The most obvious difference is that group health insurance can offer a much wider range of medical coverage while healthcare cash plans are limited to routine health treatments. The other key difference is ease of set-up. While group medical insurance will cost their schemes on a range of variables (such as age of employee, location, previous claims, level of cover etc) a healthcare cash plan typically provides clear rates per level of cover.
A healthcare cash plan typically has a much lower cost than private medical insurance. A key difference between a private medical insurance policy and a healthcare cash plan is that a private health care policy works on a referred basis. Once referred and authorised, the medical provider will pay for medical diagnostics or treatment fully on behalf of the policyholder. A Health Cash plan requires no such referral and works on a ‘claim back’ basis.
This means the healthcare cash plan holder will have to pay out for a check-up or treatment in the first instance, before claiming back the payment outlay from their provider, in addition to payment of a monthly premium. Nowadays claims can mostly be claimed via a providers app or online services and the money is refunded to the individual within 48 hours of treatment.
The main disadvantage of cash plans is that treatment is restricted the to a list of authorised procedures and each employee is responsible for arranging the treatment themselves. This may be straightforward if they are already registered with a dentist or optician or are in contact with a physiotherapist. With Private Medical Insurance, the insurer advises you of suitable treatment providers. The other disadvantage is the employee pays for the medical treatment and then claims back from their employer afterwards.