Group Health Insurance offers numerous advantages for both employers and employees, as outlined below:

For Employers

Boost Employee Retention: By offering group health insurance, employers demonstrate their commitment to the security and well-being of their workforce. This fosters a sense of job security and satisfaction among employees, leading to increased retention rates.

Strengthen Employee Motivation: A safe and content workforce translates to a positive work environment and successful companies. When employees feel secure and cared for, their motivation and overall happiness tend to rise, enhancing productivity.

Tax Benefits: Employers can also enjoy tax benefits by providing group health insurance policies to their employees, contributing to cost savings and financial advantages.
Lower Cost: Group health insurance policies offer benefits at a relatively lower cost compared to individual health insurance policies, allowing employers to provide comprehensive coverage to their employees without significant financial burden.

For Employees

Coverage for Pre-existing Diseases: Unlike individual health plans, group health insurance policies start covering pre-existing diseases from the day an employee joins the organization. This eliminates waiting periods and ensures immediate coverage for any existing medical conditions.

Extensive Range of Coverage: Group health insurance plans provide a wider scope of coverage with no limit on diseases, ensuring comprehensive protection for employees' health needs.
Wider Maternity Cover: Many group health insurance plans include coverage for both C-section and normal deliveries. Some plans may also extend coverage to newborn babies beyond the standard 90-day maternity cover.

Coverage

Group health insurance policies typically cover the following eventualities:

• Pre-existing diseases
• Maternity cover (with varying waiting periods)
• Coverage for newborn babies
• Ambulance charges (in some plans)
• Pre and post-hospitalization expenses
• Domiciliary and daycare expenses
• Fees of medical practitioners and specialists
• Room rent and nursing charges
• Anesthesia, oxygen, blood, OT charges, medicines, drugs, and diagnostic costs
• Additional coverage for treatments such as radiotherapy, chemotherapy, and pacemaker costs (depending on the plan)

Exclusions

• The following eventualities are generally not covered by group health insurance policies:
• Coverage for the employee's parents (some policies may exclude this)
• Non-allopathic treatments like homeopathy and Ayurveda
• Validity limited to the duration of employment with the organization
• Congenital diseases
• Expenses related to AIDS and related conditions
• Alignment or complications arising from alcohol or drug abuse
• Non-medical expenses like registration fees, admission fees, cafeteria charges, etc.
• Cost of spectacles and contact lenses
• Cosmetic or plastic surgery (except for correction of injury)
• Hospitalization for diagnostic tests only
• Vitamins and tonics (unless used for injury or disease treatment)
• Infertility treatment
• Voluntary termination of pregnancy during the first 12 weeks (MTP)