Health Insurance

Zuno Health Insurance: Plans, Review, and Should You Buy?

Ann Tresa Jais

Written by Ann Tresa Jais

Insurance Writer

Gaurav Bhat

Reviewed by Gaurav Bhat

IRDAI-Certified Expert at Ditto

SP0738578124

Certified
Zuno Health Insurance: Plans, Review, and Should You Buy?

Overview

Zuno General Insurance, formerly Edelweiss General Insurance, launched in 2018 and rebranded in 2023.

Key Performance Metrics

  • Claim Settlement Ratio (CSR): 89.67% (FY 2024–26 average), below the 92.02% industry mean.
  • Incurred Claim Ratio (ICR): 89.39% (FY 2023–25 average), above the 81.88% industry mean.
  • Cashless Network: 10,000+ hospitals.

Health Insurance Products

  • Zuno Health Insurance: Silver, Gold, and Platinum offer ₹1 lakh–₹1 crore coverage.
  • Zuno HealthPlus: Offers up to ₹5 crore. 

Standout Features & Add-Ons

  • Recharge: Available with Gold and Platinum, it restores 100% annually, including for the same illness. 
  • Unlimited Restoration: HealthPlus offers optional unlimited restoration for unrelated illnesses.

Things to Watch Out For

  • Co-payment: A 20% co-payment applies to every claim above age 60.
  • Waiting Periods: These include a 30-day initial wait, 90 days for diabetes, hypertension, and cardiac-related illnesses, 24 months for other specified diseases, and 24–36 months for pre-existing diseases.

Zuno General Insurance was previously known as Edelweiss General Insurance. The company received its IRDAI registration in December 2017, began operations in February 2018, and officially rebranded to Zuno General Insurance in February 2023.

In the next few minutes, this guide breaks down the health plans offered by the insurer, premiums, network hospitals, and whether it’s an ideal choice for you.

Key Health Insurance Plans Offered by Zuno General Insurance

PlanSum Insured OptionsFeaturesRecommended Add-onsSuitable For
Zuno Health Insurance Silver₹1 lakh, ₹2 lakh, ₹3 lakh, ₹4 lakh and ₹5 lakhIncludes 60 days of pre-hospitalization and 90 days of post-hospitalization coverage in the article’s comparison table. The plan gives a 10% no-claim bonus for every claim-free year, up to 50%. Room-rent restrictions apply for lower sum insured options up to ₹2 lakh.RestorationBudget-conscious buyers who want basic health insurance protection.
Zuno Health Insurance Gold ₹5 lakh, ₹7.5 lakh, ₹10 lakh, ₹15 lakh and ₹20 lakhOffers standard room eligibility, maternity cover up to ₹50,000, restoration, and a 50% no-claim bonus that can build up to 100% of the base cover.Recharge benefitFamilies looking for higher cover, maternity benefits, and broader hospitalization features.
Zuno Health Insurance Platinum₹15 lakh, ₹20 lakh, ₹50 lakh, ₹75 lakh and ₹1 croreProvides 90 days of pre-hospitalization and 180 days of post-hospitalization coverage, maternity cover up to ₹2 lakh, restoration, and a 50% no-claim bonus up to 100% of the base cover.Recharge benefitFamilies and metro residents seeking higher sum insured options and broader benefits.
Zuno HealthPlus₹1 lakh to ₹5 croreNo room-rent cap, 2X cover from day one through Recharge, unlimited restoration for unrelated illnesses, modern-treatment coverage, and no disease-wise sub-limits up to the sum insured.Outpatient cover and reduction in pre-existing disease waiting periodMetro buyers who want unrestricted room choice and very high coverage limits.

Note: Zuno’s Recharge Benefit can restore the sum insured once in a policy year and may even be used for the same illness or hospitalization. In comparison, the inbuilt 100% restoration available in Gold and Platinum is limited to unrelated illnesses. Also, a mandatory 20% co-pay applies to every claim for insured members aged above 60 years, which can materially increase out-of-pocket expenses.

At Ditto, we prefer plans that offer unlimited restoration for both related and unrelated illnesses, as they provide more dependable coverage during repeated hospitalizations. We also advise avoiding mandatory co-pay clauses, especially age-based co-pays, since they can significantly increase out-of-pocket expenses at claim time.

Talk to an expert
today and find
the right
insurance for you.

Ditto Advisor

Zuno Health Insurance: Performance Metrics

Metrics (FY 2024-26)Zuno Health InsuranceIndustry Average
Claim Settlement Ratio (CSR) 89.67%92.02%
Incurred Claims Ratio (ICR) (Average FY 2023–25) 89.39%81.88%
Complaints Received per 10,000 Claims 21.4429.35
Annual Business - Total Health (In Crore) ₹382.76₹4,504

Note: The data presented above is sourced from IRDAI annual reports and Zuno General Insurance's public disclosures. Complaint statistics represent the insurer's overall portfolio, including health, car, and bike insurance products, and should not be interpreted as health insurance complaints alone.

Key Insights:

    • Claim Settlement Performance: Zuno’s average CSR of 89.67% is slightly below Ditto’s 90% benchmark and lower than the industry average of 92.02%. This makes its claim settlement performance relatively weaker than the benchmark.
    • Claims Payout Balance: Zuno’s average ICR of 89.39% is higher than the industry average of 81.88%. This means it pays out a larger proportion of the premiums collected as claims. However, a higher ICR alone does not necessarily indicate better claims performance.
    • Customer Complaint Experience: Zuno’s complaint volume of 21.44 per 10,000 claims is considerably lower than the industry average of 29.35. This is a positive indicator, although the figure represents Zuno’s overall insurance business.
    • Business Scale: Zuno’s average annual health GWP of ₹382.76 crore is significantly lower than the industry average of ₹4,504 crore. This indicates a relatively smaller health insurance business compared with larger insurers such as Aditya Birla and Care.

The insurer is not currently among the best health insurance companies in India, and might need some time to scale up as a leading health insurer.

Zuno Health has a decent CSR but does not feature in the list of top 10 health insurers by CSR in India. Take a look at the infographic to see which insurers make it to the list.

CSR rankings of India’s top 10 health insurers by 3-year average, led by New India Assurance at 98.91%.

Network Hospitals: How Many Does Zuno Cover Across India?

Zuno now has a network of 10,000+ hospitals across India, where policyholders can access cashless hospitalization, subject to policy terms and claim approval. This meets Ditto’s preferred benchmark of 10,000+ network hospitals, giving policyholders fairly broad access to cashless treatment across the country.

However, network size alone should not drive your decision. Before buying, use Zuno’s hospital locator to check whether your preferred hospitals are empaneled. The locator may also ask you to select the relevant Third-Party Administrator (TPA) before viewing hospitals available in your city.

Premiums and Affordability of Zuno Health Plans

ProfilesZuno Platinum
(Individual Plan): Age 25₹11,482
(Family Floater, 2A): Ages (31, 32)₹21,458
(Family Floater, 2A 1C): Ages (35, 34, 5)₹30,055
(Family Floater, 2A): Ages (62, 63)₹98,632

Take Note: Here, A stands for adult and C for child(ren). These are indicative premiums for a Delhi resident (PIN code: 110010) with ₹15 lakh cover. Your premium can change based on age, city, medical history, plan variant, added discounts, and chosen add-ons.

Should You Buy Zuno Health Insurance?

At present, take a wait-and-watch approach on Zuno Health Insurance. The insurer’s product lineup is still evolving and lacks depth. Key limitations include the absence of consumables coverage, relatively constrained bonus and restoration benefits, and add-ons that are less comprehensive than those offered by several leading health insurance plans.

From an insurer's perspective, Zuno is a relatively small player in the health insurance market, with a limited health insurance business scale compared to larger insurers. Additionally, the company's business continues to have a significant focus on group health insurance.  Its claims are serviced through TPAs like Medi Assist.  

At Ditto, we recommend choosing health insurers that have in-house claim settlement teams for retail health insurance policies. When claims are handled directly by the insurer rather than a third-party administrator, the process is often more streamlined and transparent. It also leads to faster decision-making, better accountability, and a more consistent customer experience during hospitalization and claims.

Note: Before purchasing a health plan, it is important to carefully review coverage limits, waiting periods, room rent eligibility, and restoration benefits to ensure the plan aligns with your long-term healthcare needs. Here’s a health insurance checklist you must refer to before purchasing a policy.

Why Choose Ditto for Health Insurance?

At Ditto, we’ve assisted over 12,00,000 customers choose the right insurance policy. Why customers like Pallavi love us:

Pallavi Nayak LinkedIn Customer Testimonial
    • 100% Free Consultation
    • No Spam. No Sales Pressure.
    • Rated 4.9/5 on Google Reviews by 30,000+ Happy Customers
    • Backed by Zerodha
    • Dedicated Claim Support Team
    • Compare Plans and Premiums with a Trusted Insurance Advisor

Confused about the right insurance? Speak to Ditto’s certified advisors for free, unbiased guidance. Book your call now or chat with us on WhatsApp. Slots fill up fast!

Conclusion

Zuno Health Insurance offers affordable pricing and a straightforward digital experience, making it an interesting insurer to track. However, given its relatively small scale, limited retail health insurance presence, and evolving product suite, buyers may benefit from comparing it against other leading insurers.

As the company expands its network, strengthens operations, and builds a longer performance track record, it could become a more compelling option in the future. If you wish to explore health plans from established insurers, refer to our guide on the best health insurance plans in 2026.

Frequently Asked Questions

What makes Zuno HealthPlus different from other Zuno plans?

Zuno HealthPlus stands apart with sum insured options ranging from ₹1 lakh to ₹5 crore and no room-rent cap. It provides 2X cover from day one through Recharge, unlimited restoration for unrelated illnesses, modern-treatment coverage, and no disease-wise sub-limits up to the sum insured. Outpatient cover and reduced pre-existing disease waiting periods are recommended add-ons, designed for buyers wanting unrestricted room choice.

What is Zuno's Recharge Benefit and how does it work?

Zuno's Recharge Benefit replenishes the sum insured once during a policy year, and this replenishment can apply even for the same illness. This differs from the built-in 100% restoration found in Gold and Platinum plans, which covers only unrelated illnesses. The Recharge benefit is offered as a recommended add-on across Gold, Platinum, and HealthPlus plans.

What waiting periods apply under Zuno Health Insurance plans?

Zuno Health Insurance applies a standard 30-day initial waiting period for illness-related claims, while accident-related hospitalizations are covered from day one. Listed diseases like hernia and cataract carry a 24-month waiting period, and a unique 90-day waiting period applies to diabetes, hypertension, and cardiac-related complications. Pre-existing diseases require 36 months under Silver and Gold, reduced to 24 months under Platinum. 

How large is Zuno Health Insurance's business scale compared with the industry?

Zuno Health Insurance reported an annual total health business of ₹382.76 crore for FY 2024-26, compared with an industry average of ₹4,504 crore. This considerable gap indicates that Zuno operates a comparatively smaller health insurance business than larger, established insurers such as Aditya Birla and Care in the Indian market.

Does Zuno Health Insurance apply co-payment for senior citizens?

Zuno Health Insurance Silver, Gold, and Platinum plans apply a mandatory 20% co-payment on claims filed by insured members above age 60. This means senior policyholders bear a fixed share of eligible claim costs regardless of sum insured or plan variant chosen. Such co-payment clauses can raise out-of-pocket expenses considerably for families purchasing coverage for elderly parents under these plans. 

What are the indicative premiums for Zuno Platinum in Delhi?

For a Delhi resident with a ₹15 lakh sum insured, Zuno Platinum premiums include ₹11,482 for a 25-year-old individual and ₹21,458 for a two-adult floater aged 31 and 32. A floater with two adults and one child aged 35, 34, and 5 costs ₹30,055, while a floater covering adults aged 62 and 63 costs ₹98,632 annually.

Who processes retail health insurance claims for Zuno policyholders?

Zuno Health Insurance services retail health claims through third-party administrators such as Medi Assist, rather than managing them through an entirely in-house claims team. Ditto's stated preference favors insurers that handle retail claims directly, since in-house processing can make accountability, communication, and decision-making more straightforward for policyholders during hospitalization and claim settlement. 

Does Zuno HealthPlus have any disease-wise sub-limits?

Zuno HealthPlus does not impose disease-wise sub-limits up to the sum insured chosen by the policyholder. This means claims for specific illnesses are not capped below the overall coverage amount, unlike some plans that restrict payouts for particular treatments or conditions. This structure makes HealthPlus suited for buyers wanting fewer restrictions on claim payouts. 

Last updated on: