Group Medical Insurance Plan

by MetLife Nepal

Health Insurance

About this plan

MetLife's Group Medical provides flexible, customizable group health coverage for organizations covering employees, their spouse and dependent children. Benefits include in-patient hospitalization, outpatient, maternity, dental and optical (certain benefits require minimum employee counts).

What's included

Key highlights

  • Flexible, customizable group health cover
  • Cashless network hospitals
  • 280-day waiting period for maternity
  • Minimum employee thresholds for OP/dental/optical benefits

Features

  • In-hospitalisation (IP) expense reimbursement
  • Maternity benefit (coverage after 280 consecutive days in category)
  • Outpatient (OP) cover (minimum 25 eligible employees)
  • Dental (DEN) cover (minimum 50 eligible employees) — aesthetics and dentures excluded
  • Optical (OPT) cover (minimum 50 eligible employees) — contact lenses excluded
  • Registered ambulance services to/from hospital included

Eligibility & term

Policy term
Annual (renewable)

Plan specifics

Maternity benefit
No

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