FAq

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What types of doctors are available on the Loop app?

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We have empathetic, experienced doctors in the following specialties:

  • General physician
  • Diabetologists
  • Dermatologists
  • Women’s wellness
  • Mental health
  • Nutrition
  • Pediatrics
Doctors and Consultations

Does Loop have doctors who can speak regional languages?

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Yes, Loop has doctors who can speak various regional languages. You can pick one as per your comfort level.

Products and Tools

Do group policies cover OPD expenses?

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Not all illnesses require hospitalization. OPD (Outpatient Department) expenses are costs like dental procedures where you visit a clinic or hospital for treatment, get treatment/medicines and you’re back to good health in a few days. Typically, such expenses are minimal, and they’re not covered in group health insurance policies.  



Claims

How can you book a lab test?

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Login to the Loop app and select “Book Lab Tests”. Then choose “Request a call from the MA (medical advisor).” Over the call, they will set up the time slot for lab sample collection and help with payment too.

Doctors and Consultations

What are the questions we'll ask your team members during the onboarding process?

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During the onboarding process, your team can expect simple questions such as employee details including, name, enrollment members, mobile numbers, and email IDs.

Onboarding related questions

What are newsletters and how many does Loop send?

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The newsletter contains tips and tricks for members to effectively deal with the daily hustle and how to maintain a healthy life. We send them out every Wednesday.

Wellness Sessions

How long will it take to approve my cashless claim?

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Typically, we settle group health insurance cashless claims in 3 to 4 working hours. The TAT starts when the hospital sends the documents to the TPA.  



Claims

Why is group health insurance for employees in India is important?

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Medical exigencies are unpredictable. With a comprehensive group health plan, you can safeguard yourself and your family members, protect your savings, financial stability, fight lifestyle diseases, improve workplace productivity, and so much more.

Group Health Insurance

What documents do you require for raising a claim?

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To raise a claim, you need the following documents: 

  • Identity proof issued by the government
  • Proof of residence and employer address
  • 6-month salary slip 
  • Signed claim form with the details of the claim for reimbursement
  • Printout of form 2A 
Claims

Does a Loop employee medical insurance policy cover treatment for COVID 19?

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Yes, Loop offers comprehensive and customizable group health insurance plans at affordable costs, including COVID-19 cover.  

Group Health Insurance

Are all the services free?

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There are unlimited, free doctor consultations and chats with the medical advisor. The lab tests are at discounted prices for our members, with a concierge booking service from our team.

Doctors and Consultations

What is wellness at Loop Health?

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Wellness at Loop Health engages employees. The sessions target the ‘need of the hour’ issues to enhance individual well-being, and help members achieve and sustain a healthier, happier life.

Wellness Sessions

Is no-claim bonus available with group health insurance?

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No, group policies don’t come with a no-claim bonus benefit.


Claims

What do you mean by pre and post hospitalization expenses?

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Pre-hospitalization expenses are medical costs the insured incurs before hospitalization like X-rays, urine tests, blood tests, etc. 


Post-hospitalization are the expenses after discharge like consultation fees, the cost of medicines, diagnostic charges, etc.  


Both these costs are covered under a group health insurance plan.

Claims

Where can you reach the wellness session speakers?

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You can reach the wellness session speakers by downloading the Loop Health app and booking a 1:1 free consultation. These consultations are unlimited for all members.

Wellness Sessions

What is the best way for you to invite your team members?

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When you purchase a group health insurance policy by Loop, you get a scheduled day for an onboarding event with us. Before this day, you must share your employee data with our onboarding team to invite them.

Onboarding related questions

Can you view your claims history in the Loop app?

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The Loop app does not provide information on claims.

Products and Tools

What are the kinds of wellness events?

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The wellness events Loop conducts ranges from mental health, physical fitness, nutrition, social well-being, on-site drives, and more. We even customize sessions according to your company’s needs.

Wellness Sessions

Are group health insurance premiums tax deductible?

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For employers, the premium paid to provide group insurance policy for employees in India can be deemed as a business expense. According to the Indian Income Tax Act, 1961, this expense is eligible for tax benefits.

Group Health Insurance

I did not enroll my spouse or child during the first onboarding process. What's the best way to include them?

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In general, health insurance policies don’t allow you to enroll your spouse or child once the onboarding is complete unless you’re newly married or have a newborn child. 


If you get Loop Health’s group health insurance, you can enroll anytime you want.

Onboarding related questions

How should startups get Group health insurance?

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With group health insurance, there’s no one size fits all option - and that’s the best part! You can get group health insurance for startups as well as large businesses. You can pick a plan and customize it according to your team and your needs. Insurance for your team is like an investment. You can contact Loop’s team here.

Group Health Insurance

When should you buy group health insurance for your company?

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Simply put, the best time to purchase group health insurance for employees is right away. Besides, the government has made it a mandate for all employers to offer some sort of health insurance or coverage to their employees. Before it’s too late, start browsing through our plans and find affordable and well-rounded group health insurance plans.

Group Health Insurance

What are the various waiting periods in group health insurance?

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The waiting period in insurance varies from policy to policy and issuer to issuer. The different ones are:

  • Initial
  • Pre-existing disease
  • For a specific disease
  • Maternity and newborns

Read more here: Group Health Insurance Waiting Periods

Group Health Insurance

Can you see other policy details in the Loop app, such as GPA, Covid policy, and GTL?

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No, you cannot access such information or view other policy details in the Loop app.

Products and Tools

What happens if you’re admitted for less than 24 hrs?

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Daycare procedures require you to be admitted in hospital for under 24 hours. Typically, if you’re admitted for under 24 hours and the procedure you’re undergoing is not covered under the daycare list, then it’s not eligible for a claim. In order to make a claim, the minimum period for hospitalization is 24 hours or the procedure should fall under the daycare list.

Claims

How much does group health insurance cost for small business?

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The cost of group health insurance for small business varies due to lot of factors. At Loop, group coverage health insurance premiums start at Rs. 450/-. This comprises holistic cover from top insurers for your employees, including a range of added benefits and wellness perks, at no additional cost, for all-around preventive care.

Group Health Insurance

What if a member of my team leaves in the middle of the month? Do I have to pay the whole month's membership fee? (Ask Placements team)

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If an employee leaves, Loop won’t refund you in case of membership. In case of policy, Loop won’t close your membership. Employees couldn’t view eCards in Loop app.

Onboarding related questions

Can you claim from more than 2 insurance policies?

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As an individual, you can have more than one insurance policy. It’s completely legal. You can use more than one policy, as and when you need. This also means you can claim from either one or both policies, albeit a few conditions. What you need to remember is - you cannot raise the same claim with two different insurers and you cannot claim more than the sum assured. However, if the expenses you incur exceed the sum insured, you can use the second policy to pay the remainder amount.

Claims

How does Loop conduct wellness sessions?

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 As per your organization’s requirement, we host the wellness sessions on ground/onsite or virtually. 

Wellness Sessions

What are the clinical services Loop offers members?

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All of Loop’s members can access the following services:

  • 24x7 chat support with a medical advisor about any health concerns or queries
  • Unlimited free online consultations with our doctors
  • Get assistance to book lab tests at home
Doctors and Consultations

What is the procedure for removing a team member?

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You can easily delete team members from the HR dashboard.

Onboarding related questions

How do group health insurance claims work?

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 There are two types of claims - cashless claims and reimbursement claims. Both work differently. 

  • Cashless claims - In the cashless claims option, the insurer directly makes payment to the network hospital with you paying a minimal amount. For this to be possible, you must visit a network hospital that’s a part of your provider’s network hospital. Your group health plan must cover the condition you or your family member is diagnosed with. 
  • Reimbursement claims - In this process, you can visit any hospital of your choice, undergo treatment, and make the payment as usual. After your discharge, you can contact your insurer and file for a reimbursement claim along with the necessary documents. Upon approval, the amount will be transferred to your account.
Claims

What are the advantages for employers who provide health insurance for their employees?

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 Both employers and employees benefit from group health insurance. For employees, here are the advantages: 

  • Healthy, happy, and more productive employees
  • Easy on the wallet and value for money
  • Extended coverage for family
  • Efficient claims process
  • Covers pre-existing diseases without a waiting period
  • Added health and wellness benefits
  • Continuous support 
  • Virtual primary care 
Group Health Insurance

Is group health insurance cheaper than individual health insurance?

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Group health insurance is definitely a cheaper option for businesses in comparison with individual health insurance. Group mediclaim for employees come with lower premiums and a host of added benefits that ensure your team is healthy and happy.

Group Health Insurance

Should you pick a bank offered corporate health policy?

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There’s a vast difference between employer group health insurance and a bank group health insurance policy. What you choose entirely relies on what you’re looking for. That being said, employer group health insurance comes with a bunch of advantages like no waiting period for pre-existing diseases, choosing the choice of your doctor, added wellness benefits, maternity cover, an extensive network of cashless hospitals, and more.

Group Health Insurance

Is medical insurance mandatory for employees in India?

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Yes, medical insurance has been made mandatory for employees by the government of India post the COVID-19 pandemic. This has been put in place to ensure that every employee has some form of protection with group health plans.

Group Health Insurance

How many wellness events does Loop host in a month?

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Typically, we conduct wellness sessions twice a month, every alternate Friday.

Wellness Sessions

What is maternity benefit in employee group health policy?

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Maternity benefit is coverage as a part of employer group health insurance policies for pregnant women. This benefit covers the cost of normal delivery and a 14-day post-delivery checkup.

Group Health Insurance

How can you order medicines through the Loop app?

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The way to order medicines through the Loop app is to get in touch with your medical advisor. They will provide proper guidance.

Products and Tools

What is co-payment?

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Co-payment or co-pay in short is a standard part of many group health insurance plans. Essentially, it’s the percentage of the claim amount the insured bears, while the insurer pays the remainder. Since both the insured and insurer bear the amount, it’s calculated on a percentage sharing basis. This clause and the percentage is typically mentioned in the policy.

Claims

What is the procedure for adding a team member?

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You can easily enroll your team members from the HR dashboard.

Onboarding related questions

What is the maximum number of claims allowed under group health insurance?

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There’s no limit on the number of group health insurance claims you can register during your policy’s term. You can make claims until you exhaust your total sum insured. 



Claims

How can you get in touch with the wellness team?

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 You can reach the wellness team by emailing them at welllness@loophealth.com

Wellness Sessions

How do you use Clove dental Agarwal eye clinic services using the Loop app?

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To use Clove dental Agarwal eye clinic services, you must first contact your medical advisor, who will then guide you about the process.

Products and Tools

Why should you join Loop’s HR community?

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When you join Loop’s HR community, you can be a part of the monthly HR meetups (virtually as of now). Here you can discuss hot topics where experts share their views. Stay tuned to our LinkedIn or Twitter page for announcements.

Community

What are small business group health insurance requirements?

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For group medical insurance for small business, the eligibility criteria is:

  • A minimum number of 7 members
  • Official business registration and GST certificate

To know more about best employer group insurance plans for small businesses, read here: Employer Group Health Insurance Requirements

Group Health Insurance

Are the wellness sessions chargeable?

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For member companies, all events are free of cost.

Wellness Sessions

Loop App - All the screens and what can an employee do

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1. Employees can chat with their dedicated MA 24x7. MA is the first point of contact for all queries like (consultation, eCards, Loop Health app technical issues, claims support)

2. Virtual consultation

3. Book lab tests

4. View eCards

5. Get 24X7 claims support

Products and Tools

How many employees do you need for group health insurance?

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The minimum requirement for group health insurance with Loop is 7 members.

Group Health Insurance

Does a cashless claim mean you don’t have to pay a single rupee?

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Not all medical expenses are covered by group health insurance plans. Therefore, when you make a claim, there are some deductions because of non-admissible services or items. For example, certain services like admission fees, registration fees, etc. do not fall under the umbrella of coverage. Hence, as the insured, you need to pay for some non-medical or payable expenses. In comparison with reimbursement claims, these costs are minimal.

Claims

Where can you get a copy of your health insurance card?

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You can find a copy of your health insurance card on the Loop app. Once you log in, you need to click on the insurance tab and then view the card.

Onboarding related questions

What are the features of the Loop app?

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 By downloading the Loop app, you can get access to the following:  

  • Book doctor consultations
  • Book lab tests
  • View your eCards
  • Get 24X7 claims support
Products and Tools

What is the difference between group and individual health insurance?

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A few primary and notable differentiators between individual and group health insurance are:

  • Lower cost of premiums
  • Waived off waiting periods
  • Group medical coverage for pre-existing diseases
  • Maternity cover
  • Free and unlimited primary health care
Group Health Insurance

How can you resolve my medical queries in the Loop App?

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If you have any medical queries, your first point of contact on the Loop app is your dedicated Medical Advisor (MA). They're available 24X7 to help with all your needs. Once you login, you can instantly chat with them and find a solution.


Products and Tools

Can you cancel your group health insurance?

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Yes, you can cancel your employer group health insurance plan. After cancellation, you will continue to get medical coverage until the end of the month. For example, if you cancel your coverage on the 16th of December, you will get medical coverage until December end.

Read more here: Group Health Insurance Cancellation Policy

Group Health Insurance

What are administration charges?

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Like non-medical and non-payable, there’s a standard list by IRDA for administration charges that all health insurers do not approve or cover. These include patient identification bands, visitor passes, entrance passes, discharge procedure costs, admission kits, etc.

Claims

How can you chat with a Medical Advisor?

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The MA (medical advisor) chat is accessible via the Loop app. Log in to the app, and on the homepage, tap on your medical advisor’s name and you can chat with them 24x7. You will receive notifications for their replies. Once done, they will close the chat from their end.

Doctors and Consultations

Does group health insurance cover pre-existing conditions?

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Unlike individual health plans, group health insurance policies with Loop include health insurance plans for pre-existing conditions with no waiting period in India.

Group Health Insurance

When is the claim processing time?

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The standard reimbursement claim processing time is 3 to 4 working weeks.

Claims

How to join Loop’s HR community?

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You can join Loop’s exclusive HR community and stay up to date about trending HR topics and other insightful information. Here’s how: 

Community

How can your team members self-onboard?

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We will send every employee an email about the details of their policy and card, which they can access from the Loop app. To self-onboard, you need to download the Loop app. 


Onboarding related questions

What are the benefits of wellness events?

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Wellness events give you access to a wide range of sessions from experienced professionals, who through live sessions provide tips, tricks, and advice on how to live a healthy and balanced lifestyle.

Wellness Sessions

How can you book a consultation with a Loop doctor?

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 You can book a consultation with a Loop doctor via the Loop App. 

  • On the home page, click on doctor consultations. 
  • Select a specialty, and choose your doctor. 
  • Choose your preferred time slot. 

Your consultation will start appearing under “visits” on the app.

Doctors and Consultations

When is a team member's membership activated?

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The Loop team will share an e-policy card that members can access from the Loop app. Post this, the membership is active.  


Onboarding related questions

How is Loop group health policy beneficial?

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Loop Health is a modern health care provider with a proactive approach from start to finish. A group health plan includes a plethora of added benefits, including wellness perks, to your policy at no additional cost. Furthermore, with a team of specialized doctors and medical professionals available 24 X 7, all your health queries will be sorted out with ease. And the dedicated claims team will ensure your experience is absolutely hassle-free.

Group Health Insurance

What do you mean by non-medical or payable expenses?

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To restrict the misuse of health insurance, the IRDA (Insurance Regulatory and Development Authority) has strict claim settlement norms. They’ve divided a few expenses you might meet with during hospitalization into non-medical expenses and non-payable expenses. Some of these include food, mineral water, laundry charges, thermometer, attendant charges, braces/belts, etc. Such costs are NOT compensated for during the claims settlement process.

Claims