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Group Mediclaim Insurance (GMC)

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What is Group Mediclaim Insurance

Group Mediclaim Insurance, also known as GMC, is a health insurance policy that provides coverage to a group of people, such as employees of a company or members of an organization. This policy offers a comprehensive coverage for medical expenses and can be customized to suit the needs of the group.

What is Covered in Group Mediclaim Insurance
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Inpatient hospitalization

This covers expenses for staying in the hospital, such as room charges, nursing care, and medicine.

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Outpatient services

This covers services that do not require a hospital stay, such as doctor visits, lab tests, and X-rays.

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Prescription drugs

This covers the cost of prescription medications prescribed by a doctor.

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Diagnostic tests and screenings

This covers medical tests such as blood tests, MRI, and CT scans.

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Emergency care

This covers expenses for emergency medical treatment such as ambulance services, emergency room visits, and urgent care visits.

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Add-On covers in Group Mediclaim Insurance

Critical illness cover

This covers the expenses associated with the treatment of critical illnesses such as cancer, heart attack, and kidney failure.

Maternity & Infant care

This covers hospitalization related expense towards child birth and infant care; including hospitalization, delivery, and prenatal and postnatal care.

Personal accident cover

This covers expenses related to accidental injuries, disability, or death caused by an accident.

Hospital cash benefit

This provides a daily cash benefit for hospitalization to cover additional expenses such as transportation and food.

International Coverage

In case of hospitalisation in a foreign country, GMC can cover such expenses as well.


What Is Not Covered in Group Mediclaim Insurance

Pre-existing diseases

Most policies have a waiting period during which pre-existing medical conditions are not covered. This varies depending on the insurance company and policy.

Cosmetic treatments

Cosmetic procedures such as plastic surgery, hair transplant, and dental procedures are usually not covered unless they are medically necessary.

Alternative treatments

Treatments such as Ayurveda, Unani, and Homeopathy are not covered unless specified in the policy.

Non-medical expenses

Expenses that are not directly related to medical treatment, such as transportation costs, food, and accommodation, are usually not covered.

Self-inflicted injuries

Injuries that are self-inflicted, such as suicide attempts or injuries resulting from drug or alcohol abuse, are usually not covered.


Why do you need a Group Mediclaim Insurance

Employee Benefits

Group Mediclaim Insurance is an essential employee benefit that is highly valued by employees. It helps companies attract and retain top talent, and it also enhances employee morale and satisfaction.

Cost-effective

Group Mediclaim Insurance offers cost-effective health coverage to employees as compared to individual health insurance plans. Companies can negotiate better premiums and benefits as they buy health insurance in bulk for their employees.

Comprehensive coverage

Group Mediclaim Insurance policies offer comprehensive coverage for hospitalization expenses, including room rent, nursing charges, surgeon fees, medicines, diagnostic tests, and other related medical expenses.

Tax Benefits

Group Mediclaim Insurance offers tax benefits to employers under Section 80D of the Income Tax Act. Employers can claim a deduction of up to Rs. 50,000 on premiums paid for Group Mediclaim Insurance.

Peace of mind

With Group Mediclaim Insurance, employees and their families can have peace of mind knowing that they are protected against unexpected medical expenses.It eliminates the financial burden of medical emergencies and ensures timely treatment for employees.


Key Highlights of a Group Mediclaim Insurance policy

Coverage

Group Mediclaim Insurance policies offer coverage for hospitalization expenses, including room rent, nursing charges, surgeon fees, medicines, diagnostic tests, and other related medical expenses.

Sum Insured

The sum insured for a Group Mediclaim Insurance policy can vary based on the size of the group and the type of coverage chosen. The policy can cover individuals, families, or a group of people, with the sum insured shared among all the members.

Renewability

Group Mediclaim Insurance policies are usually offered for a one-year term and can be renewed annually. Some insurers also offer multi-year policies for up to three years.

Cashless Facility

Most Group Mediclaim Insurance policies offer a cashless facility where the insured can get medical treatment at network hospitals without having to pay cash upfront. The insurer directly settles the bills with the hospital.

Customizable Plans

Group Mediclaim Insurance policies can be customized to suit the specific needs of the group. The policy can include add-ons such as maternity coverage, critical illness coverage, and personal accident coverage.

Claim Settlement

Group Mediclaim Insurance policies usually have a simple and streamlined claims process. The policyholder needs to inform the insurer of the claim, and the insurer settles the claim directly with the hospital or the insured member.


How To Buy Online Policy from PolicyLeader

1. Visit the PolicyLeader website

Go to the PolicyLeader website (www.policyleader.co.in) and select "Group Mediclaim Insurance" from the list of insurance products.

2. Provide personal details

Fill in your personal details such as name, age, and contact information. You may also be required to provide details about your medical history.

3. Choose a policy

PolicyLeader offers a range of Group Mediclaim Insurance policies from various insurance companies. Review the policy details, coverage, and premium amounts to choose a policy that best meets your needs.

4. Compare policies

Use the comparison tool to compare policies from different insurance companies based on factors such as premium, coverage, and exclusions.

5. Customize your policy

You can customize your policy by adding or removing riders (add-on covers) to suit your specific needs.

6. Pay the premium

Once you have chosen a policy, pay the premium online using a debit card, credit card, or net banking.

7. Receive the policy documents

After the payment is confirmed, the policy documents will be emailed to you. The policy documents will contain all the details of your policy, including the coverage, exclusions, and terms and conditions.


How to file a Group Mediclaim Insurance Claim

1. Notify the insurance company

As soon as you are aware of the need to file a claim, notify the insurance company by calling their customer service or through their website. Provide details such as policy number, name of the insured person, date of hospitalization, and reason for hospitalization.

2. Submit the claim form

Fill in the necessary details and submit it along with the required documents to the insurance company.

3. Provide necessary documents

The insurance company may require documents such as hospital bills, medical reports, discharge summary, prescription receipts, and diagnostic reports to process the claim. Ensure that you have all the necessary documents and submit them along with the claim form.

4. Wait for claim approval

The insurance company will review the claim and verify the documents submitted. If the claim is approved, the insurance company will reimburse the medical expenses as per the terms and conditions of the policy.

5. Cashless claims

If the insured person has opted for cashless hospitalization, the insurance company settles the bills directly with the hospital. However, ensure that the hospital is part of the insurance company's network and follow the necessary procedures for cashless claims.


Documents Required for Group Mediclaim Insurance

  • Identity proof: PAN card, Aadhaar card, passport, voter ID, driving license, etc.
  • Age proof: Birth certificate, school leaving certificate, passport, Aadhaar card, etc.
  • Address proof: Aadhaar card, passport, driving license, utility bills, etc.
  • Medical reports: Reports related to pre-existing medical conditions, if any.
  • Income proof: Salary slips, ITR statements, bank statements, etc.
  • Policy application form: Filled and signed policy application form.
  • Passport-sized photographs: Recent passport-sized photographs of the policyholder.
  • Cancelled cheque: For policy premium payment through ECS.
  • Other documents: Any other documents as requested by the insurance company.

Why should you choose PolicyLeader for buying Group Mediclaim Insurance

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Instant claim support

PolicyLeader offers instant claim support to ensure that the policyholders can receive timely assistance in case of any medical emergencies. They have a dedicated customer support team that is available round-the-clock to assist with claim-related queries and guide the policyholders through the claim settlement process.

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Schedule a home visit with our advisors

PolicyLeader provides the convenience of scheduling a home visit with their advisors to discuss the policy options, understand the individual's needs, and help them choose the best policy that suits their requirements. This service is particularly beneficial for those who are not comfortable with online transactions or prefer face-to-face interactions.

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Customised 1:1 planning

PolicyLeader offers customized 1:1 planning to ensure that the policyholders get the best possible coverage as per their specific requirements. Their experienced advisors analyse the policyholder's needs, assess their risk profile, and suggest the most appropriate policy options that offer comprehensive coverage at affordable premiums.

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Multiple Insurers Under One Roof and Insurance Brokers in Gujarat and around the country

PolicyLeader has tied up with multiple insurers and offers a wide range of policy options under one roof. This ensures that the policyholders can compare and choose from the best policies from leading insurers. Additionally, they have a strong presence and experienced insurance brokers in Gujarat and around the country, providing personalized and professional service to the policyholders.

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