Group Mediclaim Poilcy
Group Mediclaim insurance can simply be defined as contract between the insurer and the insured wherein insurer agrees to pay hospitalization expenses to the extent of an agreed sum assured in the event of any medical treatment for arising out of an illness or an injury Covering employees of a firm /company / Association or Club(i.e. with employer – employee relationship) for Named employees. The number of persons and the sum insured in each Group should be specified when the cover is taken.
Cover
Cover is available for reimbursement of Hospitalization expenses in India in respect of both individuals and Groups. This insurance provides cashless Hospitalization, for the treatment of any covered illness or disease or accidental injury contracted during the Policy period. For administering this arrangement and to provide hassle free admission and discharge from the Network hospitals, Third Party Administrators (TPAs) have been empanelled by Insurance Companies. There are various options for the extent of coverage sought to be insured – i.e. Pre Existing Disease Waiting Period Waived. Initial Waiting Period for Hospitalization Waived ,Specific Illness Waiting Period Waived, Mental Illness Cover, Modern Treatment Methods & Advancement in Technology and Maternity coverage.
Expenses reimbursed or provided cashless
The expenses covered usually include:
- Cost of room bed
- Boarding expenses
- Nursing expenses
- Doctor’s fees
- Diagnostic fees Medicines and Drugs
- Operation theatre charges and
- Expenses related to surgical appliances and the like Diagnostic Materials and x-ray, Dialysis, Chemotherapy, Radiotherapy, Cost of Pacemaker, Artificial Limbs and Cost of Organs and similar expenses