Parameters
|
GMC Insurance
|
GPA Insurance
|
Full Form
|
GMC full form - Group medical coverage
|
GPA full form - Group personal accident
|
Other Names
|
This policy is also known as Corporate Insurance, Group Health Insurance and Employer-Employee Insurance.
|
This policy is also referred to as Personal Accident Cover for Employees and 24-Hour Worldwide Accident Policy.
|
Type of coverage
|
It is an indemnity-based plan, which means the policy will cover the exact amount an employee incurs if covered under the sum assured limit.
|
It is a fixed benefit plan, which means the policy will provide a lump sum amount as per the terms and conditions of the insurance. The employee will receive the amount based on the nature of the injury suffered.
|
Scope of coverage
|
Covers hospitalisation, medicine, diagnosis, maternity care, and OPD treatment expenses of the covered employees.
|
Covers accidental death and treatments for disability (total or partial) caused due to accidental injury.
|
Customisation
|
You can customise the GMC insurance policies, depending on the number of employees, type of occupation, industry of the employer, etc.
|
You cannot customise the GPA insurance policies, as these work as a fixed benefit plan.
|
People covered
|
The GMC policy provides coverage to the employees as well as their spouses, children, and parents in some cases.
|
The GPA policy covers only employees under the plan.
|
Range of Coverage
|
GMC offers broader coverage compared to GPA. Additionally, GPA can be added as an extra cover within a GMC policy.
|
GPA offers limited coverage as it only covers accident-related incidents.
|
Inclusion
|
The specific inclusions vary based on the chosen policy coverage, additional options selected, and the terms and conditions. Common inclusions in GMC typically encompass hospitalization expenses (pre, during, and post), maternity coverage, daycare expenses, and outpatient department (OPD) expenses (either included or available as an add-on).
|
The specific inclusions vary based on the policy coverage, optional add-ons (if selected), and the terms and conditions. Here are typical inclusions in GPA coverage: accidental death, permanent total disability, permanent partial disability, temporary total disability, child education cover, and repatriation of mortal remains.
|
Exclusion
|
Here are common exclusions typically found in GMC policies. The specific details will be outlined in the Policy Wordings: treatments not covered by the policy, drug and alcohol abuse, and self-inflicted injuries.
|
Here are typical exclusions often found in GPA policies. Specific details will be specified in the Policy Wordings: attempted suicide, participation in adventure sports, and engagement in illegal activities.
|