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.
Pick Your Protection
How are you looking to help your group members?
Group Health Insurance
What’s covered?
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
What’s covered?
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
What’s covered?
-
- Accidental Death Benefit
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 Corona Policy
What’s covered?
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
Group Janata Personal Accident
What’s covered?
-
- Lump sum payment if the insured person passes away
- A payout in case of permanent partial/total disability caused by an accident*
Situations that our policy doesn’t cover - View
What's not covered?*
Sorry, but certain things are out of our hands, too!
- Any claim for death or disability (whether permanent or temporary) or hospitalisation of the insured person, caused directly or indirectly by War (whether declared or not) and related incidents
- Any claim for death or disability (whether permanent or temporary) or hospitalisation of the insured person, caused by: a. Suicide, attempted suicide or self-injury, unless in self-defense or to save a life b. Injury caused by an accident while intoxicated with alcohol, drugs, etc, unless the substance has not been deliberately taken by the insured person c. Aviation or ballooning, or while getting into or out of a balloon or aircraft, other than as a passenger (fare-paying or otherwise) by a Standard Type of aircraft in any Scheduled Airline. [Standard Type of aircraft means any aircraft licensed to carry passengers (for hire or otherwise) by the authorities, irrespective of whether such an aircraft is privately owned or chartered, or operated by a regular airline, or has a single engine or is multi-engine;] d. The Insured Person breaking or violating any law with a criminal intention.
- Any claim for death or disability (whether permanent or temporary) or hospitalisation of the insured person, caused by taking part as a professional in hazardous or adventure sports, including para-jumping, rock climbing, mountaineering, rafting, motor racing, horse racing, scuba diving, hand gliding, skydiving, deep-sea diving and all similar sports.
- Any claim for a loss that is caused by, or is a result of: a. Ionizing radiation or contamination by radioactivity from any nuclear fuel, or nuclear waste from the combustion of such fuel b. Nuclear weapons material c. The radioactive, toxic, explosive or other hazardous properties of any explosive nuclear assembly or component Nuclear, chemical and biological terrorism
- Any loss that results from: a. The Insured Person taking part or helping in an illegal act, or any violation (or attempted violation) of the law b. Taking part in a Defence Operation - whether naval, military or with the air force c. Any Legal Liability that is raised against a Hospital or Medical Practitioner d. Any injury or disability that happens because of a Pre-Existing Condition that existed on the policy issue date e. The expenses of treating accidental injuries that did not need hospitalization
- The cost of treatment at home, and OPD treatment
*PLEASE REFER TO THE POLICY WORDINGS FOR COMPLETE INFORMATION
*PLEASE REFER TO THE POLICY WORDINGS FOR COMPLETE INFORMATION
Why Edelweiss Group Health Insurance?
Single Point of Contact
Quick Decision-Making
Minimum Documentation Required
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 - 022 423 12000
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.
support@edelweissinsurance.com and we’ll reply soon.
If you would like to know more about our products, we can have someone call you!
Thank you for getting in touch with us, someone from our team will contact you shortly.