Bring amazing health benefits to your team

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.

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.

‍

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

You can easily delete team members from the HR dashboard.

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

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

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.

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.

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 

 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.

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. 

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

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.  

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

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.

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.

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.

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.

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

• WhatsApp - Join WhatsApp community
• Facebook - Join Facebook community‍
• LinkedIn - Join LinkedIn community‍
• Twitter - Join Twitter community

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.

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

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.

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.

 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.

We have empathetic, experienced doctors in the following specialties:

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

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.