Edelweiss General 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
₹67 crores
FY 2021
GHI lives insured
1.11 lakh
FY 2020
Health lives insured
1.23 lakh
FY 2020
Health claims Processed
4,040
FY 2020
Health claims Settlement Ratio
85.57%
FY 2020
Claims Settled within 3 months
85.35%
FY 2020
*Source - IRDAI and IBAI annual reports  **GMC - Group Medical Cover
***Claims Settlement Ratio (CSR) is the percentage of claims settled by the insurance company against the no. of claims obtained in a financial year. A high claim settlement ratio indicates the good financial health of the insurance group.
GHI Premiums
₹1,009 crores
FY 2021
GHI lives insured
53 lakhs
FY 2020
Health lives insured
1.72 crores
FY 2020
Claims Processed
1,67,673
FY 2020
Claims Settlement Ratio
86.52%
FY 2020
Claims Settled within 3 months
86.42%
FY 2020
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
Excellence in Financial Reporting
ICAI Awards 2015-16
Top Projects in India
SKOCH Order-of-Merit
Best Customer Experience Award of the Year
Financial Sector
iAAA rating
ICRA
iAAA rating
ICRA
Best Insurance Company in Private Sector
General 2014
Gold Shield
ICAI Awards 2012-13
HR Excellence
Technology award 2012

Edelweiss Medical Insurance

Edelweiss group health insurance comes in four different variants to provide a cover for different health situations. These health insurances are:
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 Protect
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 corona Policy
The policy provides cover for COVID treatment and pre-hospital expenses. Even the treatment opted through Ayush is covered.
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.
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Inclusion in the Group Health Insurance and Group Total Protect

Here’s a look at the group health insurance plan offered by Edelweiss General Group Health Insurance Company:
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.
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How Does Plum Work?

Open
app.plumhq.com
to access your insurance
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Click on use
my insurance button
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Open
app.plumhq.com
to access your insurance
Click on use
my insurance button
on the dashboard
Select
Open WhatsApp
and continue to chat

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.
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.

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 is very simple; it can be initiated via the Plum WhatsApp chat, which provides great ease and comfort to the employees. Other functions available via chat 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.
Appropriate Pricing
Plum offers the most competitive pricing for various group plans. Get a customised quote, follow the link.
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Here’s why you will love Plum

With Plum, get complete access to your insurance plan on WhatsApp
Check your healthcare benefits
Intimate your claim
Read what’s covered and not covered
Select other health benefits
Download your Digital health ID Card
See daycare treatment list

Frequently asked 
questions

Does the easy installment payment of Premium work on all sizes of policies?

Yes, Irrespective of the size of the policy. Edelweiss group health insurance provides an Installment payment option of premium.

Is there any tax benefit of the Edelweiss Group Health Insurance?

Under 80C of Income Tax of India, all premiums paid towards the premium during a financial year can be claimed as a deduction from taxable income

Are there any restrictions on the number of claims that can be availed?

No, Edelweiss policy does not impose any restrictions on the number of claims available within the sum insured.