Claim Settlement Ratio 84.52%
Claim Settlement Facility 100%
Network Hospitals 3200
COVID-19 Cover Yes
Incurred Claim Ratio 35.31%
Edelweiss General insurance company was established in 2016 as a general insurance company after obtaining the required general insurance license from the Insurance Regulatory and Development Authority of India. Edelweiss General Insurance is a subsidiary of Edelweiss financial services limited, which has entered the Indian market to offer general insurance solutions to the Indian population. The company has designed general insurance plans to cater the needs of the customers and deliver simple solutions.Readmore..
The minimum entry Age under the plan is 90 days whereas the maximum entry Age is 65 years.
The pre and post hospitalization expenses are covered up to 90 days and 180 days.
There are 3 variants in the plan namely Silver, Gold and Platinum which are classified according to the sum insured.
Edelweiss Health insurance policy provides telephone access to operation centers staffed 24 hours a day, every day of the year, with multilingual personnel for medical Referral.
Critical illness coverage : The plan provides for an additional 50% increase in the base sum insured on first diagnosis of a critical illness as specified in the policy document. If the critical illness sum insured is not utilized in the policy year, it would not be carried forward to subsequent policy years. The waiting period under this cover is 90 days from the date of purchase of policy. The cover is not valid if the person has already claimed for the same critical illness previously.
Edelweiss health insurance offers tax benefits under the Section 80 D of the income tax act for the premiums paid towards the health insurance policy.
Edelweiss health insurance claim form can be downloaded from the website of the company or from here. The claim settlement ratio of Edelweiss general insurance is 87% which is subject to change from time to time. The incurred claim settlement ratio of Edelweiss health insurance was 111.57% for FY 2020-21 whereas the Overall incurred claim settlement ratio was 102.02%.