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Group Medical Insurance
Ever thought about how much a trip to the doctor can cost these days? It’s crazy, right? Given the increasing cost of medical care, a family health insurance plan is essential. A single policy won’t suffice, as unforeseen health emergencies can happen anytime.
Since lifestyle diseases are on the rise, it is becoming crucial to save your wallet, and having a group mediclaim policy for your family is the necessity of the hour.
According to the recent survey, 79% of respondents prefer an employer who provides family health coverage. Providing Group Health Insurance helps attract and retain top talent, reduce absenteeism, and improve productivity while boosting employee morale and job satisfaction ultimately creating a motivated and loyal workforce.
Also read: Top 10 Health Insurance Companies in India
What is Group Medical Insurance for Family?
Medical Insurance for family means a policy which covers the family members apart from the policyholder, when we say Group Medical Insurance means this policy is provided by your company or organisation. This policy provides the coverage beyond you to include the family members, such as your spouse, children, parents, or in-laws, depending on the type of policy.
Coverage Details: How It Protects Employees and Their Families
Group medical insurance typically covers employees, their spouses, children, and sometimes even parents. Employers offer this benefit in three different ways:
1. Inclusive Benefit
Many employers provide a plan that automatically includes coverage for family members. You can add your spouse, children, and parents at any point during your employment. If you’re not married when you start working, you can add a spouse later if you get married, or add a child if you become a parent. The best part? This can often be done without any additional cost to you.
2. Add-On Benefit:
In some cases, the initial group health policy covers only the employee, but the employer offers an optional add-on plan for family members. You can choose to include your spouse, children, or parents for an extra premium, which is deducted from your salary.
The advantage is that, because the insurance is provided through your company’s group plan, the additional premium is usually quite affordable for the coverage provided.
3. Combination of Inclusive and Add-On Benefits:
Some companies partner with insurtech providers, such as Onsurity, to offer flexible corporate plans with multiple options. These plans might cover just the employee or include varying levels of family coverage, such as parents, spouse, and children.
There is also the possibility to add extended family members like in-laws or siblings for a nominal extra cost. Companies that use providers like Onsurity often offer a monthly subscription model, keeping the premium low while providing extensive coverage options.
Also read: 10 Best Insurtech Companies in India
5 Best Group Medical Insurance for Family
1. Onsurity Group Medical Insurance for Families
Onsurity offers a range of group medical insurance plans tailored to meet the diverse needs of businesses and families. The plans are structured in 25 different variants from (2 Adults 2 Children to 4 Adults 4 Children). These plans are structured to ensure that employees and their loved ones-spouses, children, and even elderly parents – are covered comprehensively.
Onsurity’s plans are designed with different levels of coverage, accommodating a wide variety of budgets and healthcare needs:
1.1 Onyx, Opal, Ruby, and Jade Variants:
1.2. HealthPro and HealthFam Series:
Ideal for small and mid-sized businesses that want to offer premium health benefits to employees and their families. These plans include maternity coverage (up to ₹50,000 to ₹100,000) and offer the flexibility to include parents and in-laws with minimal copay requirements, providing peace of mind for various households.
1.3. High Coverage Options:
Variants like JadeFamPro go a step further, offering extended limits for maternity care, ICU charges without limits, and private single-room options. These are ideal for businesses looking to provide a luxury health insurance experience to their employees.
Suggested read: Onsurity Membership Options
Key Features Across Different Plan Variants:
- Room Rent and ICU Charges: Coverage ranges from capped limits in standard plans to no caps in premium variants, ensuring suitable care levels for all.
- Digital Convenience: Simplify the claims process with a user-friendly app. From accessing your health card to tracking claims and finding the nearest network hospital, the Onsurity app provides all these features at your fingertips, making healthcare management hassle-free.
- Flexible Coverage for Elderly Parents: Higher-tier plans include co-payment options for parents, enabling multigenerational coverage without significant premium increases.
- No Waiting Period for Pre-Existing Conditions: Unlike many individual plans, Onsurity’s group insurance covers pre-existing conditions from day one, ensuring that your family receives the care they need without delays.
Additional Perks:
- Telemedicine Services: Consult doctors virtually for any health concerns without leaving your home.
- Ambulance Coverage: Up to ₹2,500 per hospitalisation for emergency transportation.
- Maternity and Newborn Care: Maternity benefits and coverage for newborns are available under select plans, providing support for growing families. Available in selected plans, covering ₹50,000 to ₹100,000, making it easier for families planning to grow.
- Wellness Programs: Gain access to fitness tracking, webinars, and health resources that promote overall well-being.
Also read: Group Term Life Insurance for Employees
2. HDFC ERGO Family Group Medical Insurance
HDFC ERGO offers a comprehensive family group health insurance plan designed for businesses to provide quality healthcare coverage for employees and their dependents, including spouses, children, and parents.
The plan covers in-patient hospitalisation, daycare treatments, pre- and post-hospitalisation expenses, domiciliary hospitalisation, maternity and newborn coverage, ambulance charges, and alternative AYUSH treatments are also included under select plans. The policy offers flexibility with coverage for pre-existing conditions, usually after a 2-4 year waiting period.
3. Star Health and Allied Insurance Family Group Medical Insurance
Star Health and Allied Insurance offers a well-rounded family group health insurance plan designed for businesses to provide extensive healthcare coverage for employees and their dependents, including spouses, children, and parents.
The plan covers in-patient hospitalisation, daycare procedures, and pre and post-hospitalisation expenses, ensuring comprehensive protection during medical emergencies. It also offers coverage for domiciliary treatments, maternity benefits, and newborn baby care under some selected plans.
4. Niva Bupa Family Group Medical Insurance
Niva Bupa offers a robust family group health insurance plan tailored for businesses to provide comprehensive healthcare coverage for employees and their families, including spouses, children, and parents.
The plan covers essential medical needs such as in-patient hospitalisation, daycare procedures, and pre-and post-hospitalisation expenses, ensuring financial security during medical emergencies. It also includes coverage for domiciliary treatments and maternity benefits in select plans, addressing the needs of growing families.
5. Care Health Insurance for Family
Care Health Insurance offers a comprehensive family group health insurance plan that enables businesses to provide quality healthcare coverage for employees and their families, including spouses, children, and parents.
The plan encompasses a wide range of medical expenses, such as in-patient hospitalisation, daycare treatments, and pre and post-hospitalisation costs, offering complete protection during health emergencies.
Quick read: 10 Best Healthtech Startups in India
Benefits of Opting for Group Medical Insurance Over Individual Plans
Group medical insurance offers several advantages over individual plans, making it a smart choice for employees and their families. Here are some key benefits of opting for group medical insurance such as faster claim process, dedicated support buddy, more coverage, higher room rent limits, cashless facility, No waiting periods for PEDs, and much more.
Beyond these general benefits, group medical insurance often extends perks to family members. Here are a few extra perks you can expect:
- Gym membership perks: Some group plans offer gym annual memberships, like Cult.fit, not only for employees but also for their family members.
- Dental care: Annual memberships to dental clinics like Clove or Sabka Dentist may be included, ensuring regular dental check-ups for you and your family.
- Mental wellness support: Plans may offer mindfulness resources, such as Amaha memberships, to prioritise mental well-being.
- Discounts on medicines: Many group insurance policies provide higher discounts on medicine deliveries, with some even offering free yearly memberships for this service.
- Wellness webinars: Access expert-led wellness webinars to improve your lifestyle, available at no cost through your healthcare provider’s platform-just register and attend.
- Coverage for extended family: Need to cover more than just your immediate family? Many group plans allow you to purchase additional coverage for in-laws, siblings, and other extended family members at a small monthly cost.
In short, group medical insurance not only provides excellent coverage but also enhances your overall well-being with added perks for you and your loved ones.
Related read: Group Health Insurance Benefits
Advantages of Group Medical Insurance for Family
1. Cost-effectiveness
Most group medical insurance for family comes at a lower cost as compared to Family floater plans or individual plans, based upon the type of customisations.
2. Extended Family Coverage
In group medical insurance for family many companies not only provide the coverage for spouse or children but also to the parents and up to 4 kids if you have like Onsurity.
3. No Medical Screening
When you get your family added to group medical insurance no pre-medical tests are required or done vs in individual plans or family floater plans.
4. Pre-existing Conditions Coverage
Unlike many individual plans, Onsurity’s group insurance covers pre-existing conditions from day one, ensuring that your family receives the care they need without delays.
5. Tax Benefits
If you are paying a premium for the group medical insurance policy which is provided by your employer then according to Section 80D of the Income Tax Act you are eligible for tax deductions.
Also read: Group Health Insurance Tax Benefits
How to Choose the Best Group Medical Insurance for Your Family
These are the Top Features to look for in a Group Medical Insurance Plan for a family when you are planning to choose the best medical insurance for your family’s safety and your peace of mind.
1. Network Hospitals
Always look for a plan which has a wide network of hospitals which will help you or your family to avail cashless treatment.
2. Coverage
While having the maximum amount of Sum Insured look for the In-patient hospitalisation and daycare treatment coverage in the plan the more is included the better.
3. Extended Coverage
While looking for basic coverage always look in the plan if maternity benefits, newborn baby coverage, and child vaccination coverage are available or not.
4. Critical Illness
As lifestyle diseases are on the rise anyone from the family is prone to suffer from critical illnesses such as diabetes, heart problems or cancer, make sure to check for the critical illness cover for your family member’s safety and your peace of mind.
5. Wellness Hub
These days to have regular preventive check-ups, wellness programs, and mental health support anytime, anywhere facility comes very handy if it’s available in your group medical insurance plan for family and yourself too.
6. Add Dependants
Many group medical plans provide the flexibility to add dependents (e.g., elderly parents, Kids) under the plan.
7. Zero Paperwork
Being in a tech-revolution world it’s better to choose the group medical insurance which provides a hassle-free claims process with digital claim settlement, with real-time tracking system.
You know what Onsurity not only provides network hospitals, coverage, and extended coverage features, it’s all of the above included in the Onsurity package. Check it out now!
Why Onsurity’s Group Medical Insurance Plans are Best for Family
Onsurity understands that each family and company is unique, which is why the Group Medical Insurance plans come in multiple variants, offering flexibility and customisation. It offers a diverse range of 25 plan variants, catering to various family sizes and needs, ensuring tailored coverage for employees and their loved ones, including spouses, children, and elderly parents.
The plans feature multiple tiers, such as Onyx, Opal, Ruby, and Jade, providing flexibility in coverage limits and benefits to suit different budgets and with the easy steps to enrol in Onsurity’s family group health insurance plans, if you are already a member you can connect with your HR or admin to enrol your family in Onsurity’s plan.
If you are a startup or small business looking to buy a full-proof healthcare and insurance package for your employees and their dependents please book a demo with us. Our team will guide you with each and every step.
Conclusion
To obtain the best group health insurance coverage for your family, it is vital to select the ideal insurer. Many factors can be utilised to evaluate prospective insurers.
Also, you should consider the insurer’s coverage options, cost, customer service, and industry reputation. By adopting a comprehensive approach to analysing possible insurers, you can guarantee that you select a policy that matches your business’s specific requirements.
Onsurity is a top group medical insurance provider that gives businesses of all sizes a wide range of coverage options. Onsurity settles claims 99% of the time, which is one of the highest rates in the business. If you choose Onsurity as your health insurance provider, you can make sure that your employees and their families are covered when they need it most. Onsurity has a high rate of paying claims, and it also has a lot of benefits and features that can help you give your employees and their family members full health insurance coverage.
FAQs:
1. Does group insurance cover family?
2. Which health insurance is best for families in India?
3. How do I determine if a group medical insurance plan is right for my family?
4. Are pre-existing conditions covered under group medical insurance?
5. Can I add dependents to a group medical insurance plan?
6. What types of coverage are usually included in group medical insurance plans?
7. What is the typical enrollment period for group medical insurance?
8. Are there any limitations or exclusions in group medical insurance plans?
9. How do I file a claim for group medical insurance?
For Cashless Claim:
1. Inform your HR/Insurer/TPA/Good Doctors at Onsurity and provide your health card at the TPA desk.
2. TPA will raise the cashless request for Pre-auth approval
3. Post document submission, everything will be verified and the final decision will be provided to the member.
For Reimbursement Claim:
Post discharge of the patient, log in to Onsurity app, upload all the necessary documents, in the app under the reimbursement section.
Insurers/Good Doctors team will verify all your documents, based on the versification they will provide the final decision.