Edelweiss Health Insurance vs Kotak General Health Insurance

Going about your life without a well thought out financial plan is as good as skydiving without a parachute. Financial planning is vital if you want to make disciplined savings, cut out on unnecessary expenditure and grow your wealth. A core part of financial planning does not only include earning, saving, and investing, but also insuring yourself and your loved ones against unforeseen events. These include life insurance, term insurance, and health insurance and so on. However, when it comes to safeguarding your health, health insurance is what you should consider. As it covers the costs of various illnesses, procedures and treatments, it is a useful addition to your financial portfolio. This Edelweiss Health Insurance and Kotak General Health Insurance will show you how health insurance works. 

Edelweiss Health Insurance vs Kotak General Health Insurance – Overview 

ParameterEdelweiss Health InsuranceKotak General Health Insurance
No. of health insurance policies812+
E-servicesPolicy salePolicy renewal Claim settlement Branch locatorOnline consultation24x7 customer support Policy salePolicy renewalClaim settlementOnline consultationBranch locator24x7 customer support 
Branches10+1600
Claim settlement ratio (CSR)85.57%97.40%
Cashless claim settlement time72 hoursUnspecified
Hospital network2,570+4000+ 

Source: Insurance Regulatory and Development Authority of India’s (IRDAI) Annual Report – 2019-20. 

Health Insurance Policies: Edelweiss Health Insurance vs Kotak General Health Insurance

Edelweiss Health Insurance offers a small variety of 8 health insurance policies but ensures that they cover diverse health needs. Their insurance policies cover lifestyle diseases, critical illnesses, accidents, maternity needs, newborn baby needs, alternate treatments and much more. 

Kotak General Health Insurance has a health insurance policy for almost every health need under the sun. It offers over 12 health insurance policies that cover critical illnesses, in-patient and out-patient treatments, nursing care expenses, infertility treatment, and more. 

Group Health Insurance: 

Edelweiss Health Insurance’s Group Health Policy offers: 

  • Coverage for: 
  • 30 days of pre-hospitalization expenses 
  • 60 days of post-hospitalization expenses 
  • In-patient hospitalization expenses 
  • Post-accident hospitalization 
  • Ear nose throat (ENT) disorders 
  • Diabetes and diabetes-related complications
  • Cataract treatment 
  • Hypertension and hypertension-related complications 
  • Pre-existing diseases after a 4-year waiting period 
  • Reimbursement of: 
  • AYUSH treatment expenses – 
  1. Ayurveda
  2. Unani 
  3. Siddha
  4. Homeopathy
  5. Naturopathy
  • Domiciliary hospitalization expenses 
  • Daycare treatment expenses 
  • Wellness and preventive care services 

Kotak General Health’s Group Health Policy offers: 

  • Reimbursement of: 
  • Pre and post-hospitalization expenses
  • In-patient hospitalization expenses
  • Daycare treatment expenses 
  • Organ donor expenses
  • Domiciliary hospitalization expenses
  • Emergency ambulance charges
  • AYUSH treatment expenses
  • External medical aid expenses 
  • Travel expenses for treatment
  • OPD vision treatment 
  • OPD treatment expenses
  • Non-medical item expenses
  • OPD dental treatment 
  • Maternity and newborn baby care expenses
  • Accident hospitalization expenses
  • Infertility treatment expenses 
  • Daily cash allowance for critical illnesses 
  • Daily hospital cash 
  • Home nursing care expenses
  • Recovery benefits 

Critical Illness Insurance: 

Edelweiss Health Insurance provides insurance for critical illnesses in its Silver, Gold and Platinum health insurance plans. 

These plans provide: 

  • Sums insured (SI) up to Rs. 1,00,00,000
  • Coverage for 4 critical illnesses and 1 surgical procedure: 
  • First heart attack
  • Cancer of specified severity
  • Stroke resulting in permanent symptoms
  • Permanent paralysis of limbs
  • Open-chest CABG 
  • Second medical e-opinion

Kotak General Health offers critical illness insurance in its Kotak Secure Shield Policy. The policy provides: 

  • SI up to Rs. 10,00,000
  • Coverage for 18 critical illnesses and surgical procedures including: 
  • Deafness
  • Cancer of specified severity 
  • Benign brain tumour
  • End-stage liver failure
  • Coma of specified severity
  • Third-degree burns
  • Loss of speech
  • Open heart replacement 
  • Aorta graft surgery 

Saral Suraksha Bima: 

The Saral Suraksha Bima is a standard accident insurance policy. Almost all insurance companies across India, including Edelweiss Health Insurance and Kotak General Health Insurance, offer this policy. The insurance policy provides:

  • SI up to Rs. 1,00,00,000 
  • 100% of the SI on the death of the insured due to an accident 
  • Up to 100% of the SI on permanent total disablement 
  • Up to 50% of the SI on permanent partial disablement 
  • Weekly cash benefits for 100 weeks on temporary total disablement 
  • An education grant for the insured’s dependent children (under the age of 25)
  • 10% of the SI for in-patient hospitalization expenses
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