group itself. Group health insurance policies are often tailor-made covers to suit the requirements of the employees of the company. A contract of insurance is made with an employer (corporate) that covers a group of persons identified as individuals by reference to their relationship to the entity. The policy is also called Corporate health insurance.

This cover entitles the policyholders to be paid for the cost of treatment at a hospital for any injury or disease. The terms of the policy can be configured as per the requirements of the group and can be changed each year before renewal of the policy.

The cost for Group Health Insurance is comparatively cheaper as compared to individual health plans and it also benefits employers in saving tax whilst making it beneficial for both the employer and employee.

What is Group Health Insurance

Group Health Insurance is a risk cover issued by an insurance company to an organisation for covering its members against financial expenses resulting from hospitalisation.

In a Group Health Insurance policy, a group of employees (and their dependents) are insured under a single policy that is issued to an employer or the group itself. Group health insurance policies are often tailor-made covers to suit the requirements of the employees of the company. A contract of insurance is made with an employer (corporate) that covers a group of persons identified as individuals by reference to their relationship to the entity. The policy is also called Corporate health insurance.

This cover entitles the policyholders to be paid for the cost of treatment at a hospital for any injury or disease. The terms of the policy can be configured as per the requirements of the group and can be changed each year before renewal of the policy.

The cost for Group Health Insurance is comparatively cheaper as compared to individual health plans and it also benefits employers in saving tax whilst making it beneficial for both the employer and employee.

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No waiting period

Get cover against all medical emergencies and treatments from day-1. You can use your policy immediately after purchasing it.

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Pre-existing diseases

Get protection against all diseases from day-1. No more waiting period for general problems like diabetes, heart disease, hypertension, etc.

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Maternity cover

Get maternity and new-born baby cover without any waiting period.

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Parents coverage

Dependant parents are covered irrespective of their health condition.

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Critical illness cover

Get cover against life-threatening critical diseases such as cancer, heart attack, renal failure etc.

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Waiver of pre-medical checkup

With Group Health Insurance, employees and their dependants can be insured without any medical screening.

Clients we have serviced

At PlanCover, positive word-of-mouth helps us know we are achieving our goals to help people in their health insurance journey. And thankfully, our customers agree who are leaders in their respective industries.

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What our clients say!

Feedback's are valuable inputs from customers. Luckily, we have had some fabulous ones! Check what our clients have to say about us.

Our customers say we are outstanding!

A trusted partner to the best

Frequently asked questions

A group health insurance policy can be taken by any formal entity. This means especially those entities which have been registered under law can take this cover.

Bigger size groups offer risk diversification for the insurer. The law of averages assures that the risk spread is large enough to avoid concentration of the claims. When a group is large, the distribution of low, medium and high risk profiles within the group ensures that the claims would be more in line with the expected frequency (number of claims per 100 covered members) and the average cost of claim will as well be in line with market standards

Group Health Insurance facilitates spreading of risk by charging premium for all members covered and paying claims to some of them in any one policy year.

This ensures there is assurance of not having to dip into one's savings to meet the high healthcare costs in the event of any hospitalization. Therefore this protects the savings of a family.

Group Health Insurance is an indemnity policy that covers the members of any organisation. These could be employees, customers, dealers and distributors or anyone having a formal membership of the organisation.

A group health insurance policy provides financial coverage to meet the cost of hospitalisation. This normally requires admission to a hospital for a minimum of 24 hours except in day care treatment cases.

Health insurance is a product that covers medical expenses incurred towards treatment of any illness, disease or a condition that requires hospitalisation. Like auto insurance covers your car if you get into an accident, life insurance covers your life for death, health insurance covers you if you get sick or injured.

Group medical coverage refers to a single policy issued to a group (typically a business with employees, although there are other kinds of groups that can get coverage) that covers all eligible employees and sometimes their dependents.

Individual medical coverage, on the other hand, is a single policy issued to a single person or family.

The rules are quite different for group coverage versus individual coverage, in large part because the insurer's risk is calculated differently. With individual coverage, the insurer has historically based its premium rates (or denied coverage) on the detailed medical history of the person or family.

With groups such as small businesses, the insurer determines a premium price based on risk factors balanced over the entire group, using general information on members of the group, such as age or gender. Insurers are required by law to offer coverage to small groups.

Getting coverage through a group health insurance plan is more affordable than buying by yourself. Here's what you need to know:

- Coverage is offered to a group of employees within the same group/company.

- You need at least 7 primary members/employees to be eligible for group health insurance plan.

- Medical expenses incurred are paid either directly to the hospital or on a reimbursement basis to the employee and not to the company.

The answer to this is NO. We are talking about health insurance, wherein your medical expenses will be covered. To get money at the time of death, you need to take a separate life insurance policy.

This depends on the method of payment in the group health insurance plan.

- If it is a cashless system, the answer would be No; you do not have to pay any amount, except for certain charges that are not payable under insurance. Example administration charges, consumables etc. At discharge you can return home without any payment. Of course, if your bill is more than the maximum limit, then you will have to pay the amount above the maximum limit.

- If it is a reimbursement system, then the answer is YES, at discharge, you will have to pay the hospital bill. And make sure that you get the proper documents (discharge summary, receipts). These documents have to be submitted to us, so that we can reimburse you the money.

The premium is valid for only one year, and so is the coverage under the insurance policy. So if your company does not pay one year, technically you cannot get benefits in that year. Companies should not think of one or two years, but think in the long term.

Also, the main advantage for employers is peace of mind, because you do not have the fear of a huge financial burden if any employee is falling sick and pays large sum of money.

Health insurance is not mandatory to be issued, except for certain situations where the governments make it mandatory. e.g. During the recent outbreak of COVID-19, the Government has made it mandatory for employers to provide health insurance. The general rule is that an employer offers group health coverage to all full-time employees only.

Yes. All group health insurance policies cover for treatment expenses incurred for COVID-19. The precondition is the expenses incurred should be as a result of hospitalisation of more than 24 hrs in a hospital.

Frequently asked questions

A group health insurance policy can be taken by any formal entity. This means especially those entities which have been registered under law can take this cover.

Bigger size groups offer risk diversification for the insurer. The law of averages assures that the risk spread is large enough to avoid concentration of the claims. When a group is large, the distribution of low, medium and high risk profiles within the group ensures that the claims would be more in line with the expected frequency (number of claims per 100 covered members) and the average cost of claim will as well be in line with market standards

Group Health Insurance facilitates spreading of risk by charging premium for all members covered and paying claims to some of them in any one policy year.

This ensures there is assurance of not having to dip into one's savings to meet the high healthcare costs in the event of any hospitalization. Therefore this protects the savings of a family.

Group Health Insurance is an indemnity policy that covers the members of any organisation. These could be employees, customers, dealers and distributors or anyone having a formal membership of the organisation.

A group health insurance policy provides financial coverage to meet the cost of hospitalisation. This normally requires admission to a hospital for a minimum of 24 hours except in day care treatment cases.

Health insurance is a product that covers medical expenses incurred towards treatment of any illness, disease or a condition that requires hospitalisation. Like auto insurance covers your car if you get into an accident, life insurance covers your life for death, health insurance covers you if you get sick or injured.

Group medical coverage refers to a single policy issued to a group (typically a business with employees, although there are other kinds of groups that can get coverage) that covers all eligible employees and sometimes their dependents.

Individual medical coverage, on the other hand, is a single policy issued to a single person or family.

The rules are quite different for group coverage versus individual coverage, in large part because the insurer's risk is calculated differently. With individual coverage, the insurer has historically based its premium rates (or denied coverage) on the detailed medical history of the person or family.

With groups such as small businesses, the insurer determines a premium price based on risk factors balanced over the entire group, using general information on members of the group, such as age or gender. Insurers are required by law to offer coverage to small groups.

Getting coverage through a group health insurance plan is more affordable than buying by yourself. Here's what you need to know:

- Coverage is offered to a group of employees within the same group/company.

- You need at least 7 primary members/employees to be eligible for group health insurance plan.

- Medical expenses incurred are paid either directly to the hospital or on a reimbursement basis to the employee and not to the company.

The answer to this is NO. We are talking about health insurance, wherein your medical expenses will be covered. To get money at the time of death, you need to take a separate life insurance policy.

This depends on the method of payment in the group health insurance plan.

- If it is a cashless system, the answer would be No; you do not have to pay any amount, except for certain charges that are not payable under insurance. Example administration charges, consumables etc. At discharge you can return home without any payment. Of course, if your bill is more than the maximum limit, then you will have to pay the amount above the maximum limit.

- If it is a reimbursement system, then the answer is YES, at discharge, you will have to pay the hospital bill. And make sure that you get the proper documents (discharge summary, receipts). These documents have to be submitted to us, so that we can reimburse you the money.

The premium is valid for only one year, and so is the coverage under the insurance policy. So if your company does not pay one year, technically you cannot get benefits in that year. Companies should not think of one or two years, but think in the long term.

Also, the main advantage for employers is peace of mind, because you do not have the fear of a huge financial burden if any employee is falling sick and pays large sum of money.

Health insurance is not mandatory to be issued, except for certain situations where the governments make it mandatory. e.g. During the recent outbreak of COVID-19, the Government has made it mandatory for employers to provide health insurance. The general rule is that an employer offers group health coverage to all full-time employees only.

Yes. All group health insurance policies cover for treatment expenses incurred for COVID-19. The precondition is the expenses incurred should be as a result of hospitalisation of more than 24 hrs in a hospital.