What Healthcare Insurance Is All About

Healthcare insurance is coverage that provides for the payments of benefits as a result of sickness or injury. It includes insurance for losses from accident, medical expense, disability, or accidental death and dismemberment.

Products

OUTPATIENT+ is a revolutionary health product that will enable employers to provide employee benefits at an affordable and cost effective manner.

Key Benefit Provided

  • Outpatient
  • Dental
  • Optical fund administration

Key Value Addition

  • Same day settlement for health providers (hospitals, pharmacies, etc)
  • Lower cost for employer
  • No Insurance exclusions or age limits (USP for staff members)
  • Possibility of adding savings account on health card

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The healthcare industry is moving toward a more customized, consumer-centric version of primary care access.

Retail health insurance market is characterized by securing smart partnerships and building a cost-effective clinical workforce for Individuals who would like to have more control over their health insurance than ever before—and want lower premiums and more attractive provider networks.

For individual

  • Inpatient
  • Outpatient
  • Maternity
  • Dental
  • Optical

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Group health insurance plans provides healthcare coverage to a select group of people usually at a cost less for participants than individual plans that offer the same benefits. Assessment for a group cover is based on the size of the company and ages of employees because the risk is spread over the entire group, rather than one person.

Group health plans are one of the major benefits offered by many employers.

for corporates & SME

  • Inpatient,
  • Outpatient,
  • Maternity

Third-party insurance is a policy that protects against the actions of another party functioning as an intermediary between the insurance provider and the insured.

They hold license from Insurance Regulatory Development Authority (IRDA) to process claims - corporate and retail policies in addition to providing cashless facilities as an outsourcing entity of an insurance company. TPA’s have no contractual relationship with the insured.

  • Medical and Claims Audit
  • Disease / Clinical management program
  • Maternity
  • HIV/ AIDS management program

While big companies can afford to offer expensive workplace wellness programs, many smaller businesses simply can't. This where health insurance companies come in.

They offer wellness resources such as wellness coordinators, implementation of wellness programs in the workplace and health assessment tools. Because health care companies often have alliances with health care providers, their wellness programs can often take an extra step.

For example, when you fill out a health assessment questionnaire, an insurance company can send it to your primary care physician which lets your doctor keep an eye on your risk factors and give you support in reaching your goals

  • Prevention is better than cure
  • Member Education
  • Medical e-shots

International health insurance is designed for those living or working overseas for a prolonged period. It covers treatment for both emergency and routine healthcare, and provides expartriates with flexibility in terms of choice of doctor and treatment facility, with the ability to receive treatment anywhere within their region of cover.

When experiencing a medical emergency, or even routine medical care, in a country where you are not familiar with the health system, and where you do not speak the language, international health insurance cover will ensure you get the medical attention you need.

International health insurance cover varies depending on selected plans, but often includes:

  • Hospital stay
  • Routine check-ups
  • Cover for pre-existing conditions
  • Cover for chronic conditions
  • Choice of medical providers