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icon Health Insurance icon Edelweiss Health Insurance

Edelweiss Health Insurance

Investing in health insurance does not only require research and comparison but also an understanding of one’s needs. Before buying a health insurance policy, considermake note of your present and future medical requirements based on your age, size of family, your lifestyle, nature of your work and your budget. Edelweiss Health insurance offers coverage at three levels to suit different requirements and budgets.

Edelweiss Health Insurance Plans

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Reliance General Insurer
Amount Covered: ₹ 1 Lakh
Deal Price: ₹ 2,094 / Year
Waiting period: 4 yrs

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5 Lakh Health Insurance Cover 10 Lakh Health Insurance Cover 20 Lakh Health Insurance Cover 1 Cr Health Insurance Cover

Types of Edelweiss Health Insurance Plans

Edelweiss Health Insurance Plan

It is a comprehensive health insurance plan available in three variants; silver, gold and platinum. It is available on an individual or family floater basis. These plans provide extensive coverage against medical emergencies as per the requirements of the policyholder.

Key Features

Particular \ Variant Sum Insured (` In Lakh)
Silver - 1, 2, 3, 4, 5
Gold - 5, 7.5, 10, 15, 20
Platinum - 15, 20, 50, 75, 100
Minimum entry age
3 months
3 months
3 months
Maximum entry age
65 years
65 years
Any age
Renewability
Lifelong
Lifelong
Lifelong
Policy term
1 year / 2 years / 3 years
1 year / 2 years / 3 years
1 year / 2 years / 3 years

List of Benefits covered differently by Each Variant

Benefit
Silver
Gold
Platinum
Pre & Post Hospitalisation Medical Expenses
30-60 days
60-90 days
90-180 days
Ambulance Cover(Per Hospitalisation)
Rs. 1500
Rs.3000
Rs.10,000
Organ Donor Cover
N/A
Rs.1,00,000
Rs.2,00,000
No Claim Bonus
10% of Sum Insured upto 50% max
50% of Sum Insured upto 100% max
50% of Sum Insured upto 100% max
Maternity benefit
N/A
Rs.50,000
Rs.2,00,000
Recovery Benefit
N/A
Rs.1000/day
Rs.1500/day
Hospital Cash
Rs.500
Rs.1000
Rs.1500
Shared Accommodation Benefit`
Rs 800-Rs.4000/day
Rs.1000-Rs.5000/day
Rs.1200-Rs.6000/day
Critical Illness Cover
Available as optional benefit(50% of Sum Insured)
50% of Sum Insured
100% of Sum Insured
Restoration of Sum Insured(100%)
Available as optional benefit
✔
✔

In addition to these benefits, the rest are covered by all three variants such as hospitalisation expenses, day care treatment, domiciliary hospitalisation, AYUSH, etc.

Health Insurance Plans By Edelweiss

Edelweiss Gold Policy
Edelweiss Gold Policy
Edelweiss Platinum Policy
Edelweiss Platinum Policy
Edelweiss Silver Policy
Edelweiss Silver Policy

List of Edelweiss Health Insurance Plans

  • Edelweiss HealthPlus Insurance Plan: It is also a comprehensive health insurance plan with various categories of special optional benefits for specific requirements. Some of the special optional benefits in this plan are world-wide coverage, unlimited restoration of sum-insured, adventure sports cover, prosthetic cover, reconstructive surgery, accidental booster, pre-existing disease waiting period reduction, OPD expenses cover, Infertility, maternity and baby care cover which covers surrogacy also, discount covers, pandemic cover, etc. These special benefits can be availed on payment of additional premiums.
  • Edelweiss Health TopUp Insurance Plan: It has two types of coverages available; TopUp with sum insured upto 20 lakhs and Super TopUp with sum insured upto 5 crores. These plans can be issued upto 3 years. A TopUp plan provides coverage once in case a single claim exhausts the deductible amount. A super TopUp plan lets you make multiple claims in the same policy year.
  • Edelweiss Group Health Insurance Plan: It is available for corporates, associations, institutions or groups as per IRDAI guidelines. The policy is available on an individual or family floater basis for a period of 1 year and provides coverage against medical expenses due to hospitalisation, pre and post hospitalisation expenses, domiciliary hospitalisation, day care treatment and AYUSH treatment. It also provides 30 optional covers a policy holder can avail of.
  • Add-On Covers: Edelweiss health insurance offers two add-ons new born baby cover and Health241. These add-ons can be added to the base policy for additional benefits. New born baby cover provides coverage to the baby from day 1 against hospitalisation, illness or injury. Health 241 is another add-on which needs to be purchased with a new policy only. It waives off the premium on first renewal if no claim has been made in the first policy year. It is offered only once during the initial entry. Health 241 is a unique feature of edelweiss health insurance.

In addition to these plans, Edelweiss Insurance also offers Aarogya Sanjeevani Policy which is the basic standard health policy and Saral Suraksha Bima Yojna which is the personal accident cover.

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Edelweiss Health Insurance Review

Edelweiss health insurance claim settlement ratio is 112.32%

  • It has a network of 2578+ hospitals

  • It covers maximum 8 members in an individual type policy

  • It provides coverage upto 1 crore.

  • It provides inbuilt assistance services such as medical referral, evacuation, medical monitoring, second medical opinion etc.

  • It also offers special optional coverages like discount cover, worldwide coverage, pandemic cover etc.

Edelweiss Health Insurance Premium Calculator

To calculate premium of Edelweiss health insurance online, you need to provide certain details such as:

  • Age

  • Sum Insured needed

  • Policy term

  • Medical history

  • Coverage details

  • Type of policy

Online premium calculator calculates the premium based on these details. Calculating premiums online lets you adjust the premium as per your requirements.

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Why Choose Edelweiss Health Insurance?

Edelweiss health insurance provides maximum coverage at affordable rates. Edelweiss health insurance India and Tokio Marine, a Japanese life insurance company joined hands to provide health covers with life insurance plans known as edelweiss tokio health insurance. It is an innovative product that combines health insurance with life insurance and provides both the benefits in one policy.

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Frequently Asked Questions

  • Q. What is Edelweiss health card?
    • Edelweiss health card is a health card issued by Edelweiss Health Insurance specifying policy number and coverage details.

  • Q. How to claim for Edelweiss Health Insurance?
    • You can claim for Edelweiss Health Insurance by calling on the company’s toll free number 1800 12000 or paid number 022 423 12000. You can also write to them at support@edelweissinsurance.com.

  • Q. What is the claim settlement ratio of Edelweiss Health Insurance?
    • The claim settlement ratio of Edelweiss Health Insurance is 96.9%.

  • Q. How many family members can be covered under Edelweiss Health Insurance?
    • Under Edelweiss Health Insurance, you can cover up to 3 children between 3 months and 21 years old. Overall, maximum of 8 family members can be covered under the plan.

  • Q. For how many years is Edelweiss Family Health Insurance valid for?
    • Edelweiss Health Insurance is valid for 1-3 years depending on the tenure you choose.

  • Q. What is maximum coverage offered under Edelweiss Health Insurance?
    • The maximum coverage offered under Edelweiss Health Insurance 1 crore

  • Q. How to avail Edelweiss Health Insurance cashless facility?
    • You can avail Edelweiss Health Insurance cashless service if you are hospitalized at a network hospital. You can call on their 1800 12000 or paid number 022 423 12000 and inform them about the hospitalization.

  • Q. What are the types of health plans offered by Edelweiss Health Insurance?
    • Edelweiss Health Insurance offers you three types of health plans i.e. silver (cover up to 5 lakhs), Gold (cover up to 20 lakhs), and Platinum (cover up to 1 crore).

  • Q. What add on covers can I purchase with Edelweiss Health Insurance?
    • Edelweiss Health Insurance offers two add ons i.e. one for newborn and Health 241 which waives off the first year premium in case of a claim free year.

  • Q. How many hospitals are covered under Edelweiss Health Insurance?
    • Edelweiss Health Insurance has a hospital network of 2578+ hospitals

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