Health insurance and wellness curated exclusively for employees and families of TiE Bangalore member companies
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Building a successful business is hard work. Employees contribute to the success of the business and taking care of their health and well-being is a top-most priority for the founders. Health insurance and wellness benefits are one of the best options available for companies to attract talent, and retain them. As the business owner, It is time to see the steps you need to take to choose the right health insurance for your startup.
TiE Bangalore in partnership with PlanCover is launching a unique health insurance program bundled with OPD and wellness to empower member startups and it's employees.
Startups can now build a healthy, more engaged and more productive teams.
| Scope of Coverage: | Plan-1 | Plan-2 |
|---|---|---|
| Family Definition | Self only | Self + Spouse + 2 Children |
| Sum Insured | 2 lac/3 lac/5 lac | 2 lac/3 lac/5 lac |
| Sum Insured Type | Individual | Family Floater |
| Age Limit | 18 to 55 years | 1day to 55 years |
| Hospitalisation for COVID | Covered | Covered |
| Home care treatment expenses | Not covered | Not covered |
| Pre Existing Disease | Waived off | Waived off |
| First 30 days waiting period | Waived off | Waived off |
| 1/2/4 year exclusion | Waived off | Waived off |
| Maternity Limit | Not covered | 50K for Normal & for C Section for first 2 children |
| 9 Month Maternity waiting period | Not covered | Waived off |
| Pre-Post Natal Expenses on IPD | Not covered | Not covered |
| New Born Baby Coverage | NA | Covered from Day 1 |
| Pre & Post Hospitalisation | 30 day- 60 days | 30 day- 60 days |
| Disease wise capping | No capping | No capping |
| Room Rent | 1% of SI for Normal and 2% of SI for ICU. Proportionate deduction applicable | Single standard AC room for normal and no capping for ICU. Proportionate deduction applicable |
| Ambulance charges | Not Covered | Not Covered |
| Co-Pay | NA | NA |
| Pre Hospitalization | 30 days | 30 days |
| Post Hospitalization | 60 days | 60 days |
| Claim Submission | within 30 days of discharge | within 30 days of discharge |
The plans can be customised in line with the requirement of the member companies to ensure they get the best offer from this partnership.
PlanCover.com is an insurtech company focused on startups, and emerging companies. We design and implement convenient and affordable health insurance solutions for businesses. From startups to technology to professional services businesses we have built happy clients over the years.
We have serviced 500+ companies and insured over 100,000 lives for their employee benefit insurances.
The knowledge of insurance, technology and personalised care are our biggest strengths.
Enrol in the plan by providing the details as per the form (CLICK HERE). Upload the employeeand their dependents (family members) details as per the template attached
Upon confirmation of the terms from PlanCover, the member company does the payment of policy directly to the insurer account through an electronic transaction.
TiE Bangalore will confirm the proof of membership for PlanCover to work out the offer
Policy inception date will be on or after complete details (final data, GST, PAN etc.) and premium payment received from the company.
This Group health policy is exclusively available only for Members of TiE Bangalore. Founders who are current members and have an organisation (registered & incorporated) with full time employees can enrol. Their employees don't have to take additional membership to avail the benefit. The policy will be in force for the time period you are a renewed and a paid member.
Organisations with more than 7 employees will be given a policy directly in the name of the company.
Any entity with a GST certificate mentioning the nature of the entity as a Private Limited, Public Limited or Proprietorship will be eligible.
If the GST number is recently changed from individual to proprietorship, private limited or public limited, you will be eligible for availing membership benefits under this plan.
This program is available for all active members of TiE Bangalore ONLY. This list has been provided to the plan administrator and will be updated on a monthly basis. In case a member has taken a plan and does not renew the TiE membership, the insurance coverage will be canceled for that member. This is a legal requirement as per policy construct and guidelines.
Principle of Equal Benefits - this means that as an organization you will have a choice of opting for any one of the 2 plan types. Whichever plan you choose, will be applicable to all members and will remain constant through the tenure of the policy. To keep the administration simple and due to construct of this cover, different plans for different employees will not be possible in the same organization. At least not at this point in time.
The insurance program has multiple plans for purchase. The plans can be customised in line with the requirement of the member companies to ensure they get the best offer from this partnership.
There are multiple insurers we have worked with for launching this plan. The participating insurers are amongst the top brands in the country and I are highly rated.
There is a minimum requirement of 7 primary employees required for enrolment in the policy.
All health insurance policies will pay for expenses incurred towards the treatment of any specific illness/sickness which requires hospitalisation. Admission in a hospital for a minimum period of 24 hrs is mandatory for any claim from the policy. However, this condition is waived under certain procedures which are called "Daycare procedures" where the expenses are paid even if there is no hospitalisation.
Yes. Medical expenses incurred for covid-19 treatments get covered in this insurance. Hospitalization in a hospital is mandatory. Home containment expenses for covid-19 does not get covered under this plan.
The typical waiting periods include:
30 days waiting period - except for accidents, in a standard policy, no coverage is available for the first 30 days. This is not applicable for both the plans.
1st Year/2nd Year waiting period - certain designated treatment or ailments are not covered for this period viz Cataract, Hernia, Hysterectomy, Fistula, Piles and Stone removal - this waiting period is waived off for both the plans - everything will be covered from day 1.
Pre Existing Disease/Conditions waiting period - Typically applicable for 3 years or 4 years. this waiting period is waived off for both the plans - everything will be covered from day 1.
Plan 1 - Maternity expenses are not covered.
Plan 2 - Maternity expenses are covered up to ₹50000.
There are two plans that you can select from:
Plan 1 - Available only for employees.
Plan 2 - Covers for the employee, spouse and up to 2 children.
No. The policy is annually renewable and valid only for a maximum period of 12 months.
The insurance plans cover expenses for both cashless and reimbursement claims. Cashless claims are paid directly to the hospital by the insurer. Reimbursement claims are paid to the employee directly through an electronic transfer.
There is no co-payment on claims in any of the plans. However, Plan 1 has sub-limits for specific diseases and room rent. Other plans allow you unrestricted access to a Single standard AC room.
In this case, we will customise the plan for the entire company to cover dependent parents as per the rules of the insurer.
Enrollment is the process of getting your employees and their dependents to sign up for the insurance. You have a window period of 60 days from the plan launch date to get enrolled in any of the plans under this program.
PlanCover will provide with the online link for uploading the employee's database. You will also provide the GST details to confirm that the company is either a proprietorship, private limited, or public limited.
Your coverage will start from the date you provide the employee details and make the premium payment or any other designated date.
You and your employees will be provided with individual login Ids
Yes. However, these additions during the midterm will be restricted to natural additions (newlywed spouse, or newborn baby).
Both cashless and reimbursement claims are paid under this insurance. The insurer has a wide network of hospitals across India for cashless settlement of claims. Reimbursement claims will be paid within 30 days of submission of all documents.
Every individual member who is enrolled in the insurance will get an electronic card (cashless health card) that can be used at hospitals for availing cashless treatments. However, cashless treatments are possible only in a network of hospitals. If you take treatment in a non-network hospital, you can only take reimbursement of the claim.
In case you have more than one policy, either a personal cover or coverage through a spouse insurance plan, you can always claim under both policies. This claim typically takes care of unpaid bill amounts due to capping in some policies. Such amounts will be either unpaid due to room rent capping, treatment capping for example in Maternity claims. In any event, the amount claimed from all polices cannot exceed your overall cost of the hospital bill.
The plan is a bundled offer and provides for doctor consultation (virtual), pharmacy discounts, and mental wellness benefits.
This Group health policy is exclusively available only for Members of TiE Bangalore. Founders who are current members and have an organisation (registered & incorporated) with full time employees can enrol. Their employees don't have to take additional membership to avail the benefit. The policy will be in force for the time period you are a renewed and a paid member.
Organisations with more than 7 employees will be given a policy directly in the name of the company.
Any entity with a GST certificate mentioning the nature of the entity as a Private Limited, Public Limited or Proprietorship will be eligible.
If the GST number is recently changed from individual to proprietorship, private limited or public limited, you will be eligible for availing membership benefits under this plan.
This program is available for all active members of TiE Bangalore ONLY. This list has been provided to the plan administrator and will be updated on a monthly basis. In case a member has taken a plan and does not renew the TiE membership, the insurance coverage will be canceled for that member. This is a legal requirement as per policy construct and guidelines.
Principle of Equal Benefits - this means that as an organization you will have a choice of opting for any one of the 3 plan types. Whichever plan you choose, will be applicable to all members and will remain constant through the tenure of the policy. To keep the administration simple and due to construct of this cover, different plans for different employees will not be possible in the same organization. At least not at this point in time.
The insurance program has multiple plans for purchase. The plans can be customised in line with the requirement of the member companies to ensure they get the best offer from this partnership.
There are multiple insurers we have worked with for launching this plan. The participating insurers are amongst the top brands in the country.
There is a minimum requirement of 7 primary employees required for enrolment in the policy.
All health insurance policies will pay for expenses incurred towards the treatment of any specific illness/sickness which requires hospitalisation. Admission in a hospital for a minimum period of 24 hrs is mandatory for any claim from the policy. However, this condition is waived under certain procedures which are called "Daycare procedures" where the expenses are paid even if there is no hospitalisation.
Yes. Medical expenses incurred for covid-19 treatments get covered in this insurance. Hospitalization in a hospital is mandatory. Home containment expenses for covid-19 does not get covered under this plan.
The typical waiting periods include:
30 days waiting period - except for accidents, in a standard policy, no coverage is available for the first 30 days. This is not applicable for both the plans.
1st Year / 2nd Year waiting period - certain designated treatment or ailments are not covered for this period viz Cataract, Hernia, Hysterectomy, Fistula, Piles and Stone removal - this waiting period is waived off for both the plans - everything will be covered from day 1.
Pre Existing Disease/Conditions waiting period - Typically applicable for 3 years or 4 years. this waiting period is waived off for both the plans - everything will be covered from day 1.
Plan 1 - Waiting periods are applicable.
Plan 2 - All waiting periods are waived off, except for maternity which has a waiting period of 9 months. This means if a covered person gets pregnant on or after taking the policy, with the gestation periods of 9 months, the claim will be paid. Hence, anyone pregnant as on the date of taking the cover, will not be eligible for the maternity benefits.
Plan 1 - Maternity expenses are not covered.
Plan 2 - Maternity expenses are covered up to ₹50000.
There are three plans that you can select from:
Plan 1 - Available only for employees.
Plan 2 - Covers for the employee, spouse and up to 2 children.
No. The policy is annually renewable and valid only for a maximum period of 12 months.
The insurance plans cover expenses for both cashless and reimbursement claims. Cashless claims are paid directly to the hospital by the insurer. Reimbursement claims are paid to the employee directly through an electronic transfer.
There is no co-payment on claims in any of the plans. However, Plan 1 has sub-limits for specific diseases and room rent. Other plans allow you unrestricted access to a Single standard AC room.
In this case, we will customise the plan for the entire company to cover dependent parents as per the rules of the insurer.
Enrollment is the process of getting your employees and their dependents to sign up for the insurance. You have a window period of 60 days from the plan launch date to get enrolled in any of the plans under this program.
PlanCover will provide with the online link for uploading the employee's database. You can then remit the premiums online. You will also provide the GST details to confirm that the company is either a proprietorship, private limited, or public limited.
Your coverage will start from the date you provide the employee details and make the premium payment or any other designated date.
You and your employees will be provided with individual login Ids
Yes. However, these additions during the midterm will be restricted to natural additions (newlywed spouse, or newborn baby).
Both cashless and reimbursement claims are paid under this insurance. The insurer has a wide network of hospitals across India for cashless settlement of claims. Reimbursement claims will be paid within 30 days of submission of all documents.
Every individual member who is enrolled in the insurance will get an electronic card (cashless health card) that can be used at hospitals for availing cashless treatments. However, cashless treatments are possible only in a network of hospitals. If you take treatment in a non-network hospital, you can only take reimbursement of the claim.
In case you have more than one policy, either a personal cover or coverage through a spouse insurance plan, you can always claim under both policies. This claim typically takes care of unpaid bill amounts due to capping in some policies. Such amounts will be either unpaid due to room rent capping, treatment capping for example in Maternity claims. In any event, the amount claimed from all polices cannot exceed your overall cost of the hospital bill.
The plan is a bundled offer and provides for doctor consultation (virtual), pharmacy discounts, and mental wellness benefits.