DIFFERENCE BETWEEN CORPORATE MEDICAL INSURANCE AND FAMILYFLOATER INSURANCE

The Corporate Medical Insurance and Family-floater Insurance are both plans for a group of people and serve the same purpose of providing cover for a group – of employees or family members. In Corporate Medical Insurance, the employer bears all the cost to cover the employees, while in Family-floater Insurance you as an individual can insure your spouse, two children and parents or in-laws under one plan. The cost of such plans depends upon the number of insured members, coverage extent, sum insured and also the age of the insured members. For both the sum insured as well as the benefits are equally divided among insured group members. Though the two group insurance plans sound similar, yet there are certain vivid differences between the Corporate Medical Insurance and Family-floater Insurance. What are they, let’s have a look.

Difference Between The Corporate Medical Insurance And Family-Floater Insurance

Feature

Corporate Medical Insurance

Family-Floater Insurance

Purpose

Covers employees of organisation

Covers family members

Extent of Coverage

Employees and dependants

Immediate family members and in-laws

Cost

Any additional coverage is borne by employee

Full cost is paid by one main individual member taking the policy for his/her family

Eligibility

Till the time employee works for the particular organisation he shall be covered under the plan

Any person above age 18 years can buy a Family-floater health insurance plan for self and family

Tax

Employee cannot claim tax as health insurance is taken by employer only

The person who paid the premium for the family cover insurance can avail of a tax benefit under Section 80D of the IT Act in India

Claim Settlement

Claim settlement is done by Third-party Administrator - TPA appointed by the insurance company

Claim settlement is done by Third-party Administrator - TPA or by the insurance company itself

Plan Exit

Leaving the organisation by exit, termination or retirement means leaving the insurance plan

Reaching exit age, non-renewal of policy and death means leaving the family coverage plan

Major Benefit

Employers pay for the plan

One health insurance plan for the whole family is easier to manage.

Parameters To Consider While Buying Group Health Insurance Plans

There are multiple factors to consider when buying group health insurance plans like corporate plan or Family floater policy. The significant parameters to look out for include;

  • The policy coverage should be enough to cover your organisation or your family in group health insurance plans
  • Make sure the premium amounts are payable and the sum insured is checked based on age, gender, lifestyle and add-ons opted for.
  • Look for the claim settlement ratio of the insurance company before buying any group insurance plans
  • Check for network hospital and cashless services for group insurance plans opted for.

Conclusion

You must utilise the different types of plans to match your needs optimally. There are many plans available from you to compare and choose from. Group insurance plans like Corporate or Family floater help get cover easily and manage any financial burden with security intact. So, choose and opt wisely!

FAQs – Frequently Asked Questions

Let's take a look at some frequent queries on Corporate Medical Insurance and Family-floater Insurance.

Q1. Is ‘floater’ in Family-floater health insurance a flexible benefit?

Yes, 'floater’ refers to the flexible benefit shared by the insured members under the plan. The sum insured and coverages are not fixed for any particular family member.

Q2. Can Individual health insurance policy be converted into a corporate plan?

No, it is not possible as the insurance provider may be different and also the corporate plan cost is borne by the employer only.

Yes, claims against corporate policy can get rejected if you did not disclose correct information while availing policy cover, make a false claim or claim against an event not covered under your health plan or if you do not follow the claim process correctly. Always read the terms before claiming for any plan and understand your policy to know the right coverage and other essential parameters.

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