🇮🇳 Healthcare in India

Alastair Samson
Alastair Samson
  • Updated

Oyster policy is denoted in purple.

Statutory       

As per labor law, medical insurance is available under the Employee State Insurance (ESI) Act of 1948 to those organized sector employees whose monthly wage is Rs 21,000 or less. Under this scheme, both the employer and the employee contribute to the Employee State Insurance Corporation. Due to the wage threshold, most team members in Oyster are not eligible for this benefit.

Registration under the Employees’ State Insurance Act is required to be undertaken and processed on the online portal of the Employees’ State Insurance Corporation. Employees are registered through the employer. Once the employer logs in to the ESI online portal, there is an option to register and add details of the new employee.

It is not mandatory for employers to provide private health insurance to their employees. Oyster customers can choose to provide private healthcare to their team members from one of the local plans offered.

 

Customary

In India, it is extremely common to provide medical benefits.  It is common for coverage to include the individual's parents/parents-in-law

At Oyster, we offer a 3 tiered benefits plan which is inclusive of  Private Health Insurance, Personal Accident and Disability Insurance, and Annual Health Check-ups.

Customers can choose only one out of the three comprehensive benefits plan options offered. Once a plan is chosen, ALL India team members of the customer must be added to the selected insurance plan. Customers cannot choose to add Team Members  selectively.

The provider selected to offer the tiered benefit plans is Plum Insurance. Plum is an India-based fintech company that provides employee health benefits and insurance through its platform. Through Plum Insurance, Oyster receives comprehensive group health cover, group accident insurance, and health check-ups.

Below is a summary of Oyster’s all inclusive 3 tiered Benefits plan.

 

Basic

Recommended

Premium

Coverage Demographic

Employees, their spouse and up to four children

Employees, their spouse, up to four children and both parents OR both parents in law.

Sum insured

₹500,000 per family

₹1,000,000 per family

₹1,500,000 per family

Pre-existing diseases

Pre-existing diseases included from day 1

OPD and Dental

Not covered

Up to ₹10,000

Maternity Cover

Up to ₹50,000 for first 2 children

Up to ₹100,000 

for first 2 children

Pre and post natal expenses

Up to ₹10,000 within maternity limit

Personal Accident and Disabilityfor team member only

Up to ₹1,000,000

Up to ₹2,000,000

Up to ₹3,000,000

Annual Health

Check-up for team member only

75 Parameters

82 Parameters

88 Parameters

 

All enrolled team members also enjoy the following complimentary benefits:

  • Unlimited tele-consultations across 20+ specialities, 24/7, 365 days a year
  • Unlimited free dental consultations, free RVG X rays and discounted dental procedures
  • Discount on prescription medicines
  • 1 Free at home eye check per year
  • Unlimited access to Plum’s exclusive wellness programs i.e. dance, meditation, posture correction, nutrition, mental health etc. 
  • Tele-consultations for pet’s health

 

Best in Class

Oyster offers a premium package in our all inclusive package for healthcare, personal accident and disability and annual health check up which is considered best in class.  

 

 

Basic

Recommended

Premium

Coverage Demographic

Employees, their spouse and up to four children

Employees, their spouse, up to four children and both parents OR both parents in law.

Sum insured

₹500,000 per family

₹1,000,000 per family

₹1,500,000 per family

Pre-existing diseases

Pre-existing diseases included from day 1

OPD and Dental

Not covered

Up to ₹10,000

Maternity Cover

Up to ₹50,000 for first 2 children

Up to ₹100,000 

for first 2 children

Pre and post natal expenses

Up to ₹10,000 within maternity limit

Personal Accident and Disabilityfor team member only

Up to ₹1,000,000

Up to ₹2,000,000

Up to ₹3,000,000

Annual Health

Check-up for team member only

75 Parameters

82 Parameters

88 Parameters

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