# 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.

## Key Statistics of Edelweiss General Group Health Insurance

| Statistic                          | Value           | Financial Year |
|------------------------------------|-----------------|----------------|
| GHI Premiums                       | ₹67 cr          | 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        |
| Health claims Settled within 3 months | 85.25%         | FY 2020        |

*Source - IRDAI and IBAI annual reports  
**GHI - Group Health Insurance  
***Claims Settlement Ratio (CSR) is the percentage of claims settled by the insurance company against the no. of claims obtained in a financial year.*

### Awards and recognitions

### 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

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 premium payments in equated installments.

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.

Ideally suited when a corporate group is traveling together or the nature of business requires frequent travel.

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

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.

The group health policy provides cover for treatment expenses and consumables up to the Sum Insured.

A variety of procedures are covered under the daycare treatment. Speak to an insurance representative for better clarity.

Edelweiss health Insurance provides cover for treatments opted through the Ayush regimen.

Depending upon the choice of policy variant, pre- and post-hospital benefits are covered under the policy.

Any treatment undertaken from a non-licensed practitioner or non-listed hospital, defined condition or treatment not covered as per the policy definitions, conditions related to sexually transmitted diseases, vaccines unless caused by animal bite, unnecessary treatment procedures, health problems caused by suicide attempts, treatment not prescribed by a doctor are excluded.

### The benefit of Edelweiss group medical insurance

- **Dedicated representative:** Edelweiss group health insurance assigns a specific point of contact to each insurance policy, to understand the requirement and preferences of the insured.
- **Faster processes:** Edelweiss insurance claims to be one of the quickest in policy issuance to claim processing.
- **Hassle-free documentation:** The insurer focuses on minimal documentation to enhance the insured’s experience.

### Here's how Edelweiss General is better with Plum

Plum strives to provide the best healthcare plans, assisting in obtaining excellent benefits solutions for your workforce.

- **Admin dashboard:** Employers get an admin dashboard to easily manage employees.
- **Simple claim process:** The Plum claims process can be initiated via WhatsApp chat.
- **Employee dashboard:** Employers can access employee policy details and check claim status.
- **Perks:** Plum also provides a variety of wellness benefits to its employees.
- **Coverage for all business sizes:** Competitive quotes are available regardless of organizational size.
- **Affordable pricing:** Plum offers competitive pricing for various group plans.

### Lodging a claim under Edelweiss general group health insurance plans

The insurer has a simple two-step process of raising the claim:

1. **Notification:** Notify the insurer either through a call or email regarding the claim filing.
2. **Claim Process:** The claim is approved and processed by the insurance company, ensuring timely communication and settlement.

### 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.

**How are premiums calculated for additions?**  
You can add new employees or dependents and remove employees as necessary.

**Do I get refunded for deletions?**  
The policy does not cover same-sex or unmarried couples.

**Can an employee convert the group plan to an individual plan if they leave the company?**  
The policy does not cover same-sex or unmarried couples.