Group Health Insurance

Group Health Insurance

Introduction Of Group Health Insurance Coverage

Health Insurance Scheme of Alfalah Insurance Company is an exclusive Group Medical Insurance Program specially designed for organizations to take care of Health related concerns of their employees & their family members.

We offer diverse health plans designs pared with variety of innovation and consumer directed options. In addition to this, we have a well-established Health Insurance Department comprising of Doctors, Pharmacists and other supportive staff backed with a state of the art IT platform.

The staff in the Health Insurance department has vast experience of health insurance and able to serve the insured members with best possible healthcare at affordable cost. You'll find the right mix for your employees need to facilitate your organizations to maintain affordable Health care system with economy in efforts and cost.

Group Medical Insurance covers medical cost of Indoor patients (IPD), Outdoor patients (OPD), Surgical treatment, Maternity, Dread Diseases & Specialized Investigations as per organizations' choice and requirements.

Alfalah Health Insurance Coverage

Alfalah Insurance Company can help you by offering its health insurance products as mentioned here under to overcome health related unpredictable events of life.

Hospitalization Cover (Mandatory Coverage)

Medical Expenses will be covered/ reimbursed as per policy terms & conditions incurred up to the specified limit as in the Table of Benefits on account of the following.

    • Endoscopies, Angiography, Thallium Scan, MRI & CT-Scan (on out-patient setting when advised by the relevant physician/surgeon).
    • Day Care Surgeries (without the condition of 24 hours in hospital) e.g. cataract, Hernia, POP etc.
    • Accidental Treatment including treatment of fractures & dressing of lacerated wounds etc
    • Pre-admission and Post-hospitalization Benefits (expenses incurred outside the hospital lead to actual hospitalization, up to a limit specified, mentioned in the Table of Benefits).
    • Daily Room Charges & ICU/CCU Charges (inclusive of meal charges wherever applicable)
    • Operation Theatre Charges
    • Surgeons / Consultant's fee
    • Anesthetist fee
    • Pharmacy / Surgical Items
    • Diagnostic tests
Group Health Insurance

Maternity Cover (Add on Coverage)

Medical Expenses will be covered/ reimbursed as per policy terms & conditions incurred up to the specified limit as in the Table of Benefits on account of the following.

    • Accommodation Charges
    • Gynecologist's fee for delivery & consultations
    • Labor Room / Operation theatre charges
    • Anesthetist fee
    • Miscarriage, D&C
    • Medicines or Drugs
    • Diagnostic tests
    • Pre-natal and Post-natal Expenses
    • Baby's Nursing Care
    • Circumcision of baby boys up to a specific limit as mentioned in the benefit table.

Note: Daily Room Charges are inclusive in the Maternity Limit

Group Health Insurance

Outpatient Benefits (Add on Coverage)

    • Consultations/Follow-Up Visits
    • Laboratory tests
    • Surgeons / Consultant's fee
    • Radiology/ Specialized Investigations
    • Pharmacy / Surgical Items
    • Prescribed Medicines
    • Dental Treatment (therapeutic)
    • Vaccinations
    • Ophthalmology services (therapeutic)
Group Health Insurance