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We Make It Easy For You To Look After All Your People.

As we all know, getting treatment in a hospital can be heavy not just on your heart, but also on your wallet. With our Group Health and Group Total Protect insurance plans, we’ll help you look after it.

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Pick Your Protection

How are you looking to help your group members?

Group Health Insurance

Group Health Insurance

What’s covered?

    • Hospitalisation Expenses
    • Pre- and Post-Hospitalisation Medical Expenses
    • Day Care Treatment
    • Domiciliary Hospitalisation
    • AYUSH
    • Instalment Premium Payment Option
     

I want to upgrade my cover

    • Option to convert the plan into a family floater policy
    • Extension of the pre- and post-hospitalisation time period
    • Waiver of the pre-existing disease exclusion
    • Critical illness cover
    • Recovery benefit
     
Click here to view rate chart
Situations that our policy doesn’t cover - View

What's not covered?*

Sorry, but certain things are out of our hands, too!

  • Any treatment taken from somebody who is not a licensed medical practitioner.
  • Any condition or treatment specified in our list of Non-Medical Items (Appendix – I Policy Terms & Conditions).
  • Any condition that is caused either directly or indirectly by a sexually transmitted disease.
  • Treatments related to sleep disorders
  • Preventive care such as vaccinations, including inoculation and immunisations (unless this is post-bite treatment), tonics and vitamins

*PLEASE REFER TO THE POLICY WORDINGS FOR COMPLETE INFORMATION

Group Total Protect

Group Total Protect

What’s covered?

    • Hospitalisation Benefits in case of Accidents
    • Hospitalization and Accidental Death Benefit
    • Permanent Total Disability
    • Permanent Partial Disability
    • Temporary Total Disability
    • Instalment Premium Payment Option
     

I want to upgrade my cover

    • Enhanced temporary total disability
    • Last rite expenses
    • Child enhancement benefit
    • Loss of employment benefit
    • Loss owed to terrorism
    • Burns benefit
    • Medical Evacuation
    • Compassionate visit
     
Click here to view rate chart
Situations that our policy doesn’t cover - View

What's not covered?*

Sorry, but certain things are out of our hands, too!

  • Medical or surgical treatment, unless necessary after an accident
  • Treatment at facilities that are not hospitals
  • Elective surgery or any surgery that is not recommended by a doctor
  • Suicide or attempted suicide

*PLEASE REFER TO THE POLICY WORDINGS FOR COMPLETE INFORMATION

Group Domestic Travel

Group Domestic Travel

What’s covered?

    • Accidental Death Benefit
     

I want to upgrade my cover

    • In Patient Hospitalization – Indemnity
    • In-Patient Hospitalization – Benefit
    • Out-patient Expenses / Emergency Room/Casualty Expenses
    • Trip Delay
    • Missed Event
    • Emergency Hotel Extension
    • Adventure Sports Cover
     
Situations that our policy doesn’t cover - View

What's not covered?*

Sorry, but certain things are out of our hands, too!

  • Treatment for, Alcoholism, drug or substance abuse or any addictive condition and consequences thereof.
  • Expenses for treatment directly arising from or consequent upon any Insured Person committing or attempting to commit a breach of law with criminal intent.
  • Any claim arising from any intentional self-Injury, suicide or attempted suicide, intoxication by liquor or drugs.
  • Travel to areas where, at the time of booking the Journey or thereafter but prior to the insured’s travel, the government authority has advised against all travel to that specific area.
  • Any non – declared Pre-existing condition or any complication arising from it.
  • Treatment other than Allopathy and AYUSH.

*PLEASE REFER TO THE POLICY WORDINGS FOR COMPLETE INFORMATION

Group Total Protect

Group Corona Policy

What’s covered?

    • COVID Hospitalization
    • AYUSH Treatment
    • Pre – Hospitalization
    • Post Hospitalization
     

I want to upgrade my cover

    • Home Care Treatment
    • Institutional Quarantine
    • Ambulance Cover
    • First Fifteen Days Waiting Period Waiver
    • Hospital daily cash
     
Situations that our policy doesn’t cover - View

What's not covered?*

Sorry, but certain things are out of our hands, too!

  • Any expenses of Day Care treatment and OPD treatment
  • Diagnosis/Treatment outside the geographical limits of India.
  • Testing done at a Diagnostic center which is not authorized by the Government shall not be recognized under this Policy.

*PLEASE REFER TO THE POLICY WORDINGS FOR COMPLETE INFORMATION

*PLEASE REFER TO THE POLICY WORDINGS FOR COMPLETE INFORMATION

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Some Helpful Documents

Group Health Insurance Endorsement Wordings Group Health Insurance Group Total Protect Policy Group Domestic Travel Insurance Group Corona Policy
Group Health Insurance Claim Form A Group Health Insurance Claim Form B Group Total Protect Policy Group Domestic Travel Insurance Group Corona Policy Claim Form A Group Corona Policy Claim Form B
Group Health Insurance Group Total Protect Policy Group Domestic Travel Insurance Group Corona Policy

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Why Us?

Single Point of Contact

Single Point of Contact

Quick Decision-Making

Quick Decision-Making

Minimum Documentation Required

Minimum Documentation Required

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We Won’t Play The Claim Game

We always live up to our promises – 100%. If you’re looking to make a claim, it’s really simple. Our claims process is just 2 steps:

Call us on
Toll free -1800 12000 /
Paid landline - 02242312000
or email us at support@edelweissinsurance.com to let us know the details of your claim.

 

We’ll work on your claim and either transfer the money to you if you’ve already made a payment, or directly pay the hospital if you’ve gone cashless.

Of course, if you still need us to answer any queries, you can get in touch with us at
support@edelweissinsurance.com and we’ll reply soon.

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Your Questions Answered

Can a group member’s family members also be covered?

Yes, absolutely. With the family floater option, you can add your group member’s selected family members to Group Total policy, Group Health insurance as well as Group Domestic Travel insurance.

What is the waiting period before I can make a claim?

Typically speaking, the waiting period in Group Health insurance and Group Total policy for all illnesses is 30 days, and for Group Domestic Travel there is none. But the waiting period may differ based on the policy you have purchased. It is always best to double check your policy documents for better understanding.

How do I escalate the issue if my claim has not been settled?

We hope it never comes to this, but if you feel that you need your answer from the powers that be, you are welcome to approach the Insurance Regulatory and Development Authority of India (IRDAI) through the Integrated Grievance Management Section (IGMS) or by calling the IRDAI Grievance Call Centre (IGCC).

Will critical illnesses be covered under this plan?

We offer cover for critical illness at an additional cost with Group Health insurance and Group Total policy, however same is not a coverage or an option under Group Domestic Travel Insurance.

Are any medical tests required to avail this policy?

We try and keep this process to an absolute minimum. We’ll take a call on whether group members need any medical tests based on the amount they’re covered for as well as their age and medical history.

Who manages claims for Edelweiss Group Total Protect Policy?

Our in house claims team handles claims process Edelweiss Group Total Protect Policy. For more information, please call us on 1800 12000 02242312000 or email us at &npsp; to let us know the details of your claim.

Who manages claims for Edelweiss Group Health Insurance?

Below are the TPAs handling claims for Edelweiss Group Health Insurance, you can click on the names given below to visit their website.

Do you have any flexible payment option available for Group Health Insurance, Group Total Protect Policy and Group Domestic Travel Insurance?

Yes, we do have instalment premium payment option available for all three mentioned insurance policies.

Who manages claims for Edelweiss Group Domestic Travel Insurance?

Currently, Paramount it our TPA for Edelweiss Group Domestic Travel Insurance, you can simply click here for more details on Paramount.
Additionally, our in-house claims team handles claims process as well. For details, please call us on 1800 12000 02242312000
or email us at support@edelweissinsurance.com

Edelweiss Group Health Insurance - UIN: EDLHLGP21462V032021 | Edelweiss Group Total Protect Policy - UIN: EDLPAGP21510V022021 | Edelweiss Group Domestic Travel Insurance - UIN: EDLTGDP20136V011920 |
Group Corona Policy, Edelweiss General Insurance Company Limited I UIN: EDLHLGP21249V012021