Edelweiss General Insurance company is part of Edelweiss group- a homegrown multinational financial services company. The company offers three health insurance policies with coverage ranging from 3 lacs to 1 Crore. It also has plans that offer maternity benefit. It's Gold and Platinum plans offer critical illness cover where in an additional sum insured of 50% is offered in case the insured is diagnosed with any critical illness.
Claim Settlement Ratio NA
Network Hospitals 3,200+
Edelweiss Health insurance plans
Health insurance claim process for Edelweiss
1
Inform the insurer
If it is an emergency, you can immediately get admitted in the hospital and then within 24 hours, you need to inform the Edelweiss people. But in case of planned hospitalization (like Cataract or Knee replacement), you need to inform them atleast 48 hours before hospitalization
2
Fill in the forms
You need to provide a copy of your insurance policy and an ID proof and you need to fill in a small questionnaire so that the hospital/TPA desk can reach out to your insurer for the approval
3
Claim approval
Once your request is approved, hospital will start providing you the required treatment and you won’t have to pay any amount. In case the request is rejected, you will have to pay, but worry not, you can apply for a reimbursement once you are discharged