Edelweiss Health Insurance
  • Emergency medical evacuation
  • 15+ Critical illnesses covered
  • Online discounts
Edelweiss Health Insurance
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Edelweiss Health Insurance

Edelweiss General Insurance is an insurance provider serving since 2017. The company sells products across health, motor, travel, and other segments. The insurance company provides coverage for different health treatments as well as malignant diseases like cancer.

Edelweiss Health Insurance offers health insurance policies for individuals and families at affordable rates and ensures that all your healthcare needs are looked after. With comprehensive coverage of Edelweiss Medical Insurance, one can protect their savings during an emergency hospitalization.

Awards and Achievements of Edelweiss General Insurance

  • FinTech India Innovation Award 2021
  • Customer Fest Awards 2021
  • Top 25 Financial Innovations of India 2020
  • Best Customer Experience Team of the Year 2020
  • Best BFSI Technology Award - Cloud
  • SAP - Process Innovation 2018 Game-Changing 'SAP Cloud For Insurance' Showcase
  • SAP ACE Award 2018 Special Recognition
  • MINT - SAP Digitalist Award 2018 Rama - Digitalist 2018

Why Should You Choose Edelweiss Health Insurance?

To evaluate the performance of Edelweiss Health Insurance, we have identified several factors such as network hospitals, claim support, annual premium, and solvency ratio, which are important indicators of how reliable an insurance provider is. Let's understand in detail.

  • Renewability:
    The plan offers a lifelong renewability option. It saves your pocket from financial stress caused due to medical emergencies and keeps you prepared to handle any critical/challenging situation.
  • Network Hospitals:
    A network hospital list is an important criterion that people consider while buying health insurance. The longer the list of hospitals, the easier it is to find one in nearby places. Insurers appoint network hospitals, doctors or medical practitioners, or clinics that charge lower fees to their policyholders. Edelweiss Health Insurance Company has a tie-up with 3281+ network hospitals across India providing cashless facilities to its customers.
  • Solvency Ratio:
    The solvency ratio is another crucial factor to consider while selecting the best insurance company. It helps to determine the survival capacity and reliability of the insurer. As per IRDAI, it is mandatory for every insurer to maintain a solvency ratio of 1.5. As per the IRDAI Annual Report of 2020-21, the solvency ratio of Edelweiss health insurance company is 2.02.
  • Claim Support (Claims settled within 3 months):
    Claim support determines the claim settling ability of an insurance company and is also used as a rating criterion of the health insurance companies. IRDAI publishes it annually in the first month of every year.
    The claim support of Edelweiss Health Insurance within 3 months is 97.80% which means out of 100 claims, they have settled 99 claims.
  • Annual Premium:
    Annual Premium determines the volume of a business that determines the total number of policies sold by an insurance company and the premiums collected. As per the IRDAI Annual Report 2020-21, the Annual Gross Premium of Edelweiss Health Insurance is Rs 1,248.24 Crore.
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Edelweiss Health Insurance
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Edelweiss Health Insurance Plans

Family Floater Plan

Edelweiss Family Health Insurance Policy

A plan that comes in 3 variants and allows you to customize your plan as per your needs. Moreover, covers up to 8 relationships under one policy.

Unique Features

  • Second Medical Opinion
  • Medical Repatriation
  • Emergency Medical Evacuation

Top Up Plan

Edelweiss Health Top Up

A top-up health plan that offers coverage when your base sum insured is exhausted. The plan comes with a wide coverage of up to Rs. 5 Crores.

Unique Features

  • Riders for additional coverage
  • Discounts available
  • Day care treatment covered

What Are The Exclusions Under Edelweiss Health Insurance Plans?

Below are the general exclusions, which apply to Edelweiss Health Insurance plans. Let's have a look.

  • All hazardous activities
  • Oral chemotherapy
  • AIDS/HIV treatment
  • The cost of contact lenses, spectacles, hearing aids, eye and ear examinations, dentures, laser surgery, dentures, and other similar external devices
  • Plastic surgery or cosmeceutical surgery
  • Treatments undertaken by unauthorized hospitals/doctors

How To Buy Edelweiss Health Insurance Plans?

Edelweiss Health Insurance Plans can be brought online through the official website of the company or offline by visiting the nearest branch. However, in case you face any problems, you can turn to PolicyX.com. Read the next section, to understand the buying process.

  • Visit the official website of Edelweiss General and tap on 'Health Insurance'.
  • Enter the details in the 'Get Quote' tab.
  • Choose the plan of your choice, customize its details (if needed) and pay the premium.
  • After payment of the premium, the policy document will be sent to your registered email ID.

If you don't wish to buy online, you can visit the nearest branch of the company for a health insurance purchase.
To know more about the plan, get in touch (1800-4200-269) with the experts of PolicyX.com. We, at PolicyX.com, can provide a dedicated agent by your side during the entire process.
Below is its buying process.

  • Fill in the details in the 'Calculate Premium' form.
  • The next page will show all the available plans. Choose the best Edelweiss health plan and click on 'Buy Now'.
  • Pay the premium and your policy document will be shared on your registered email.

How To File A Claim For Edelweiss Health Insurance Plans?

To avoid any confusion, the company asks its customers to perform a 3-step claim process. Let's take a look at it.

Cashless Claim Settlement Process

  • Claim Intimation
    Whether it's a planned or emergency hospitalization, inform the company about the same by calling at (1800 12000).
  • Submission Of Documents
    Submit all the necessary documents like medical records, discharge summary, claim form, etc. to the company within the deadline.
  • Claim Decision
    If you opt for cashless hospitalization, Edelweiss will directly pay the hospital (if the claim is approved). In the case of reimbursement, the company will transfer the amount to the registered bank amount (if the claim is approved).
    For any queries, mail at support@edelweissinsurance.com

Documents Required For Edelweiss Health Insurance Claim

  • Correctly signed & filled claim form
  • Medical research reports
  • Pre-authorization request
  • Medical reference slip
  • Copy of Patient Photo ID Card (Hospital Verified)
  • Discharge document from the hospital
  • Operation Theater Reports
  • Chemist bills
  • Hospital bills
  • Others requested by the company

Contact Details Of Edelweiss Health Insurance

Edelweiss Health Insurance Contact Address

2nd Floor, Tower 3, B Wing, Kohinoor City Mall, Kohinoor City, Kirol Road, Kurla (W), Mumbai 400070

support@edelweissinsurance.com

1800 12000 / 02242312000

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Edelweiss Health Insurance: FAQs

1. What documents do I need to submit for a reimbursement claim?

The following documents are required for the processing of reimbursement claims:

  • Duly filled and signed claim form
  • All the hospital bills and receipts of the chemist, medical practitioner, prescriptions, etc. (in original)
  • Discharge card from the hospital
  • All original medical investigation reports
  • NEFT and KYC details of the claimant
  • Others requested by the company

2. How can I download the claim forms of Edelweiss General Insurance?

You can download the claim forms through the official website of Edelweiss Insurance. Select the 'claims' button present at the top that will redirect you to the claims page. Download the claim application form and fill in all the required fields.

3. Is it possible to upgrade my coverage under this policy?

Yes, you can increase your coverage at the time of the renewal process. The plan can be upgraded from silver health to gold or platinum. Optional benefits are also there to upgrade it further.

4. I have lost my policy documents. What should I do?

In case you have lost your documents, you have the soft copy of your policy documents in your mail. Or you can also apply for a new copy.

5. Is it necessary to undergo a medical examination before buying health insurance?

No, it is not required to undergo a pre-medical screening before buying a policy.

6. Does Edelweiss Health Insurance cover pre and post-hospitalization cover?

Yes, pre and post hospitalization covers are allowed under this policy

Variants Pre hospitalization Post Hospitalization
Silver 30 days 60 days
Gold 60 days 90 days
Platinum 90 days 180 days

**Last Updated on March, 2022

7. What are the sum insured options of Edelweiss Health Insurance Variants?

Silver Plan Gold Plan Platinum Plan
Rs. 1 lakh, Rs 2 lakhs, Rs 3 lakhs, Rs. 4 lakhs, Rs. 5 lakhs Rs. 5 lakhs, Rs. 7.5 lakhs, Rs. 10 lakhs, Rs. 15 lakhs, Rs. 20 lakhs Rs. 15 lakhs, Rs. 20 lakhs, Rs. 50 lakhs, Rs. 75 lakhs, Rs 1 crore

**Last Updated on March, 2022

8. Can I transfer my previous insurance provider's No-Claim Bonus if I switch my policy to Edelweiss Health Insurance?

Yes, you may keep your no-claims bonus even if you switch insurance companies. However, in order to receive the NCB, you must renew your policy on time or before the expiration date.

9. What is the maximum number of members that may be covered under the Edelweiss Health Insurance Policy?

The Edelweiss health insurance policy covers up to 8 people.

10. Does Edelweiss Complete Health Insurance cover critical illnesses?

Yes, in Edelweiss Gold & Platinum variant, critical illness is covered. Whereas in Silver Variant one can add critical coverage as an Optional cover with a limit of up to 50% of the Sum Insured.

  • The critical illnesses covered under the plan are:
  • Cancer of Specified Severity
  • Myocardial Infarction (First Heart Attack of specific severity)
  • Coronary Artery Bypass Graft (Open Chest CABG)
  • Stroke Resulting in Permanent Symptoms
  • Permanent Paralysis of Limbs

11. How many people can be covered under Edelweiss Health Insurance?

Edelweiss's health insurance policy allows coverage for up to 8 members. One can cover yourself, your spouse, up to 3 children, or any other relationship having an insurable interest.

12. How can I renew my Edelweiss Health Insurance Plans?

Edelweiss Health Insurance Renewal is available online. One can renew their policy by following the below steps:

  • Visit the official website of Edelweiss Health Insurance
  • Click on the Renewal tab and fill in the necessary details such as the policy number & date of birth
  • Pay your premium and your renewed policy details will be mailed to you at your registered email address.

13. How can I avail cashless facility in the Edelweiss Health Insurance company's empanelled hospitals?

To avail of the cashless services, you need to get admitted to the network hospitals and then present the health card at the hospital's help desk. Once your claim form is filled and approved, you can avail cashless facility.

14. How can I find the Edelweiss network hospitals in my area?

Edelweiss health insurance has a great network of cashless hospitals. You can easily check the list of Edelweiss Network Hospitals on their official website.

Edelweiss Health Insurance Reviews

Read what our customers have to say about Edelweiss Health insurance company and Edelweiss Health mediclaim policy.

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Rajan Narela

Jaipur

June 13, 2022

I am totally in love with the health plans offered by the Edelweiss Health Insurance company. If you want a health plan, you should go for this company.

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vikram

Chennai

February 17, 2022

Good service, supportive staff and helpful nature. Guide you completely with complete help. Thank you

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Akhilesh Jain

Guwahati

October 6, 2021

I bought a Health Insurance policyEdelweiss. Got guidance at every step of buying the policy and it was a pleasurable experience for me. Nice job

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Manish Sharma

Ahmedabad

September 9, 2021

Amazing plan... Everybody should buy the plans from Edelweiss. I thank you for getting me a good coverage plan.

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Rakesh Bhardwaj

Lukhnow

September 9, 2021

I bought a health plan from edelweiss health insurance. The company has a very quick claim settlement. I am impressed.

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Kashish Banga

Gandhinagar

September 8, 2021

I bought a health plan from Edelweiss Health Insurance, I really like the services from Edelweiss, especially the claim settlement process. Thanks Edelweiss.

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Kamlesh Chaudhary

Indore

September 8, 2021

Bahut badhiya plans hai company ke, kifayti bhi hai, aur bht hi achi service hai, mai bht khush hu edelweiss ke plan se.

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Devender singh

Delhi

September 1, 2021

One of the best company of insurance in India. They helped me at my worst, they settled my claim with in a week. very very impressed.

View All Edelweiss Health Insurance Reviews