Group Mediclaim Insurance (GMC)

Critical illness cover

This covers the expenses associated with the treatment of critical illnesses such as cancer, heart attack, and kidney failure.

Maternity & Infant care

This covers hospitalization related expense towards child birth and infant care; including hospitalization, delivery, and prenatal and postnatal care.

Personal accident cover

This covers expenses related to accidental injuries, disability, or death caused by an accident.

Hospital cash benefit

This provides a daily cash benefit for hospitalization to cover additional expenses such as transportation and food.

International Coverage

In case of hospitalisation in a foreign country, GMC can cover such expenses as well.

Pre-existing diseases

Most policies have a waiting period during which pre-existing medical conditions are not covered. This varies depending on the insurance company and policy.

Cosmetic treatments

Cosmetic procedures such as plastic surgery, hair transplant, and dental procedures are usually not covered unless they are medically necessary.

Alternative treatments

Treatments such as Ayurveda, Unani, and Homeopathy are not covered unless specified in the policy.

Non-medical expenses

Expenses that are not directly related to medical treatment, such as transportation costs, food, and accommodation, are usually not covered.

Self-inflicted injuries

Injuries that are self-inflicted, such as suicide attempts or injuries resulting from drug or alcohol abuse, are usually not covered.

Coverage

Group Mediclaim Insurance policies offer coverage for hospitalization expenses, including room rent, nursing charges, surgeon fees, medicines, diagnostic tests, and other related medical expenses.

Sum Insured

The sum insured for a Group Mediclaim Insurance policy can vary based on the size of the group and the type of coverage chosen. The policy can cover individuals, families, or a group of people, with the sum insured shared among all the members.

Renewability

Group Mediclaim Insurance policies are usually offered for a one-year term and can be renewed annually. Some insurers also offer multi-year policies for up to three years.

Cashless Facility

Most Group Mediclaim Insurance policies offer a cashless facility where the insured can get medical treatment at network hospitals without having to pay cash upfront. The insurer directly settles the bills with the hospital.

Customizable Plans

Group Mediclaim Insurance policies can be customized to suit the specific needs of the group. The policy can include add-ons such as maternity coverage, critical illness coverage, and personal accident coverage.

Claim Settlement

Group Mediclaim Insurance policies usually have a simple and streamlined claims process. The policyholder needs to inform the insurer of the claim, and the insurer settles the claim directly with the hospital or the insured member.

1. Visit the PolicyLeader website

Go to the PolicyLeader website (www.policyleader.co.in) and select "Group Mediclaim Insurance" from the list of insurance products.

2. Provide personal details

Fill in your personal details such as name, age, and contact information. You may also be required to provide details about your medical history.

3. Choose a policy

PolicyLeader offers a range of Group Mediclaim Insurance policies from various insurance companies. Review the policy details, coverage, and premium amounts to choose a policy that best meets your needs.

4. Compare policies

Use the comparison tool to compare policies from different insurance companies based on factors such as premium, coverage, and exclusions.

5. Customize your policy

You can customize your policy by adding or removing riders (add-on covers) to suit your specific needs.

6. Pay the premium

Once you have chosen a policy, pay the premium online using a debit card, credit card, or net banking.

7. Receive the policy documents

After the payment is confirmed, the policy documents will be emailed to you. The policy documents will contain all the details of your policy, including the coverage, exclusions, and terms and conditions.