Edelweiss Health Insurance vs HDFC ERGO Health Insurance

There is peace of mind that comes with knowing you have enough financial security to get through tough times. But the source of your finances is where you should put your attention. If you only depend on resources such as your savings or investment returns, chances are, you might run out of reserves soon. Instead of taking that risk, consider adding health insurance to your list. Insurance of any kind, including health insurance, takes the onus of a large risk upon itself in exchange for small payments from your end – a fair bargain. This comparison guide of Edelweiss Health Insurance and HDFC ERGO Health Insurance will show you why health insurance is a must. 

Edelweiss Health Insurance vs HDFC ERGO Health Insurance – Overview 

Parameter	Edelweiss Health Insurance	HDFC Ergo Health Insurance
No. of health insurance policies	8	10+
E-services	Policy salePolicy renewal Claim settlement Branch locatorOnline consultation24x7 customer support	Policy salePolicy renewalClaim settlementOnline consultationBranch locator 24×7 customer service
Branches	10+	200+
Claim settlement ratio (CSR)	85.57%	92%
Cashless claim settlement time	Within 72 hours	Within 20 minutes
Hospital network	2,570+	10,000+

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

Health Insurance Policies: Edelweiss Health Insurance vs HDFC ERGO Health Insurance

Edelweiss Health Insurance which is part of the Edelweiss Group has a CSR that speaks about the quality of services it provides. The company offers around 8 health insurance policies that cater to the needs of individuals, families, and corporate groups and fit every financial budget. 

HDFC Ergo Health Insurance is part of the reputed HDFC Ltd. and Ergo International Group. It has a high CSR of 92% which means you have a good chance of getting your claim settled and that too within 20 minutes if they are cashless claims. The company offers over 10 health insurance policies that cover the needs of individuals, families, senior citizens, and corporate groups. 

Group Health Insurance: 

Edelweiss Health Insurance’s Group Health Insurance Policy offers: 

• Coverage for: 

• 30 days of pre-hospital care 
• 60 days of post-hospital care 
• In-patient hospital care 
• Domiciliary hospital care 
• Post-accident hospital care 
• Ear nose throat (ENT) disorders 
• Diabetes and diabetes-related issues 
• Hypertension and hypertension-related issues  
• Pre-existing diseases after a 4-year waiting period 
• AYUSH treatments – 

1. Ayurveda
2. Unani 
3. Siddha
4. Homeopathy
5. Naturopathy

• Daycare treatments
• Wellness and preventive care services 

HDFC Ergo Health Insurance’s Group Health Insurance Policy offers: 

• Coverage for: 

• Pre and post-hospital care 
• In-patient hospital care  
• Domiciliary hospital care 
• Nursing care expenses 
• Daycare treatments 
• Chemotherapy
• Dialysis
• Optional covers for: 

• Maternity care 
• Pre-existing diseases
• Dental treatment 
• Ambulance charges 
• Health check-up
• Spectacles and contact lenses 

Top-up Insurance: 

Edelweiss Health Insurance’s Top-up Insurance Policy offers: 

• Coverage for: 

• Pre and post-hospital care
• Inpatient hospital care 
• Domiciliary hospital care  
• Daycare treatments 
• Organ donor expenses 
• Maternity and newborn baby care 
• Up to 25 critical illnesses and their treatment 
• Out-patient dental expenses 

• AYUSH treatments
• Second medical opinion
• Ambulance charges 
• Daily hospital cash 

• Assistive care services 
• 100% restoration of the SI 

HDFC Ergo Health Insurance’s Top-up Insurance Policy offers: 

• Sums insured (SI) up to Rs. 20,00,000
• Co-payment options up to Rs. 5,00,000
• Coverage for: 

• Pre and post-hospital care
• Inpatient hospital care 
• Daycare treatments 
• Pre-existing diseases after a 3-year waiting period 
• Over 10+ medical procedures after a 2-year waiting period: 

1. Cataract treatment
2. Knee replacement surgery
3. Gastric ulcer 
4. Hypertension
5. Diabetes and more 

COVID-19 Insurance: 

Both Edelweiss Health Insurance and HDFC ERGO Health Insurance offer: 

1. The Corona Kavach Policy. It gives: 

• SI amounts up to Rs. 5,00,000
• Coverage for:

• Pre and post-hospital care  
• In-patient hospital care  
• Domiciliary hospital care  
• AYUSH treatments
• Comorbidity conditions 
• Road ambulance charges 
• Daily hospital cash 

2. The Corona Rakshak Policy. It gives: 

• SI amounts up to Rs. 2,50,000
• 100% payment of the SI on:

1. The diagnosis of COVID-19 
2. And the continuous hospitalization of the insured for 72 hours or more in a registered hospital or medical facility