Group Medical Plans

MetLife Alico is a provider of innovative Medical plans and with our diverse product portfolio and decades of experience we can provide Group Medical benefits that will suit your company's needs whether it’s a small business, a medium sized company or a multinational corporation. We aim to provide comprehensive cover and an efficient claims servicing that will be of value when your employees need it the most.

From MetLife Alico, you can have the Basic In Patient General Hospitalization Plan that offer the following types of benefits to your employees, their spouse and dependent children:

In Patient Benefits

  • Daily Room & Board Charges
  • Nursing Care & Services
  • Intensive Care Benefits
  • Cost of Registered Ambulance Services to and from Hospital
  • Surgical Benefits
  • Doctor’s In-patient Visits
  • Diagnostic X-ray and Laboratory Expenses in the Hospital
  • Minor surgeries and day care
  • Selected pre & post hospitalization expenses

Value Added Services

  • 24/7 Medical Hotline
  • Country wide network of hospitals
  • Bills are settled directly with the participating hospitals – No claim processing required

The above mentioned major medical expenses coverage is intended to ease the burden of the large expenses that can arise from serious illnesses (both sickness and injury) of a non-occupational nature that may afflict an employee or his dependents.

To MetLife Alico’s basic In Patient General Hospitalization plan, employers can choose to add the following additional benefits:

In Patient Maternity

  • Child Birth (C-Section or Normal Delivery)
  • Miscarriage
  • Legal Abortion
  • Pre & Post Natal expenses

Out Patient Benefits

  • Dr Visit (General Practitioner, Specialist, Consultant)
  • Clinical  Examination
  • Investigation services
  • Medicine & Treatment
  • Follow – Ups

Eligibility : 

All full-time permanent employees, who have not reached their sixty-fifth (65th) birthday, actively at work in the policyholder’s offices in the country of coverage

Participation Requirements : 

100% of all eligible employees must be enrolled. In case of family cover, all Spouses and dependent Children will be enrolled

Claims : 

  • Clearer explanation of policy terms through Handbooks, Presentations and continuous
  • Consultations
  • A pledge to adjudicate claims fairly
  • Efficient, prompt and courteous policy services through Relationship Executives.   
  • Access to country wide MetLife Alico Preferred Provider Organization Network (PPO) of Hospitals
  • Prompt and efficient payment of claims to employees and providers
  • Reasonable pricing to ensure risk and premium are properly co-related
  • Managed care focused on providing the best available care at the most reasonable prices
  • Case Management
  • Periodic Claims Reporting

 

MetLife Alico group insurance policies contain certain exclusions, reductions, limitations and terms for keeping them in force. Contact your MetLife Alico representative for more information

Medical provider network

To view our list of medical providers

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