{"id":1741,"date":"2021-12-08T12:12:51","date_gmt":"2021-12-08T06:42:51","guid":{"rendered":"https:\/\/www.plancover.com\/insurance\/?p=1741"},"modified":"2021-12-10T22:25:25","modified_gmt":"2021-12-10T16:55:25","slug":"how-to-select-the-right-group-medical-coverage-while-choosing-a-group-health-insurance-company","status":"publish","type":"post","link":"https:\/\/www.plancover.com\/insurance\/how-to-select-the-right-group-medical-coverage-while-choosing-a-group-health-insurance-company\/","title":{"rendered":"How to Select the Right Group Medical Coverage While Choosing a Group Health Insurance Company?"},"content":{"rendered":"\n<p>Choosing the most suitable group medical coverage for your employees can require a bit of research. It is essential to know the facilities the group medical insurance policy offers. You have to, as a small business owner or HR personnel, go through the details of the policy document.<\/p>\n\n\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_66_1 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<p class=\"ez-toc-title\">Table of Contents<\/p>\n<label for=\"ez-toc-cssicon-toggle-item-69f67b0cbd588\" class=\"ez-toc-cssicon-toggle-label\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/label><input type=\"checkbox\"  id=\"ez-toc-cssicon-toggle-item-69f67b0cbd588\"  aria-label=\"Toggle\" \/><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.plancover.com\/insurance\/how-to-select-the-right-group-medical-coverage-while-choosing-a-group-health-insurance-company\/#There_can_be_multiple_policies_to_explore\" title=\"There can be multiple policies to explore\">There can be multiple policies to explore<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.plancover.com\/insurance\/how-to-select-the-right-group-medical-coverage-while-choosing-a-group-health-insurance-company\/#Flexibility_in_the_insurance_plan\" title=\"Flexibility in the insurance plan\">Flexibility in the insurance plan<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.plancover.com\/insurance\/how-to-select-the-right-group-medical-coverage-while-choosing-a-group-health-insurance-company\/#A_wide_range_of_beneficial_services\" title=\"A wide range of beneficial services\">A wide range of beneficial services<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.plancover.com\/insurance\/how-to-select-the-right-group-medical-coverage-while-choosing-a-group-health-insurance-company\/#Hassle-free_claim_settlement\" title=\"Hassle-free claim settlement\">Hassle-free claim settlement<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.plancover.com\/insurance\/how-to-select-the-right-group-medical-coverage-while-choosing-a-group-health-insurance-company\/#Dependence_of_technology\" title=\"Dependence of technology\">Dependence of technology<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.plancover.com\/insurance\/how-to-select-the-right-group-medical-coverage-while-choosing-a-group-health-insurance-company\/#Some_additional_tips_to_consider\" title=\"Some additional tips to consider\">Some additional tips to consider<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.plancover.com\/insurance\/how-to-select-the-right-group-medical-coverage-while-choosing-a-group-health-insurance-company\/#A_high_amount_of_sum_insured\" title=\"A high amount of sum insured\">A high amount of sum insured<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.plancover.com\/insurance\/how-to-select-the-right-group-medical-coverage-while-choosing-a-group-health-insurance-company\/#Covering_COVID-19_treatment_expenses\" title=\"Covering COVID-19 treatment expenses\">Covering COVID-19 treatment expenses<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.plancover.com\/insurance\/how-to-select-the-right-group-medical-coverage-while-choosing-a-group-health-insurance-company\/#The_network_of_hospitals_should_be_extensive\" title=\"The network of hospitals should be extensive\">The network of hospitals should be extensive<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.plancover.com\/insurance\/how-to-select-the-right-group-medical-coverage-while-choosing-a-group-health-insurance-company\/#There_should_be_no_waiting_period\" title=\"There should be no waiting period\">There should be no waiting period<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.plancover.com\/insurance\/how-to-select-the-right-group-medical-coverage-while-choosing-a-group-health-insurance-company\/#No_limits_of_room_rent\" title=\"No limits of room rent\">No limits of room rent<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/www.plancover.com\/insurance\/how-to-select-the-right-group-medical-coverage-while-choosing-a-group-health-insurance-company\/#Check_out_the_standard_coverage\" title=\"Check out the standard coverage\">Check out the standard coverage<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/www.plancover.com\/insurance\/how-to-select-the-right-group-medical-coverage-while-choosing-a-group-health-insurance-company\/#It_should_cover_in-patient_hospitalization_costs\" title=\"It should cover in-patient hospitalization costs\">It should cover in-patient hospitalization costs<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/www.plancover.com\/insurance\/how-to-select-the-right-group-medical-coverage-while-choosing-a-group-health-insurance-company\/#Covering_costs_of_out-patient_medical_services\" title=\"Covering costs of out-patient medical services\">Covering costs of out-patient medical services<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/www.plancover.com\/insurance\/how-to-select-the-right-group-medical-coverage-while-choosing-a-group-health-insurance-company\/#Check_out_whether_the_policy_covers_maternity_expenses\" title=\"Check out whether the policy covers maternity expenses\">Check out whether the policy covers maternity expenses<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/www.plancover.com\/insurance\/how-to-select-the-right-group-medical-coverage-while-choosing-a-group-health-insurance-company\/#Full_or_partial_cover_for_buying_medicines\" title=\"Full or partial cover for buying medicines&nbsp;\">Full or partial cover for buying medicines&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/www.plancover.com\/insurance\/how-to-select-the-right-group-medical-coverage-while-choosing-a-group-health-insurance-company\/#The_payment_method\" title=\"The payment method\">The payment method<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/www.plancover.com\/insurance\/how-to-select-the-right-group-medical-coverage-while-choosing-a-group-health-insurance-company\/#Check_out_the_guidelines_to_modify_the_insurance_policy\" title=\"Check out the guidelines to modify the insurance policy\">Check out the guidelines to modify the insurance policy<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/www.plancover.com\/insurance\/how-to-select-the-right-group-medical-coverage-while-choosing-a-group-health-insurance-company\/#Buy_a_group_medical_coverage_plan_from_a_renowned_company\" title=\"Buy a group medical coverage plan from a renowned company\">Buy a group medical coverage plan from a renowned company<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\" id=\"there-can-be-multiple-policies-to-explore\"><span class=\"ez-toc-section\" id=\"There_can_be_multiple_policies_to_explore\"><\/span><strong>There can be multiple policies to explore<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Even under a particular Group Health Insurance Company, there can be many policies to explore. So, you need to take time to study the features of each of the policies.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"flexibility-in-the-insurance-plan\"><span class=\"ez-toc-section\" id=\"Flexibility_in_the_insurance_plan\"><\/span><strong>Flexibility in the insurance plan<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>It is important to check out whether the insurance policy you buy is flexible in terms of its features or not. For example, if the group insurance policy scheme allows adding family members of the employee, then it reflects good flexibility. Also, a flexible plan means goo top-up facilities.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"a-wide-range-of-beneficial-services\"><span class=\"ez-toc-section\" id=\"A_wide_range_of_beneficial_services\"><\/span><strong>A wide range of beneficial services<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>A group medical insurance policy is not merely a policy with a set of guidelines. It is much more than that. Besides providing an array of medical facilities related to hospitalization, accidental causes, and post-hospitalization care, it should also focus on the wellness benefits of the employees.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"hassle-free-claim-settlement\"><span class=\"ez-toc-section\" id=\"Hassle-free_claim_settlement\"><\/span><strong>Hassle-free claim settlement<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>It is very important to check out the details of claim settlement. There should be no hassles during or after the process. The complete process should not take much time to manage. It should be over within a few simple steps.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"dependence-of-technology\"><span class=\"ez-toc-section\" id=\"Dependence_of_technology\"><\/span><strong>Dependence of technology<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Settlement of claims is possible through the usage of advanced technology. At the end of the day, it simplifies the procedure. As an employer, you do not have to worry about it. For example, when you find that the employee can claim the settlement via a mobile application, you should consider the insurance plan.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"some-additional-tips-to-consider\"><span class=\"ez-toc-section\" id=\"Some_additional_tips_to_consider\"><\/span><strong>Some additional tips to consider<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>It is helpful to know about a set of tips while you think of buying a group medical insurance policy for the employees of your small organization. The rest of this blog tries to discuss these additional tips precisely.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"a-high-amount-of-sum-insured\"><span class=\"ez-toc-section\" id=\"A_high_amount_of_sum_insured\"><\/span><strong>A high amount of sum insured<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>The coverage must assure a high amount of sum insured for the concerned group of employees, giving equal priority or entitlement to each of them. You need to carefully read the offer document of the insurance policy before purchasing it.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"covering-covid-19-treatment-expenses\"><span class=\"ez-toc-section\" id=\"Covering_COVID-19_treatment_expenses\"><\/span><strong>Covering COVID-19 treatment expenses<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>You might already know that the Government of India has made it mandatory for the companies to arrange group medical insurance policies for their employees, post-pandemic. Hence, in this context, it is crucial to focus on the details that say the policy will cover the expenses of Covid-19 treatment procedures.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"the-network-of-hospitals-should-be-extensive\"><span class=\"ez-toc-section\" id=\"The_network_of_hospitals_should_be_extensive\"><\/span><strong>The network of hospitals should be extensive<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Another important point to keep in mind is the group medical insurance policy should include a prolific network of hospitals. It helps immensely to avail the required medical services during times of crisis. Also, there is no waste of time during emergencies.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"there-should-be-no-waiting-period\"><span class=\"ez-toc-section\" id=\"There_should_be_no_waiting_period\"><\/span><strong>There should be no waiting period<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>One of the most important aspects that you need to consider while choosing a group medical coverage policy is the insurance should not let the employee wait to avail the services in times of need. The waiting period to process the claim should be zero.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"no-limits-of-room-rent\"><span class=\"ez-toc-section\" id=\"No_limits_of_room_rent\"><\/span><strong>No limits of room rent<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Yet another feature of the policy document that you should take care of is there should not be any pre-determined limit on the room rent. Some policies can have this limit, making the insurance a dampener. Check the provision while buying the insurance.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"check-out-the-standard-coverage\"><span class=\"ez-toc-section\" id=\"Check_out_the_standard_coverage\"><\/span><strong>Check out the standard coverage<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>When you are an employer concerned about the employee retention rate of your company, it is wise to know the standard coverage details of the group medical insurance policy you plan to purchase from a top-rated service provider. Do not miss any of the points.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"it-should-cover-in-patient-hospitalization-costs\"><span class=\"ez-toc-section\" id=\"It_should_cover_in-patient_hospitalization_costs\"><\/span><strong>It should cover in-patient hospitalization costs<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>It is extremely important for the insurance policy to efficiently cover the costs of in-patient hospitalization expenses. You need to enquire about such details with the seller or broker. The clauses on the policy document mention such provisions. Do not overlook those.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"covering-costs-of-out-patient-medical-services\"><span class=\"ez-toc-section\" id=\"Covering_costs_of_out-patient_medical_services\"><\/span><strong>Covering costs of out-patient medical services<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>There are different types of out-patient medical procedures. It is your responsibility, as the owner of a small business, to check out whether the group medical insurance policy covers the costs of out-patient medical services. When you note that the insurance indeed has such provisions, you can go ahead and buy it.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"check-out-whether-the-policy-covers-maternity-expenses\"><span class=\"ez-toc-section\" id=\"Check_out_whether_the_policy_covers_maternity_expenses\"><\/span><strong>Check out whether the policy covers maternity expenses<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>It is equally important to check out whether the insurance policy has the facility to cover the maternity expenses of an employee. It is good to buy an insurance policy that provides cover for the newborn baby, too.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"full-or-partial-cover-for-buying-medicines\"><span class=\"ez-toc-section\" id=\"Full_or_partial_cover_for_buying_medicines\"><\/span><strong>Full or partial cover for buying medicines&nbsp;<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Some group medical insurance policies enable the employees to buy medicines. The policy either fully covers the costs to a certain extent or partially takes care of the expenses. Such kind of medical coverage helps to retain the employees.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"the-payment-method\"><span class=\"ez-toc-section\" id=\"The_payment_method\"><\/span><strong>The payment method<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>There are mainly two main types of paying the premium of the insurance. The first type is the company paying the full amount of the premium on behalf of the employees. The second type is the company paying the premium partially. The rest is paid by the employees. Check out the payment method of the policy before you decide to buy it.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"check-out-the-guidelines-to-modify-the-insurance-policy\"><span class=\"ez-toc-section\" id=\"Check_out_the_guidelines_to_modify_the_insurance_policy\"><\/span><strong>Check out the guidelines to modify the insurance policy<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>There is another thing that you need to check out as an employer planning to buy a group medical insurance policy. Read the guidelines and find about the space to modify the facilities of the policy by paying, say, an extra premium.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"buy-a-group-medical-coverage-plan-from-a-renowned-company\"><span class=\"ez-toc-section\" id=\"Buy_a_group_medical_coverage_plan_from_a_renowned_company\"><\/span><strong>Buy a group medical coverage plan from a renowned company<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><a href=\"https:\/\/in.linkedin.com\/company\/plan-cover\">PlanCover<\/a> has been helping businesses in structuring the right health insurance benefits for their employees and families.&nbsp; If you&#8217;re having trouble figuring out what you can afford, you can reach out to them for advice on where to set limits<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Choosing the most suitable group medical coverage for your employees can require a bit of research. It is essential to know the facilities the group medical insurance policy offers. You&#8230;<\/p>\n","protected":false},"author":2,"featured_media":1781,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[17],"tags":[],"_links":{"self":[{"href":"https:\/\/www.plancover.com\/insurance\/wp-json\/wp\/v2\/posts\/1741"}],"collection":[{"href":"https:\/\/www.plancover.com\/insurance\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.plancover.com\/insurance\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.plancover.com\/insurance\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.plancover.com\/insurance\/wp-json\/wp\/v2\/comments?post=1741"}],"version-history":[{"count":2,"href":"https:\/\/www.plancover.com\/insurance\/wp-json\/wp\/v2\/posts\/1741\/revisions"}],"predecessor-version":[{"id":1786,"href":"https:\/\/www.plancover.com\/insurance\/wp-json\/wp\/v2\/posts\/1741\/revisions\/1786"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.plancover.com\/insurance\/wp-json\/wp\/v2\/media\/1781"}],"wp:attachment":[{"href":"https:\/\/www.plancover.com\/insurance\/wp-json\/wp\/v2\/media?parent=1741"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.plancover.com\/insurance\/wp-json\/wp\/v2\/categories?post=1741"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.plancover.com\/insurance\/wp-json\/wp\/v2\/tags?post=1741"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}