Digit Group Health Insurance

About Digit Insurance

Digit Insurance Company started its operations in October 2017. Its headquarter is in Bengaluru. The company provides general insurance policies such as car, bike, home, travel, health, etc. The profit under IFRS was booked for the year 2020-21. Digit insurance is almost at a double value at $3.5 Billion from what it was in January 2021. Read on to learn more about the Digit group health insurance policy.

Features of Digit Group Health Insurance

Here are some of the features that you should know about the Digit Group Health Insurance policy:

• Seamless Online Process: Digit Insurance makes buying, renewing, or claiming insurance online simple. The process is fast, hassle-free, and designed for ease at every step.
• Cashless Claims Across India: Enjoy cashless claim benefits at over 6,400+ network hospitals nationwide. Wherever you are, Digit ensures smooth access to medical coverage.
• Affordable Premiums: Digit is a digital-first insurer that offers cost-effective premiums, making it easier for businesses to provide health coverage to employees without financial strain.
• Post-Hospitalisation Benefits: Digit simplifies claims and provides lump-sum post-hospitalisation benefits, ensuring medical expenses after discharge are covered.
• Direct Insurer Contact: Skip third parties and intermediaries. Digit connects you directly with the insurer, streamlining communication and claim resolution.
• COVID-19 Coverage: Protect your workforce with COVID-19 coverage that includes hospitalisation, medication, and doctor consultations, keeping your employees secure during uncertain times.
• Tailored for All Business Sizes: Whether you have 10 employees or 100+, Digit offers flexible group health insurance plans to suit businesses of any size.
• Extensive Hospital Network: With a robust network of 6,400+ cashless hospitals, employees can receive treatment across India without added stress or delays.

What Is Covered Under Digit Group Health Insurance?

While purchasing the policy, it is important to learn about the coverage you are getting. Here are the things that are covered under the Digit Group Health Insurance plan:

• Accidental: If any employee in your company or their dependents get injured in an accident, the Group Health Insurance will provide cover for post-hospitalisation expenses such as room rent, diagnosis, road ambulance, etc
• Illness-related: Many illnesses require hospitalisation. Digit Group Health Insurance provides coverage for the hospitalisation of your employees and their dependents for treatment and hospital expenses.
• Covid-19 Hospitalisation: India is not free from this virus as of yet. In case any of your employee or their dependent tests covid positive then this Digit's Group Health Insurance plan will provide coverage for hospitalisation.
• Daily Hospital Cash: Hospital expenses can be beyond one's affordability, so this insurance plan provides coverage for hospital bills for the employee and dependents.
• Critical Illness: Digit Group Health Insurance plan provides coverage for specified critical illnesses to the employees and their dependents.
• Maternity & Newborn Coverage: The policy supports young professionals by covering maternity expenses, including delivery, infertility treatments, and necessary medical terminations. Newborn care is also included.
• Psychiatric Coverage: Acknowledging the importance of mental health, the policy includes coverage for psychiatric care, ensuring employees have access to necessary mental health services.
• Other Benefits: The plan also covers AYUSH treatments, bariatric surgeries, organ donation, and infertility procedures, providing extensive health coverage for employees and their families.

What Is Not Covered Under Digit Group Health Insurance?

Understanding what isn't covered is just as vital as knowing the benefits. Here are the key exclusions under the Digit Group Health Insurance plan:

• Pre-Natal and Post-Natal: Digit Group Health Insurance policy does not provide coverage for pre-natal and post-natal expenses unless hospitalisation is necessary for the employee or the spouse.
• Hospitalisation Without Doctor's Recommendation: The insurer does not provide coverage if an employee is hospitalised without being recommended by a doctor.
• Claims During Waiting Period: For conditions like COVID-19, there is a 15-day waiting period before claims can be made. Any claims during this period will not be accepted.
• COVID-19 Exclusive Cover: The policy does not allow standalone COVID-19 coverage. Treatment is covered only if the insured tests positive at a government-authorised testing centre
• PED Waiting Period: The insuer does not provide coverage for pre-existing diseases unless the waiting period specified in the insurance policy documents is over. If you choose to cover more than 50 employees then there is a waiver for PED waiting period.

How To Raise a Claim Under Digit Group Health Insurance Policy?

If you want to raise a claim, follow the steps mentioned below:

• Inform Digit Insurance Company: If any of the employees or dependents gets sick, they first need to inform the insurer about the illness after consulting with a doctor. You can reach out to Digit Insurance by calling their toll-free number or sending an email.
• Prepare Documents: To initiate a claim, complete the claim form and gather the necessary documents. Ensuring all paperwork is in order will help expedite the claims process
• Choose a Network Hospital for Cashless Claims: For cashless treatment, verify the list of network hospitals and visit the nearest one. Present the e-health card at the hospital, and Digit Insurance will handle the billing directly. Employees can also access 50% of the estimated medical expenses in advance by submitting relevant documents.
• Opt for Reimbursement at Non-Network Hospitals: Employees can claim reimbursement for medical expenses if treatment is sought at a non-network hospital. For reimbursement, submit essential documents, including medical bills, doctor's notes, and test reports.

How To Renew Digit Group Health Insurance Policy?

It is important to renew Digit health insurance to continue enjoying the coverage benefits. Here are the steps to renew your group health insurance policy:

• Step 1: Visit the insurer's official website.
• Step 2: Enter the policy number and the details required.
• Step 3: Review the details once you access your existing insurance plan.
• Step 4: If you want to add or remove any add-on, you can do so.
• Step 5: Adding and removing any add-on will reflect your coming tenure's premium amount.
• Step 6: Once done with it, make the payment using a debit/credit card, net banking, UPI, etc.
• Step 7: Digit Insurance Company will send you the updated policy documents to your registered email and home address once you pay.

Note* Make sure to renew the insurance plan before the expiration date otherwise, the insurer will not provide coverage for any peril if you raise the claim after the expiration.

How Does Digit Group Health Insurance Work?

A company, whether an SME or a large organisation, opts for a Group Insurance Scheme to provide coverage to its employees. The premium amount is either paid by only the employer or by both the employee and employer. The insured and their dependents, such as a spouse, kids, etc,. get coverage for hospitalisation and medical expenses.

Since the employer purchased the Group Health Insurance plan for the employees, the sum insured and the plan opted by the employer will be the same for all the employees. The employees can also choose to add any of their dependents, such as their spouse, kids, or parents, by paying an additional premium