Employee health insurance · Mumbai

Health Cover Your Team Will Value.

We arrange group mediclaim for companies across Mumbai: health cover for your employees and their families, set up to suit your budget, kept up to date as people join and leave, and backed by claim help your staff can call directly.

How we help

Set Up Right, Looked After All Year.

Designing the planSum insured, family cover, parents and room-rent terms, balanced against what you want to spend.
Comparing insurersQuotes from several insurers side by side, with the differences in the fine print explained.
Adding and removing peopleNew joiners, leavers and new family members added during the year, so no one is left uncovered.
Claim help for your staffYour employees call us when they're admitted, and we follow the claim up with the insurer and hospital.
Renewal reviewsA look at the year's claims before renewal, so the next premium and terms don't come as a surprise.
Other employee coverWorkmen's compensation, arranged alongside. More on business cover.

Questions

Group Health Cover, Answered Plainly.

What's the difference between cashless and reimbursement?

Cashless: the insurer settles the hospital bill directly, and you pay only for what the policy doesn't cover. Reimbursement: you pay the hospital, then claim the money back with the bills and reports. We help with both, and make sure eligible costs before and after the hospital stay are claimed too.

How fast must a cashless claim be approved?

Within 1 hour of the hospital's request, and final approval for discharge within 3 hours. If the insurer is late, it bears any extra charges the hospital adds. These IRDAI rules have applied since mid-2024.

What are room-rent limits and co-pay?

If your room costs more than your policy allows, many policies cut the related charges in the same proportion, not just the room. Co-pay is the share of each claim you pay yourself. Both vary by plan; we point them out before you buy.

How do you help when I need to claim?

The same person who arranged your policy handles the paperwork and follows up with the insurer until you're paid. We've helped settle more than 6,300 claims this way.

My claim is delayed or rejected. What can I do?

Tell us what happened, even if you didn't buy the policy through us, and we'll tell you honestly whether it's worth pursuing. The formal route: complain to the insurer's grievance officer, who must resolve it within 14 days. If that fails, go to IRDAI's Bima Bharosa portal or the Insurance Ombudsman, which is free, must be approached within a year and handles claims up to ₹50 lakh. The Ombudsman is open to individuals, sole proprietors and micro enterprises, not to partnerships or companies.

Tell Us About Your Claim

Do I need workmen's compensation insurance?

As an employer you're liable for compensation if an employee is injured or killed at work, whether or not you're insured. A workmen's compensation policy pays that liability for you. Employees covered by ESI are handled under that scheme instead.

For your own family's cover, see health insurance, or all our FAQs.

Serving all of Mumbai

Visit Us in Kandivali East, or Do It All by Phone.

Our office is at 102, New BMC Market Building, Akurli Road, Kandivali East, Mumbai 400101, open Monday to Saturday, 10 am to 6 pm. Wherever you live in Mumbai, we can handle your group cover by phone and WhatsApp.

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