What is restoration benefit in health insurance?
Restoration benefit in health insurance - Importance, types and points to note before claim.
By Pazcare
July 11, 2022
Claim settlement ratio (2019-20)
77.17%
Network hospitals
6400+
TPA
External TPA
Total GHI lives insured (2020-21)
20.8 Lakhs
Total GHI claims incurred (2020-21)
₹61 crores
Go Digit group health insurance is a corporate health insurance product of Go Digit General Insurance. Digit Insurance, founded in 2016 is an Indian Insurtech-based startup based in Bangalore. This insurance company is backed by a financial holding company called Fairfax, based out of Toronto.
The Go Digit General Insurance company offers health, car, travel, bike, home, mobile and bicycle insurance products for their customers. The Go Digit group health insurance company has around 6400+ network hospitals in India. The digital-first motto of the insurance company aids in the processing and settling the claims faster.
Your Go Digit group health insurance with Pazcare goes further ahead and completely digitalises your employee medical insurance administration. The Pazcare dashboard for HRs lets you view the policy, the coverage details, and the details of the employees and their spouses covered in the Digit group health insurance plan. While your employees can make use of Pazcare’s employee app to access the policy details, access network hospitals and download their health insurance ID card.
These simple steps allow you to purchase Go Digit group health insurance online at Pazcare.
Step 1: Visit us at https://www.pazcare.com/ and click on the products drop down and choose the product group health insurance.
Step 2: Click on the get insurance button and fill in the information like your name, work email, phone number, company name and the number of employees you wish to insure. This enables us to understand the overall requirements of your organization.
Step 3: After submitting this form, our health insurance consultant will contact you within 24 hours. Tell us your requirements for the tailor-made Go Digit group health insurance policy. These include the type of policy, sum insured, riders and other add-ons.
Step 4: After this, we will get back to you with competitive quotes from Go Digit group health insurance company and a few other insurance companies.
Step 5: After you choose the policy and accept the terms and conditions of the Go Digit group health insurance policy, you can process the premium payment.
Step 6: The onboarding process is carried out within 24 hours of making the payment. Our team will run you through the Pazcare dashboard and help you with the whole process.
For further questions and assistance, write to us at support@getpaz.com or call our customer care at +91 78291 11300. Alternatively, connect with us on Whatsapp using the number +91 81973 79596.
With a large number of health insurance products in the market, here is why you have to choose the Go Digit group health insurance from Pazcare.
6400+ network hospitals
The Go Digit group health insurance company has over 6400+ network hospitals in India. Hence, it provides wide coverage to your employees.
High claim settlement ratio
The claim settlement ratio of Go Digit health insurance is 77.17% for the year 2019-2020. The high claim settlement ratio indicates that the Go Digit group health insurance policy is more reliable and more credible.
No medical screening needed
Unlike your retail health insurance policy, the Go Digit group health insurance policy does not require a medical check-up before the policy purchase.
Easy online process
The Go Digit group health insurance company makes sure the process of buying to making claims is simple and paperless.
A group health insurance claim settlement ratio (CSR) is the ratio between the number of claims settled to the number of health insurance claims requested in a financial year by the health insurance company. The claim settlement ratio of Go digit group health insurance is 77.17% for the year 2019-20.
All the health insurance companies have a wide network of cashless or network hospitals where the policyholders can claim cashless treatment. The Go Digit group health insurance has around 6400++ network hospitals located in pan India. This means that the chances of finding a network hospital and opting for cashless treatment near your location is high.
Go Digit group health insurance cashless claim
With Go Digit group health insurance you can make a cashless claim using the following steps.
The cashless claim facilities are available at a Go Digit group health insurance network hospital only. Hence, get to the nearest network hospital for treatment.
The next step is to confirm your identity using the Go Digit health insurance ID card or policy number, a valid photo ID like an Aadhar card, voter ID, driving license, etc and the company ID at the hospital.
Once the above proof is verified, the next step is to submit the pre-authorization form to Go Digit group health insurance company / TPA. For emergency hospitalization, the form is submitted within 48 hours and in the case of planned hospitalisation, it is submitted 3 days before the hospitalisation.
After the form submission, Go Digit group health insurance company / TPA will review the cashless claim request and the network hospital will be notified about the claim decision.
Once all of this is done and the Go digit group health insurance company accepts your claim request. The claim is settled directly with the network hospital according to the terms and conditions of your policy.
Go Digit group health insurance reimbursement claim
In case you get hospitalised at a non-network hospital, the reimbursement claim from Go Digit group health insurance can be carried out by the following steps.
The first step is to inform the insurer about the hospitalisation. In case of emergency hospitalisation, inform the insurer within 48 hours, and in case of a planned hospitalisation inform at least 3 days before the hospitalisation.
After you get treated at a non-network hospital, settle all the hospital and pharmacy bills by yourself.
After settling the bills, make sure you have all the original copies of all the required documents to file for a Go Digit group health insurance reimbursement claim.
The documents required to file a reimbursement claim
After collecting all the relevant documents, submit them to the TPA associated with the Go Digit group health insurance within 15 days of discharge.
Once the documents are submitted and verified, the claim will be settled in your bank account. This will be done as per the terms and conditions of your policy.
Contact us at support@pazcare.com, for guided claim assistance. We provide 24X7 claim assistance for your employees.
The Go Digit group health insurance can be renewed easily with Pazcare at end of your policy term. Here are the steps to renew your Go Digit group health insurance plan.
Step 1: Firstly, get in touch with Pazcare. Submit a basic form containing details like your name, name of the company, number of employees you wish to insure, work email address and phone number.
Step 2: Once the form is submitted, we will get in touch with you. Since this is a renewal case, we would require
Step 3: You can choose additional add-ons to your Go Digit group health insurance policy like dental insurance riders, maternity insurance riders. Furthermore, with Pazcare one can choose additional health and wellness add-ons like medical check-ups, unlimited doctor consultations, etc to your Go Digit group health insurance.
Step 4: We will get back to you with the competitive quotes for your Go Dgit group health insurance. Based on your claims report and the add-ons you choose, the premium may vary from the previous financial year.
Step 5: The next step is to agree to the terms and conditions of the policy and pay the premium for your Digit group health insurance policy. The policy will be usually valid for a year after the renewal.
Step 6: In case, you are purchasing your Digit group health insurance for the first time with Pazcare, the onboarding process will be carried out in 24 hours. During this period, our team will get in touch with you and provide you with all the essential information to get started with your group health insurance.
The Go Digit group health insurance premium is calculated based on certain factors like
Average age
The Go Digit group health insurance premium is calculated based on the average age of the employees insured. The younger the age, the lower the premium. This is because the younger generation poses lesser health risks.
Type of plan
Different types of Go Digit group health insurance policies opted are employee only (E), employee+spouse+children (ESC) and employee+spouse+children+parents (ESCP) plans. Hence, a higher premium is levied when more members are covered in the policy.
Nature of the job
The nature of the job one performs also decides the annual premium of your Digit group health insurance plan. Jobs with more risks have a higher premium compared to lower-risk jobs. For instance, employees working in the manufacturing industry will have higher group health insurance premiums than the ones working in the IT industry.
Sum insured
Sum insured is the maximum amount that an insurance company will pay you in case of any hospitalisation in a particular year. Higher the sum insured, the higher the premiums paid towards the Digit group health insurance policy.
Riders opted
The riders opted for say, maternity insurance riders, dental insurance riders along with the existing Digit group health insurance policy will increase your group premiums.
Your group health policy is tailor-made according to your preferences. Here is what your Digit group health insurance covers.
Maternity-related and newborn cover
By opting for a maternity insurance rider, you can cover the maternity-related expenses for a normal and c-section delivery. Moreover, this rider will cover the newborn baby's expenses upto 90 days, depending on the terms and conditions of the plan.
Covid -19 hospitalisation
The Digit group health insurance policy covers all hospitalisation expenses related to Covid-19.
Accidental hospitalisations cover
In case of any hospitalisation expenses due to accidents, your Go Digit group health insurance policy covers these medical expenses. These hospitalisations must be for more than 24 hours and coverage is limited to India only.
Psychiatric benefits cover
The Digit group health insurance policy will cover the expenses related to your employees’ psychiatric support.
Daily hospital cash cover
If the employee or their dependent is hospitalized, and expenses go beyond the hospital bill and this benefit will cover that extra expenses.
Cosmetic treatments
Cosmetic treatments like plastic surgery, liposuction, and botox are not generally covered in your Digit group health insurance plan.
Gender-changing surgeries
Expenses due to gender-changing treatments or surgeries are excluded from your Digit group insurance policy.
Self-harm injuries
Injuries due to self-harm, like suicide and hospitalisation expenses for the same are not covered in your Go Digit group health insurance policy.
Hospitalisation with doctor’s recommendation
Any hospitalisations that are not recommended by the doctor or that do not match the doctor’s prescription is not covered in this policy.
Group health insurance for all company sizes
The Digit group health insurance provides insurance cover for companies with any employee size. Be it a startup or an enterprise the employees are covered.
Low-cost premium
The Go Digit group health insurance premiums come with low-cost premiums, so you can cover all your employees easily.
6400+ network hospitals
The Go Digit group health insurance company has around 6400+ network hospitals in India. This makes sure the employees get cashless treatment near their geographical location.
Covid-19 cover
The Digit group health insurance plan covers any hospitalisations related to covid-19 in India.
Go digital
The insurer makes sure that from buying process to raising claims is paperless. This makes it easy for the organization to purchase a corporate medical insurance plan hassle-free.
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OkayWhy buy a group health insurance
policy online from Pazcare?
For any queries or assistance, reach out to us at any time. We provide 24X7 customer assistance.
You can claim your Go Digit group health insurance in two ways. You can opt for a cashless claim at a network hospital and a reimbursement claim at a non-network hospital. Make sure you inform the Go Digit group health insurance company at least 3 days before a planned hospitalisation and within 48 hours in case of emergency hospitalisation.
The Go Digit group health insurance customer care number is 18002585956. Alternatively, you can email them at hello@godigit.com.
The Go Digit group health insurance claim settlement ratio for the years 2019-20 is 77.17%.
Find the Go Digit group health insurance hospital list based on your city here under the network hospitals section.
The Go Digit group health insurance premium chart is calculated based on various factors like
1. The average age of the policyholder, in this case, the employees and the dependents
2. The type of plan opted for
3. The nature of the job of the employees
4. The riders opted for the existing policy
5. The sum insured amount.