Group Health Medical Plans Tips

By Jeannie Monette


Having an insurance policy is important as it ensures that a person or rather employee is covered in the event of a remedial emergency. For employers, ensuring that company personnel get the right therapeutic cover is important. This will necessitate the firm to look at the available group health medical plans for the employees.

Companies have to choose between general and life insurance. Life insurance is not very beneficial as the compensation is usually paid to the next of kin in the event that a life has been lost. General insurance will therefore be more preferable where living members are under consideration.

Plan for your employees future needs. In any given firm, there are employees that are of different age groups. Consider a policy that will not discriminate anyone based on his or her age. Consider the needs the personnel may have in future when making your selection known.

Different policies are usually provided ranging from reimbursement, floating to cashless policies. Understand what differentiates the three policies that have been made available to you by the insurer. From this information, you will also have a clearer picture on how much is required as monthly premiums. It is important to ask questions on the policies as well.

Premiums have to be paid on whichever plan is settled on. Each plan will come with its own set of monthly premiums. The amount payable in each is influenced by the sum assured. This is the amount of money that each person is eligible for. It is the total amount that can be paid by the insurer in case of an emergency.

Check hospitals that are covered in this particular plan. Such hospitals are referred to as empanelled hospitals and are basically where the personnel will have to go for treatment. Check their reputation, distance from the work place and their areas of specialization.

Premiums are calculated based on a predetermined formula. Even though the formula is one across all the people who have been insured, there are extraneous circumstances that could have the formula changed. Inquire on how much your company has to part with per year and how it will be charged for different services.

Policies come with a very detailed fine print. Take time to read all the clauses included in the group health medical plans. You should also pay special attention to clauses that touch on contract or policy renewal. Understand the terms and conditions that will govern your insurance policy and what may make some employees not to be covered in the coming year.




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