A group mediclaim health insurance plan is an employer-provided coverage that offers hospitalization and medical benefits to employees and their dependents. Unlike individual plans, it allows organizations to secure uniform health protection for all members under a single contract.
At Edify, we make understanding your mediclaim policy details simple — from inclusions and limits to the claim and renewal process. Our expert advisory helps companies customize their group mediclaim structure to fit their workforce size and needs.
Here’s a quick overview of what most group mediclaim policies cover:
Coverage Type | Description |
Hospitalization Expenses | Covers room rent, doctor fees, surgery, and treatment charges during hospital stay. |
Pre & Post-Hospitalization | Medical expenses before and after hospitalization (usually 30–60 days). |
Day-Care Procedures | Coverage for treatments not requiring 24-hour admission (e.g., cataract, dialysis). |
Maternity & Newborn Cover | Optional add-on for childbirth and newborn medical care. |
Ambulance Services | Emergency transportation costs to and from the hospital. |
Cashless Treatment | Access to network hospitals for direct billing. |
Edify helps organizations compare and enhance mediclaim health insurance benefits for optimal value and employee satisfaction.
Even the best mediclaim policy details come with exclusions and waiting periods that must be understood clearly.
Typical exclusions include:
Waiting periods usually apply to:
At Edify, our consultants negotiate reduced or zero waiting periods to make your group mediclaim insurance more employee-friendly.
Adding new members is quick and efficient. Here’s how it works:
Edify offers integrated systems that automate this process, saving HR teams time and ensuring no employee is left uncovered.
To initiate or renew your group mediclaim health insurance, you’ll typically need:
Edify’s advisors handle the entire documentation and insurer coordination process — ensuring compliance and ease.
With Edify, companies gain clarity, control, and confidence over their group mediclaim insurance. Protect your people, and your business with precision.
