Edelweiss Group Health Insurance
With the rise in employee welfare and employee satisfaction trends, Edelweiss General Group Health Insurance is an absolute fit to provide comprehensive financial protection.
It protects various health-related expenses and can assist them in remaining financially stable. The adoption of such a policy by a company makes its employees feel cared for and valued. Edelweiss group medical insurance offers quick assistance and hassle-free policy processing.
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Key Statistics of Edelweiss General Group Health Insurance
GHI Premiums
GHI lives insured
Health lives insured
Health claims Processed
Health claims settlement ratio***
Health claims Settled within 3 months
Awards and recognitions
Best use of Technology to Enhance Customer Experience by Customer Fest Awards 2021
Most Innovative Technology Initiative by Customer Fest Awards 2021
Innovation and Emerging Technologies by Asia Feather Awards 2021
InsureTech Company of the Year by India Insurance Summit and Awards 2020
Bronze New Product Launch by Indian Marketing Awards 2020
BFSI Digital Innovation by Indian Express Group 2019
Edelweiss Medical Insurance
Edelweiss group health insurance comes in four different variants to provide a cover for different health situations. Depending upon the requirement of your group, you can choose a plan that is best suited. Travel and Corona plans are specific for comprehensive group health insurance, or group total protection should be opted.
Highlights of Group Care Insurance
Group health insurance
This group health insurance provides hospitalization expenses covered with the scope for Ayush treatment as well. Another beneficial feature of the policy is the facility of premiums payments in equated installments.
Group total protection
This group health insurance provides the entire feature of the group health insurance mentioned above. Additionally, the plan provides cover for accidental losses and disability.
Group domestic travel
Ideally suited when a corporate group is traveling together or the nature of business requires frequent travel.
Group COVID-19 policy
The policy provides cover for COVID treatment and pre-hospital expenses. Even the treatment opted through Ayush is covered.
Benefits offered by the Edelweiss group health insurance and group total protect
Highlights of the policy
Pre-existing condition
Following the terms and conditions of the policy of 48 months of continuous cover, pre-disclosed pre-existing conditions would be covered under the policy.
Hospitalization expenses
The group health policy provides cover for treatment expenses and consumables up to the Sum Insured.
Day care procedure
A variety of procedures are covered under the daycare treatment. Speak to an insurance representative for better clarity.
Ayush treatment
Edelweiss health Insurance provides cover for treatments opted through the Ayush regimen.
Pre and post-hospital expenses
Depending upon the choice of policy variant, pre- and post-hospital benefits are covered under the policy.
Exclusions
Any treatment undertaken from a non-licensed practitioner or non-listed hospital
Defined condition or treatment, which is not covered as per the policy definitions
A condition related to a sexually transmitted disease
Vaccinations, Inoculation, and immunization, unless caused post animal bite.
Unnecessary treatment or surgical procedure
Any health problems or injuries caused by Suicide attempts
Treatment or procedure not prescribed by a doctor
Please note that Plum has collated and presented this data for informational purposes only and at a particular point in time. Plum does not endorse, rate, or recommend any particular insurer or insurance product offered by an insurer. The final terms, conditions, and premiums may vary depending upon factors including group size, age, location, and applicable taxes.
The benefit of Edelweiss group medical insurance
Dedicated representative
Edelweiss group health insurance assigns a specific point of contact to each insurance policy, which entails a dedicated service and point of contact that understands the requirement and preferences of the insured.
Faster processes
Edelweiss insurance claims to be one of the quickest policy issuances to claim processing. This fast-paced process may happen owing to the minimal documentation policy of the insurer.
Hassle-free documentation
Insurer works on the policy of minimal documentation, making the experience on insurance seamless for the insured. Minimal Documentation removes unnecessary paperwork both at the insurer and at the insured’s end.
Here's how Edelweiss General is better with Plum
Plum strives to provide the best healthcare plan, one that will assist you in obtaining excellent benefits solutions for your workforce. With Plum Insurance, you get the ideal solution for all corporate entities due to its comprehensive solution and ease of management.
Admin dashboard
With Plum, employers get an admin dashboard to easily manage employees, such as adding, deleting, or filling out employee information, among other things.
Simple claim process
The Plum claims process can be initiated via WhatsApp chat, which provides great ease to employees. Other functions available include downloading the policy document, viewing policy details, and so on.
Employee dashboard
Employers can access employee policy details, check claim status, and file a claim using the Plum admin dashboard.
Perks
In addition to insurance, Plum provides a variety of extra wellness benefits to its employees. This feature makes the Plum offer even more appealing in today's stressful world.
Coverage for all business sizes
With Plum, you can get competitive quotes for your group policy needs, regardless of your organization's size.
Affordable pricing
Plum offers the most competitive pricing for various group plans. Get a customised quote, follow the link.
Lodging a claim under Edelweiss general group health insurance plans
The insurer has a simple two-step process of raising the claim:
Notification is done either through a call on the prescribed number of the insurer for raising a claim or through an email on the prescribed email id. The purpose of this step is to update the insurer on the details of the claims that the insured is willing to file.
The claim process happens at the back end of the insurance company, and as soon as the claim is approved, the insured is notified and settled
Cashless: If the claim is filed for the cashless facility at one of the partner facilities of the insurer, then the claim is directly paid to the hospital.
Reimbursement: In case the insured makes payments, the claim amount is reimbursed to the claimant at the decided bank account.
Edelweiss general insurance keeps the process hassle-free and ensures a timely and efficient way of resolving and settling claims. If there are any issues with the claim, the same can be raised to their support team.
FAQs
Can I add or remove members after the initial setup?
Super top-up is additional coverage of 20 lakhs added to your existing policy. You can avail the additional cover for yourself, and/or for your entire family (self+spouse+2 kids), and/or your parents.
This policy, however, comes with waiting periods on certain critical illnesses and applicable deductibles.
How are premiums calculated for additions?
Yes, you can add new employees, add new dependents (at the time of marriage or childbirth), and remove employees who exit the company. Additions and deletions can be done using the Plum dashboard.
Do I get refunded for deletions?
Deductible refers to the amount paid by the policyholder (via out-of-pocket or other medical insurance policy) before the super top-up kicks in. Read all about how a deductible works here.
How do I pay for additions and deletions?
No, the policy doesn’t cover same-sex or unmarried couples.
Can an employee convert the group plan to an individual plan if they leave the company?
No, the policy doesn’t cover same-sex or unmarried couples.