Health insurance policy provides cost of expenses incurred towards treatment for any illness, sickness or a disease. A group can purchase the insurance for its members/employees under group health insurance.
Group Health Insurance ( GHI) is a type of health insurance plan that covers for a group of people. This can be employees of the company or members of a group who want to provide GHI policy to their members. The group health insurance coverage can be extended to the family members of the employees in some cases. This insurance plan is also referred to as group medical insurance
A claim under a group health insurance policy can be either cashless or reimbursement type.
Cashless claim: This is the biggest benefit under a group health insurance policy. The insured person/member does not need to pay any cost to the hospital for the treatment received. The cashless process will ensure that the insurance company makes the settlement directly with the hospital or the healthcare provider. In this type of claim, the insured member takes the treatment only at a network hospital of the Third Party Administrator (TPA) or the insurer who is servicing your policy. You have to get the treatment on a cashless basis approved from the insurer. The insurance company approves the claim as per the terms and conditions of the policy.
You can purchase a good group health insurance policy from a reputable broker, like PlanCover certified by IRDAI. The processing is fast and efficient. There are ample benefits (as discussed in this blog) for both the employees and employers. Get in touch with an experienced executive of PlanCover. Ask questions over the phone if you have any doubts.
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