Tailor Made Group Mediclaim Policy
Customised health insurance that safeguards your workforce and boosts productivity.
Why a Group Mediclaim Policy?
In todays competitive business environment, attracting and retaining talent goes beyond salary slips. Employees expect comprehensive health benefits that protect them and their families from the financial impact of medical emergencies. A group mediclaim policy delivers:
- Peace of mind for staff and their dependents.
- Reduced absenteeism caused by untreated health issues.
- Enhanced employer brand and employee loyalty.
- Taxefficient corporate expense.
Key Features of the Tailor Made Policy
1. Flexible Sum Insured
Choose a coverage limit that matches the size of your organization and the health risk profile of your employees. Options range from INR1lakh to INR50lakhs per member, with the possibility of increasing the sum insured as your business grows.
2. Comprehensive InPatient Hospitalisation
Covers room and board, ICU charges, surgery fees, doctors fees, diagnostic tests, pharmacy costs, and posthospitalisation expenses up to 90 days.
3. OutPatient and Day Care Benefits
Includes daycare procedures, ambulance charges, and a nominal limit for OPD consultations, specialist visits, and prescribed medicines.
4. Maternity & NewBorn Cover
Optional addon for maternity expenses, newborn care, and vaccination schedule up to the first year of life.
5. PreExisting Disease Waiting Period
Standard 2year waiting period for preexisting conditions, with possible reduction for a nominal premium surcharge.
6. No SubLimit on Critical Illnesses
If you opt for the critical illness rider, there is no sublimit the full sum insured can be used for a covered critical condition.
Customisation Options
One size never fits all. The Tailor Made Group Mediclaim policy lets you finetune the plan according to your companys unique needs.
- Age Banding: Set different sum insured limits for employees aged 1830, 3145, and 4660.
- Family Coverage: Include spouse, children (up to 21 years), and dependent parents at a discounted rate.
- Wellness AddOns: Preventive health checkups, mental health counselling, and fitness program reimbursements.
- CoPay Options: Choose a copay percentage (e.g., 10%) to lower the premium while still providing robust coverage.
- Geographical Extension: Add worldwide coverage for employees who travel frequently.
Benefits to Employers
Beyond employee welfare, the policy delivers tangible advantages to your business:
- Cost Efficiency: Group rates are typically 2030% lower than individual policies.
- Simplified Administration: One contract, one premium, and a single claim portal for all members.
- Risk Management: Bulk underwriting reduces the insurers risk, translating into more stable premium structures.
- Regulatory Compliance: Aligns with statutory requirements for health benefits under various labour laws.
How to Enrol
- Gather Employee Data: Collect age, designation, dependents, and any existing medical conditions.
- Request a Quote: Use the Get a Free Quote button or contact our sales team.
- Design the Plan: Work with an account manager to finalise sum insured, riders, and any custom addons.
- Finalize the Contract: Sign the policy document and set up premium payment (monthly, quarterly, or annual).
- OnBoard Employees: Provide a digital policy booklet and easytouse claim instructions.
Claims Process Quick and Transparent
We understand that a seamless claim experience is as important as the coverage itself.
- Online Portal: Submit claims 24/7 using a simple web form.
- Document Checklist: Hospital discharge summary, itemised bill, police report (if required), and a completed claim form.
- TurnAround Time: Most claims are settled within 710 business days.
- Dedicated Helpline: A tollfree number is available for assistance during emergencies.
Frequently Asked Questions
1. Can I add new employees midyear?
Yes. The policy allows enrolment of new members during the policy year, subject to a proportionate premium adjustment.
2. What happens if an employee leaves the company?
Coverage terminates on the last day of employment, and any pending claims are processed per the policy terms.
3. Is there a cap on the number of dependents?
The standard plan permits up to two dependents per employee. Additional dependents can be added at an extra cost.
4. Are preexisting conditions covered after the waiting period?
Yes, once the 2year waiting period is fulfilled, preexisting illnesses become eligible for claim settlement subject to policy limits.
5. How are premiums paid?
Premiums can be paid via electronic fund transfer, credit/debit card, or cheque. Autodebit options are available for convenience.
NEW INDIA FLEXI FLOATER GROUP MEDICLAIM POLICY and Reference File Download Link
