Group Health Insurance
This policy covers hospital expenses related illness, disease or injury.
Coverage includes:
- Hospitalization benefits with a “Family Floater” maximum of INR 500,000 for the entire family
- Maternity-related hospitalization expenses of up to INR 50,000 (counted toward your total benefit of INR 500,000)
All full-time employees at Obvious are covered under an annual medical insurance and a personal accident insurance policy.
The medical insurance policy covers everyone (spouse and two children can be added) for a value of Rs. 5 lakhs annually. What this means is that anyone covered by you under this policy can avail of any medical hospitalisation taking place each year, up to a value of Rs. 5 lakhs. This is relevant for any hospitalisation for a minimum period of 24 hours. At this point, the insurance coverage does not include parents. The policy is issued through a company called Care.
The personal accident insurance policy covers everyone for any accident, to the tune of Rs. 10 lakhs. This policy covers employees only, and not families.
Accessing your policy and insurance card
Everyone has a login to our insurance platform, Plum.*
Once there, you will see details of your medical insurance policy. You get an online healthcard, which has your name, the policy number, your healthID, validity date, and other specifics you will need, should you find yourself in a situation of needing to avail insurance. It is a good practice to keep a copy on your phone in a favourites folder, and share a copy with family/ family + friends you are likely to call in case of urgency.
If you have questions on coverage of a specific treatment you might be electing for, e.g. Lasik, etc., the first point of checking is the chat option on the Plum site. You speak to the folks who will be processing the claims, and so are the most informed folks to answer your questions.
Check to ensure that your name and address match at least one of your government approved IDs. In case not, raise it with the operations team and get the e-card details changed immediately. This is essential to make sure that if needed, insurance payout does happen.
Claiming insurance in case of hospitalisation:
- In most cities and hospitals, cashless benefits are provided to people with a company provided group medical insurance. Your first move should be to apply for a cashless claim. You can get questions answered by chatting with the Plum team. This means that the hospital claims the permitted amount from the insurance folks directly. Only if there are aspects of treatment not covered, you need to pay for those.
- Give your e-card and government ID card to the hospital authorities (they have a claims department that would reach out to you for this during admission). They will take about 4 hours and get you an initial approval for about 30-40% of the expected overall treatment. They will also let you know what the hospital's corresponding policies are regarding hospital admission, treatment, stay arrangements etc.
- Post treatment, on the day of scheduled discharge, the hospital will make a final bill, send it to the insurance folk, get the remaining amount. If there is a difference/ if there are elements of treatment not covered by insurance for whatever reason, they will bring the unpaid amount of the invoice to you.
In case of an emergency: In situations where you need to get insurance support externally (Say, emergency surgery or there is no time or mind space to have conversations with the insurance folks on the Plum site), call Jaya or Monica and we will interface with the folks at Plum and get you the support you seek.
*If you are in doubt, look for login credentials for Plum in your Obvious email ID. If still in doubt, please reach out to Jaya or Monica to get this sorted out.