Corporate Medical Insurance policy | Health Insurance Benefit by your Employer | Complete Model

[@theCorporateDiaries]

🙋‍♂️ Send me your queries here: topmate.io/thecorporatediaries 🎥 My YT Channel for HR Career: www.youtube.com/@thehrdestination 💼 HR Course: tinyurl.com/TCD-HR-Course

[@anantgavas2310]

I like the way you replied to most of the comments 🙂 new subscriber😇

[@AJStyle-lu4cn]

Thanks. Explained Very well mam, most of the doubts I cleaned after watching this video. Request you to please make video on 'Vidal Health Insurance Third Party Administrator' , that will help most of us who have this TPA.

[@madninja1255]

Mam my father is undergoing dialysis thrice a week and its cost around 50000 per month as he does not have insurance, i am doing my engineering final semester when i get a job which pays 25k will my employer group insurance cover for my dads dialysis and how much will they cover and upto how many years. Please answer this query

[@timonpumba6375]

Hey did you get answer?

[@brijesh9831]

As per my knowledge,Pre existing disease are not covered and have waiting period of 2 to 4 years.

[@pavankumarvagicharla1302]

it's depending on insurance company. Don't worry they will pay for dialysis.

[@PRERANAMB1998]

Yes It covers

[@sandeepkumar-cv6te]

Yes dialysis is covered in GMC from day one...

[@nandinivishwakarma4112]

Informative Video......one question I wanna ask Do we get our premium amount back after leaving the company? Please answer if possible

[@noufalk2321]

How do we add new born to corporate insurance? And claim hospital expense

[@theCorporateDiaries]

New born baby is automatically covered in insurance from day 1, just make sure to send baby details to HR with in 30 days of the birth date..

[@noufalk2321]

@@theCorporateDiaries thank you

[@chinum5403]

hi mam, i saw your comment on salonisrivastva's video and so checked your channel.your content is amazing...i am trying to switch my job in .net domain.can you plz make video on what to do or any new skills to learn in this quarantine phase so i can face interviews confidently in future.. Thank you so much.

[@theCorporateDiaries]

Hi Chinu, thanks for tuning in, please share your profile at [e-mail], i will take a look to understand at what phase of career you are right now and will suggest things accordingly, also if you wish, I can give a shout out about your jobsearch at my Linkedin profile, you might get some leads there...

[@akashkadam9786]

what is corporate insurance policy valid after leaving the company ?

[@theCorporateDiaries]

No dear, it's only valid till your last working day in the company.. post that it automatically becomes invalid

[@yogitabidkar4885]

Nice explaination ...great .... 👍

[@Aman-ir7lu]

informative video. 1. What happens to my Policy if I change the company before the policy's last date? Will it get dissolved or next employer can continue it?

[@theCorporateDiaries]

Dear, the end date doesn't matter in corporate policies, it end/dissolves automatically at your last day at company.

[@damneh8688]

Not a helpful video at all. Please start by explaining what health insurance is in the first place. What is insurance? What is policy? What does an insurance claim mean? What things can one claim reimbursement for? How to avail reimbursement? What is the exact procedure for it? And only then get into the types and specific FAQs

[@juggernaut1432]

Wanted to understand if you can opt for a supertopup as well with corporate insurance providers such as vidal?

[@tenzinbhutia5214]

Thank you maam for very clear information

[@rahulrathee3968]

Amazing insights, very detailed, thanks for sharing, it's really helpful 👍

[@vikram6428]

Thank you so much. Parents insurance related doubt cleared.

[@shreemohanagarwal980]

In case of Post hospitalisation reimbursement the 180days are falling in two annual year of the policy,say hospitalisation in August 23 and policy would be renewed in October 23 then it will be covering 75days and 105days in renewed policy.. will insured get reimbursement for post October month

[@anantbansal2638]

If our premium go beyond 100% then above percentage we will be pay monthly or yearly

[@user-tt7tb5zb6c]

Why should I choose the policy from the employee - Do I have rights of not choosing it

[@zufajilani9839]

Thank u so much for such useful information really helpful..👍

[@satyamshivhare9904]

If i go to non network hospital then the bill amount can be claimed after submitting the bill

[@theCorporateDiaries]

Yes

[@BblakebratzZ]

What happens to the Corporate Health Insurance when one leaves the existing employer? Can the same policy be ported to the new employer or it expires the day you leave?

[@theCorporateDiaries]

You can port it, but not all the benefits will be ported.

[@BblakebratzZ]

I asked and they said Coporate policies cannot be ported.

[@theCorporateDiaries]

@@BblakebratzZ It can be ported, depends on the service provider(insurance company), if they don't want to approve, its their choice, but it can be ported, if the company have not signed any anti agreement for that..

[@BR7NDO]

Heartfelt Thanks for lettin me know about insurance policy for Freshers like I..... I would like to know about whether the premium insurance will cover lasik surgery......

[@PINKYinsuranceSolutionsFintech]

yes , lasik surgery is covered in retail and corporate insurance , provided the power of eye is of +/- 7.5 . To get the suitable retail / corporate health insurance coverage that covers lasik surgeries, you can contact us by referring our youtube channel PINKY insurance solutions

[@being_rasheed]

HI mam, how to claim this benifits like i have upto 5L medical insurance covered ..when i go to hospital what should i say them while billing ..do we get any medical insurance card from company or how it is kindly reply..Thanks

[@rahulkadam6655]

How to know whether my company include OPD claims or not?

[@theCorporateDiaries]

Just ask your HR

[@sikhamaity9747]

Good insight ... what would be the role of an employer with the procedure for addition and deletion of the employee to Group Mediclaim

[@theCorporateDiaries]

Dear Sikha, an employer only pass on the information of the new employees to be added or to be removed(ex-emp) to the Insurance provider, thats all. Insurer provider actually does the work of altering the premium calculations basis this addition deletion.

[@sikhamaity9747]

@@theCorporateDiaries thank you

[@swaruproy7313]

Thank you mam.... I got my answer.... Thanks a lot...

[@user-nk6on3zy6l]

Hi Mam, I have one question. My company took GMC Plus GPA (3L + 2L). The claim amount should be divided equally to each group member but one of our employees took claim of more than 1 lac (through TPA) and it will affect the company budget at the time of renewal. Please suggest what we can do?

[@TarunKumar-tp1oo]

Hi madam, mera wife abhi pregnant hai aur 2 months time hai delivery ke liye, lekin maine current company se 5 days me relieve honewala hun. Actually mera medi assist card ka validity toh September 2023 tak hai, can I eligible to claim at the time of my wife's delivery? Please let me know madam.

[@innerview1906]

What is corporate buffer how it is different from additional top up policy

[@umeshkumarmishra871]

Thank you so much...you last 30 sec. made my day. I have a question ...I met an accident 6 month ago...and an external fixation has been done in my fractured leg...and I have joined a company 1 month ago .....company has submitted all paper work for my health insurance to the insurance company .In between, the doctor has been advised me for a resurgery ...Now, when I receive any cashless card ...or any paper from the insurance company, will it be covered ? as you have mentioned there is no waiting period for the existing disease also.

[@theCorporateDiaries]

Dear Umesh, yes that is the only beauty of corporate Insurance that there is no waiting period, it doesn't matter when you get your cards or paper work done, you are covered from the date of your joining. Either you can avail the treatment and claim later or best is write to your HR that there is an upcoming surgery so please provide an E-Medical card for you. or the insurance provider details. Hope this helps and wish you a speedy recovery, take care!!

[@umeshkumarmishra871]

@@theCorporateDiaries thank you so much mam

[@richagoel7179]

If i am already pregnant before joining a company. I got group medical insurance in that company. Will it cover maternity expenses

[@theCorporateDiaries]

Dear most companies have policy of a waiting period of at-least 9 months, that means maternity benefit is only applicable when the employee apply it after 9 months of being in company. so technically it looks you might not get it. But its always depend what your company policies is, read it carefully, you shall get the answer.

[@richagoel7179]

@@theCorporateDiaries ok thankyou. But will i get paid leave if i joined company in 7th month. By the time of delivery i will have total of 85 days in the organizational

[@varsharupani2302]

In corporte insurance-pre existing disease covered. From day1

[@fayazshaik6196]

Very helpful video madam, what kind of expenses will cover. medicine expenses also will cover under group medical insurance

[@aruldilip9430]

My employer is offering medical insurance for parents, is it better to opt with my employer or to buy outside from the market?

[@silentassassin8596]

Instead of buying a personal term insurance from the market,if i opt a top up from the same insurer who is providing my company,will i get it at a discounted premium,will i get more features compared to the personal term insurance available in the market.Whether this top up can be continued after i leave the current employer?

[@supriyashambharkar1847]

Hello Madam, I have a small business where I wish to provide Insurance to 8 employees. 22 Employees will be covered under ESIC, but those who's salary exceeds 21k, must be covered under other Medical Insurance. Can you please suggest me how to do it?

[@PavinS-iz8qz]

Can we claim insurance after changing one company to another though family insurance has been added in previous company and in new company insurance scheme is yet to be generated. Will the previous company insurance be claimed in between this time period? Also insurance scheme time period could explain like yearly or months

[@RSHIVAKUMAR]

If I travel to Canada on work permit , am I should travel with health insurance, is it mandatory. Can you please help me

[@ananditatripathy956]

Hi Thanks this video was really very informative .Can you please just let me know one small thing- let's say m enrolling for my parents under a scheme from my employer so for parents all the premiums has to be borne by me rite ? And also in some companies they have stated about 20% co-payment for let's say this parent scheme only what does that mean? Looking forward for your response .thanks in advance

[@theCorporateDiaries]

Hi Anandita, the premium for parents vary for each company in some, the whole thing is provided by employer, in others, the employer provide only employee and spouse coverage, in those cases premium is to be borne by employee.. eg: If there is a insurance coverage of 5L and employer allows you to declare your dependent(you+spouse+2kids+parents) that means the premium is taken care by the employer, if employer doesnt allow to include your parents in this by-default insurance coverage that means you have to pay extra premium for your parents to include them, this all is usually very clearly defined in the Medical policy, just make sure that you read it thoroughly. The 20% co-pay means, whatever the bill comes, company will pay 80% of that and employee will pay 20% of that each time, until the entire limit of the insurance is exhausted. This is a common practice everywhere for parents. eg: say for parents there is a coverage of 2L rs. and the premium is borne by employer. and if your parent got hospitalised n the bill came 1L rs, then company will pay 80K and you have to pay 20K. The balance available of the coverage will be 1lac 20K for future, this cycle will repat until you exhaust complete limit.. If you have taken a policy separately(means you pay the premium), then there is no copay, as the amount is anyway paid by you during premium payments. Hope this helps, if you still have doubts, please feel free to ask. Take care..

[@hardeepcharak]

I am covered under a Group health insurance policy by my employer upto 500K but the Maternity benefits is limited upto 50K only, how can I request the employer to increase the maternity benefit?

[@sandeepkumar-cv6te]

This limit can't be increased.. as you know it's a group medical policy individual Sum insured or coverages not be permitted. Employers can enhance limits or S I whole group premium can be effected*

[@vibowplays8716]

Hi @The Corporate Diaries I am working in MNC. Just wanted to know if I want to add my parents as beneficiary since they are not covered by default, when can I add them as beneficiary (when the renewal happens)? And if I add them as beneficiary, when can I claim for any of their medical expenses (as in waiting period)? And the pre-existing diseases will be covered for them also? Thanking you in advance!!

[@sandeepkumar-cv6te]

You can add your one set of parents at the time of renewal of policy.. in general GMC there is no waiting period..

[@anupdas5212]

Nice explanation mam, I have a question. How can I get the benefit of Corporate Care health insurance mediclaim in case of delivery of my wife ?? Please suggest

[@theCorporateDiaries]

Just inform your HR about your wife's maternity and get the list of cashless hospitals covered in your company's policy, from the HR and just avail it, thats all!

[@anupdas5212]

Thank you mam

[@pratikshevalkar2469]

it really helped me Thank you

[@fareedpatel]

Please share video on addition dependents and who all can be added as dependents

[@Amit_KumarSingh8]

Ma'am...thanks for the informative video...I have a query..... Do employers offer corporate health insurance policy to employees who are suffering from hiv? If yes, was the same done before hiv act 2017...pls reply.... I'll remain gratefull to you...

[@theCorporateDiaries]

Dear Navin, its very specific to the insurance provider, some do and some do not, to have the surety, I would advise you to read the Insurance provider handbook/policy document, its readily accessible to all employees, of you do not have it ask from HR, the document very clearly states what is covered and what not.. But important thing to remember is that, even if the hiv illness is covered, it will be only under the overall limit provided by the company. for eg: if your company provides sum insured of 5L, so only upto that limit can be claimed in one year for the hospitalizations occurred due to the disease. And the biggest advantage of any corporate policy is that, there are no pre-health checks, all pre-existing illness are covered(if the illness is mentioned in the covered list)

[@sameerraj6697]

Hi Mam , Thank you so much that is getting good information 🥰

[@saurabhdighe7409]

​ Hi @Corporate Diaries Thanks this video was really very informative. I want to know my employer provided Base Coverage 2L and Floater Coverage 12L and they also told that dependent family members (Parents) are also covered with that but at the time of adding parents to beneficiary list it shows 10k premium per parents I just want to know that without adding parents in beneficiary list can I avail the benefits of floater coverage.

[@theCorporateDiaries]

Dear, you will have to read the policy of your company, its very easily available with HR.. now to answer your question, Floater is meant to include more people from family to the coverage.. If you are not adding your parents, then whats the point of floater.. and I don't think company will allow that.. To further clarify.. all the floater/top-up plans are provided with some premium to be paid against them.. you can't avail any such plans without additional cost... thats why I told, whats the point if you are not including parents, to avail floater you will have to pay certain premium..

[@saurabhdighe7409]

@@theCorporateDiaries Ok ...Thanks a lot for clarifying me

[@muditkumar3183]

Hi, if employees has resigned than can employees avil the medical benefit

[@theCorporateDiaries]

Yes Mudit, after resignation till last working day, the employee is still covered. But after your last working day you can't avail.

[@GChandramohanreddy]

Is it will cover regular health checkup for our company health insurance for employees?

[@charanpreetkaurdadiyala3414]

Hello ma'am... what if we never use or claim the insurance (Including top-up) ...it would lapsed or we get money back ? Please explain

[@gajanannaik4815]

Hi, Thanks for this informative video. I want to know what will happen to my health insurance once I quit my job?

[@theCorporateDiaries]

Dear Gajanan, you health insurance will stop, it will be valid only till your Last working day

[@gajanannaik4815]

So I can't claim tht insurance after I leave my job?

[@theCorporateDiaries]

@@gajanannaik4815 no you can't claim

[@letsgo6665]

Super...

[@theCorporateDiaries]

Thanks suresh..

[@dalme000]

Hi, i am going to join in a MNC in a month and my wife is scheduled for maternity after 10 days of my joining date. Can I add her as dependant within that period and avail the hospitalisation benefits? Kindly reply.

[@theCorporateDiaries]

Ofcourse, employee and allowed dependents are covered from the Day-1 of joining.

[@vishant898]

Hello Varsha Thank you for sharing such insightful information I have one query I have group medical insurance which provided my organisation and my mother has arthritis for the last 6 years and the doctor said for operation, can I avail the operation cost/ charges Please answer my query Thank you 😊😊

[@priyankasingh2434]

Mam I have a query from u become i think u can only give right answer. Mam Mai apni company meh last 3year se ho but now they are come with medical and pf facility so just I want to ask I m pregant of 5month 15days so it can be possible that I can claim medical insurance in August.

[@theCorporateDiaries]

Dear, this question you should ask from your HR, no one else can answer this, as we do not know what your company policy is

[@nitind6027]

If we have medical insurance of company provided should I go for another health insurance in the market. Means should I have both. Or company provided is sufficient.

[@nikhleshgiri2962]

Hi have resigned from the company and got hospitalized due to some Health issue here my question is do I avail insurance benefits

[@darkhunteryt4268]

Hello mam first of all thank you for making this now I am able to clear all doubts regarding this and mam I have 2nd querie about the NPS which is national pension scheme mam If I join a big MNCs like Google Amazon Wipro Infosys Flipkart which has branches in india would they contribute in my retirement benifits like nps ppf and insurance ..

[@anjaneyabyjambur]

Hi mam, I have medibuddy as TPA from my corporate insurance. Just wanted to understand how much usually TPA (medibuddy) charge as commission (%) when employee avail cashless benifit ? The commission will be part of employee Claim amount (hospitalization or outpatient amount) or the commission is bourne by insurance provider?

[@lungtaogangmei9102]

Hi ma'am I have one question. Supposed an employee is suffer from any chronic disease like cancer or any organ failure which led them to be under medication for their life time. so in this kind of case did the company or organization reimburse the money that they spend in their medication? please let me know thank you

[@pinkusingla160]

I also have same question....if parent is on lifetime medication for some desease.then will that also be covered in free insurance provided by companies?

[@saachidrawingandcrafts7659]

I have a employees individual health insurance plan. If I add on my family members will they also get benefits from the very first day

[@SimpleThingsOne]

thank you . please make more informative videos.

[@visheshsethiya1874]

Will this benefit be taxable in the hands of employee or not?

[@horrorfreak2340]

How much tym after the dischargement shall I claim for reimbursement in my company's policy?

[@theCorporateDiaries]

Dear Kumar, most companies allow time only for 30 days to claim

[@shravankumarsakri4229]

Mam I am unemployed and my father got admitted to hospital. After joining industry after taking insurance can I claim it ?

[@abhishekbhatnagar9178]

I'm visiting doctor for hair treatment and it took 50 thousands and 1 year process does it cover in medical insurance given by company ?

[@theCorporateDiaries]

No dear..... hair treatment, dental treatment are considered as cosmetic procedures and no policy covers cosmetic treatments..

[@allahLoves_U]

Hi i got married recently and asked my company to add my wife into my helath insurance as dependent, but b i got a reply that they don't have any such facalaties, i want to know can they do this is it legal???

[@nilrastogi4042]

Is the dental health like root canal, extraction and replacing kinda thing covered by companies??

[@theCorporateDiaries]

Dear Nil, those are not covered by most companies, as dental treatments (apart from accidental cause) are not categorised as a hospitalization.

[@anujpaudel5596]

Hi mam. Very informative video. One question though. I have group health insurance in my company. I can include my parents. Do i need to provide my parents's Government IDs like aadhar number also or just DOB and Name . Please reply !

[@shaikmaqdoom6386]

Hi mam I'm joining in BPO as fresher they told they will provide statutory for me and my family. My father faced accident last year. Now doctor told him to get hipjoint replacement can company pay the money to hospital?

[@khotesagar]

Thanks very informative, I do have questions. Every year I go with Parental and Family Corporate insurance, it's Valid from 1st April to 31st Mar, but we are getting Ecard or Enrollment emails during May or Mid od April.. What if in between that time my parents gets hospitalized? By that time Do I need to contact my SPOC for immediately assistance or I won't get Cashless treatment for my parents or family...

[@shrutiv5772]

Hi @Sagar Khote I am replying here as a Broker as Ma'am explained, usually, the issuance of the E-Cards take time, your HR will be able to direct you to the new/same broker/SPOC and they will assist and support you with the process, the claim will be considered as cashless, given the HR has bought the corporate policy on time.

[@hridyanshverma5108]

covered under insurance policy I was diagnosed with a disease NMO. It now requiress me to take an injection which needs a day of hospitalization regularly every 6 month.Does the insurance covers this expense ?

[@karansaxena6542]

Is ear surgery for eardrum repair (tymnoplasty) is covered under this policy from companies?

[@theCorporateDiaries]

Dear Karan, you will have to see the policy inclusion list of your policy provider, its different for different providers. Mostly the logic is, if the procedure is long enough and takes more than 24hrs of hospitalisation, it will be covered, if not then it will not be covered.

[@karansaxena6542]

@@theCorporateDiaries ok ma'am thanks for the clarification 🙏

[@Ak47asif_khan]

@thecorporatediaries if our company does not submit premiums for parents and employee has to bear that cost so its good to add parent in company mediclaim policy and pay premium through salary?

[@user-po3ps1gk2j]

Madam, If somebody donates an organ eg kidney to person covered under employers mediclaim policy .what is covered for a donar in the said mediclaim policy.

[@rutujanagare3810]

I want to avail my corporate health policy and the name in office is maiden name , on the hospital bills it is my married name . Will the insurance company approve bills with different name ?

[@Khalid-Anwar]

I left my Job but the card is still valid till May21. can I still take benefit of health insurance?

[@theCorporateDiaries]

No

[@sri479]

I was recently resigned the MNC company can I able to use the insurance? Because insurance valid upto 2022

[@wasimvanu1]

Left company with valid insurance will be eligible for claim?

[@tenzinbhutia5214]

Infact, I have a doubt. I just recently joined MNC company and i joined saying my marital status single. Where as I have a fiance which I am confused whether I should inform company HR that I have fiance or not. Can you please clear my doubt?

[@mohammedaslam-pd9gi]

Can we add our siblings(brother or sister) to the group policy if the employee is single and with no parents

[@theCorporateDiaries]

No, siblings are not allowed to be added

[@mohammedaslam-pd9gi]

Thank you

[@veeryadav4050]

Hi, Ma'am, Recently I leave one corporate sector & joined another. My parents are covered in the policy and I paid for that, policy is still valid. Can I go for cashless Hospital for the treatment of my Father. It's urgent. Please suggest better way.

[@maheboobshaikh4792]

Well Explain

[@AmanSingh-qp5wm]

Is it mandatory to take benefits from company?

[@DipaliTonage]

Hii, after adding nominees can we be able to add other nominees for top up plan or basic office plan

[@amitsgvlog]

Beautiful

[@swaminaiduk7313]

Hi mam, my friend was expired last month ... He is in Capgemini permanent employee... How to get benifits from Capgemini? Please help me

[@azadsaini1]

Can my employer force me to pay 100% of premium? Can I opt out nd deny for that deduction??

[@theCorporateDiaries]

No company force you in to that, the reason you feel its forced is because a component in your salary structure is tagged to Insurance and it get deducted so you are feeling its forced.. please remember, the insurance component is just added to your CTC to make it look/sound bigger, its compulsory for every company to provide insurance as per govt. regulations, so they provide it and show it as a part of CTC to make it look big... though comp structure can't be changed for one employee, even if we assume that you wish to opt out and they allow, you will not be getting that amount in your salary, it will be just removed from your comp structure.. This is something you need to decide when you accept any company's offer, that is why its said that carefully see the breakup to make sure you are choosing the one, that has more take home salary.

[@azadsaini1]

@@theCorporateDiaries Appriciate the prompt response...🙂

[@ankitlucky_09]

Maam what is the process of getting the reimbursement from the company??

[@srivallipasupuleti6021]

Helo mam,If siblings work in same company say tcs can they claim both insurance for their parent?

[@manjunathmd5587]

Hii,i have checked with the policy agent ,the policy has not been updated they are telling ,me that when I asked to my hr ,she said the corporate policy already claimed on 25 th may 2023 from our company,what do to in these situations,what can you suggests when i have every group policy details in-hand.

[@kritirajdubey465]

Mam I have taken corporate health insurance for my parents also....bt my mom has kidney stone...it is pre-existing disease so is it covered under corporate insurance ?

[@theCorporateDiaries]

Dear, thats the main advantage of corporate policies, all pre-existing diseases/illness are covered.

[@marketnews4829]

@@theCorporateDiaries mam my mom has only one kidney by birth.. can I able to take health insurance for my mom ?? Is it cover??

[@nitinlokhande3021]

Why my wife and my child are not directly including in medical insurance

[@ramya0761]

I don't have parents. Iam living with my guardian. Shall i add my guardian as my dependents in insurance policy.

[@ashifabegum4417]

I have mistakley added top up medical plan in basic plan and my amount is being deducted but I was not aware of it. So how can I convert it to basic plan and get my refund amount back.

[@shivangparashari2294]

I am an employee of mnc .My father is undergoing a kidney failure treatment and medicines are too costly. So Is there any way to get the reimbursement for medicines charges.

[@kavyas4971]

I missed to do medical insurance for parents in company benefits can we do immediately or there have some time

[@lillyvarghese4836]

Can I continue the parental policy by paying premium myself.she is now quiting

[@yorfather2319]

What is NSC premium insurance? Can I cancel it anytime?

[@pawanjoshi8132]

Hi Mam, In case if i decide to quit my job permanently and do something else. Will the employer medical insurance still be applicable in that case? If No in such cases do u suggest people sud take a separate medical insurance policy? Any suggestions wud be helpful

[@sandeepkumar-cv6te]

In case you quit your job that GMC policy will not provide you any further coverage as your company is paying a premium of the same.. but you Port your existing policy in individual health policy along with last three years claim details..