Edelweiss Health Insurance Benefits

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Claim Settlement Ratio85.57%
COVID-19 CoverYes
Free Health CheckupAvailable
In-House Claim SettlementAvailable
Network Hospitals2,578+
Policies Sold10,449

Benefits of Edelweiss Health Insurance

Edelweiss General Insurance Company Limited is one of the fastest growing health insurance companies in the health insurance segment in India. Like other insurers, this insurer is also witnessing increasing demand for its insurance policies due to the exponential growth of the working population.

Being a wholly-owned subsidiary of Edelweiss Financial Services Limited (a global investment and financial services company), Edelweiss General Insurance serves a large number of people by providing them with some of the best health insurance products at reasonably-priced premiums.

The health plans of Edelweiss are customized to ensure maximum protection to the insured person. The plans cover expenses incurred in pre and post hospitalisation, daycare procedures, domiciliary treatment, maternity, critical illnesses, and other medical conditions. The insurance company also allows mid-term entry of an applicant in case of marriage or childbirth.

  • Additional Benefit of Free Health Check up

    The health insurance policies offered by Edelweiss General Insurance provide free health check-up for every claim-free year. However, the policyholders should be 18 years old or above.
  • Additional Protection over Employer Coverage

    Have you got covered by your employer? Remember the group policy provided by your employer is for salaried people, and their coverage is limited. There are still some diseases and ailments that are not covered by a corporate health plan. It’s, therefore, essential to upgrade your cover by choosing comprehensive health insurance provided by Edelweiss General Insurance.
  • Cashless Benefit

    Financial stress may breed trauma when you meet an emergency medical expense. Thanks to the cashless treatment benefits provided by Edelweiss. With the facility of cashless treatment at thousands of network hospitals across the country, you can eliminate the stress of financial crunch.
  • Claim Settlement Ratio

    The Claim Settlement Ratio (CSR) is the ratio of claims that are settled. The settled claims are the total claims filed in a particular period of time. If the CSR of an insurance company is 80%, it means the insurer has settled 80 claims out of 100 claims raised. CSR of Edelweiss General Insurance for FY 2019-20 is 85.57%. Note that the CSR changes from time to time.
  • Coverage against Medical Expenses

    The health insurance policies by Edelweiss General Insurance come with several coverage benefits such as cover for the expenses incurred in pre-hospitalisation, post-hospitalization, in-patient treatment, ICU, ambulance charges, daycare treatment, organ donor, AYUSH, maternity, critical illness treatment, and so on.
  • Incurred Claim Ratio

    Incurred Claim Ratio measures the claim amount, which is paid against the total premiums collected by the insurer for a given accounting period. If the ICR of an insurance company is 85%, it means the insurer spends Rs. 85 for every Rs. 100 earned as a premium. So, Rs. 15 is the profit of the insurer. The ICR of Edelweiss for F.Y. 2018-19 is 115%*. This shows Edelweiss is in good condition. *ICR changes from time to time.
  • Tax Benefit

    The premium that you pay against your health insurance plan of Edelweiss General Insurance lets you enjoy tax deduction under section 80D of the Income Tax Act, 1961.

Edelweiss Health Insurance Plan List

Name of PlanSum Insured
Edelweiss Health InsuranceMin: 3 Months; Max: No Limit1 Lakh Get Quotes Now
Arogya Sanjeevani PolicyMin: 3 months; Max: 65 years1 Lakh - 5 Lakh Get Quotes Now
Corona Kavach PolicyMin: 1 Day; Max: 65 Years50,000 - 5 lakh Get Quotes Now
Corona Rakshak PolicyMin: 18 Years; Max: 65 Years50,000 - 2.5 lakh Get Quotes Now

Edelweiss Health Insurance Top Up List

Name of PlanSum Insured
Health Top-Up Insurance Policy1 Lakh - 5 Lakh Get Quotes Now

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Why to Buy Health Insurance Policy Online from InsuranceDekho

  • Tax benefit upto 75,000*
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  • 14 Lakh+ happy customers

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Edelweiss Health Insurance Contact Details

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Claim Process at Edelweiss Health Insurance

  • Network Hospital
  • Non-Network Hospital
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 48 hours and for planned hospitalisation intimate 72 hours prior to admission.
  • 3

    Claim Processing

    Fill in the pre-authorisation form and hand it over to hospital's insurance/TPA desk to initiate claim request.
  • 4

    Claim Settlement

    Once your request is approved, claim is settled. If not approved, claim for reimbursement after discharge.
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 48 hours and for planned hospitalisation intimate 72 hours prior to admission.
  • 3

    Claim Processing

    Submit claim form with original documents such as doctor’s reports, hospital bills, diagnostic tests, etc.
  • 4

    Claim Settlement

    Once your request for reimbursement of expenses is approved, the claim will be settled.

1183 Edelweiss Cashless Network Hospitals in India

Insurance Products by Edelweiss General Insurance

FAQ About Edelweiss Health Insurance

  • What is the age criteria to buy health policies at Edelweiss General Insurance?

    The minimum entry age for Silver, Gold and Platinum plan is 3 months. The maximum entry age for the Silver and Gold plans is 65 years. No entry age bar for the Platinum plan. 

  • Why should I buy an Edelweiss Health Insurance policy?

    There are several benefits that make Edelweiss health insurance policy worth buying:

    • It provides wide coverage at low premiums
    • Sum insured can be restored up to 100%
    • Cover for critical illnesses
    • There is an option of midterm inclusion of an applicant in case of marriage or a child is born
    • No matter which health insurance variant you buy, you can avail the benefits of Medical Monitoring, Medical Referral, Medical Repatriation, Second Medical Opinion, Compassionate Visit, etc.
  • How many claims does Edelweiss health insurance allow to make in a year?

    There is no rule that sets the number of claims you can make in a policy year. However, the number of claims should not exceed the limit of the sum insured. 

  • How to buy and apply for Edelweiss General Insurance Health policy?

    You are able to buy and apply for any Edelweiss General Insurance Insurance Policy online from the official website of Edelweiss General Insurance or through online broker InsuranceDekho by calling toll-free number 7551-196-989.

  • Is pre-policy medical health check-up facility available at Edelweiss Health Insurance?

    Yes, there is a facility to go for a health check-up. Edelweiss General Insurance provides health check-up for every claim-free year provided that the policyholder is 18 years old or above. 

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*Standard T&C Apply. All savings/offers are provided by the Insurers, which are subject to modification .For more details on risk factors, terms and conditions, please read the sales brochure of respective insurers carefully before concluding a sale. Tax benefits are subject to changes in applicable tax laws. Girnar Insurance Brokers Private Limited, (CIN: U66010RJ2016PTC054811, Regd .Off: Girnar 21, Govind Marg, Moti Doongari Road, Dharam Singh Circle, Jaipur, Rajasthan- 302004; Corp. Off: 11th Floor, Tower B, Emaar Digital Greens, Golf Course Extension Road, Sector-61, Gurugram-122102, Haryana. IRDAI License no 588. Direct Broker (Life & General) valid till 19th March 2023. Email - ; Helpline number: 7551196989.
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