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    Group Health Insurance

    Health insurance solutions for employees with cashless hospitalization, family coverage & preventive check-ups. No medical tests required.

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    What is Group Health Insurance?

    Group health insurance is a type of policy which can be accessed by small businesses through small group health insurance, ensuring that teams of any size receive meaningful health protection.

     

    The premium is generally shared between the employer and employees, making it cost-effective for both parties. Group health insurance also offers flexibility through optional add-ons like dental care, mental wellness, and outpatient benefits.

     

    For job seekers, a comprehensive group policy is often seen as a major perk, helping businesses attract top talent. Overall, it’s a smart investment in your team's health and happiness.

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    Group Health Insurance

    Group Health Insurance

    MediclaimInsurance

    Key Features

    Health insurance solutions exclusively for your employees

    Coverage Highlights

    What's Covered?
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    • Comprehensive Coverage

    Provides extensive coverage for a wide range of medical expenses, including hospitalization, surgeries, and treatments

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    • Cashless Hospitalisation

    Offers cashless treatment at network hospitals, reducing the financial burden on employees during emergencies

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    • Family Coverage

    Extends coverage to employees' family members, including spouse, children, and sometimes parents

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    • Preventive Health Check-ups

    Options to include regular health check-ups to monitor and maintain employees' health

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    • No Medical Underwriting

    Simplified enrollment process without the need for medical tests

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    • Easy Claim Process

    Simplifies the claim process with minimal documentation and quick settlements

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    • Portability

    Employees can transfer their mediclaim policy to individual health insurance while exiting the company without losing continuity benefits

    Inclusions

    What’s covered?
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    • Hospitalization & Day Care Expenses

    Covers hospitalization expenses (with choice of Room types) & all types of Day Care procedures & surgeriesthe cost of in-patient hospitalisation (including room type choices), ICU charges (at actuals), and all day care procedures, surgeries, and other essential medical services

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    • In-patient Hospitalisation Treatment

    This insurance covers various treatments that need you to stay in the hospital for at least 24 hours. It also includes medical procedures like surgeries that require a longer hospital stay. All these are covered under group mediclaim insurance

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    • Pre and post hospitalisation expenses

    Covers pre and post hospitalisation expenses. This means that your employee mediclaim insurance covers not only the costs of your stay in the hospital but also the expenses you incur before and after your hospital visit. This includes things like doctor's consultations, tests, medications, and follow-up treatments

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    • Option to enhance your coverage

    You can choose to enhance your health insurance coverage by voluntarily opting for increase sum insured or top up and also include your immediate family members

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    • Option to cover Pre-Existing Diseases (PEDs) from Day 1

    Employers have an option to cover pre-existing diseases (PEDs) from day one to give comprehensive health coverage to their employees. No Waitng period before these conditions are covered

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    • Maternity Benefit

    Benefits under group mediclaim insurance refer to the coverage provided for pregnancy and childbirth-related expenses

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    • AYUSH Hospitalization

    Covers medical expenses for treatments like Ayurveda, Yoga, Unani, Siddha, and Homeopathy if a doctor advises them for an illness or injury

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    • Note

    Please read policy wording for detailed terms and conditions

    Exclusions

    What’s not covered?
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    • Investigation & Evaluation

    Primarily for diagnostics and evaluations or not related to the current diagnosis and treatment, meaning expenses mostly for tests, check-ups, or treatments that are unrelated to your current condition

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    • Cosmetic Surgery

    Procedures like plastic surgery or cosmetic treatments are not covered unless for reconstruction following an accident, burns or medically necessary treatment

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    • Dietary supplements and substances

    Cost of supplements that are purchased without a prescription by a certified doctor as a part of treatment, including vitamins, minerals and organic substances

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    • Self Inflicted Acts

    Self-inflicted injuries, suicide attempts, insanity and illegal acts

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    • Deductibles and Co-pays

    If opted, certain percentage of the claim amount needs to be paid by the employee

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    • Note

    Please read policy wording for detailed exclusions

    Additional Coverages

    What else can you get?
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    • Critical Illness Cover

    Provides a lump sum benefit upon diagnosis of specified critical illnesses such as cancer, heart attack, and stroke

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    • Top-Up Cover

    Offers additional coverage beyond the base policy limits, useful for enhancing health insurance coverage

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    • Corporate Buffer

    A corporate buffer is an extra sum of money set aside by a company to cover employees' medical expenses that exceed their insurance limits. It's like a safety net to help employees with additional healthcare costs

    Quick Overview

    • 1

      Comprehensive Employee Coverage: Group health insurance provides coverage to employees and their dependents, in most cases.

    • 2

      Affordable Healthcare Solution: As risk is shared among several members, premiums are lower compared to those on individual health insurance policies.

    • 3

      Instant Coverage Advantages: In some plans, instant coverage is provided even for pre-existing conditions without any wait time period.

    • 4

      Hospitalisation Without Payment: Employees have access to treatments in-network hospitals without having to pay in advance.

    • 5

      Coverage for Family Members: Spouses, kids, and dependent parents can also be covered in a group health insurance plan.

    • 6

      Aids Business Growth: Providing health insurance enhances employee satisfaction and loyalty and boosts overall productivity.

    • 7

      Helps Attract Quality Talent: Health insurance increases employer branding and helps attract quality professionals.

    • 8

      Customisable Options: Various additional coverage options can be added to plans, such as maternity, OPD, and critical illness.

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      Digitally Accessible Solutions:

      1. Plans, health cards, and claims can be managed easily using digital platforms.

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      Cost-effective and Secure: Group health insurance saves healthcare costs as well as provides security to both employers and employees.

    Read More

    What are the Types of Health Insurance Plans?

    Employee Only Coverage

    An employee-only plan is the most basic group insurance scheme that employers provide to their workers. This plan covers only insured members who are employees. Additionally, it provides medical coverage for hospitalisation, daycare treatments, and other health care services. 

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    Employee + Family Coverage

    Employee and Family Insurance covers both employees and their family members by providing health insurance benefits for them. It includes eligible family members like spouses, dependents, and parents. 

    View Plans Know More

    Voluntary Coverage

    With voluntary cover, workers can opt for additional insurance coverage above their basic cover under the group health insurance policy by paying extra premiums. Voluntary insurance covers include increased sum insured and specific treatments, among other features. 

    View Plans Know More

    Top - Up Group Insurance

    This type of employer health insurance is meant to enhance the insurance amount coverage, which goes beyond what the ordinary coverage would provide in corporate health insurance. The purpose of this group health insurance is to act as a secondary level of financial protection.

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    Small Group Health Insurance

    Health insurance plans for small groups are specially designed for startup companies, small firms, and organisations with a small number of workers. Various insurance providers have such plans available to groups as small as seven or ten individuals. 

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    Critical Illness Rider

    With a critical illness rider, you receive a lump sum of money if you suffer from any of the listed serious illnesses, including cancer, heart attack, stroke, or kidney failure. Moreover, you may use this sum to cover the costs of treatment, recovery, or more.

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    Maternity and Newborn Cover

    Maternity and newborn coverage provides financial support with respect to expenses incurred due to pregnancy. This includes expenses incurred before birth, such as prenatal services; expenses incurred at birth, like birthing costs; and after birth, such as postpartum care. 

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    OPD Coverage

    OPD (Outpatient Department) Coverage refers to the costs incurred in terms of medical expenditure without requiring hospitalisation. This may include visits to the doctor, diagnosis, medication, and other medical services. The cost involved in OPD benefits is incurred on a day-to-day basis.

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    Why Buy Group Health Insurance?

    Group health insurance is one of the most effective methods that companies can adopt to offer financial security against high health care costs, as well as maintain the well-being of employees. It provides more comprehensive coverage at a lower premium because the risk is borne by many people.

    Other perks provided with group health insurance plans include cashless admission to hospitals, wellness program coverage, and pre-existing condition coverage from the outset. The employer can gain more out of such insurance in terms of employee satisfaction, increased retention rate, and higher productivity due to reduced anxiety during emergency times.

    Key Features of Group Health Insurance?

    Some of the key features of a group health insurance plan include no medical screening, cashless hospitalisation, daycare procedures and more. 

    Benefits You Deserve

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    Customization

    Tailor your coverage as per your requirement

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    24x7 Claim Assistance

    Employees can get help anytime, reducing stress during emergencies

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    Ease of Policy Management

    Track employee insurance details, claims, endorsements online

    Why Should You Choose Bajaj General Group Health Insurance?

    Selecting Bajaj General Group Health Insurance for your employees guarantees that they enjoy medical coverage without any hassles. The top 8 reasons to choose this group health insurance include:

    • 1. Cashless Hospital Network

      There is provision for cashless hospitalisation in premium hospitals across India, thus making high-quality healthcare easily accessible anywhere in the country.

    • 2. Coverage From Day 1

      Whereas there is a waiting period of up to 3 years before coverage for pre-existing disease (PED) for most individual plans, there is day 1 coverage even for existing diseases like diabetes or hypertension in group policies.

    • 3. Extensive Medical Coverage

      Apart from covering in-patient hospitalisation expenses, the policy also covers pre- and post-hospitalisation expenses (up to 30–60 days), room rent, ICU and day care coverages.

    • 4. Family Coverage

      The plan provides coverage right from day 1 for dependents, i.e., the spouse, children, and parents of the employee, thereby offering comprehensive health insurance coverage.

    • 5. Maternity and Newborn Benefits

      This aspect of the policy can be completely customised to cover expenses associated with pregnancy, childbirth, and newborn baby costs.

    • 6. Advanced Treatments

      Along with modern medical treatment, the policy includes AYUSH treatment coverage (Ayurveda, Yoga, Unani, Siddha and Homoeopathy) as well as organ donor costs.

    • 7. Corporate Buffers and Add-Ons

      Employees may improve the basic plan by choosing corporate buffer coverages for large claims or incorporating wellness plans, tele-consultation coverage, and critical illnesses coverage into their policy.

    • 8. Digital Policy Management

      With fast processes such as cashless claim settlement in 60 minutes and paperless processes through the mobile app, there is no need for any paperwork or expenses.

    What are the Benefits of Group Health Insurance for Employers?

    Below are 9 major benefits of group health insurance in businesses: 

    What is a Health Card in a Group Health Plan?

    A health card is issued to each employee and their covered family members under a group health insurance policy. It serves as an identification tool at network hospitals and facilitates cashless treatment.

    The card contains essential details such as the policy number, insured name, and insurer’s TPA contact information. It is accepted at hospitals within the insurer’s network and is required for cashless hospitalisation.

    For small group health insurance policies, the health card offers easy access to benefits, especially in emergencies. Employees should carry the card during hospital admission or ensure it is digitally accessible for quick verification.

    This ensures a seamless and stress-free experience when seeking medical care, eliminating the need for upfront payments and simplifying the claims process.

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    How to Choose the Best Health Insurance for Your Employees?

    The following process can be used to identify a proper package which will offer full health care coverage for your employees.

    Eligibility Criteria to Purchase Group Health Insurance

    In most cases, the eligibility criteria differ from one insurance company to another and also according to the nature of the group that the policy seeks to cover.

    Eligibility criteria Specifications

    Entry Type 

    Businesses, startups, SMEs, companies, organisations, trusts, societies, and educational institutes

    Minimum Employee Count

    Small group health insurance usually requires a minimum of 7 to 20 employees, depending on the insurer.

    Business Structure

    The organisation must be a registered business entity such as a company or partnership firm.

    Active Employees

    Coverage is for full-time, active employees, with the option to include dependents such as spouses and children.

    Premium Contribution

    Premiums can be paid entirely by the employer, employees, or shared between both parties.

    Group Policy Enrolment

    The business must sign up for a group policy, complete necessary documentation, and provide details of employees to be covered.

    Step-by-Step Guide

    How to Buy Group Health Insurance Online?

    How to Buy

    • 1

      Visit Bajaj General website

    • 2

      Enter personal details

    • 3

      Compare health insurance plans

    • 4

      Select suitable coverage

    • 5

      Check discounts & offers

    • 6

      Add optional benefits

    • 7

      Proceed to secure payment

    • 8

      Receive instant policy confirmation

    How to Renew

    • 1

      Login to the app

    • 2

      Enter your current policy details

    • 3

      Review and update coverage if required

    • 4

      Check for renewal offers

    • 5

      Add or remove riders

    • 6

      Confirm details and proceed

    • 7

      Complete renewal payment online

    • 8

      Receive instant confirmation for your policy renewal

    How to Claim

    • 1

      Notify Bajaj General about the claim using app

    • 2

      Submit all the required documents

    • 3

      Choose cashless or reimbursement mode for your claim

    • 4

      Avail treatment and share required bills

    • 5

      Receive claim settlement after approval

    How to Port

    • 1

      Check eligibility for porting

    • 2

      Compare new policy benefits

    • 3

      Apply before your current policy expires

    • 4

      Provide details of your existing policy

    • 5

      Undergo risk assessment by Bajaj General

    • 6

      Receive approval from Bajaj General

    • 7

      Pay the premium for your new policy

    • 8

      Receive policy documents & coverage details

    Who Should Buy Group Health Insurance?

    Understanding the coverage benefits can help senior citizens make informed healthcare decisions and stay financially prepared for medical emergencies.
    1
    1. Covers eligible hospitalisation expenses arising from illness, injury, or medical emergencies.
    2
    1. Includes pre- and post-hospitalisation medical expenses as per policy terms.
    3
    1. Covers specified day-care procedures that do not require extended hospital stays.
    4
    1. Offers cashless treatment facilities at network hospitals for covered expenses.
    5
    1. May cover ambulance charges and select modern treatment procedures, subject to policy conditions.
    6
    1. Includes domiciliary treatment benefits when hospitalisation is medically not feasible.
     

    Download Policy Document

    Get instant access to your policy details with a single click.

    How to Make a Claim for Your Bajaj General Group Health Insurance?

    Knowledge about how the claim process works will enable the employee to benefit from healthcare services easily in case of any emergency. Claims can normally be processed either in a cashless way or through reimbursements based on certain conditions.

    Cashless Claim

    1
    1. Go to a network hospital that falls within the healthcare cashless network of the insurer.
    2
    1. Show your health insurance ID card, health insurance policy papers, and all the relevant documents.
    3
    1. For planned treatments, inform us at least 48  hours before the scheduled admission.
    4
    1. Fill out the pre-authorisation form with the assistance of the hospital.
    5
    1. The hospital forwards the form to the insurer for processing and approval.
    6
    1. Once approved, any relevant medical costs will be paid by the hospital itself.

    Reimbursement Claim

    1
    1. Obtain treatment from a non-network hospital and bear the costs yourself.
    2
    1. Gather your medical bills, discharge summary papers, prescriptions, and all the other necessary documents.
    3
    1. Fill out the claim form in the right way and submit your relevant documents.
    4
    1. Send your claim request within the stipulated period indicated in the health insurance policy.
     

    Documents Required for Making a Claim under Corporate Medical Insurance

    1
    1. Duly filled claim form
    2
    1. Doctor’s prescription and consultation notes
    3
    1. Original hospital bills and receipts
    4
    1. Discharge summary
    5
    1. Investigation and diagnostic reports
    6
    1. Identity and health card copy
    7
    1. Pre-authorisation form (for cashless claims)
     

    How to Download Bajaj General Insurance’s Health Card?

    Downloading your group health insurance card is easy:
    1
    1. Open the Bajaj General App.
    2
    1. Log in using registered credentials (policy ID/email/phone number).
    3
    1. Go to the 'Download Health Card' section.
    4
    1. Select the employee/family member.
    5
    1. Download and save/print the PDF.
     

    FAQ's

    What is pre-existing disease in Group Health Insurance?

    A pre-existing disease in Group Health Insurance refers to any illness, condition, or injury diagnosed or treated by a physician within 36 months before the policy’s start or reinstatement. It includes ailments for which medical advice, diagnosis, or treatment was recommended or received during this period.

    What is pre and post-hospitalisation cover under the Group Health policy?

    Group Medical Cover (GMC) policies include pre- and post-hospitalisation coverage and reimbursing medical expenses incurred before and after hospitalisation. The coverage period typically ranges from 15 to 120 days for pre-hospitalisation and 15 to 180 days for post-hospitalisation, depending on the policy terms.

    What is the CDC feature under the Group Health policy?

    The CDC (Claim by Direct Click) benefit under a Group Health Plan allows individuals and their families to file claims effortlessly without visiting offices or handling paperwork. Simply log in to the Bajaj General App to register a claim anytime, anywhere, ensuring a seamless and hassle-free experience.

    What are the wellness benefits under the Group Health policy?

    Wellness benefits under Group Health Insurance include free health check-ups, tele consultations, fitness programs, and mental health counselling. These benefits promote overall well-being, encourage preventive care, and help employees maintain a healthier lifestyle.

    What is the origin and evolution of group health insurance?

    Group health insurance originated as a way for employers to provide collective healthcare benefits to workers. Over time, it has evolved into comprehensive health insurance plans in India that cover hospitalisation, maternity, preventive care, and wellness, offering affordable healthcare protection for both large companies and small businesses.

    Why is group health insurance widely preferred by companies and employees?

    Group health insurance is preferred because it provides low-premium health insurance in India compared to individual plans, ensures access to quality healthcare, and supports employee well-being. For companies, it builds trust, reduces attrition, and enhances productivity, while employees enjoy comprehensive protection for themselves and their families.

    How does group health insurance offer better benefits than individual health plans?

    Unlike individual policies, group health insurance covers employees and often their families under a single umbrella. It offers wider coverage, fewer restrictions, and cost-sharing benefits, making healthcare more affordable. This collective approach ensures employees get access to quality treatment without the higher premiums often seen in personal health insurance plans.

    What does the waiting period mean in a group health insurance policy?

    The waiting period in group health insurance refers to the time an insured person must wait before certain benefits, like pre-existing disease coverage or maternity benefits, become available. However, compared to individual policies, the waiting period in group plans is usually shorter or sometimes waived entirely.

    When is the ideal time to opt for a group health insurance plan?

    The best time to opt for a group health insurance policy is when a company is setting up its employee benefits structure. For startups and SMEs, introducing small group health insurance early helps attract talent, boost employee confidence, and ensure health security from the beginning.

    Is it possible to have both group and personal health insurance coverage simultaneously?

    Yes, employees can have both group health insurance and individual health insurance at the same time. During claims, they can choose which policy to use or even split claims between the two policies, depending on the terms, coverage, and expenses incurred.

    How is the premium for group health insurance determined?

    The premium for group health insurance is determined by factors like the size of the group, average age, medical history, coverage type, and add-ons chosen. Larger groups usually enjoy lower premiums due to risk sharing, making group insurance a low-premium health insurance option in India.

    Are there any tax benefits associated with group health insurance?

    Yes, employers can claim tax deductions on the premiums paid for group health insurance under Section 37(1) of the Income Tax Act. This makes it a cost-effective employee benefit while providing financial relief to organisations offering health coverage to their workforce.

    Can employees convert their group health plan into an individual policy?

    Yes, many insurers allow conversion of a group health plan into an individual policy when an employee leaves the company. This ensures continuity of health insurance coverage without fresh medical tests, although the premiums and policy terms may differ from those under the group arrangement.

    What documents are required to claim under the Group Health policy?

    To claim under a Group Health Policy, you need documents like the claim form, hospital bills, discharge summary, doctor's prescription, medical reports, ID proof, policy details, and bank account information. In case of a cashless claim, pre-authorisation from the insurer and hospital invoices are also required.

    What happens to the coverage if an employee resigns or leaves the company?

    If an employee leaves the organisation, their group health insurance coverage usually ends on the last working day or at the end of that month. Some insurers allow employees to convert their group policy into an individual health insurance plan by paying applicable premiums.

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    What Our Customers Say

    Highly satisfied

    Clear policies, easy renewal, and great coverage options. Highly satisfied with this health insurance app.

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    Piyush Kumar

    Mumbai

    5

    17th Mar 2025

    Highly recommend!

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    Vadodara

    5

    2nd Feb 2025

    Simple, fast & effective!

    A reliable health insurance app with all features in one place—simple, fast & effective!

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    Hrithik Mishra

    Delhi

    5

    31st Jan 2025

    Love this app!

    Managing my family’s health insurance has never been this convenient. Love this app!

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    Mumbai

    4.8

    31st Jan 2025

    Reliable & affordable

    Reliable & affordable medical insurance plan—gives complete health security for my family.

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    Shubham Singh

    Delhi

    5

    30th Jan 2025

    Financial convenience

    Medical crises are stressful, but financial convenience is guaranteed by this health plan

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    Pushpendra Gurjar

    Mumbai

    5

    30th Jan 2025

    Great coverage options too!

    Finding pregnancy health insurance was stress-free on Bajaj General app. Great coverage options too!

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    Mumbai

    5

    24th Jan 2025

    User-friendly and efficient!

    Securing my family's health with Bajaj General has been hassle-free. Their app is user-friendly and efficient!

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    Gautam Mongia

    Delhi

    5

    24th Jan 2025