Top 10 Claim Settlement Ratio Health Insurance Companies In India

Settlement Ratio Health Insurance
Settlement Ratio Health Insurance

One important lesson that the pandemic has taught us and continues to teach us is the value of having health insurance in order to avoid strain. If your are looking for Top 10 Claim Settlement Ratio Health Insurance Companies In India, then you should conduct a thorough research before buying any insurance.

In today’s circumstances the importance of having health insurance cannot be overstated, particularly considering the increasing cost of hospital bills and medical expenses associated with illnesses.

A comprehensive health insurance plan can significantly reduce the stress caused by emergencies. To make a decision when choosing a health plan there are factors you should consider.

In this article we will tell you about Top 10 Claim Settlement Ratio Health Insurance Companies In India. Among these factors is the claim settlement ratio (CSR) of health insurance companies. In India each provider has a ratio for settling claims.

Top 10 Claim Settlement Ratio Health Insurance Companies In India

Company Name

Claim Settlement Ratio

Care Health Insurance


Niva Bupa Health Insurance


Navi Health Insurance


ManipalCigna Health Insurance


Aditya Birla Health Insurance


Liberty General Health Insurance


Edelweiss Health Insurance


Star Health Insurance


Reliance Health Insurance


HDFC Ergo Health Insurance


1. Care Health Insurance

Previously known as Religare Health Insurance Company Limited, Care Health Insurance is a cashless health care across the globe. The organization has developed contemporary health insurance plans and it has an impressive track record in terms of claim settlement.

Their internal claims team ensures that the claims are processed with high Religare Claim Settlement Ratios within 2 hours. The Care Health Insurance Mobile App makes the process of claiming easier. It will tell you what the Care (Religare) Health Insurance Claim Settlement Ratio.

2. Niva Bupa Health Insurance

It is one of India’s top standalone health insurers with an ICR of 56.09% in FY20-21. They have age based healthcare policies available to all people with different advantages for them.

Their Criticare covers life-threatening illnesses while this program can be accessed instantly without any cash hospitalization across India’s +7600 network hospitals within 30 minutes.

3. Navi Health Insurance

This is a new online insurer that offers various kinds of medical coverage plans catering to distinct customer needs. It started its operations in 2017 as part of Navi Technologies Ltd, which focuses on giving Indians easy, cheap and hassle-free healthcare insurance options.

Navi Health Insurance is a general insurance provider that provides a variety of plans including commercial, property, auto, bike, and gadget insurance in addition to health insurance.

With a vast network of over 10,000 hospitals, the company offers hassle-free cashless treatment. Navi Health Insurance is frequently the go-to option for people looking for health insurance because of its efficient claim settlement procedure.

4. ManipalCigna Health Insurance

Launched in 2014, it is a relatively new player in the Indian insurance market. Its incurred claim ratio for the 2020–2021 fiscal year was 61.13%. A variety of health plans are available to customers, such as lifestyle plans, critical illness plans, accidental care plans, and top-up health plans.

For different plans, the maximum amount insured is Rs. 10 crores, while the minimum amount is Rs. 0.25 lakh. The insurer provides 100% sum restoration of the sum insured in the majority of medical plans.

Online claim tracking for health insurance is simple for customers. The majority of health plans are adaptable to each customer’s unique requirements and preferences.

With coverage for almost thirty major illnesses, the insurer provides one of the most extensive critical illness plans available.

5. Aditya Birla Health Insurance

A division of Aditya Birla Capital Ltd. is Aditya Birla Health Insurance Co. Ltd. To take care of senior citizens, those with chronic illnesses, etc. They offer a range of health insurance plans.

They provide programmes like access to care managers, health coaches, nutritionists, and other professionals that go beyond health insurance.

In addition to fitness centres, they provide access to gyms and yoga studios. They also have preferred access to care managers, wellness coaches, and nutritionists.

6. Liberty General Health Insurance

Liberty General Health Insurance provides a range of health insurance options tailored to suit the requirements of individuals and families giving them the power to make choices.

They prioritize their clients’ needs and are well known for their user approach to settling claims. To alleviate burdens during emergencies their dedicated team ensures prompt processing of claims often within 48 hours.

7. Edelweiss Health Insurance

Edelweiss General Health Insurance Company by Edelweiss Group is a reputable brand with more than two decades of experience. This homegrown multinational company has a strong customer base across the country that is supported by its assurance of an easy and hassle-free claim process. Plans for comprehensive health insurance are provided by the company to clients older than three months.

8. Star Health Insurance

Star Health Insurance is one of the leading health insurance brands in India. The organization has an internal team for claims settlement that expedites the settling process through eliminating problems associated with engaging third parties. One of the largest networks of hospitals facilitates simple cashless settlements by this business. Discover more about Claim Settlement Ratio for Star Health Insurance.

9. Reliance Health Insurance

Reliance Health Insurance, which has been part of Indian healthcare fabric, prides itself on its extensive claims settlement procedure. According to IRDAI reports, their 98.65% Claim Settlement Ratio (CSR) justifies their commitment to hassle-free claim resolution programs.

10. HDFC Ergo Health Insurance

HDFC ERGO Health Insurance is the new name for Apollo Munich Health Insurance. The business claims to have over 1.5 crore satisfied clients and a 20-minute cash claim approval process. The business provides some of the greatest health insurance plans and is a well-known provider of health insurance.

Concerning claim settlement, everyone is worried about which health insurance company in India is the best. With one of the best claim settlement ratios in health insurance, HDFC ERGO is typically at the top of the list.

Claim Settlement Ratio in Health Insurance

The type of insurance that covers health is why there is a CSR. It helps in assessing the insurer’s ability to resolve customer claims.

For example, a health insurance company would have a claim settlement ratio of 97% for a given year if out of the 100 claims filed during that financial year, 97 were settled. Claim Settlement Ratio = (Total Claims Settled / Total Claims Filed) * 100

Importance of Claim Settlement Ratio (CSR) in Health Insurance

Below are a few instances where the claim settlement ratio is important in health insurance:

  • Gives information about how well it settles claims.
  • A good metric for comparing different providers of health insurance
  • Investigate which companies actually solve claims consistently
  • A way to evaluate how reliable a company is

When purchasing health insurance, it is essential to compare the claim ratios from every provider. A decent claim settlement ratio (CSR) should be greater than 85%.

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