Individual Health Insurance vs Group Health Plans

Every individual must buy a health insurance policy. With age come uncertainties. It is always wise to be prepared for the worst. Individual health insurance is an excellent defense against a much-unwanted health-related surprise that life might throw at you. A health insurance policy provides you protection and allows you to enroll your entire family and offer them health protection at an affordable cost.

A group health insurance policy is different from an individual one; read ahead to know more:

Difference between Individual Health Insurance and Group Health Insurance

As the name suggests, individual health insurance covers an individual against health risks. Similarly, a family floater policy covers the personnel and their family against the perils. The Premium will be based on the sum insured, i.e., the maximum amount the insurance provider would pay for the medical treatment. In the case of individual health insurance, it is the compensation that the insurer pays to the insured for treating an illness, especially if it involves hospitalization. Health insurance can also be availed for therapy if the policyholder meets with an accident.

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An organization’s insurance plan to provide health coverage for their employees or group members and their families is known as group health insurance or group mediclaim policy.

Let us look at more aspects that affect you as a policyholder.

Insurance Cost

Group insurance coverage costs less compared to an individual policy. Some group policies, especially employers, can have no premium burden on an individual as the employer pays it. However, employees can get additional cover or benefits for their family, children, and spouse at an additional premium. In this case, the Premium is small and is deducted from the employee’s monthly salary.


Before issuing a health insurance policy, the insurance company conducts due diligence, including medical tests, to ascertain the risks involved. You will easily get an individual health insurance policy if your health is good. However, certain situations are based on an individual’s medical history, leading to the rejection of a personal health insurance policy. With the help of a group insurance policy, you can get your family members also covered. This can be true even if, in some cases, the family members might find it difficult to get an individual policy due to medical history. The group insurance providers usually don’t look into the individual employees but the number of employees to get insurance for themselves and the entire family.

Cumulative Bonus

A cumulative Bonus or CB is a benefit offered by health insurance plans. Under this, if you do not claim in a single financial year, you will be entitled to a concession on premium renewal or an increase in the insured sum at the same Premium. Almost every individual health insurance policy provides you with this benefit.

However, under a group insurance policy, they on’t be entitled to any NCB. You w even if an employee does not make a single claim over the financial yearon’t get NCB with any group insurance plan.

The validity of the plan

An individual health insurance plan will be applicable until the policy is discontinued, as long as you pay the Premium on time. Under a group insurance policy, you’re entitled to coverage as long you’re employed or part of an organization. As soon as you resign, the group cover will cease to exist.

The most important point is that health insurance shouldn’t be an option. Instead, it must be a priority. Understanding health insurance, why you need it, and how you can make the most out of your coverage is important. While GR and individual health insurance plans have benefits, having two health plans rather than one could be better because if one insurer rejects your claim, you can return to the other one. Therefore, both group and individual health covers are beneficial. Always remember to compare health insurance policies online before choosing one!

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I work for WideInfo and I love writing on my blog every day with huge new information to help my readers. Fashion is my hobby and eating food is my life. Social Media is my blood to connect my family and friends.
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