GIPSA, PPN and Empanelment in Health Insurance - Explained
GIPSA, PPN in GIPSA, Points to remember before opting GIPSA services, hospitals, empanelment
By Pazcare
October 5, 2022
Total estimated yearly premium
*only basic terms and conditions applied
₹ 100,000
₹ 5,000 per life
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Makes sure you use Magma HDI group health insurance premium calculator to estimate the cost for your policy. Here are some of the factors determining your premium.
Age of employees
The average age of employees is taken into account while calculating the premium for Magma HDI group health insurance.
Add-ons
The number of add-on benefits that you include in your Magma HDI group health insurance policy will increase the premium amount. Since the scope of coverage will increase, the premium will also increase.
Geographical location
The geographical location also plays a part in deciding on the insurance premium. This is because tier 1 cities will have a higher premium as compared to tier 2 or 3 cities.
Sum insured
If the sum insured is more, the premium will also increase as the coverage provided will be more.
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Magma HDI group health insurance offers an array of services including motor insurance, personal accident insurance, and other commercial insurances like fire, marine, engineering, etc. With over 50 products in the market, Magma HDI aims to provide complete transparency and generate trust and respect amongst the customers.
Magma HDI group health insurance is a joint venture between Magma Fincorp Limited and HDI Global SE Germany. If you choose to buy Magma HDI group health insurance through Pazcare, you will experience the best service available. Pazcare offers a user dashboard advantage for seamless onboarding and integration of employees. We will get you the best quotes at competitive prices.
You can buy Magma HDI group health insurance at Pazcare by following these few simple steps.
For further information, 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.
In-patient hospitalization
All the expenses incurred in the in-patient hospitalization will be covered under Magma HDI group health insurance.
24x7 customer support
You can contact Magma HDI group health insurance anytime on their toll-free customer care number.
Add-on covers
Various add-on benefits can be added to your Magma HDI group health insurance base policy.
A health insurance claim settlement ratio shows the credibility of the insurance company. A higher claim settlement ratio shows the trustworthiness of the insurance company.
Magma HDI group health insurance has over 4300+ network hospitals that provide quality treatment to its customers. The network hospitals have cashless treatment facilities. Since they are spread all over the country, your employees can get treated from anywhere.
Magma HDI group health insurance cashless claim
You can make a cashless claim using the following steps with Magma HDI group health insurance plan.
The cashless claim facilities are available at a network hospital only. Therefore, get to the nearest network hospital for your quality treatment.
The next step is to confirm your identity using the health insurance ID card or policy number, a valid photo ID like an Aadhar card, voter ID, 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 Magma HDI group health insurance. For emergency hospitalization, the form is submitted within 48 hours of hospitalization. In the case of planned hospitalization, it is submitted 3 days before the hospitalization.
After the form submission, Magma HDI group health insurance will review the cashless claim request and the network hospital will be notified about the claim decision. You will be notified through an email or a message.
Once all of this is done and the insurer accepts your claim request. The claim is settled directly with the network hospital according to the terms and conditions of your policy.
Magma HDI group health insurance reimbursement claim
In case you get hospitalized at a non-network hospital, the reimbursement claim for Magma HDI group health insurance can be processed using the following steps.
The first step is to inform your insurer about the hospitalization. In case of emergency hospitalization, inform the insurer within 48 hours, whereas, in case of planned hospitalization, at least 3 days prior notice is required.
After you get treated at a non-network hospital, you need to settle all the bills out of your pockets at the hospital.
After you make the payment against the hospital bills, make sure you have all the original copies of all the required documents to file for a reimbursement claim with you.
The documents required to file a reimbursement claim
After collecting all the relevant documents, submit them to the nearest Magma HDI group health insurance branch within 15 days of discharge.
Once the documents are submitted, the insurer will review your documents and reject or approve the reimbursement claim request. This will be done as per the terms and conditions of your policy. Once approved, the claim will be settled in your bank account. You will be notified about the claim approval/rejection via SMS or your registered email.
You can also contact us at support@pazcare.com, to guide you through the whole process. We provide 24X7 claim assistance for your employees.
Also Read: Health Insurance Claim Process
The Magma HDI group health insurance can be renewed easily with Pazcare at the end of your policy term. You can follow the below-mentioned steps to do the same.
Step 1: Get in touch with Pazcare. Submit a 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, our consultants will get in touch with you. Since this is not a fresh policy, you will have to submit the following documents.
Step 3: You can choose additional add-ons to your existing policy like maternity insurance riders to your existing policy. Furthermore, with Pazcare one can choose additional health and wellness add-ons to your Magma HDI group health insurance. These add-ons include wellness and therapy sessions, unlimited doctor consultations, and many more.
Step 4: Our consultants will get back to you with the competitive quotes for your Magma HDI group health insurance. Based on your claims report and the add-ons you choose, your health insurance premium may vary from the previous policy year.
Step 5: The next step is to agree to the terms and conditions of the policy and pay the premium for your Magma HDI group health insurance policy. The policy will be usually valid for a year after the renewal.
Step 6: In case you are purchasing your Magma HDI group health insurance for the first time with Pazcare, the onboarding process will be carried out within 24 hours. During this period, one of our associates will contact you and provide you with all the essential information to get started with your group health insurance.
We make sure that your Magma HDI group health insurance experience will be seamless using our Pazcare dashboard. Your employees can access their policy using Pazcare’s employee app which is available on both the app store and the play store.
Daily hospital cash benefit
Magma HDI group health insurance includes a daily hospital cash allowance to be used for the patient.
Maternity benefit
Under Magma HDI group health insurance, maternity benefits are a part of the insurance policy.
Hospitalization expenses
Your Magma HDI group health insurance will cover the hospitalization expenses incurred for an insured person.
Daycare procedures
All the expenses incurred in the daycare procedures will be borne by Magma HDI group health insurance.
Addictive conditions
Any injury or illness because of substance abuse or any addictive conditions will not be covered by Magma HDI group health insurance.
Self-inflicted injuries
Injuries sustained because of self-harm or suicide attempts will not be borne by Magma HDI group health insurance.
Adventure sports
If an insured person gets injured while exercising any adventure sports, the expenses incurred will not come under Magma HDI group health insurance.
Vaccination costs
The cost of all the preventive care vaccinations will not be covered under Magma HDI group health insurance.
Critical illnesses cover
Magma HDI group health insurance covers critical illnesses like cancer of specified severity, Parkinson's disease, deafness, etc.
Permanent paralysis of limbs
Total or irreversible loss of limbs will also be covered under Magma HDI group health insurance.
Tailor-made policy
Your Magma HDI group health insurance is highly customizable. You can choose to increase the sum insured and add-on benefits according to your employees’ needs.
Family coverage
According to the type of policy chosen, dependent family members can also be added in the Magma HDI group health insurance.
Also Read: Group Health Insurance Schemes for Employees
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Why 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.
The claim settlement ratio for the financial year 2019-2020 of Magma HDI group health insurance is 95.17%.
You can claim Magma HDI group health insurance in 2 ways i.e. cashless claim and reimbursement claim. Cashless claims can be made in any network hospital and if you get treated in a non-network hospital, you can apply for a reimbursement claim.
You can find Magma HDI group health insurance cashless hospital in Port Blair of Andaman & Nicobar islands.
Yes, you can easily post all the relevant documents at - Magma HDI General Insurance Co Ltd Rustomjee Aspire, 4th Floor, Sion-Wadala Link Road, Off Eastern express highway Everard Nagar, Sion (East) Mumbai, 400 022.
Yes, a free look period of 15 days is given in Magma HDI group health insurance.
Yes, Magma HDI group health insurance only applies within the Indian perimeter.
24X7 customer assistance for queries, assistance and claim support
1800-266-3202
customercare@magma-hdi.co.in
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