Group Health Insurance SMEs, Startups & Corporates
What’s great about Group Health Insurance by NTP Healthcare
Easy Online Processes
No one likes to waste their time on lengthy paperwork, and we understand that. Right from the process of buying a group health insurance plan to making claims is paperless, easy, quick and hassle free! After all, we are part of the digital revolution.
Gives your employees the option to opt for cashless claims through a wide network of our hospitals spread across India. So, no matter where they are in India, they’ll always be covered at ease!
Low Cost Premium
Being a digital health insurance provider, our health insurance premiums come with low-cost premiums, so you can cover all your employees conveniently.
Post Hospitalization Lumpsum Benefit
We take the idea of simple and quick claims seriously. A post-hospitalization lumpsum gives people the benefit to take care of their post-hospitalization expenses without having to collect bills, receipts, etc.
One Point of Contact
No need to coordinate with multiple points of contact and third parties. With Digit’s Group Health Insurance, you only need to stay in touch with us and no one else.
Group Health Insurance for All Company Sizes
Everyone deserves to be protected. It doesn’t matter whether you’re a 10-member team or a 25+ member startup, our group health insurance covers companies of all shapes and sizes.
Refill Sum Insured
One of our Exotic benefits, your employees can choose to refill their sum insured in case its exhausted, unlimited times for any illnesses.
5900+ Cashless Hospitals
With more than 5900+ cashless hospitals across India, your employees can be covered at ease no matter where they are in India!
What is Covered in Group Health Insurance by NTP Healthcare
In case your employee or their dependent get into an accident, this covers for all pre and post hospitalization expenses such as road ambulance charges, room rent, diagnosis, day care procedures, etc.
Illness Related Hospitalization
Sometimes, some illnesses require hospitalization. This benefit will cover your employee and their dependents for all treatment and hospitalization expenses.
Daily Hospital Cash Cover
In case your employee or their dependent is hospitalized, expenses go beyond just the hospital bill and this benefit helps people cover for just that.
Psychiatric Illness Cover
According to a WHO study, at least 6.5% of India’s population suffer from a serious mental disorder. Luckily, our health insurance will also cover for your employee’s psychiatric support; after all mental health is just as important as physical health.
Our health insurance plan also includes benefits to cover for things such as Alternate Treatment (AYUSH), Organ Donation Expenses, Infertility Treatment and Bariatric Surgeries among others.
Complimentary Annual Health Checkup
It's important to be aware of one's complete health and well-being. That's why, our plan includes reimbursement for any medical checkups and tests your employees or their dependents would want to do in a year.
What’s not Covered?
Pre-Natal & Post-Natal Expenses
Pre-natal and post-natal medical expenses, unless it leads to hospitalization of the employee or their spouse.
PED Waiting Period
In case of a pre existing disease, unless the waiting period is over, the claim for that disease or illness cannot be made.
What is a Waiting period?
So, what are these waiting periods we were talking about? Well, there are actually a few different types. Let’s go throuh some of the most common ones:
Initial Waiting Period in Health Insurance
Every policy has an initial waiting period, usually about 30 days, but sometimes up to 90 days. During this time, no ailments will be covered, pre-existing or not. This waiting period only comes into effect once, when your policy first begins – it won’t recur every time you renew your policy. Some insurance policies may cover injuries from accidents during this time, but illnesses are generally not covered.
What is Pre-existing condition Waiting Period?
Most policies do include pre-existing condition insurance, but there is a 2-4 year waiting period before pre-existing condition is covered. The number of years depends on your age, and what the condition is. While the policy won’t cover your PED during this time, it will cover other ailments and injuries.
Specific Ailment Related Waiting Period
Don’t confuse this with the PED Waiting Period, which only applies to medical conditions that you already have. On the other hand, the Specific Ailment Related Waiting Period refers, as the name says, to specific ailments, such as diabetes, hypertension, and hernia. These specific ailments are usually not covered for the first 1-2 years of the policy, after which they are covered.
What is Pre-existing Condition exclusion?
When due to pre-existing condition there are limits and restrictions on the health insurance claim, that's called as a Pre-existing condition exclusion.
What is Pre-existing condition waiver?
This is a benefit cover for pre-existing condition which waives off the exclusions and covers expenses that are related to hospitalization due to Pre-existing condition.
All about Pre-existing Conditions in Health Insurance
What is a Pre-existing disease?
Once you know the full form, it sounds a lot simpler! PED stands for ‘Pre-existing Diseases’ or Pre-existing Condition and is an important factor in your health insurance It basically refers to the diseases or ailments you were suffering from at the time you bought your policy. To be more precise, a “pre-existing disease” in insurance is any ailment you were suffering from, and diagnosed with, 48 months (or less) before you bought your insurance policy. PEDs can range from serious medical conditions like cancer or diabetes, to ailments like blood pressure or allergies.
So, imagine your doctor wrote you a prescription for asthma medication, and you buy insurance one year later. Your health condition – that is, asthma – is a pre-existing condition.
Why is it important to Declare Pre-existing disease?
You may be wondering if it’s worth declaring your pre-existing condition in the first place. But in this case, it’s best to be as transparent as possible! Go through your medical files to ensure you have included all the diseases and treatments you would need covered. If you hide your pre-existing condition from your insurance provider and they find out about it later, forget waiting period, they may not cover it at all. So, it’s better to wait a while and get your PED covered than not declare it!
Hospitalization without doctor’s recommendation
Any condition your employee gets hospitalized for, that doesn’t match with the doctor’s prescription is not covered.
Things you should know about Pre-existing condition or PED
1. Health Insurance policies differ from one another: And so does the terms and conditions with respect to pre-existing condition. You should always check for the waiting periods and the list of PED that are covered in your health insurance policy.
2. Not all ailments are considered as a pre-existing condition: Not all ailments or visits to the doctor are considered as a pre-existing condition. Insurers only consider medical conditions and ailments which have had a long-term effect on a person’s health. Other minor ailments and their side effects, like cough, cold, fever etc, do not determine a person’s health.
3. Hiding a Pre-existing Condition is never a good idea: We often think we should hide the facts that might hinder our chances of getting a health insurance, like a pre-existing condition. However, this can lead to a reverse effect, where even if you get a health insurance policy by hiding a PED, your claim might get rejected if the PED is found out later. So, it is always better to disclose a PED right at the start.
4. You Can Get Coverage for Pre-existing Medical Conditions: We often think, PEDs cannot be covered. However various health insurers offer the benefit "Waiver of Pre-existing Condition", that covers PED and takes care of expenses related to it.
5. Waiver of Pre-existing Disease has a waiting period: For your health insurance policy to cover PEDs, often insurance companies have a waiting period of 2 years. So, you should start early with your health insurance policy.
6. Your health insurance provider may reject your claim if you have a pre-existing condition. But if you get a waiver of PED cover, your pre-existing conditions will also be covered in your policy. Most insurance providers have a 2-4 year waiting period for pre-existing condition. Which means that you’ll have to wait that long for your insurance provider to start covering your PED!
How do you buy a Pre-existing condition cover?
In health insurance your pre-existing condition gets covered if you take the benefit that covers them too, like a waiver of pre-existing condition. So, remember to disclose all your pre-existing condition to your health insurer.
Before purchasing an insurance policy, it’s important to read the fine print, and find out how long each of these waiting periods are. And there’s some good news!
The Insurance Regulatory and Development Authority (IRDA) has approved health insurance portability. This means that in case you decide to change your insurance provider, you don’t have to go through the pre-existing condition waiting period all over again - you can carry it forward from one provider to another!