Group Mediclaim

The Group Mediclaim Policy will be available to any Group/Association/ Institution/ Corporate Body of more than 50 persons/families provided it has a central administration point. Each insured should cover all eligible members (insured Persons) under one group policy only. In other words different categories of eligible members shall not be allowed to be covered under different group policies. It is not permissible to issue any un-named group policies.

The group policy will be issued in accordance with IRDA guidelines, in the name of the Group/ Association / Institution / Corporate Body (called insured) with a schedule of names of the members including his/her eligible family members as per the following definition.

Key Benefits:
  • Lowers the employee turnover
  • Discount in renewal premium for claim-free experience with family members
  • Lower premium costs
  • Customized policy
  • Cover for all members
  • Cashless claims across network hospitals
  • Tax benefits
  • Regular health check-ups
  • Day care procedures covered
Group Mediclaim Insurance Policy Coverage

Group Mediclaim Insurance Policy has a lot to offer :

Hospitalization Expenses covered include:

  • Room charges and operation theatre charges
  • Fees of medical practitioner, anesthetist, and consultants
  • Nursing expenses

Medicine, Consumables, and Diagnostic Expenses covered include:

  • Cost of medicines and drugs
  • Anesthesia, blood, and oxygen administration expenses
  • Cost of surgical appliances, pacemaker, and radiotherapy
  • Expenses towards diagnostic material and X-rays, dialysis, and chemotherapy
  • Cost of artificial limbs and organs

Domiciliary Hospitalization

Cover for treatment administered at home, subject to –

  • Medical condition restricting the patient from being shifted to hospital
  • Lack of accommodation in any hospital/nursing home

Day Care Treatment

  • Coverage for treatment that does not need hospitalization for 24 hours or more

Pre and Post-Hospitalization

  • Medical expenses for a specified number of days covered
Value Added Benefits:

This policy offers you many more benefits:

  • Family floater clause can be added for ensuring your employee’s peace of mind
  • Option of day-one cover for maternity, pre-existing illness and for children, without a waiting period for the cover to commence
  • Extra insurance cover for needy employees, so that the buffer sum insured can be extended to employees who have exhausted their sum insured
Package Policy Exclusions

Even as we try to provide you the best options, there are some exclusions under this policy:

  • Vaccination and inoculation
  • Cosmetic treatment
  • Cost of spectacles, contact lenses, and hearing aids
  • Treatment for HIV/AIDS
  • Treatment for illnesses due to war and nuclear perils
  • Naturopathy treatment
  • If the appropriate waiver is not opted for, then the policy will not cover
    • Treatment of pre-existing illnesses
    • Any treatment for illnesses/diseases within the first 30 days of the policy, unless due to an accident
    • Treatment of specified illnesses for the first year of the policy.
Eligibility :

The policy can be issued to:

  • Corporates/ Small and Medium Enterprises – for employees and their families
  • Clubs/Societies/Other specific groups – for their members
  • Anyone from age five to 80 years can be covered
  • Cover for children between the ages of three months and five years, if one of the parents is covered concurrently.