Group Health Insurance 990 views May 26, 2021

Magma HDI Group Health Insurance

Are you looking to protect your finances from a medical emergency? Magma HDI Group Health Insurance could be a suitable plan that covers medical expenses if you have an illness during the policy period. Policyholders (employer or legally constituted group named in the policy) can ensure coverage for their employees up to the sum insured limit chosen at the inception of the policy.

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Before we discuss the plan further, let’s check the key features of Magma HDI Group Health Insurance mentioned below. 

  1. In-patient care coverage
  2. Hospital cash benefit
  3. Day Care treatment
  4. Outpatient coverage
  5. Critical Illness cover
  6. Corona protection cover 
  7. Availability of long-term coverage
  8. A 15-day free look period

On this page, we will discuss the features and benefits of this Group of Health Insurance from Magma HDI. Go on to know more about it!

What are the Features and Benefits of the Magma HDI Group Health Insurance?

Below, we are showing the key features and benefits of the Magma HDI Group Health Insurance in detail so that you can understand it better . Have a look!

In-patient Care Hospitalization

If an insured person requires hospitalization (on the written advice of a doctor) for any illness or injury during the policy period, the policy will cover the following expenses incurred during treatment. Please check!

  1. Medical Practitioners’ Fees
  2. Room Rent and other boarding charges
  3. ICU Charges
  4. Operation theatre charges
  5. Diagnostic procedures charges
  6. Medicines, drugs and other consumables (as prescribed by the Medical Practitioner)
  7. Expenses related to qualified nurses
  8. Intravenous fluids, blood transfusion, injection administration charges
  9. Anaesthesia, Blood, Oxygen, operation theatre charges, surgical appliances
  10. The cost of prosthetics and other devices or equipment if implanted internally during a Surgical Procedure

Other than in-patient hospitalization coverage, this policy will also cover Day Care Treatment (treatments that do not require a minimum 24-hour hospitalization). Under this facility, you will get coverage against the medical expenses incurred on day care treatment for an illness or injury during the policy period. 

Hospital Cash Benefit

Under this benefit, if an insured person is hospitalized during the policy period, this policy will provide the daily cash amount (as specified in the policy) for each continuous and completed 24 hours of hospitalization. Do remember the number of days of hospitalization should not be more than the days specified in the policy.  

Note: The policy will not pay under this benefit for a diagnosis or treatment due to pregnancy, childbirth (including cesarean section), medical termination of pregnancy and/or pre-and postnatal care of the newborn baby. 

Outpatient Cover

Magma HDI Group Health Insurance provides coverage against the following out-patient services for the assessment of the insured person’s health condition regarding an illness or injury. 

  1. Necessary consultations with a Medical Practitioner
  2. Diagnostic tests prescribed by the Medical Practitioner
  3. Medicines purchased under and supported with a Medical Practitioner’s prescription
  4. Non-surgical and minor surgical procedures (which are neither in-patient nor day care procedures)

Critical Illness Cover

This policy also provides a lump sum amount if an insured person is first diagnosed with any of the following critical illnesses during the policy term. 

  1. Cancer Of specified severity
  2. Kidney failure requiring regular dialysis
  3. Multiple Sclerosis With persisting symptoms
  4. Major Organ/Bone marrow transplant
  5. Open Heart Replacement or Repair of Heart Valves
  6. Open Chest CABG (Coronary Artery Bypass Graft)
  7. Stroke resulting in permanent symptoms
  8. Permanent Paralysis of Limbs
  9. Myocardial Infarction (First Heart Attack of specified severity)
  10. Coma of specified severity
  11. Parkinson’s Disease 
  12. Benign Brain Tumor
  13. Alzheimer’s Disease
  14. End-Stage Liver failure
  15. Surgery of Aorta
  16. Deafness
  17. Loss of Speech
  18. Third Degree Burns
  19. Motor Neuron Disease with Permanent Symptoms
  20. Primary Pulmonary Hypertension
  21. Pulmonary Artery Graft Surgery
  22. Muscular Dystrophy
  23. Systemic Lupus Erythematosus with Lupus Nephritis
  24. Pneumonectomy
  25. Medullary Cystic Disease
  26. Angioplasty
  27. Blindness
  28. End-Stage lung failure
  29. Major Head Trauma
  30. Cardiomyopathies
  31. Terminal illness
  32. Fulminant Hepatitis
  33. Coronary Artery disease
  34. Bacterial Meningitis
  35. Multiple system atrophy

Policyholders will not get any payment under this benefit if the insured person is first diagnosed with a critical illness within 90 days of the commencement of the policy. This benefit will be available for insured persons only once during their lifetime. 

Corona Protection Cover

If a policyholder is first diagnosed with the COVID-19 during the policy period and the diagnosis is done at a diagnostic center (authorized by the government of India), this policy will provide a lump sum amount. 

What is the Policy Term?

The minimum policy term for the Magma HDI Group Health Insurance stands at 1 year, while it can go up to 5 years. 

What is Not Covered Under the Policy?

Under the Magma HDI Group Health Insurance, policyholders will not get any benefit for the following situations. 

  1. Hazardous or adventure sports
  2. Any treatment other than allopathic treatment
  3. Artificial life maintenance, including life support machine, used to sustain a person
  4. Circumcision unless necessary for the treatment of an illness or disease
  5. Treatment for any External Congenital Anomaly
  6. Obesity/ Weight Control
  7. Cosmetic or Plastic Surgery
  8. Drugs or treatment not supported by prescription
  9. Dental Treatment including Surgical Procedures for the treatment of bone disease
  10. Issue of fitness certificate and fitness examinations

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