Group Health Insurance Eligibility: Understanding Business Employee Insurance
Learn all the key criteria required to get group health insurance for your organization.
By Pazcare
September 30, 2024
Total estimated yearly premium
*only basic terms and conditions applied
₹ 100,000
₹ 5,000 per life
Talk to our experts to get exact premium estimates
Schedule Call NowClaim settlement ratio (2021-22) | Network hospitals | |||
98.49% | 13000+ | |||
Total GHI lives insured (2020-21) | Total GHI claims incurred (2020-21) | |||
41.9 Lakhs | Rs 357 crores | |||
TPA | ||||
In-house TPA |
Claim settlement ratio (2021-22) | |
98.49% | |
Network hospitals | |
13,000+ | |
Total GHI lives insured (2020-21) | |
42.5 Lakhs | |
Total GHI claims incurred (2020-21) | |
₹690 crores | |
TPA | |
In-house TPA |
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Check Out: HDFC Ergo group health insurance premium calculator
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OkayGroup health insurance companies in India
HDFC ERGO group health insurance is a corporate insurance product of HDFC ERGO General Insurance Company Limited. By purchasing HDFC ERGO group health insurance from Pazcare you get best-in-class employee insurance services. HDFC ERGO has more than 7000+ network hospitals, the list of the hospitals can be accessed inside the Pazcare dashboard.
With Pazcare, you can administer your HDFC ERGO group health insurance in one place using the Pazcare dashboard. Join the other 800+ HRs who use the Pazcare dashboard to manage the policy, add/delete employees, manage endorsements and many more. The employees can use Pazcare’s employee app to manage their HDFC group health insurance plan.
Visit Pazcare, and choose group health insurance. If you are new to buying a GHI policy, we recommend you review our offerings before purchasing the HDFC ERGO group health insurance policy.
After submitting the form, our insurance experts will call you within 24 hours. Share your requirements to personalize your HDFC ERGO group health insurance policy offering with Pazcare.
We provide you with a product demo of how to administer the HDFC ERGO group health insurance plan using the Pazcare dashboard. Once approved, share with us your active employee data to proceed with the process of buying the HDFC ERGO group medical insurance for employees.
We get you competitive quotes from HDFC ERGO and other 4+ insurers. Choose the best offering, say HDFC ERGO GHI policy and the onboarding process begins in 24 hours. You are covered with the best employee benefits from Pazcare.
Here are the reasons why you should choose HDFC ERGO group health insurance policy from Pazcare.
13,000+ cashless networks
With more than 13,000+ cashless network hospitals, HDFC ERGO group health insurance from Pazcare has a pan India presence. With such a huge cashless network, you can avail cashless claims for hospitalization near your location.
No external TPA is involved
The claims for HDFC ERGO group health insurance from Pazcare are settled by the in-house claim settlement department. Hence, your claims are settled without the involvement of an external TPA.
24X7 support
HDFC ERGO and Pazcare provides 24X7 customer assistance and claim support services for its customers. The in-house claims team makes sure the claims are settled hassle-free.
Highly customizable plans
The HDFC ERGO group health insurance from Pazcare is a highly customizable according to the needs of your employees. You can choose the add-ons and riders catering to the needs of your organization.
Claim settlement ratio = Number of claims settled/Number of claims made*100
Financial Year | Claim settlement ratio |
---|---|
2019-20 | 83.66% |
2021-22 | 98.49% |
Renew your HDFC ERGO group health insurance plan with Pazcare using the following steps.
Visit Pazcare, and choose group health insurance. If you are new to renewing your HDFC ERGO GHI policy, we recommend you review our offerings before purchasing HDFC ERGO group health insurance policy.
After submitting the form, our insurance experts will call you within 24 hours regarding the HDFC ERGO group insurance policy renewal. Please submit active employee data, policy copy, claim dump report & claim analysis report to proceed.
We provide you with the product demo if you are new to buying/renewing HDFC ERGO group health insurance plan with Pazcare. The above-submitted documents allow us to personalize your HDFC ERGO policy according to the previous offerings.
We get you competitive quotes from HDFC ERGO and other 4+ insurers. Choose the best HDFC ERGO insurance policy renewal offering and the onboarding process begins in 24 hours. You are covered with the best employee benefits from Pazcare.
Day care treatments covered
Your HDFC ERGO group health insurance from Pazcare covers the day care treatment expenses with an additional rider. Day care treatment expenses are those that require less than 24 hours of hospitalisation.
Pre-hospitalization expenses coverage
Pre-hospitalization expenses such as expenses due to medical tests like blood tests and X-rays are covered in your HDFC ERGO group health insurance from Pazcare.
No medical screening required
Unlike a retail health insurance policy, you can purchase HDFC ERGO group health insurance for the employees from Pazcare without a medical screening test.
Dental treatment riders
The cost of dental treatment is not usually covered in your group health insurance. But wit HDFC ERGO group health insurance, the cost of dental treatment can be covered using an optional dental treatment rider.
Check Out: HDFC Ergo group health insurance premium calculator
Intimate the insurer
Intimate about the hospitalisation to the insurer/TPA within 24 hours, in case of emergency and at least 3 days prior in case of a planned hospitalisation.
Verify your identity
Provide the proof of identity - policy number/health insurance ID card, company ID and a valid unique govt. ID card.
Submit the pre-authorization form
Fill out the pre-authorization form/cashless claim form and submit it to the network hospital.
Claim settlement
After successful verification, the claim will be settled directly to the HDFC ERGO group health insurance network hospital.
Contact us for assistance
For any claim assistance contact Pazcare at [email protected] or call us at +91 78291 11300. We will answer your queries and provide claim assistance for the employees.
Intimate the insurer
Intimate the insurer within 48 hours, in case of an emergency and at least 3 days prior in case of a planned hospitalisation.
Settle the bills
Settle the hospital bills and collect the original copies of all the essential documents from the non-network hospital.
Submit the documents
Submit these documents along with the claim form to the HDFC ERGO group health insurance company/TPA
Claim settlement
Once verified, the claim will be settled in your bank account directly through NEFT by HDFC ERGO group health insurance company.
Contact us for assistance
For any claim assistance contact us at [email protected] or call us at +91 78291 11300. We will be happy to assist.
HDFC ERGO group health insurance cashless network hospitals
4.3 / 5
Rating based on
(44 reviews)
Kalyan
5 / 5
Stitched the loose ends in the policies and promised to offer more benefits than our previous insurer.
Rajasekhar Palagati
4.5 / 5
The Pazcare team carried out the onboarding process on time and they also provided reasonable quotes for the insurance policy.
Chushul
4.5 / 5
We have a very seamless experience both with the Pazcare dashboard and the customer support team of Pazcare.
Nithin
5 / 5
We got the best quotes for our insurance policy from Pazcare.
Manasa
5 / 5
The onboarding process was done on time. The customer service team did a great job in guiding our employees with the claims process.
Sinha
4.5 / 5
The Pazcare team helped us understand the policy very well and also helped our team members with all their queries.
Himalya
5 / 5
Everything from the Pazcare dashboard to claim support is good at Pazcare. Would highly recommend it.
Mishra
4.5 / 5
Must say the add-on wellness sessions are really good from Pazcare. Also, the customer success team provides a very good service.
Hemanth
5 / 5
The Pazcare dashboard is very user-friendly with a very good UI/UX.
From the POV of the administrative department, PazCare has been extremely helpful in setting up the account and updating employees’ details.
Divya Verma
5 / 5
The customer service from Pazcare is always ready to help and they guided us step-by-step for the claim process.
Sayli Ratnaparkhi
5 / 5
The Pazcare’s dashboard is a platform which is very convenient and easy to use.
4.6 / 5
Rating based on
(3023 reviews)
Divya Verma
5 / 5
The customer service from Pazcare is always ready to help and they guided us step-by-step for the claim process.
4.4 / 5
Rating based on
(2193 reviews)
Manasa
5 / 5
The onboarding process was done on time. The customer service team did a great job in guiding our employees with the claims process.
Mishra
4.5 / 5
Must say the add-on wellness sessions are really good from Pazcare. Also, the customer success team provides a very good service.
4.8 / 5
Rating based on
(913 reviews)
Kalyan
5 / 5
Stitched the loose ends in the policies and promised to offer more benefits than our previous insurer.
Rajasekhar Palagati
4.5 / 5
The Pazcare team carried out the onboarding process on time and they also provided reasonable quotes for the insurance policy.
Nithin
5 / 5
We got the best quotes for our insurance policy from Pazcare.
Sinha
4.5 / 5
The Pazcare team helped us understand the policy very well and also helped our team members with all their queries.
4.2 / 5
Rating based on
(1267 reviews)
Chushul
4.5 / 5
We have a very seamless experience both with the Pazcare dashboard and the customer support team of Pazcare.
Himalya
5 / 5
Everything from the Pazcare dashboard to claim support is good at Pazcare. Would highly recommend it.
Hemanth
5 / 5
The Pazcare dashboard is very user-friendly with a very good UI/UX.
From the POV of the administrative department, PazCare has been extremely helpful in setting up the account and updating employees’ details.
Sayli Ratnaparkhi
5 / 5
The Pazcare’s dashboard is a platform which is very convenient and easy to use.
HDFC ERGO Group Health Insurance group health insurance customer care number
For any queries or assistance, reach out to us at any time. We provide 24X7 customer assistance.
Pazcare
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HDFC ERGO Group Health Insurance group health insurance
Available 24X7
The HDFC ERGO group health insurance customer care number is 022 6234 6234. The customer care services are also available through email. Reach out to them at [email protected].
The claim settlement ratio of HDFC Ergo health insurance is 98.49% as of the year 2021-22.
HDFC ERGO group health insurance claim form can be downloaded under the Claim forms section in the Health Insurance category. Or download the HDFC ERGO group health insurance claim form pdf from here.
Group health insurance companies in India
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