Thursday 26 December 2013

Tips On Group Health Medical Plans

By Jeannie Monette


Employers looking for group health medical plans for their employees will have to choose between a number of available policies. For any policy being considered, the person making the selection must understand how the employee health will be covered or affected. It is therefore essential that the right decision be made.

Insurers are mainly of two types. There are those that offer general insurance and those that focus on life insurance. For a firm, opting for general coverage is usually the best decision. Here, you will get to choose which services will be offered.

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.

At some point during your selection, you have to choose the sum assured. Sum assured is defined as the total amount of money for which each employee will be covered for. Choosing the right amount makes sure that employees get the right attention without costing you too much on monthly premiums.

Empanelled hospitals must also be checked on. Check to confirm that all the recommended hospitals have a good reputation and service record. It is also important to make sure that there are several hospitals where personnel can go for treatment.

Calculation of premiums is done by an insurer based on a formula that has already been determined. In some cases, the formula could change to take in to consideration extra services that could have been provided to the employees that are covered. Let your insurer explain how the premiums will be calculated each month.

Read the group health medical plans fine print. Each plan comes with a number of clauses that you as a client should go through. Clauses that should be of interest to you will include those on policy renewal and which age groups cannot be covered. Where there is a problem, do feel free to ask questions.




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