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  2. Follow the steps below to get a cashless claim under group health insurance for planned hospitalization. Step 1: Fill up the pre-auth form at the network hospital at least 48-hours in advance. Step 4: At the time of discharge, the insurance company will settle the claim directly with the hospital.

    • 4 min
    • Total Sum Insured on The Policy
    • Claim History of The Company
    • Number of People Covered
    • Average Age of The Insured
    • Type of Work of The Company
    • Wrapping Up

    The higher the sum insuredof a policy, the higher the premium will be. The sum insured refers to the maximum amount that can be claimed from the insurance company in case a covered event occurs. For example, if a policy has a sum insured of Rs. 5 lakhs and the policyholder incurs medical costs of Rs. 10 lakhs, then the policyholder can only claim a...

    The claim history is highly relevant when renewing an existing policy. If several claims have been made against a group policy during the previous year, then the insurance company will want to charge a higher premium for renewing the same policy. In contrast, if the number of claims was low or close to zero, then the insurance company may be willin...

    Every group health insurance policy is not the same. In fact, there can be vast differences between two group health insurance policies even if the sum insured is the same. For example, one policy may only cover the employee. Another policy may only cover the employee, their spouse, and their children. A third policy may cover the parents of the em...

    As mentioned in the introduction, the age of the insured can be a major factor when calculating the premium of a health insurance policy. The higher the age of the insurance, the higher the premium will be. This is large because an older person has a higher risk of experiencing a severe medical condition when compared to a younger person. If you’re...

    The employees of certain companies work in harsher conditions than employees of other companies. If the risk to the health of the employees is higher due to the working conditions, then the insurance company will need to charge a higher premium. For example, if there is a gold mining company, then they will have lots of employees who work in the mi...

    A lot of factors can affect the premium of a group health insurance policy. The general rule of thumb is that higher risk for the insurance company will mean higher premiumsfor the company. Certain insurance companies have a group health insurance premium calculator available on their websites so that you can gain an idea of the cost involved. By k...

  3. Yes, you can cover your family residing in India under the group medical insurance policy. The insurance policy covers relationships of spouse, parents and in-laws between 18 to 75 years. Also includes dependent unmarried children, grandchildren and siblings between the ages of 5 to 25 years.

  4. 3. Educational benefits for children. Another exceptional advantage of Group Personal Accident Insurance is the educational benefits it offers for children of the insured. The policy covers the education cost for up to two children in the event of unfortunate demise or permanent disability of the insured employee. 4.

  5. Individual Health Protector. Cover ₹10 L. Cashless Hospital 272. Starting from. ₹784/month. Claims settled in last 3 months: 89.4%†. View Features. *The plans and premiums are for ₹10 Lakh Sum insured for Individual for Delhi city. † Age Analysis of Number of Claims Paid (%) as per IRDAI Annual Report 2021-22.

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