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Evaluating Edelweiss Health Insurance Plans

Updated on May 12, 2024 , 1014 views

In such uncertain times, you can never vouch for perfect and non-ailing health. Not just more and more illnesses are getting discovered, even humans are lagging in terms of taking care of their health adequately.

Edelweiss Health Insurance

Thus, in such a situation, having an ideal health insurance policy that covers all the basic and major requirements in an emergency situation is quite necessary. So, if you have been thinking of taking health insurance, this post is specifically for you.

The post covers three different Edelweiss health insurance plans and their benefits. Check out before making a decision.

Edelweiss Health Insurance Plans

Keeping the upsurge in ailments and health conditions, Edelweiss has come up with three different versions of its health insurance plan, such as:

  • Edelweiss health insurance silver
  • Edelweiss health insurance gold
  • Edelweiss health insurance platinum

They are meant to suit a variety of requirements seamlessly. These plans are appropriate for a different audience and cater to numerous ailments and diseases.

There is surely a lot that these Edelweiss Tokio health insurance policies come with, but a wonderful add-on is known as Health 241 – meaning two for one. If you are taking a policy with this add-on and your first year goes claim-free and healthy, Edelweiss will cover you for the second year without charging a penny.

Likewise, there is an array of additional benefits and advantages that you can get out of these edelweiss medical insurance plans.

Benefit Silver Plan Gold Plan Platinum Plan
Hospitalization expenses
Room rent limit (per day for a standard single private room) Sum assured of Rs. 3 lakhs and more No capping No capping
No capping on charges for ICU
Pre and post hospitalization expenses 30 to 60 days 60 to 90 days 90 to 180 days
Daycare treatment
Ambulance charges Up to Rs. 1500 Up to Rs. 3000 Up to Rs. 10000
Organ donor cover X Up to Rs. 1 lakh Up to Rs. 2 lakhs
Domiciliary hospitalization
Health check-up for each claim-free year
Maternity benefit X Up to Rs. 50,000 Up to Rs. 2 lakhs

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Inclusions for Edelweiss Health Insurance

The coverage offered in all these three plans may differ accordingly. However, some of the common inclusions that come in edelweiss health insurance are:

  • Ambulance expenses
  • Voluntary co-payment for up to 60 years of age
  • Hospitalization room expenditure
  • Restoration benefit
  • Hospitalization expenditure
  • Recovery benefit
  • Pre and post hospitalization expenditure
  • Recharge benefit
  • Critical illness coverage
  • No claim discount benefit

Exclusions for Edelweiss Health Insurance

Similar to inclusions, here is a list of common exclusions that are not counted in any of the Edelweiss Tokio Critical illness plan:

  • The first 30-day waiting time period
  • Treatment for a psychological disorder, stress, mental illness, Parkinson’s or Alzheimer’s disease
  • Cosmetic or plastic surgeries
  • Expenditure related to artificial teeth, laser surgery, dentures, ear and eye examination, hearing aids, spectacles, contact lenses and any other external appliance
  • Any medical expenditure incurred on new-born or children below 91 days of age
  • Medical conditions related to any sexually transmitted disease, such as trichomoniasis, pubic lice, chlamydia, HIV, AIDS, genital herpes, genital warts, and gonorrhoea
  • Oral chemotherapy
  • Myomectomy fibroids
  • Every type of hernia and hydrocele
  • Pilonidal sinus, duodenal ulcers, gastric, haemorrhoids / piles / fistula / fissure in anus

Documents Required for Edelweiss Health Insurance

If you are prepared and ready to get an edelweiss Tokio medical insurance, here is the list of documents that you would have to submit:

  • Completely signed edelweiss health insurance form
  • Medical investigation reports
  • Original pre-authorization request
  • HPE / USG / CT / MR and other relevant investigation reports
  • Copy of pre-authorized approval letter
  • Reference slip from any doctor
  • Photo ID card of the patient verified by the hospital
  • The discharge summary from the hospital
  • Operation theatre notes or reports
  • Police FIR (if any)
  • Chemist bill
  • MLC report
  • Hospital final bill
  • Original death hospital (if available)
  • Hospital break-up bill
  • Other bills and documents according to the situation

Edelweiss Health Insurance Customer Care

  • Customer Care Number: 1800-212-1212

  • Customer Care Email ID: care[@]edelweisstokio[dot]in

All efforts have been made to ensure the information provided here is accurate. However, no guarantees are made regarding correctness of data. Please verify with scheme information document before making any investment.
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