Cost Optimization & Plan Control
Smarter group health management through data-driven plan
efficiency.
How this helps:
If an insured individual gets hospitalised during the
initial waiting period , then this add on helps provide
coverage.
How this helps:
If an employee needs treatment for a specific disease such
as hernia within the waiting period of the policy . Without
this add on, it's excluded. This add on provides coverage
for these treatments.
How this helps:
On a ₹50,000 claim with 20% co-pay, the employee pays
₹10,000 and insurance covers ₹40,000 — saving the company
meaningfully on annual premium.
How this helps:
With a ₹50,000 deductible, the employee pays the first
₹50,000 of any hospitalisation. A ₹3 lakh surgery means
insurance covers ₹2.5L (as per T&Cs) — at a much lower
premium.
How this helps:
It offers a additional safety net when an individual
exhausts their sum insured limit, excluding maternity and
lumpsum benefits.
How this helps:
When corporate floater is exhausted, it gets topped up again
so that employees can remain covered , subject to policy
t&c.
How this helps:
At a PPN hospital, cashless pre-authorisation that normally
takes 2–4 hours is completed in under 30 minutes — less
stress during a medical emergency.
Emergency & Accident Care
Coverage for accidents, emergencies and unexpected injuries
outside planned hospitalisation.
How this helps:
This add-on ensures that ambulance cost is covered.
How this helps:
If an individual has a healthcare emergency while on a trip
, this add on can help transportation from the area of
emergency to the nearest Hospital.
How this helps:
This helps cover indivduals involved in high risk
activities.
How this helps:
An insured individual is bitten by a stray dog. This add on
will help cover eligible costs.
How this helps:
The insured individual is hospitalised , this cover will
help cover the charge towards accommodation of one attendant
staying with the Insured Person during the period of
hospitalization.
How this helps:
If the base cover gets exhausted the accident care add-on
provides an extra , helping cover the gap.
Enhanced Hospitalisation
Broader coverage during hospital stays — fewer deductions, fewer
surprises
How this helps:
A new joiner with diabetes, if needs hospitalisation for a
diabetic complication within policy period. This add-on
ensures the claim is covered.
How this helps:
An employee needs knee surgery. Pre-op scans and
consultations cost ₹12,000; post-surgery medicines cost
₹18,000. Both are covered with this add-on.
How this helps:
A company sets a ₹50,000 sub-limit on cataract surgery.
Employees are still covered — just up to that amount —
keeping overall premiums lower for the group.
How this helps:
If an insured individual can't be moved to hospitalThis
add-on covers domicillary hospitalisation.
How this helps:
Provides relief from routine hospital extras that usually
don’t get covered.
How this helps:
May help in Keeping premiums lower, but choosing a room
above the eligible limit means your full claim amount will
be adjusted.
How this helps:
If an insured individual takes a ₹5,000 room vs. the ₹3,000
as in cover . This waiver means just the room difference is
deducted.
How this helps:
An employee's doctor orders an MRI, blood panel and ECG
costing ₹9,500 for a diagnosis. This add-on may help cover
those costs.
How this helps:
An employee's hospital bill includes ₹8,200 in consumables.
Without this, all of this may get deducted by the insurer.
With it, the consumables bill is paid.
How this helps:
You get protection for common shortstay treatments (e.g.,
dehydration, platelet or iron infusions), without needing a
full 24hour admission(excluding AYUSH treatment).
Worldwide Medical Support
Medical coverage that follows your employees wherever work takes
them.
How this helps:
An employee in Nagpur needs a rare cardiac procedure only
available in Mumbai. Flight costs ₹12,000 — this add-on
reimburses the travel expense.
How this helps:
Makes international treatment accessible through cashless
(subject to network) or reimbursement.
How this helps:
An employee posted in Delhi is hospitalised for 10 days.
Their spouse's emergency flight from Mumbai costs ₹1065,000.
This add-on covers the travel cost.
Inclusive & Human Care
Benefits that reflect your company's values — supporting every
employee as a whole person.
How this helps:
An employee undergoing gender reassignment surgery incurs a
₹4.5 lakh hospital bill. This add-on covers the medical cost
as per policy T&Cs, supporting them through the process.
How this helps:
An insured is hospitalised and dies during hospitalization.
As per policy if 20% co-pay applies. With this cover, there
will be no deduction against any limits/deductible —
reducing the financial burden at the worst time.
How this helps:
A field sales employee is hospitalised for 12 days and loses
12 days of variable pay. This add-on pays a fixed daily
amount — say ₹1,500/day — replacing ₹18,000 of lost income.
How this helps:
An employee undergoes LASIK surgery costing approx. ₹55,000
for both eyes. This add-on helps covers the procedure.
How this helps:
A person requires regular eye injections for macular
degeneration. This add-on helps covers ongoing treatment
costs.
Major Illness Protection
Financial support for serious, life-changing diagnoses that go
beyond hospitalisation costs
How this helps:
An employee is diagnosed with cancer. The hospitalisation
claim covers treatment. The critical illness lump sum (Sum
insured) help the insured with expeses such as income loss,
recovery and family expenses.
How this helps:
An employee's ₹5L sum insured is exhausted . The top-up
cover kicks in to pay the remaining claims amount (as per
top-up Sum insured).
How this helps:
Ensures you’re financially protected during major
emergencies such as heart surgeries, paralysis, severe
stroke, cancer or major organ transplant.
How this helps:
An employee is diagnosed with sleep apnoea requiring a CPAP
machine and sleep study. This add-on covers the diagnostic
and treatment expense.
How this helps:
Reduces financial stress by providing additional coverage
for cancer treatments, while your regular insurance remains
intact.
How this helps:
An employee's final hospital bill has ₹4,200 in
miscellaneous charges not covered elsewhere. The buffermay
help cover these.
OPD & Wellness
Everyday healthcare — doctor visits, medicines, check-ups and
wellness without hospitalisation.
How this helps:
An employee visits a doctor certain times in a year,
spending some amounts on consultations and medicines. This
add-on reimburses both(upto OPD SI).
How this helps:
An employee needs a root canal and crown. This add-on, helps
cover this procedure.
How this helps:
Helps cover routine company health tests.
How this helps:
Helps cover preventive and wellness services which will help
you stay healthier yearround through convenient access to
medical guidance, lifestyle programs, reminders, and
wellness tools.
How this helps:
An employee's oncologist recommends immunotherapy at ₹2.5L
per cycle for 6 cycles. Standard cancer cover doesn't
include this. This add-on covers the full ₹15L treatment
cost.
How this helps:
An employee undergoes LASIK surgery costing ₹55,000 for both
eyes. This add-on covers the full procedure — a benefit
employees rate as one of the most valuable they've received.
How this helps:
An employee over 55 requires regular eye injections for
macular degeneration at ₹18,000 per session. This add-on
covers ongoing treatment costs that would otherwise be a
recurring burden.
How this helps:
An insured person requires therapy sessions per week. This
add-on covers these sessions.
How this helps:
An employee is told they need spinal surgery. They seek a
second opinion and learn a non-surgical approach will work.
This add-on pays for the second opinion charges.
Parenthood & Family Care
Support through pregnancy, newborn care, fertility treatments
and family health milestones.
How this helps:
Helps cover medical expenses incurred for delivery, during
Hospitalisation or lawful medical termination of pregnancy.
How this helps:
An employee recovering from a leg fracture is prescribed
crutches and a knee brace. This add-on reimburses the cost.
How this helps:
A newborn needs 4 days of NICU care for jaundice. With this
it, it's covered from day 1 of birth.
How this helps:
A doctor prescribes acupuncture for an employee's chronic
lower back pain. This add-on covers sessions.
How this helps:
An employee needs a kidney transplant. The donor's surgery
and hospitalisation costs are covered.
How this helps:
The insured individual undergoes IVF cycles. This add-on
reimburses those costs (subject to policy t&c).
How this helps:
A newborn requires cleft lip corrective surgery. This add-on
covers the surgical cost.
How this helps:
Helps provide coverage for vaccination costs of insured
individuals. This add-on covers all prescribed vaccinations
for covered member.
How this helps:
Provides financial support for complications faced during
oocyte retrieval process.
How this helps:
A surrogate mother's delivery incur costs. This add-on
covers the medical hospitalisation expenses.
Recovery & Home Care
Support after discharge — helping employees recover comfortably
at home.
How this helps:
If an insured individual hospitalised for 14 days (subject
to this being covered under the add on) following a surgery
, this add on helps provide a lump sum benefit.
How this helps:
An employee is in hospital for 7 days. With a ₹1,000/day
allowance, they receive ₹7,000 in cash — covering meals,
family transport and other small costs the main claim
doesn't address.
How this helps:
Post-surgery, a doctor prescribes physiotherapy home visits.
This add-on covers all sessions so recovery happens
comfortably at home.
How this helps:
Post-surgery, a doctor prescribes 10 physiotherapy home
visits at ₹1,500 each. This add-on covers all 10 sessions
(₹15,000) so recovery happens comfortably at home.
How this helps:
Will help provide coverage incase of Qualified Nurse at Your
Residence.
Base Benefits
All the essentials for medical and wellness care in one place.
Technological advancements and treatments
Covers modern treatments using advanced medical
technologies.