What is co-pay in group mediclaim, and should your policy have it?
2 min read · HR insurance guide
A co-pay is the percentage of every approved claim that the insured must pay out of pocket. A 10% co-pay means the employee funds Rs 10,000 of a Rs 1,00,000 claim. Insurers use co-pay to lower the premium — but it shifts cost directly onto your team at the worst possible moment.
When co-pay is reasonable
For core employee cover, the best group policies have zero co-pay. Co-pay is more defensible when applied only to voluntary parental cover, where it keeps the parental top-up affordable without penalising the whole workforce.
The trade-off with premium
Removing co-pay raises the premium, so it's a lever to weigh against your claims experience and budget. Bimaparakh's Insights show your annualized claims and a probable next-year budget, so you can decide whether dropping co-pay is worth it.
This guide is indicative and informational only and is not a formal insurance recommendation. Your own policy terms and the insurer's adjudication always apply.
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