Types of Medical Benefits

MEDICAL BENEFITS
Types of medical benefits
1. Health Care - It covers things including hospital and doctor visits, surgeries, and prescriptions.
Employers usually cover a portion of this premium.
2. Group Health Insurance: This is the traditional way employers offer health insurance. The
company selects and purchases a group health insurance plan, or plans. Employees can choose if
they would like to become part of their employer's group health insurance plan.
3. Healthcare Reimbursement: With this approach, the company provides its employees with a
health insurance allowance or "contribution" to spend on their own individual healthcare - at an
annual cost that the company controls. Employees choose and purchase the healthcare plan
that works best for them, pay for the health plan with their own money, and are reimbursed for
their premium and out-of-pocket medical expenses up to the amount the employer has
specified.
4. Accident Insurance: Accident insurance helps employees pay for the medical and out-of-pocket
costs that you may incur after an accidental injury. This includes emergency treatment, hospital
stays, and medical exams, and other expenses they may face, such as transportation and lodging
needs.
5. Vision Insurance: Vision insurance is designed to help employees cover and budget for ongoing
vision care expenses like routine eye exams, prescription glasses, and contact lenses.
6. Fixed Medical Allowance under NPS : Pensioners under “National Pension Scheme”
Different organizations providing different kind of medical benefits (examples)
 Canon: Annual health checkups and camps, and accident insurance for employees as well as their
family a member, Canon is one company which provides annual health checkups and camps, and
accident insurances, not just to their employees but also to their parents, spouses and children.
 Wipro: With paid holidays, maternity benefits with extended leave of absence and vacation.
 SAP Labs India: 20-week long maternity and paid adoption leaves for women.
 RMSI: health initiatives for women for breast and cervix cancer, thyroid tests, and gynecological
problems are some of the benefits that make RMSI one of the best places to work for.
Different kind of Laws for medical benefits
1. Gratuity and Provident Fund
The Payment of Gratuity Act, 1972 provides the guidelines for gratuity owed to an employee. The
minimum amount (more may be approved) must be given to an employee in case of the following
circumstances:
Retirement; Resignation; Disablement due to accident or illness; or, Death of the employee (gratuity
paid to employee’s nominees).
The Employees Provident Fund Organization of India (EPFO) oversees and regulates the Employee’s
Provident Fund (EPF). The HR manager is required to know about this act, so that in case of an
unfortunate death of an employee who has completed one year of continuous service in a company, or
in case of retiring individuals, basic gratuity is awarded.
2. The Employees’ State Insurance Act,1948:

Is a legislation which is social security benefit provided to industrial workers and their families for
medical help. Under the provisions of scheme medical facilities are also made available to the legal
dependents of insured persons. Medical facility has also now been introduced for retired insured
persons and permanently disabled workers and their spouses at a nominal contribution.
The employer is required to contribute 4.75% of the 6.5% of insurance to all the employees who are
earning 15,000 or less per month. This act provides health and medical benefits to all the employees
and upto 6 dependents of the employees.
3. The Workmen’s Compensation Act, 1923:

This Act specifies that general principle is that a workman who suffers injury in course of his
employment should be entitled to compensation and in case of a fatal injury his dependents should
be compensated.
4. Factories Act, 1948.

Section 41 C specifies that it is the responsibility of employer to maintain accurate and upto date
medical record of the workers.Pre-employment medical examination of workers, at regular interval.
The maximum working hours are prescribed are not more than 48 hours in a week. Compliance with
this act can act as a boon for this company as it can effectively avoid labor conflicts in the future.

Types of Medical Benefits

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Types of Medical Benefits

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MEDICAL BENEFITS

Types of medical benefits

Different organizations providing different kind of medical benefits (examples)

Different kind of Laws for medical benefits

1. Gratuity and Provident Fund

2. The Employees’ State Insurance Act,1948:

3. The Workmen’s Compensation Act, 1923:

4. Factories Act, 1948.

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