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Group Health Insurance

Why is Group Health Insurance Generally Less Expensive than Individual Policies?

Why is Group Health Insurance Generally Less Expensive than Individual Policies 3

When it comes to offering health benefits for the first time or considering changing your benefits strategy, employers often compare traditional group health insurance to individual health insurance options.

So how do you compare individual health insurance and group health insurance? Here, we’ll compare the two health benefits in parallel, including how they work, what they cover, cost, and more to make you clear of all your doubts.

Know what exactly group health insurance is

Group health insurance, sometimes referred to as employer-sponsored insurance or group insurance, is a type of health insurance policy taken up by an employer and offered to qualified employees of the employer and eligible persons.

Know what precisely individual health insurance is

Individual health insurance sometimes referred to as mediclaim insurance policy, is health insurance that a person takes out for themselves and their families.

Individual health insurance policies are often obtained with the guidance of an insurance agent or broker to help select plans and premium costs. Insurance companies cannot deny coverage for existing medical conditions over a certain period (called waiting period) once they have accepted to provide insurance to an individual. 

Why is group health insurance better than individual?

Lower group health insurance costs, less waiting time, extensive coverage for self and family, and similar benefits make group health insurance very profitable. However, it is safer to protect your bets with an individual health plan in addition to a group plan. The main reason for this is because the unique plans are valid for life and are always with you. That way, you can try to bypass the restrictions on each plan.

The cost is less due to the more significant risk pool

With group health insurance for employees, the insurance company combines the risks of many employees. Groups of employees can have a combination of high and low-risk profiles.

However, insurance providers evaluate policies based on critical factors such as group size, the average age of employees, type of job, industry in which the company operates, etc. In this way, the risk is spread across all group members, which individually lowers the overall cost of insurance.

Benefits of group health insurance for employees include the number of people (group) provided more. When more people are involved, there are more opportunities for more people, usually at a lower cost than is possible. This includes:

  1. Better insurance plans are being offered
  2. Lower prices for insurance plans
  3. More protection for previous illnesses

If you take a closer look at the benefits of group health insurance, you can see many reasons to look at it from an employee perspective. Employees who are entitled to this type of insurance through their employer are usually reasonable.

Because the cost savings are often substantial, and the other benefits of group health insurance also outweigh individual insurance benefits. There are times when this isn’t the best option, but finding that individual insurance is better isn’t the norm for most people.

Employers solve your insurance problems with Group health insurance

Employers usually pay group insurance premiums: You can attract and retain good employees and benefit from tax breaks. Group health insurance premiums are considered a tax-deductible expense.

In some cases, employees may contribute to the premium. However, because these fees are divided into groups, the individual share of the burden of these costs will be small.

With Group health insurance, you get a comprehensive cover

When companies offer employee insurance, they often cover the employee’s family. Thus, in addition to employee health insurance, insurance also covers medical expenses for their spouse, children, and elderly parents.

Family health plans can offer similar coverage but are usually more expensive than individual health insurance plans. Health insurance gives employees more comprehensive coverage at a lower cost.

Features of Group Health Insurance

Some features of Group health insurance are:

  1. This policy applies to employees and their spouses, children, and dependent parents.
  2. This policy usually covers previously diagnosed or treated diseases and illnesses.
  3. This policy also offers cashless services at partner hospitals.
  4. They also cover the cost of the ambulance.
  5. Some even reimburse doctor visits and follow-up examinations.

How does Group Health Insurance work?

Group health insurance is purchased by companies and organizations and then offered to their members or employees. Plans can only be purchased by groups, which means that individuals cannot purchase insurance through these plans. All these plans need 70% of the employee’s participation in the process due to the many differences between insurance companies, rate types, fees, and terms.

Once the organization selects a plan, group members are given the option of accepting or declining coverage. In certain areas, rates may be offered in stages where the policyholder has the option of taking out basic insurance or additional extended insurance.

Group health insurance costs are usually much lower than individual insurance because the risks are shared among more people. Simply put, this type of insurance is cheaper and more affordable than the individual plans available in the market as more and more people are buying the plans. PlanCover has been working tirelessly for over a decade in providing access to quality health insurance for businesses and individual clients. The expertise in structuring programs did deliver results where clients experienced significant savings on their health insurance costs. 

How does group health insurance reduce insurance costs?

Group health insurance offers many advantages, one of the biggest being cost savings. This will help workers who can insure themselves and their families, but it will also help employers who want to offer their workers the good insurance they can afford. If the insurance premium is too high, neither group wins.


Happy employees are employees who work hard for the company. This is one of the more subjective or hidden advantages of group health insurance. If employers offer this insurance to their employees, they can get:

  1. Employees who value their insurance
  2. Employees who care about their employer and their work
  3. Employees who see that they can make a career at this company
  4. Employees who feel valued and appreciated
  5. Employees who want to make the company better for everyone.

These things are essential as group health insurance benefits and can significantly contribute to ensuring that employees and employers feel more comfortable in their jobs. Insurance won’t solve all company or employee problems, but it can certainly help employees and employers feel better about everything they have in a particular company.

Insurance is an essential part of feeling safe and secure, and when employers offer it to their employees, it often goes unnoticed by the employee.

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