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- Get admitted to the hospital
Edelweiss General Network Hospitals
Edelweiss General comes with 5160+ network hospitals that provide cashless hospitalization facilities to its customers. They allow the insured to avail medical treatment at Edelweiss General network hospitals across India without paying the bill as it is settled by the insurance company.
Edelweiss Health Insurance
*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C Apply
*Tax benefit is subject to changes in tax laws. Standard T&C Apply
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Claim Process of Edelweiss General
Edelweiss General offers two types of claim settlements – cashless and reimbursement. Follow the steps to raise a claim:
Cashless Process
Step 1: Find network hospital
Step 2: Inform Edelweiss General
- Notify the insurance company about the hospitalization
- In case of pre-planned hospitalization, intimate the insurer before hospital admission.
Step 3: Get Pre-authorization
- Fill up the pre-authorization form and submit it to the hospital staff
- The pre-authorization form will be sent to Edelweiss General for approval.
- Once approved, obtain medical treatment.
Step 4: Hospital Discharge
- At the time of discharge, sign all the medical documents.
- Pay for the items/services not covered under the Edelweiss General policy
Step 5: Claim settlement
- The network hospital will send the hospital bill to Edelweiss General.
- After review, the insurance company will pay the bill amount directly to the network hospital.
Edelweiss General Reimbursement Claim Process:
Step 1: Get Hospitalized
Get admitted to a non-network hospital of Edelweiss General
Step 2: Intimate the Insurance Company
- Intimate Edelweiss General about the hospitalization
- In case of planned hospitalization, inform the insurance provider before hospital admission.
- Obtain medical treatment
Step 3: Hospital Discharge
- During discharge, pay the hospital bill in full.
- Collect all the medical documents, hospital bills and receipts
Step 4: Submit Documents
Submit all the documents to Edelweiss General
Step 5: Settlement of Claim
After reviewing the documents, Edelweiss General will pay the claim amount
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