Group Health Insurance

What is Group Health Insurance? 

A Group Health Insurance plan is meant to offer comprehensive coverage to fulfill employees’ medical needs. As per UAE federal law, the employer funds the group medical insurance plan's premium, it is typically purchased by businesses to ensure their employees are safe against medical emergencies. 

This health insurance policy, also called Corporate Health Insurance, offers coverage for critical conditions, maternity, daily hospital benefits, accidental hospitalisation, COVID insurance, and more.

Who needs Group Health Insurance?

The following are the primary customers of a group health insurance in Dubai –

• Businesses
• Employees
• In some cases, dependents

Why get Group Health Insurance coverage?

Here are some group health insurance benefits:

"Zero" waiting period 

A "Zero" waiting period is one of the significant advantages of group medical insurance plans. An employee who joins a company with a group health insurance plan is immediately covered. This enables the employee to get reimbursement or cashless hospitalisation in medical emergencies.

Direct billing

Corporate health insurance policies in UAE provide direct billing (cashless hospitalisation) with their network of hospitals. Therefore, if the insured individual receives treatment in a network hospital under the group health plan, all costs up to the coverage limit will be paid by the insurer, and the policyholder need not worry about that.

Costs of pre- and post-medical care

Most group health insurance plans cover pre- and post-hospitalisation costs, including medicines, surgeries, and other medical treatments. Therefore, the overall financial strain on insured individuals is substantially reduced by this benefit.

Family Members Are Included

Group health insurance plans also include the employees' dependents and family members.

No medical Check-up Required

Corporate health insurance policies do not require any medical screening to be insured.

What is Covered by Group Health Insurance Plans? 

Inpatient services

• Everyday hospitalisation costs 
• Cost of ambulance
• Coverage for accidents
• Surgical costs
• Costs for diagnostic X-rays and laboratory tests
• Charges for intensive care
• Maternity services

Outpatient services

• Clinical assessment costs
• Investigational costs
• Prescription medications and other treatments
• Daycare and minor surgeries
• Doctor's appointments (GP, specialist and consultant)
• Maternity services
• Vaccinations

Add-ons to Enhance Coverage

Dental treatment, optical treatment, emergency assistance (medical evacuation), preventive and wellness services, and global coverage. Psychiatry, Alternative Treatment (Ayurveda, Homeopathy, Chiropractic services).

Major Inclusions of Group Health Insurance Plans

• Hospital fees, ICU fees, and room fees
• Fees for physicians and surgeons
• Prescription drugs for use in the first line of therapy
• Daycare procedures, including dialysis, chemotherapy, and surgical intervention

Major Exclusions of Group Health Insurance Plans

• Treatment received abroad, hospital stays of less than 24 hours, and ongoing medical care. 
• Procedures for gender transformation, cosmetic procedures, and infertility
• Inpatient care at home
• Costs for vitamins and health supplements not related to hospitalisation
• Intentional harm to oneself

Factors Affecting the Cost of Group Health Insurance

The following are the variables that influence group health insurance plan premiums:

• The total number of employees covered by the insurance plan
• Strength of the company
• Coverage provided to each employee by the plan
• Dependents who are protected by the plan
• Age, gender, marital status, salary grade of the employees 
• Claims made in the previous year

Summing it up

Group health insurance plans are a great solution for the organisation to provide healthcare coverage to their employees. These plans are relatively affordable and provide extensive coverage. 

So, if you are planning to purchase such an insurance plan, then get in touch with our group health insurance expert to learn all about the policies and available options.