What is group health insurance?

Group health insurance – also called corporate health insurance – is like having a fast pass to healthcare for your team. Typically aimed at larger companies of 250+ employees, it’s a type of private medical cover that gives your team quicker access to many of the treatments, consultations and diagnostics they need, often without the wait times that come with the NHS.

Think of it as a safety net, catching your team when illness or injury strikes and helping them bounce back faster. Not only does it support their wellbeing, it can address the issue of days lost due to illness for your business.

It’s growing in popularity too. The Association of British Insurers reports that a record 4.7 million people got Private Medical Insurance through their employer in 2023, marking the highest number in over 30 years.

Why have group health insurance?

Group health insurance works by spreading the risk across an especially large workforce. This creates economies of scale, reducing the cost per person compared to insurance for smaller businesses.

It can help ensure your team gets fast access to care when they need it most, so they can get back on their feet more quickly. Depending on their condition, employees can bypass NHS queues and receive prompt consultations, diagnostics, or even hospital admissions.

Coverage can also give your employees access to specialist treatments that might not be available on the NHS. Whether it’s advanced therapies or expert consultations, your team can get the right care for specific conditions, ensuring they remain at their best.

Some policies offer additional perks such as 24/7 medical helplines and virtual GP appointments. There may also be access to wellness reward schemes that further promote your team’s overall wellbeing and help maintain a productive workplace.

Key benefits at a glance:

  • Quick access: Fast-track appointments potentially means reduced waiting times for your team.

  • Specialist care: Access to expert consultants and advanced treatments beyond the NHS.

  • Virtual GP appointments: 24/7 expert advice at your team’s fingertips with some insurers.

  • Mental health support: Optional counselling and therapy to help manage stress and emotional wellbeing.

  • Wellness perks: Incentives designed to promote healthy lifestyles, reduce sick days and boost productivity.

  • Family cover: Some policies allow employees to add their partner and children to the plan.

What does group health insurance typically cover?

Group medical insurance ticks a lot of boxes when it comes to keeping your team healthy and ready to tackle their day. Here’s a breakdown of what you can access, depending on the insurer, plan and extras you choose:

  • Consultations with specialists: Your employees can get faster access to specialists for expert advice and tailored care.

  • Diagnostic tests, like scans and blood tests: Whether it’s an X-ray, MRI or a quick blood test, your team can get the answers they need without NHS delays, helping them move towards recovery faster.

  • Treatment for acute medical conditions: From treating infections to resolving injuries, employee health insurance helps your team bounce back from shorter-term conditions without unnecessary waits.

  • Mental health support: With access to counselling, therapy or mental health resources, your team can get the support they need to feel their best inside and out.

  • Physiotherapy: For those aches, pains, or injuries, physiotherapy can be added as an extra with some insurers, getting your employees moving comfortably again and back to full strength.

  • Access to health advice helplines: Sometimes a little advice goes a long way. 24/7 helplines let your employees talk to health experts for guidance and reassurance whenever they need it.

  • Virtual GP services: Who wants to spend hours trying to book a doctor’s appointment or sitting in a crowded waiting room? With virtual GP services, your team members can chat with a doctor quickly and conveniently wherever they are.

By offering this kind of support, you’re not just improving your team’s health: you’re showing them that their wellbeing matters. It’s about reducing the time they spend waiting for treatment and getting them back on their feet as soon as possible.

What’s not covered by group health insurance?

There are some things that group policies don’t include, though exclusions do vary between providers and what level of cover you select. Knowing what is omitted from your chosen policy will help manage expectations for you and your employees.

Typically, your employees won’t be able to claim for:

  • Cosmetic procedures: Treatments purely for appearances, like nose jobs or facelifts, aren’t typically included.

  • Routine check-ups: Unless you add extras, regular health check-ups usually aren’t covered.

  • Routine pregnancy and childbirth: There might be exceptions, such as complications that may arise.

  • Dental care: Standard policies don’t usually include trips to the dentist unless you opt for add-ons.

As you can see, it’s important that you compare group health insurance plans to make sure you get the level and type of coverage you are looking for.

Don't assume pre-existing conditions are excluded

This is an interesting one because, unlike individual health plans, some business health insurers will include cover for pre-existing conditions for an additional premium, so it’s worth checking what’s available.

Coverage for your team can include pre-existing conditions such as Crohn’s disease, asthma, diabetes, hypertension and more, depending on the insurer you choose.

Other providers may offer cover for pre-existing conditions once a certain period of time has passed, say for example two years, without symptoms or any treatment or advice being required for it. This may depend on the type of underwriting you select when you arrange cover, so make sure you read the terms carefully before deciding.

How much does group health insurance cost?

The cost of group medical insurance for larger companies can vary widely depending on certain factors. For instance, your team’s size, the level of cover you want, the underwriting you choose, and even where your business is based will all make a difference.

Here are the key factors that will be considered:

  • Age: Insurers base your premium on the average age of your team. A younger average generally means lower costs, while an older mix can push premiums up.

  • Work environment: If your employees work in high-risk or physically demanding roles, you might see higher premiums.

  • Location: Based in Central London? Expect a slight premium increase compared to other parts of the UK, due to higher costs for treatment in the capital.

  • Group size: More employees generally means a lower cost per head.

  • Excess: The lower the excess, the higher the premiums will be.

As prices differ significantly between providers, the best way to find out how much group health insurance will cost is to compare quotes from leading health insurance companies.

How to keep costs down

If you’re wanting a group health insurance comparison, cost will naturally be a key factor. There are smart ways to lower your business health insurance quote while still providing great coverage for your team.

Here are a few options to think about when choosing your plan and level of coverage:

The six-week NHS wait option:

This means that if the NHS can treat your employee within six weeks, they use their services.

Increase the excess

By raising the excess your employees pay when they claim, you can lower the premiums.

Choose a lower level of cover

More comprehensive policies with extras like outpatient care, dental, psychiatric support, physiotherapy and second opinion appointments will cost more.

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Answering your questions about group health insurance

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