Zuno Health Insurance FAQs

Yes, the company accepts the reimbursement claim. It reimburses by paying the entire amount that you have already paid from your pocket. In case of cashless treatment, the payment is made directly to the hospital.

You must convey about your admission in the hospital within 48 hours for emergency hospitalisation and 72 hours prior to admission in the case of planned hospitalisation.

You have to stay for at least 24 hours in the hospital to ask for a successful claim settlement. In the case of daycare procedures, the hospitalisation can be less than 24 hours.

To seek assistance for claim settlement related to the plans of Edelweiss Tokio you can call on the toll-free number of Edelweiss General Insurance at 1800-120-00. You can also connect with the team of InsuranceDekho at 7551-196-989.

Gold and Platinum variants of Edelweiss Health Insurance Policy offer the coverage for critical illness.

The critical illnesses which are covered under the Edelweiss General Insurance are:

A) Coronary Artery Bypass Graft (Open Chest CABG)
B) Myocardial Infarction (First Heart Attack of Specific Severity)
C) Cancer of Specified Severity
D) Stroke Resulting in Permanent Symptoms
E) Permanent Paralysis of Limbs

The sum insured for critical illness covered under the Edelweiss Health Insurance Policy increases by 50% under the Gold variant and increases by 100% under the Platinum variant.

Under the Gold variant of Edelweiss Health Insurance Policy, people between the age of 3 months and 65 years of age are eligible for critical illness cover, while under the Platinum variant of Edelweiss Health Insurance Policy minimum entry age is 3 months and no maximum entry age is there.

Yes, Edelweiss Health Insurance Policy is the family floater plan offered under the Edelweiss General Insurance.

The sum insured ranges from Rs. 1 lakh to Rs. 1 crore. These amounts are divided among different variants of the plan.

We will require you to undergo a pre-policy medical check-up, if you are aged 51 years or above and/or the sum insured opted is more than Rs. 20,00,000 with age more than 35 years.

The maximum limits applicable per policy year under different variants of this policy, are as follows:

Silver - Rs. 1,500
Gold - Rs. 3,000
Platinum - Rs. 10,000

Yes, Edelweiss General Insurance provides the portability option to its policyholders. With the help of this feature, you can easily port your plan into Edelweiss General Insurance as per the norms of IRDA, without losing any benefit in continuity.

There are several benefits that make Edelweiss health insurance policy worth buying:

• It provides wide coverage at low premiums
• Sum insured can be restored up to 100%
• Cover for critical illnesses
• There is an option of midterm inclusion of an applicant in case of marriage or a child is born
• No matter which health insurance variant you buy, you can avail the benefits of Medical Monitoring, Medical Referral, Medical Repatriation, Second Medical Opinion, Compassionate Visit, etc.

Yes, there is a facility to go for a health check-up. Edelweiss General Insurance provides health check-up for every claim-free year provided that the policyholder is 18 years old or above.

To enjoy the cashless facility, you need to show the health card issued by the insurer at the network hospital. For any help, you can contact InsuranceDekho at 7551-196-989.

You are able to buy and apply for any Edelweiss General Insurance Insurance Policy online from the official website of Edelweiss General Insurance or through online broker InsuranceDekho by calling toll-free number 7551-196-989.

The 24x7 toll-free customer helpline number of Edelweiss General Insurance is 1800-1200-0.

The relations that get covered under the individual plan comprise self, spouse, dependent children and dependent parents and dependent parents-in-law, brother, sister, grandmother and grandfather or any other relationship having an insurable interest.

Yes, a 5% discount is offered if two or more family members are covered in an individual policy.

The coverage is offered to a child (natural or legally adopted), who is unmarried, aged more than 90 days and less than 26 years, financially dependent on the primary insured or proposer and does not have his / her independent sources of income.

Under a family floater policy of Edelweiss General Insurance, additional child (up to maximum 3 children) can be added under a single premium.

The waiting period of 48 months is applied to avail the maternity benefits under the family floater plan of Edelweiss General Insurance.

A maternity cover is offered for up to Rs. 50,000 under the Gold variant and for up to Rs. 2 Lakh under the Platinum variant of Edelweiss Health Insurance Policy.

No, maternity expenses incurred in connection with the voluntary medical termination of pregnancy during the first 12 weeks from the date of conception shall not be admissible under the benefit of maternity.

Yes, Edelweiss General Insurance offers the option of domiciliary hospitalisation for your parents under its family floater policy.

Yes, you become eligible to earn tax benefits on buying a health insurance policy for your parents under Section 80D of the Income Tax Act.

Yes, daycare procedures up to the limit of sum insured are covered under Edelweiss General Insurance.

Yes, Edelweiss General Insurance gives the coverage for Ayush treatment and procedures up to the sum insured.

No, you can apply for the portability feature only at the time of renewal.

If you need to port into Edelweiss General Insurance from any other insurer, you are required to apply with product details and claim details of your health insurance plan, at least 45 days before the expiry date of the policy.

Factors that determine the value of premium of Edelweiss General Insurance plans are as follows:

a) Gender
b) Sum insured
c) Policy term
d) Age of insured
e) Number of members
f) Medical history

Yes, on opting for voluntary co-payment option the eligible insured members can avail discount on premium.

You can make the payment of your premium through different payment modes such as cash, cheque, credit or debit cards or through digital payment gateways.

Yes, policyholders are provided with a payment acknowledgement from the insurer on their registered email address. This acknowledgement serves as a proof of the premium paid.

The sum insured offered for the senior citizens under the Edelweiss Health Insurance Policy depends on different variants such as up to Rs. 5 lakh under Silver variant, up to Rs. 20 lakh under Gold variant and up to Rs. 1 crore under Platinum variant.

The maximum entry age for senior citizens under Silver and Gold variant is 65 years, whereas under Platinum variant there is no entry age bar.

To gain the tax benefit on the premium of Edelweiss Health Insurance Policy, the policyholders need to pay their premium through any mode of payment other than cash.

Rs. 50,000 is the highest premium amount up to which senior citizens are waived off from tax.

Yes, the Edelweiss Health Insurance Policy offers the coverage for newborn baby hospitalisation expenses for its women customers.

Yes, women policyholders are provided with the option of health check-up for every claim-free year under the Edelweiss General Insurance.