Group health insurance plan is an insurance plan that provides healthcare coverage to a select group of people. Group health insurance plans are one of the major benefits offered by many employers. These plans are generally uniform in nature, offering many extra benefits to all employees or members of the group.
Following are the features available for group health insurance for employees:
No-waiting period:
An employee can avail the coverage of the group health insurance plan from the first day of his service in the firm. The best group health insurance plans do not have the waiting clause. The benefit of a no-waiting period is that the employee can immediately avail the expenses for even the chronic diseases like diabetes and knee related problems.
Cashless hospitalization at network hospitals:
The cashless hospitalization facility is the most important facility offered by the group health insurance policy. This means that the employee does not have to go through the tiring tasks of paperwork.
The facility of network hospitals includes the facility to avail the reputed healthcare centres. The insured can avail discount due to such facility. The employee can avail the top-class facilities provided by the reputed hospitals in the network.
Pre-and post-hospitalization charge:
Pre-hospitalization expenses are incurred when the insured is prescribed to conduct specific tests or investigations before getting hospitalized. Examples of such expenses are a blood test, urine test and X-rays.
After the patient is discharged, he may require conducting certain tests to ascertain the progress of his health. Thus, post-hospitalization charges are incurred by an individual after he or she is hospitalized and it includes charges like diagnostic charges, consulting fees and medicine costs.
A group health insurance policy, covers for pre-and post-hospitalization charges for a specific period as per mentioned in the policy document.
Coverage for Pre-illness:
In the group health insurance policy, there is no need of getting a prior health check-up. All the previous illnesses and the medical expenses arising out of it are covered under it. Some group insurance policy also covers for the critical illnesses, but it depends on the plan selected by the employer. Hence it is essential to know what the policy covers.
Coverage for dependents:
Apart from the employee himself, the group health insurance plans offer coverage to the depending members of the employee’s family like his spouse, children and parents.
Coverage for ancillary charges:
Ancillary charges can include the ambulance charges. Group health insurance for employees also covers such charges.