Group Medical Insurance Checklist

Nov 22, 2018

A group medical insurance plan gives medical coverage to a group of people.  Mostly for employees of a company as part of an employee benefits plan. The best group insurance policies and plans provide customizable health plans as needed for different levels or groups of employees in a company.  From startups to large cross border multinational corporations.

The group coverage policies include benefits packages and care plans as needed to have a healthy workforce to maximize productivity, retention and control costs and absenteeism.  Group health insurance plans do cover for small business health insurance needs.

As your workforce is dynamic, a good insurance coverage plan includes an online portal to add and remove people and benefits plans for the staff benefits or groups.  This helps the small business owner and HR personnel to simplify the health benefits offering for new staff and employee benefits offerings.

Red Cover works with AIA and other health insurance companies and brokers to offer group health insurance plans.   And do client servicing and employee onboarding.  This helps in managing your health insurance premium costs to meet your budget and planned health insurance benefits for employees.

The group medical insurance plan should offer health coverage options to choose from.  To manage by employee levels, categories, grades or types. And by expense types such as outpatient, hospitalization, surgical or funeral expenses.

For Employees:

  • Provide admission identification such as medical cards or mobile apps for outpatient or hospitalization
  • Cover a wide range of reputable clinics and hospitals nearest to the employees home and workplace, locally or while travelling.
  • Minimise costs and time for employees to get their treatment.
  • Minimise costs and time for management in getting things done with the insurance processes.
  • Maximise all group members treatment opportunity to recover and return to work.

For Management and HR:

  • Easily explainable benefits and plans for employees understanding
  • Management tools such as a local call center or online portals or apps.
  • Manage and scale employees and their benefits plans
  • Submit and track claims for processing
  • Request for letter of guarantee for hospital admissions


The benefits packages are split between employee and expense types as follows:


For Employee Types:

  • A variety of employee group sizes and categories
  • High coverage age of 65 or 70 years.
  • No medical check up where possible
  • Covers employees dependents such as spouse and children if required
  • Covers expats and foreign workers if required
  • Enables individual health insurance plans if required.

For Expense Types:

  • Outpatient Family or General Practitioner (GP) clinics
  • Outpatient Specialist Clinics
  • Hospitalization and Surgical Coverage
  • Post hospitalization coverage
  • Funeral expenses
  • International coverage

The health care plans within the health insurance policies will have limitations on services and what type of services done for an employee.  For example:

Hospitalization Health Care Plans

  • Room stay limits to number of days, example 120 days per year or life of policy
  • ICU charges limited to number of days, eg 30 days per year or life of the policy
  • Pre hospitalization and post hospitalization limits on number of days.
  • Ambulance fees
  • Day Surgery charges
  • Accident and emergency treatments
  • Dental treatments
  • Government Cash allowances
  • Accidental death payouts
  • Medical report costs
  • Annual limits of charges or claims
  • Dialysis and other treatments.

Outpatient Health Care Plans

  • Panel GP visits charges and limitations
  • Emergency non-panel visit charges and limitations
  • Pap Smear charges
  • Overseas Coverage
  • Specialist visits charges and limitations
  • Overseas Specialist visits charges and limitations
  • Co-Insurance coverage options
  • Waiver of health declaration form options


Health Care Plan Room Costs and Annual Limitations

The room prices can be in buckets of RM80, RM120, RM160, RM230, RM250, RM300, RM350, RM400, RM500 or more.

The annual spend limitations can range from RM20,000, RM25,000, RM30,000, RM45,000, RM50,000, RM75,000, RM80,000, RM150,000, RM100,000 or even RM200,000.


All these services are provided and limited based on the customized health plans selected by you.  This is where you need to work with an experienced agent (Levine Lee 012-684 0948 of Red Cover) who has experience with the policies, plans and companies that offer these plans. Red Cover can provide good advice to guide you to customize the plans to meet your benefits planning and budget plans.  And also be on site to onboard your team to the plans and its processes. This gets you, your affordable care and act in the best interests of the group.

The prices are very dependent on the customized plans, your proposed employee benefits plan, the number of employees and your budget.

Annual prices per headcount can range and scale up from RM350, RM430, RM530, RM700 RM800, RM940, …., RM9,460.

These prices per headcount differs between insurance companies.  This is due to their packaged health plans and health services that differ between companies.  So please call Levine Lee (012-684 0948) at Red Cover to get the best package and plans for your group health and medical insurance needs for employee benefits and budget planning.

Or send in the enquiry form below to get the info you need.

Levine Lee is an experienced insurance agent with over 12 years in the insurance business.  She can guide and help you select the best plans and prices for your company’s insurance needs.

Please call Levine Lee (012-684 0948) at Red Cover to get the best package and plans for your group health and medical insurance needs for employee benefits and budget planning.

Or send in the enquiry form below to get the info you need.


Expert Insurance Agent

Get Immediate Advice

Insurance Planning Expertise - Ready to Help

Levine Lee  has over 12 years of working experience with AIA and ING Insurance as an insurance agent and life planner.  Contact LEVINE LEE, at [email protected]  or +6012 684 0948. She can work with you to create the best plan to meet your employee benefits program and budget plans.

Levine Lee

Life Planner at Red Cover Life Planning
Levine Lee is an expert AIA insurance agent and life planner. She has over 12 years of working experience with AIA and ING Insurance as an insurance agent and life planner.This makes her efficient and effective to manage clients for AIA Group Insurance Plans, AIA Life Insurance and AIA Takaful policies.Based in the Klang Valley in Malaysia, Levine serves her customers all over Malaysia, as they move between cities because of job changes.
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Brand Name
Group Medical Insurance
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Group Medical Insurance
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