Edelweiss Health Insurance

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If you are looking for an affordable yet flexible health insurance provider, you can consider Edelweiss Health Insurance. In today's market, providing quality health care services at affordable prices is a challenge for most of the doctors and hospitals. Edelweiss believes that it is their responsibility as a insurance provider to help patients access quality health services through their affordable packages.

An international company that provides financial services, the Edelweiss Group includes Edelweiss General Insurance Co. Ltd. Edelweiss health insurance provides customers with the best and most affordable plan options. This entity was established in 2016 and is one of the leading health insurance companies in India. In order to meet peoples' insurance needs, the organization offers health insurance policies throughout the nation. Additionally, it has a simple, hassle-free, and rapid procedure for purchasing coverage and filing a claim. Additionally, the business has a committed customer service team that takes a hands-on method to respond to all of the client's questions.

To meet different demands, Edelweiss has developed three different types of medical insurance policies. These plans are developed in line with market dynamics, client demographics, and current healthcare trends. A variety of healthcare choices are available at Edelweiss. The company was able to create these strategies to satisfy all your requirements based on the circumstances and demands of the present market.

This page will cover the details of Edelweiss health insurance.

Edelweiss Health Insurance Key Highlights

Network Hospitals 
CoveragePre-hospitalisation, in-patient hospitalization, post-hospitalisation, organ donor, etc.
Awards wonInnovative Use of Technology, Edelweiss Switch, API and BOLT in FinTech India Innovation Awards 2021, Customer Fest Awards 2021, Asia Feature Awards 2021, 8th World Forum Awards 2021  and Finnoviti Awards 2021 and InsureTech Company of the Year in India Insurance Summit and Awards 2020

Why Should You Buy an Edelweiss Health Insurance Policy?

Edelweiss health insurance puts the customer first in everything they do and is committed to offering the most innovative and viable products available today. As a leading provider of health insurance plans, the company is committed to helping you take full control of your health and well-being as well as looking after your family.

When you're injured and it's your time to be treated, you want the best care at the most affordable cost. Edelweiss Health Insurance is one of the leading insurance providers in India that offers competitive premiums combined with an extensive network of hospitals, doctors and other medical services.

Following is a list of every attribute that contributes to Edelweiss health insurance's current level of popularity:

  1. Minimum age limit is just 3 months
  2. 8 Individuals are covered under a single plan
  3. Insurance sum ranging up to INR 1,00,00,000
  4. Affordable premiums
  5. Large network of partnered hospitals
  6. Comprehensive coverage

Choose from a Wide Range of Multiple Edelweiss Health Insurance Plans

Edelweiss Health Insurance Policy Details

Your health is super important, and it's also one of the most expensive things to replace or fix if you have an accident or get sick. When you are looking for affordable health insurance, Edelweiss offers the following plans for requirements:

1. Family Health Insurance

A type of medical insurance called a family health policy provides coverage for every member of your family under a single medical insurance policy. With the understanding that not every family member would get ill at the same time, this plan divides a predetermined sum insured among all members. The majority of family medical insurance policies include cashless hospitalization options and also provide coverage for pre- and post-hospitalization.

Variants

  • Edelweiss Health Insurance Silver Plan

The Silver Plan variant's insured amount goes from INR1 lakh to INR 5 lakh. This policy has been created with your unique needs in mind:

Coverage:

  • Hospitalisation expenses
  • 30-day pre-hospitalisation expenses
  • 60-day post-hospitalisation expenses
  • No-cap ICU charge
  • Day care treatment
  • Domiciliary hospitalisation
  • Ambulance cover up to INR1500
  • AYUSH treatment
  • No-claim bonus
  • Annual check-up for claim-free year
  • Shared accommodation Expenses up to INR 800 per day

Optional Coverage

  • Critical illness cover (50% increase in the sum insured)
  • Voluntary co-payment (10% or 20%)
  • Edelweiss Health Insurance Gold Plan

The Gold variant is a direct upgrade of the Silver Plan with an insured amount ranging from INR 5 lakh to INR 20 lakh. This policy covers organ donor and maternity benefits as well as the base coverage of the Silver Plan.

Coverage:

  • Hospitalisation expenses
  • 60-day pre-hospitalisation expenses
  • 90-day post-hospitalisation expenses
  • Organ donor expenses up to INR 1 lakh
  • No-cap ICU Charge
  • Day care treatment
  • Domiciliary hospitalisation
  • Ambulance cover up to INR3000
  • AYUSH treatment
  • No-claim bonus
  • Annual check-up for a claim-free Year
  • Shared accommodation expenses up to INR 1,000 per day
  • Maternity benefit up to INR 50,000
  • Recovery benefit up to INR1,000 per day
  • Critical illness coverage (50% increase in sum insured)
  • Restoration of the sum insured

Optional Coverage

  • Voluntary co-payment
  • Sum insured recharge (10% or 20% )
  • Edelweiss Health Insurance Platinum Plan

The Platinum Plan offers the same coverage as the Gold variant with higher limits. The plan offers coverage of up to INR 1 crore, allowing you maximum protection against unforeseen medical emergencies. Here is a list of the coverage provided:

Coverage:

  • Hospitalisation expenses
  • 90-day pre-hospitalisation expenses
  • 180-day post-hospitalisation expenses
  • Organ donor expenses up to INR 2 lakh
  • No-cap ICU charge
  • Day care treatment
  • Domiciliary hospitalisation
  • Ambulance cover up to INR 10,000
  • AYUSH treatment
  • No-claim Bonus
  • Annual check-up for claim-free year
  • Shared accommodation expenses up to INR 1,200 per day
  • Maternity benefit up to INR 2 lakh
  • Recovery benefit up to INR 1,500 per day
  • Critical illness coverage (100% increase in the sum insured)
  • Restoration of the sum insured

Optional Coverage

  • Voluntary co-payment
  • Sum Insured recharge (10% or 20%)

2. Top-up Insurance

If you have an accident, the first thing that comes to your mind is the cost of treatment. It could vary depending on which hospital you select for treatment and the health insurance plan you have. The cost of healthcare has become increasingly expensive in India, and an increasing number of people do not have any health coverage. Nowadays, due to rising medical costs, many Indians go for out-of-hospital treatment and hence are left high and dry when it comes to purchasing war-torn healthcare abroad. This is why top-up insurance is important. Here is a list of Edelweiss health insurance policy details for top up insurance.

Variants:

  • Edelweiss Top-Up Plan

Only when a single claim exceeds your deductible amount may you utilise top-up insurance. This plan has an insured sum amount of INR 1 lakh to INR 20 lakh.

Coverage:

  • Hospitalisation
  • Room rent
  • OPD

Add-on

  • Recharge & restore
  • Maternity cover
  • Baby cover
  • Edelweiss Super Top-Up Plan

It is much like a top-plan which only kicks in when the deductible amount is completed. The plan has an insured sum amount of INR1 lakh to INR 5 crore.

Coverage:

  • Hospitalisation
  • Room rent
  • OPD

Add-on

  • Recharge & Restore
  • Maternity cover
  • Baby cover

3. Saral Suraksha Bima

You work hard to provide for your family. Are you, however, prepared for the unforeseen? An accident might permanently cripple you or worse! Edelweiss allows you to plan for the unexpected. Saral Suraksha Bima, your personal accident coverage, will protect your family and their money if you are involved in an accident. The policy comes with a sum insured amount of INR 2,50,000 to INR 1,00,00,000.

Coverage:

  • Accidental death
  • Permanent total disablement
  • Permanent partial disablement

Add-on:

  • Temporary total disablement
  • Accidental hospitalisation cover
  • Education grant

4. Arogya Sanjeevani

Treatment at the hospital can be a costly proposition. Everything from routine daycare procedures to big surgery may be costly. With Arogya Sanjeevani Scheme, you and your household and dependents will have easy access to the healthcare you require without breaking the bank. However, there is an obligatory 5% co-pay on all claims, regardless of age.

Coverage:

  • Hospitalisation expenses
  • 30-day hospitalisation expenses
  • 60-day hospitalisation expenses
  • Daily room rent cover
  • Cataract treatment
  • AYUSH treatment
  • Pre-existing illness cover
  • Cumulative bonus

5. COVID Healthcare Plans

When it comes to coping with the deadly Coronavirus, the best course of action is to seek early medical attention. Edelweiss health insurance is here to ensure that you receive the assistance you require in time, and without regard for the cost. Edelweiss health insurance policy details help you deal with the costs associated with Coronavirus treatment.

Variants:

  • Corona Kavach Policy

This is a base covid healthcare policy, which helps you cope with the rising costs of COVID treatment.

Coverage:

  • Coronavirus hospitalisation expenses
  • 30-day hospitalisation expenses
  • 60-day hospitalisation expenses
  • AYUSH treatment
  • Home care treatment

Add-On

  • Hospital daily cash benefit
  • Corona Rakshak Policy

If you or any of your insured family members are diagnosed with the coronavirus and need hospitalisation for 72 hours or more, you will receive a lump sum payout of up to 100 per cent of the total insured amount.

6. Group Health Insurance

A group medical insurance plan covers a group of people's medical expenses. It is typically acquired by businesses or organisations to give additional medical cover to their workers as a reward because the employer pays the premium cost of the group health insurance plan.

Variants:

  • Group Health Insurance

This base coverage offers health insurance coverage to a group of individuals under a single master contract.

Coverage:

  • Hospitalisation
  • Pre-hospitalisation
  • Post-hospitalisation
  • Day care treatment
  • AYUSH treatment
  • Installment premium payment

Add-on

  • Family floater option
  • Pre-hospitalisation time extension
  • Post-hospitalisation time extension
  • Pre-existing disease exclusion waiver
  • Recovery benefit
  • Critical illness cover
  • Group Total Protect

Edelweiss Group Total Protect offers group accidental benefits over basic healthcare benefits.

Coverage:

  • Accidental hospitalisation benefits
  • Accidental death benefits
  • Permanent disability
  • Temporary disability
  • Installment premium payment

Add-On

  • Enhanced total disability (Temporary)
  • Expenses of last rite
  • Child enhancement benefits
  • Employment loss benefits
  • Loss due to terrorist activities
  • Burns benefits
  • Compassionate visit benefit
  • MedicaleEvacuation
  • Group Corona Policy

Coverage:

  • COVID-related hospitalisation
  • Pre-hospitalisation
  • Post-hospitalisation
  • AYUSH treatment
  • Installment premium payment

Add-on

  • Home care treatment
  • Ambulance expenses
  • Hospital daily cash
  • Institutional quarantine
  • First 15-day waiting period waiver

Once you understand the facts of the Edelweiss health insurance policy, let us go through the various Edelweiss health insurance benefits and advantages of choosing a health insurance policy from Edelweiss.

Edelweiss Health Insurance Benefits

Edelweiss health insurance plans are customisable, affordable and easy to understand. The Edelweiss health insurance policy details feature an extensive range of benefits as well as strong medical coverage. This makes them one of the most preferred health insurance providers in India.

1. Peace of Mind

Health care is expensive and does not show any signs of declining in the future. What's worse, you never know when you may need to apply for some kind of health insurance. It doesn't matter whether you are healthy now, or have been sick once in a while. You can't presume that your next small cold will get better by itself. It can turn into something serious, which could lead you to spend a considerable amount from your own pocket. 

Having a health insurance plan is a great way to insure not only your own health but also the financial security of your family members. If you or a loved one is diagnosed with cancer or other serious illnesses, medical bills can quickly spiral out of control. With an insurance policy in place, you don't have to worry about paying these bills yourself.

2. 8-Member Plans

The cost of healthcare is going up. If you have children or have just been thinking about having kids, this could be a hard pill to swallow. Edelweiss has been around for years and has worked hard to provide affordable coverage for families.

Edelweiss Family Health Insurance Plans are made to make coverage both affordable and available for each family member. Edelweiss takes this a step further by allowing up to 8 insured under a single-family health insurance plan. It includes yourself, your spouse, up to 3 children as well as other relatives (who are allowed as per the term conditions). This ensures financial security throughout the lifetime of its customers, as it offers more substantial coverage than other family health plans available nowadays.

3. Less Eligibility Requirements

Health insurance is a vital thing to have when you have kids. You should be prepared for the eventuality that one of your kids could need medical assistance, so you need to make sure you have enough funds to help them recover and get back on their feet quickly.

Everyone must have health insurance. Edelweiss health insurance covers candidates above the age of three months. You don't have to worry about an age limit to receive Edelweiss health insurance.

4. High Sum Insured

If you are looking for health insurance plans that can cover you for up to INR 1 crore, Edelweiss can be one of the top options for you. It offers a range of health insurance plans from INR 1 lakh and goes up to INR 1 crore, which means that as a policyholder, you have the perfect flexibility to choose your preferred sum insured.

5. Compassionate Visit

If the insured individual is hospitalised for a week or more and travelling in India alone, the insurance company will arrange for a visit from a household member or an acquaintance within India.

6. Emergency Health Test

If a suitable medical facility is not accessible in the insured person's immediate neighbourhood, the policyholder is liable for arranging conveyance to the closest medical facility capable of delivering the needed care inside India. 

7. Second Opinion

It is quite common for people to have multiple medical opinions on their conditions and certify the same. But it is not always possible for them to get this done. This is when Edelweiss health insurance comes into the picture. It provides a second opinion after you are diagnosed by doctors and helps you take further action if necessary.

8. Lifelong Renewability

This perk enables insurer policyholders to remain linked with the medical insurance policy and reap its benefits indefinitely. The benefit allows for insurance renewal without regard to a departure age.

9. Tax Benefits

When it relates to your tax planning and personal budget, Section 80D, which allows you to deduct costs connected to maintaining your medical and health insurance, is crucial.

Claim Settlement Ratio of Edelweiss Health Insurance

The Claim Settlement Ratio or CSR is a critical consideration when selecting a health insurance provider. The sum is simply calculated by comparing the overall number of claims submitted to the overall number of claims resolved. The greater the sum, the more trustworthy the organisation. This is why Edelweiss Health Insurance Company Limited has secured its position.

The importance of health insurance is that it ensures that if the insured individual requires emergency or planned medical treatment, he or she will be able to use the insurance coverage to cover the related costs. This is the primary agreement between the insurer and the insured. Having said that, the dependability of medical insurance plans is totally dependent on the company that provides them. Claim Settlement Ratio assists in determining a potential insurer's dependability.

Edelweiss Health Insurance Company Limited has a very strong system for settling claims quickly, and that helps to create a great claim experience. This number can demonstrate the insurance company’s good execution of claims submitted, which helps it maintain its good reputation among its policyholders and clients.

The company has a claim settlement ratio of 99.72% in less than 3-month tenure and 0.24% in a tenure of 3 to 6 months. This explains why Edelweiss is considered to be one of the quick claim settling insurance providers in the current market.

List of Documents Required to Buy Edelweiss Health Insurance Online

When acquiring health insurance, the applicant must furnish a set of permitted documentation. There are several types of medical insurance, but the following is a rundown of all the necessary papers to be submitted when acquiring Edelweiss health insurance online or in person:

  1. Proof of Age
    • Driving Licence
    • PAN Card
    • Passport
    • Voter Card
    • Birth Certificate
  2. Proof of Address
    • Ration Card
    • Passport
    • Voter Card
    • Recent Utility Bill
    • Bank Account Statement
  3. Proof of Identity
    • PAN Card
    • Passport
    • Voter Card
    • Driving Licence
    • Aadhaar Card
  4. Proof of Income (if required)
    • Recent salary stubs
    • Bank account statement
  5. Passport-sized photographs
  6. Recent medical reports
  7. Duly filled application form

Note: When applying for insurance coverage, the insurance provider may request further verification papers.

How to Renew Edelweiss Health Insurance Online?

Policy renewal is required to provide continuous coverage. Edelweiss policies may be renewed in two ways: through the organisation's official website with the Edelweiss health insurance login or via the Paytm insurance website. Both approaches are explained more below:

Via Edelweiss Website:

  1. Visit the Edelweiss official website.
  2. Click on ‘renewals’ on the top menu.
  3. Select ‘health insurance renewal’ from the drop-down list.
  4. Input your policy number.
  5. Input your date of birth.
  6. Select ‘proceed’.
  7. On the next page, you need to provide a few personal details.
  8. Next, you have to pay the renewal fees online.
  9. Once you are done, your policy will be renewed.

Via Paytm Insurance:

  1. Visit the Paytm Insurance policy.
  2. Choose ‘Health Insurance’ from the page-top menu.
  3. Select your insurance provider.
  4. Utilize the procedure of Edelweiss health insurance login.
  5. Choose ‘Policy Renewal’.
  6. Input your Policy Number.
  7. Next, you have to pay the renewal fees online, and your plan will be renewed.

How to File a Claim with Edelweiss Health Insurance Online?

There are two separate ways to file a medical insurance claim: cashless claim and reimbursement claim. The cashless method is when you are treated at a network medical facility and receive cashless care only on the basis of your health insurance card, with the insurer immediately settling the bill with the facility. 

However, to apply for a health insurance reimbursement claim, you must first pay the whole amount yourself, produce all relevant documentation and make a refund claim with the insurance company. When you are admitted to a facility which is not under the network of the insurance provider, this is usually done.

The following is the generic procedure for filing an Edelweiss health insurance claim:

You need to call the company’s toll-free hotline (1800 12000) or their paid hotline (022 423 12000) and inform them that you are getting medical treatment.

Now, let’s dive deep into the two distinctive insurance claim filing methods.

Edelweiss Cashless Health Insurance Claim Process

In India, health insurance firms, such as Edelweiss, maintain a list of partner hospitals where they give cashless benefits. If you are receiving care at one of these facilities, you can take full Edelweiss health insurance benefits of the cashless treatment. In other terms, the hospital is paid directly by the insurance provider for the medical bills. The hospital network of an insurance company may be viewed on its official site.

The most intriguing part of a cashless health insurance claim is that insurers may receive medical care without thinking about cash in the case of an emergency by being transferred to any network medical facility or hospital.

Here is how to submit a cashless medical insurance claim:

  1. At the point of being admitted, provide a pre-authorization form, together with your insurance paperwork and identity verification.
  2. Your pre-authorization paperwork and medical documentation will be sent to Edelweiss health insurance by the hospital TPA.
  3. Once your claim application has been reviewed, you will obtain preliminary approval. At that point, your cashless care will start.
  4. On the day of discharge, the TPA will submit your final billing and discharge report to your insurance provider.
  5. Following the final examination of your claim submission, the insurance TPA issues a final clearance for the entire bill amount.
  6. Some expenditures may not be covered by your insurance coverage until Edelweiss has given its final approval. These will have to be paid for at the medical clinic.

List of Documents Required for Edelweiss Health Insurance Cashless Claim

When making your cashless insurance claim at any network hospital or medical facility, you must supply the following documents:

  1. Admission recommendation from a doctor.
  2. The insurance company's policy paper or health care card,
  3. KYC documentation for both the policyholder as well as the insured, comprising proof of age.
  4. Reports of any pre-hospitalization diagnosis.
  5. Any other documents required at the moment of hospital admission.

The remainder of the documentation procedure will be handled by the hospital, so you won't have to worry about it.

What is the Reimbursement Claim of Edelweiss Health Insurance?

If you are admitted to any non-network medical facility or hospital, you must first pay the bill and then file a claim with your insurer. When submitting your claim, you must include the hospitalisation and medical bill invoices, as well as any other supporting documents. After reviewing the bills, your insurance company will pay the funds into the bank account you have provided.

The best part about reimbursement health insurance claims is that you will always receive your money refunded assuming that you have submitted all pertinent information and medical documentation, as well as the claim reason is covered under your policy, no matter where you get your medical treatment. If a partner hospital is not close, filing a reimbursement health insurance claim is the best alternative.

Here's how to submit a compensation claim:

  1. Obtain the claims form from the insurance provider's website and gather all original bills and medical treatment paperwork by using the Edelweiss health insurance login.
  2. Send the required documents to the local Edelweiss office for the claim processing.
  3. After the validation of your health insurance claim, the refund amount is deposited into the bank account you specified.

List of Documents Required for Edelweiss Health Insurance Reimbursement Claim

Documents required to file a refund claim includes

  1. Original receipts and bills.
  2. All diagnostic tests and reports for inquiry.
  3. The doctor's prescription recommended hospitalisation.
  4. Discharge summary including treatment data
  5. The insured's policy paperwork, as well as KYC papers.
  6. The policyholder's bank account information in order for the health insurance reimbursement claim to be settled.

How to Calculate Edelweiss Health Insurance Premium?

There are different types of health insurance coverage plans in the market. One of the most important deciding factors should be the premium amount to get the best plan that suits your needs and budget. The premium amount is quite important when selecting a health insurance policy. You would not like to buy Edelweiss health insurance online where you are paying more than you are receiving the Edelweiss health insurance benefits. This is because many people look for good coverage but then are confused about the premiums that come with their usual plans or the new ones they are trying out.

The following is a list of the factors that affect your health insurance policy premium:

  • Pre-existing diseases

If the firm determines that you are too dangerous to insure because of your pre-existing sickness, they may levy an additional fee.

  • Age

The younger you are, the cheaper your insurance premium amount will be. It is often because young policyholders have a lower risk of developing major illnesses than senior citizens. 

  • Profession

Individuals in high occupations, such as construction, are frequently charged a greater premium due to their hazardous working environment.

  • Injurious Substances

Most insurance firms charge higher premiums to clients who smoke or chew tobacco.

Edelweiss Health Insurance Tax Benefits

Section 80D of the IT Act allows the value of a medical insurance plan's premium to be deducted from the policyholder's taxable income. The maximum deductible amount is INR 25,000; for elderly citizens, it can be extended to INR 50,000. (Effective April 1, 2018) This means that the insured is now eligible for an INR 75,000 reduction from their taxable income. If the policyholder and his or her dependent parents are over 60, the deductible amount may be increased to INR 1,00,000 (INR 50,000 + Rs. 50,000).

Policyholder(s)

Tax Deduction Under Section 80D

< 60 years

> 60 years

Self, Children & Spouse

Rs. 25,000

Rs. 50,000

Parents

Rs. 25,000

Rs. 50,000

Total Deduction

Rs. 50,000

Rs. 1,00,000

What is Covered Under Edelweiss Health Insurance Plans?

Edelweiss health insurance products are very well known for their low-cost and versatile coverage options. Following is a summary of the most popular plan inclusions:

  • Hospitalisation Expenses

The insurance provider will cover any healthcare expenditures incurred when an insured person is being admitted to a medical facility or a hospital for illness for a duration of more than 24 hours under this coverage. This includes the expense of lodging, a doctor's visit, diagnostic procedures, oxygen, blood, drugs, and so on.

  • Pre-Hospitalisation Expenses

The insurance company will cover any medical expenditures related to the therapy of the applicable disease that was incurred within a set number of days before the actual hospitalisation under this coverage.

  • Post-Hospitalisation Expenses

Edelweiss health insurance plans will cover any medical expenditures incurred within a set number of days after the patient's discharge that are connected to the treatment of the relevant disease under a policy.

  • Ambulance Expenses

It covers the costs of an insured person's emergency ambulance travel to the medical facility following a medical emergency.

  • Donor Expenses

In the case of a major organ transplant procedure, the insurance provider will cover the medical expenditures incurred by the organ donor in order to acquire the body parts.

  • Daycare Expenses

It pays for any medical expenses incurred by an insured person due to daycare procedures. A daycare treatment or surgery is an effective therapy that does not need more than a 24-hour hospital stay.

What is not Covered Under Edelweiss Health Insurance Plans?

Edelweiss Health Insurance, like any other insurance plan, has various exclusions specified under their insurance plans. These are scenarios where the insured or their successors cannot submit a claim.

Here is a list of the most typical circumstances that Edelweiss medical insurance policies do not cover.

Edelweiss Health Insurance Network Hospitals

Network hospitals are just medical facilities with active agreements with an insurance company to provide cashless care to its customers.

If you have a medical insurance policy, you don't need to pay anything out of pocket to obtain medical care at a partner medical facility or hospital. The best part about these institutions is that you may receive high-quality treatment, which makes the entire operation less stressful.

Non-network medical facilities or hospitals, on the other hand, require you to pay the entire bill before making a reimbursement claim. However, your request will only be entertained if Edelweiss believes your request is reasonable. This suggests that there is always a risk in the scenario. Therefore, choosing an insurer with a large network hospital cover makes sense. 

Edelweiss Health Insurance Company Limited boasts a huge network of hospitals across India.

CityNetwork Hospital Count
Ahmedabad3041
Chandigarh515
Cochin98
Gurugram1317
Jaipur2253
Lucknow1266
New Delhi4737
Patna889
Bengalore4695
Chennai5684
Ghaziabad1003
Hyderabad6098
Kolkata2675
Mumbai4189
Noida721
Pune4148

Edelweiss Health Insurance Reviews

Edelweiss health insurance knows your health and financial security are important and that’s why they offer a wide range of health insurance plans and options. They don’t just want you to find the right policy quickly, so they help make sure you understand every detail of the Edelweiss health insurance benefits that each plan offers so that you can make informed decisions throughout the duration of your policy. It boasts one of the biggest networks of physicians, hospitals, and diagnostic centres, as well as a wide choice of insurance options, so you can be confident that you will receive high-quality treatment at a reasonable cost.

How to Contact Edelweiss Health Insurance Company?

Phone Number

Toll-free Hotline: 1800 12000

Paid Landline: 022 423 12000

Senior Citizen Hotline: 022 423 12001

Email

Queries: support@edelweissinsurance.com

Senior Citizen Queries: senior.citizen@edelweissinsurance.com

Address2nd Floor, Tower 3, B Wing, Kohinoor City Mall, Kohinoor City, Kirol Road, Kurla (W), Mumbai 400070
Websitewww.edelweissinsurance.com

Edelweiss Health Insurance FAQs

  • 1. Does Edelweiss Family Health Insurance policy coverage include pre- and post-hospitalization expenses?

    Yes, Edelweiss family health insurance includes pre- and post-hospitalization costs:

    Plan VariantPre-hospitalistion CoverPost-hospitalistion Cover
    Silver Plan30 days60 days
    Gold Plan60 days90 days
    Platinum Plan90 days180 days
  • 2. What is the age limit for women to enlist in any Edelweiss health insurance plan?

    The maximum entrance age for females insured in the Edelweiss medical insurance plan is 65 years in Silver and Gold variants. At the same time, there is zero maximum registration age limit in the Platinum variation.

  • 3. Does Edelweiss health insurance offer any particular plan for children?

    No, Edelweiss does not provide a separate health insurance plan for children, but it covers children under its family policies.

  • 4. Is Edelweiss health insurance offering free annual healthcare check-ups?

    Yes, Edelweiss offers a free health screening every year that is claim-free if the insured is 18 or older.

  • 5. How can I use Edelweiss's cashless treatment service?

    To use the cashless service, you must present the insurance company's health card at any network hospital. You may reach them at 1800 12000 or 022 423 12000 for assistance.

  • 6. How much ambulance coverage does Edelweiss medical insurance provide?

    The following are the maximum restrictions applicable each policy year under various types of this policy:

    • The Silver plan offers INR 1,500.
    • The Gold plan offers INR 3,000.
    • The Silver plan offers INR 10,000.
  • 7. Is portability available with Edelweiss health insurance?

    Yes, Edelweiss health insurance offers customers the option of portability. With this function, you may effortlessly move your existing health insurance policy into Edelweiss in accordance with IRDAI regulations without sacrificing any continuity benefits.

  • 8. Which relatives are eligible for coverage under the Edelweiss health insurance plan?

    Individual plans include self, spouse, children, parents, grandparents, siblings, dependent parents-in-law, and any other connection with an insurable interest.

  • 9. What is the waiting tenure for maternity coverage under the Edelweiss General Insurance plan?

    Maternity benefits are available under Edelweiss's family floater policy after a 48-month waiting term.

  • 10. What is the level of coverage for maternity expenditures provided under an Edelweiss insurance plan?

    Edelweiss medical insurance plan provides maternity coverage for up to a limit of INR 50,000 with the Gold variation and up to a limit of INR 2 Lakh with the Platinum version.

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The Ultimate Guide to Free Look Period in Health Insurance

A free look period is a trial run for you to decide if the health insurance policy you have picked suits you a...

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GST and Its Effects on Health Insurance Premium

GST was introduced to negate the previously existing dual taxation issue. Now the GST on health insurance is 1...

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Know the Causes and Symptoms of Hypertension (High Blood Pre...

Want to know the definition of hypertension, its underlying cause, and its effects? Let’s look into why it is ...

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A Fast-growing Sector in India is Health Insurance

Since the outbreak of the COVID-19 pandemic, health insurance premiums have been the principal driver of the n...

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National Health Insurance Scheme (NHIS) Benefits & Features

Comprehensive guide to discuss the features and benefits of the National Health Insurance Scheme (NHIS) with i...

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Brief Guide to Choosing the Best Healthcare Insurance Polici...

Comprehensive guide to selecting the best healthcare insurance policies for parents according to the healthcar...

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Everything about United India Health Insurance Plans

Know the details of health insurance plans provided by United India Health Insurance Company under one roof....

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Learn Everything about the ‘Recharge’ Feature of the CARE He...

The Recharge Feature of Care Health Insurance suggests supplementary health insurance at no further cost. Read...

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Everything about Diabetes: Symptoms, Causes & Prevention

Diabetes is one of the commonest diseases across the world today. Here is everything you need to know about di...

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