What Does Group Health Insurance Cover?

Our agents at the Wayne Realty & Insurance Co. Inc., serving the Goldsboro, NC area, want you to know that group health insurance is created to provide a group of people with health insurance coverage. This group of people can often be the employees or members of a company or organization. This type of insurance offers an array of different medical benefits and services to promote the health and well-being of the insured on the plan. Most group health insurance policies cover essential healthcare services for each person on the plan, such as doctor visits, hospital stays, prescription medications, preventive care, and specialist consultations.

What Does Group Health Insurance Cover?

The specific coverage options can vary from plan to plan and are usually decided upon by the employer or organization that is implementing the plan.

Primary Medical Care

This includes visits to general practitioners for routine check-ups, illnesses, and minor injuries.


This part of the group insurance plans covers inpatient services, such as surgeries, treatments, and overnight stays in a hospital. It can also include outpatient services, including more minor surgeries and procedures.

Prescription Drugs

Many plans offer coverage for prescribed medications, though the extent of coverage and amount of co-pays can vary.

Specialist Care

Consultations and treatments provided by specialists, such as cardiologists, dermatologists, or orthopedists, are generally covered on this part of the group health insurance plan.

Emergency Care

Emergency care includes unexpected medical emergencies, even ambulance services if needed, and emergency room visits.

Preventive Services

Insurance plans commonly cover preventive measures, such as vaccinations, screenings, and wellness programs to promote long-term health.

Mental Health Services

Many group health insurance plans encompass mental health treatments, therapy sessions, and counseling services. Some plans also cover substance abuse and addiction treatments.

Maternity and Newborn Care

Many plans cover prenatal care, childbirth, and postnatal services.

Lab Tests and Diagnostic Services

Coverage for essential medical tests, imaging, and laboratory work is usually part of a group insurance health plan.

Rehabilitative Services

These types of services can include physical therapy, occupational therapy, and other forms of rehabilitation.

Contact Wayne Realty & Insurance Co Inc.

If you are in need of group health insurance or other types of insurance options, contact our experienced and trustworthy agents at the Wayne Realty & Insurance Co Inc. serving the Goldsboro, NC area today!