Difference between Corporate & Personal Medical Insurance| ManipalCigna (2024)

Corporate and personal health insurance plans are two of the most common kinds of health insurance plans available. These health insurance plans provide a sense of financial security against medical expenses. However, selecting the right plan that fits your needs and budget is critical. Whether you are an employee looking for corporate health insurance coverage or an individual in need of personal health insurance, it's essential to understand the differences between these two options before making a decision.

Understanding Corporate Health Insurance

Corporate health insurance is a group health insurance policy an employer provides to its employees. It usually covers individuals, including the employee, spouse, and children. The employer pays the premiums for the policy, and the coverage is available to all the organisation's employees.

Corporate health insurance policy coverage is standard and does not depend on an individual's medical history. The sum insured is usually fixed and shared among the group members. Additionally, corporate health insurance may or may not offer a no-claim bonus.

Understanding Personal Health Insurance

Personal health insurance plans are policies individuals purchase for themselves or their families. The policy's coverage and premiums depend on the individual's medical history, age, and sum insured. The policy coverage includes hospitalisation expenses, pre and post-hospitalisation expenses, day-care procedures, and ambulance charges.

The policyholder has the flexibility to choose the sum insured, add-on benefits, and the policy period. The premiums for personal health insurance plans are generally higher than corporate health insurance plans. Furthermore, you can always avail a no-claim bonus in personal health insurance.

Differences between Corporate Health Insurance and Personal Health Insurance

When To Choose Corporate Health Insurance

Employees should consider the following factors before enrolling in corporate health insurance:

• Coverage: Ensure that the policy coverage is sufficient for the employee and their family's medical needs
• Add-on benefits: Check if the policy offers add-on benefits as per the employee's requirement.
• Network hospitals: Check the network of hospitals and healthcare providers tied up with the policy for hassle-free claims

Conclusion

Corporate and personal health insurance policies come with unique features, catering to different groups of people. Therefore, it's important to assess your health insurance needs and explore the available options to find a plan that aligns with your budget and requirements.

Choosing the correct health insurance plan is crucial for protecting yourself and your family from unexpected medical expenses. ManipalCigna, a prominent health insurance provider in India, offers a range of health insurance plans tailored to meet the unique healthcare needs of you and your family.

FAQs

Q. What happens to my corporate health insurance coverage if I leave my job?

A. Your corporate health insurance coverage will end if you leave your job. However, some policies may offer the option to convert to an individual health insurance plan.

Q. Can I customise my coverage with a corporate health insurance plan?

A. Corporate health insurance plans typically offer standard coverage, however, at the end, the management of the company would take a final call on customisation. Therefore, checking with the policy provider is important to understand available options.

Q. Does personal health insurance cover pre-existing conditions?

A. Yes. However, some policies may have waiting periods or exclude coverage for certain pre-existing conditions. Therefore, it's important to carefully review the policy terms and conditions before purchasing a personal health insurance plan.

Q. Is getting a personal health insurance plan or enrolling in corporate health insurance more cost-effective?

A. The cost-effectiveness depends on various factors, such as the policy coverage, the number of individuals covered, and the premiums Although corporate health insurance provides some benefits, it is essential to purchase an individual health insurance policy as well. Corporate health insurance usually has limitations or exclusions that may not meet an individual's specific healthcare needs. Therefore, investing in an individual health insurance policy is crucial to ensure adequate protection for oneself and their loved ones. It allows individuals to customise their coverage according to their unique requirements and provides them with more control over their healthcare decisions.

Q. How to select personal health insurance ?

A. When selecting personal health insurance, it is important to consider factors such as coverage, sum insured, network hospitals, waiting periods, premium, exclusions, and customer service. Select a policy that offers comprehensive coverage for all your and your family’s healthcare needs.

Q. Why corporate health insurance is not enough?

A. Corporate health insurance has limitations or exclusions that may not meet an individual's specific healthcare needs. It may not provide sufficient coverage for family members, leaving them vulnerable to unexpected medical expenses. Moreover, these policies may not cover pre-existing conditions. Lastly, corporate health insurance may not be enough for individuals who require higher coverage limits for treatments such as organ transplant surgery, bypass surgery and more.

Q. How to convert corporate health insurance to individual health insurance?

A. You can contact the policy provider to check if they offer the option to convert. However, some policies may have a waiting period, and the premiums for individual health insurance may be higher than those for corporate health insurance.