Future Generali Claim Settlement Ratio
  • CSR of the company
  • Claim process
  • Consistency of CSR
Future Generali Claim Settlement Ratio
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Simran Kaur Vij
Written By:
Simran

Simran Kaur Vij

Health and Term Insurance

Simran is an insurance expert with more than 4 years of experience in the industry. An expert with previous experience in BFSI, Ed-tech, and insurance, she proactively helps her readers stay on par with all the latest Insurance industry developments.

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Reviewed By:
Raj Kumar

Raj Kumar

Health Insurance

Raj Kumar has more than a decade of experience in driving product knowledge and sales in the health insurance sector. His data-focused approach towards business planning, manpower management, and strategic decision-making has elevated insurance awareness within and beyond our organisation.

Future Generali Health Insurance Claim Settlement Ratio

Buying a health insurance policy and then the insurer not being able to settle your claims can be quite frustrating. Thus, to avoid such situations, it is important for you always to check the claim settlement ratio of your chosen company. The claim settlement ratio is one of the most useful parameters that showcases the number of claims settled by the company in a financial year. It is an important factor that helps you to evaluate how soon the company will settle the claims in the time of need. Before buying health insurance, one should always check the history of claims settled by that company.

Future Generali, a general insurance company is a joint venture between a leading Indian business conglomerate, the Future Group of Industries and the Generali group, one of the leading Italy-based companies. The company started its operations in September 2007. Future Generali Claim Settlement Ratio plays an important part in choosing a health insurance company for coverage.

Claim Settlement Ratio of Future Generali Health Insurance Company

The Insurance Regulatory and Development Authority of India (IRDAI) publishes the CSR of all the insurance companies in their annual reports through which one can easily check and compare the CSR of the preferred and all the other insurance companies.

As per the IRDA Annual Report of 2021-22, the Future Generali claim settlement ratio is 96.01%. Which is considered more reliable and shows the ability of the company to settle claims for its customers.

Types of Claims Offered by Future Generali Health Insurance Company

In this section, we will discuss the types of claims and the process of filing the claims. There are two types of health insurance claims you can choose from:

1. Cashless Claims

2. Reimbursement Claims

What Are Cashless Claims?

Cashless claims in health insurance are a mode of claim settlement where the policyholder does not have to pay cash for treatment and the settlement of the bills is taken care of directly between the hospital and the insurance company. Future Generali cashless claim settlement helps in paying off the hospital bill instantly, upfront. Cashless claims are gaining popularity every day, and more and more people getting health insurance policies are availing of this feature for the comfort it offers.

Here’s How You Can File Your Cashless Claims Online

Step 1: Find the network hospitals of Future Generali Health Insurance and get admitted to only those hospitals that fall into the network of your insurer

Step 2: Now, notify Future Generali Health Insurance Company about the hospitalization. In case of pre-hospitalization inform the insurer about the hospitalization before getting admitted.

Step 3: The customer needs to fill out the pre-authorization form and submit it to the hospital. The pre-authorization form is then sent for approval to Future Generali Health Insurance Company. Once the form is approved, the customer can avail the medical treatment.

Step 4: At the time of discharge fill in all the medical documents and pay for the services that are not covered under the policy.

Step 5: The hospital will send the hospital bills to Future Generali Health Insurance Company. After review the company will pay the bill directly to the hospital.

Future Generali has a simple, app-based claim process to make your experience hassle-free. You can contact the company for a claim, submit your documents, and check your claim status easily on their ‘FG Insure’ app.

Status of Future Generali Health Insurance Claim Settlement Ratio - 2021-22

Financial Year 2021-22
Age Analysis of Number of Claims Paid (%)< 3 months3 months to 6 months6 months to <1 year1 year to <3 year3 years to <5 years5 years
Claims Settled96.012.050.890.590.220.24

What Are Reimbursement Claims?

In this type of claim, you can visit any hospital, not just those under your insurer’s cashless network. Here, you get your treatment done at the hospital, pay out of your pocket, and then apply for reimbursement for the expenses with your insurer. At the time of making the claim, the customer needs to submit all hospital bills, prescriptions, and medical documents. These will need to be approved by Future Generali Health Insurance Company before the claim is processed, meaning that it can take slightly more time to get through.

Here’s How You Can File Your Reimbursement Claims Online

Step 1: You need to call Future Generali Health Insurance within two days of your admission date. Post the company’s call, they send you a link where you can upload the soft copies of all original documents (bills, reports, etc) and bank details of your desired bank account.

Step 2: Before uploading, you need to sign all the documents yourself.

Step 3: Upload the documents maximum within 30 days from the date of discharge or when you receive the link.

Step 4:You will receive the payment within 30 days from the receipt of the last necessary claim document.

Future Generali Health Insurance provides a 15-day grace period for reimbursement claims. If the documents have not reached the company post this grace period due to an inadvertent delay, you can contact the company with the explanation for the same and resend/re-upload the documents.

 

Why Is the Claim Settlement Ratio So Vital in Insurance?

Simply put, whenever an individual buys a health insurance plan, knowing the claim settlement ratio of the insurance company is important. Besides, the consistency of the claim settlement ratio is of utmost significance. While selecting the insurance company, it is advisable to look for the claim settlement ratio of the companies in the last five years. No wonder the rule is simple: the smaller the range of the CSR, the more reliable and better the insurance company. For instance, an insurance company with a ratio in the range of 90% to 96% is more reliable compared to a company with a CSR in the range of 75% to 93%.

Future Generali Health Insurance Network Hospital List

Future Generali Health Insurance Network Hospitals are present in 31 states nationwide. With a wide network of hospitals, Future Generali Health Insurance ensures that you are medically secured, irrespective of the city you reside in.

Explore other Future Generali Health Insurance

To cater to the different medical needs of an individual & their family, Future Generali Health Insurance offers several Health Plans ranging from senior citizen plans to specialized plans for autistic children, to health insurance for cardiac patients, and many more.Take a look below to Future Generali Health Insurance plans explore more:

Individual and Family Health Insurance

Future Generali Super Saver Plan is a one-of-a-kind health insurance plan with two plan variants that offer an 80% premium discount. If policyholders ...

Unique Features

  • 80% premium discount
  • Family coverage
  • Maternity coverage

Future Generali Super Saver Plan (Pros)

Future Generali Super Saver Plan
  • Modern treatment cover
  • Maternity covered
  • Domiciliary treatment cover

Future Generali Super Saver Plan (Cons)

Future Generali Super Saver Plan
  • Vaccination unavailable
  • Automatic restoration
  • Daily hospital cash
  • Health check-up unavailable

Future Generali Super Saver Plan (Other Benefits)

Future Generali Super Saver Plan
  • Pre &amp; post-hospitalization
  • Daycare procedures
  • Cataract cover
  • ICU charges covered

Future Generali Super Saver Plan (Eligibility Criteria)

Future Generali Super Saver Plan
  • 18 to 70 years

Critical Illness Health Insurance

When it comes to life-threatening conditions, your family is not alone! What does that mean? According to a report of Elets BFSI, the major reason for...

Unique Features

  • Critical illness cover
  • Exhaustive cover benefits
  • Lump sum payout options

Future Generali Criticare Plan (Pros)

Future Generali Criticare Plan
  • Covers cancer
  • Kidney and liver failure
  • Primary pulmonary arterial hypertension

Future Generali Criticare Plan (Cons)

Future Generali Criticare Plan
  • Any PEDs or related medical conditions
  • Unnecessary or non-prescribed medical treatment
  • Maternity complications and external or internal congenital illnesses
  • Infertility and sterility treatment expenses

Future Generali Criticare Plan (Other Benefits)

Future Generali Criticare Plan
  • Multiple sclerosis
  • Major organ transplant
  • Open chest CABG

Future Generali Criticare Plan (Eligibility Criteria)

Future Generali Criticare Plan
  • Entry Age- Child: 6-25 years
  • Adult: 18-65 years
  • Initial waiting period: 90 days
  • Policy term: 1/2/3 years

Senior Citizen Health Insurance

Enjoy every moment of your senior citizenship with Future Varishta Bima for senior citizens! Future Generali Varishta Bima policy is a specially desig...

Unique Features

  • Annual health check-up
  • In-patient treatment expenses
  • Multiple discount options

Future Generali Varishta Bima Policy (Pros)

Future Generali Varishta Bima Policy
  • Room rent
  • Pre-hospitalisation
  • Post hospitalisation
  • Day care treatment

Future Generali Varishta Bima Policy (Cons)

Future Generali Varishta Bima Policy
  • ICU charges
  • Domiciliary hospitalition
  • OPD charges
  • Organ donor

Future Generali Varishta Bima Policy (Other Benefits)

Future Generali Varishta Bima Policy
  • AYUSH treatment covered
  • Modern treatment
  • Health check-up
  • Co-payment

Future Generali Varishta Bima Policy (Eligibility Criteria)

Future Generali Varishta Bima Policy
  • Min entry age: 65 Years
  • Max entry age: No Limit
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 10 L

Individual and Family Health Insurance

Protect your family's health affordably with the Future Health Suraksha policy. It has become normal to get hospitalised due to an accidental injury o...

Unique Features

  • Free health check-ups
  • Compassionate travel
  • No pre-policy upto 50 years

Future Generali Health Suraksha Plan (Pros)

Future Generali Health Suraksha Plan
  • ICU charges
  • Pre-hospitalisation
  • Post-hospitalisation
  • Daycare treatment

Future Generali Health Suraksha Plan (Cons)

Future Generali Health Suraksha Plan
  • Domiciliary hospitalisation
  • OPD charges
  • Maternity cover
  • Newborn baby cover

Future Generali Health Suraksha Plan (Other Benefits)

Future Generali Health Suraksha Plan
  • Cataract
  • No claim bonus
  • Automatic restoration
  • Organ donor

Future Generali Health Suraksha Plan (Eligibility Criteria)

Future Generali Health Suraksha Plan
  • Min entry age: 18 Years
  • Max entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 10 L

Top Up and Super Top Up

Get more coverage on your insurance, and enjoy more protection with a top-up today! The Future Generali Advantage top-up health insurance policy comes...

Unique Features

  • Mental illness coverage
  • Nursing expenses cover
  • Affordable premiums

Future Generali Advantage Top-up Plan (Pros)

Future Generali Advantage Top-up Plan
  • Room rent
  • ICU charges
  • Pre and post hospitalisation
  • Daycare treatment

Future Generali Advantage Top-up Plan (Cons)

Future Generali Advantage Top-up Plan
  • Domiciliary hospitalisation
  • OPD charges
  • Automatic restoration

Future Generali Advantage Top-up Plan (Other Benefits)

Future Generali Advantage Top-up Plan
  • Organ donor
  • AYUSH treatment
  • Ambulance coverage

Future Generali Advantage Top-up Plan (Eligibility Criteria)

Future Generali Advantage Top-up Plan
  • Min entry age: 18 Years
  • Max entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 1 Cr

Individual and Family Health Insurance

There should be no boundaries when it comes to your health!&nbsp; Future Generali Health Elite plan offers your premium healthcare benefits globally t...

Unique Features

  • Holistic wellness cover
  • Maternity benefits
  • Global medical treatment

Future Generali Health Elite Plan (Pros)

Future Generali Health Elite Plan
  • Room rent covered
  • ICU charges
  • Pre and post hospitalisation
  • Domiciliary hospitalisation
  • Daycare treatment

Future Generali Health Elite Plan (Cons)

Future Generali Health Elite Plan
  • Congenital diseases
  • Change of gender treatment
  • Sterility and infertility treatment

Future Generali Health Elite Plan (Other Benefits)

Future Generali Health Elite Plan
  • Cataract covered
  • No claim bonus
  • Automatic restoration
  • Organ donor covered

Future Generali Health Elite Plan (Eligibility Criteria)

Future Generali Health Elite Plan
  • Min entry age: 18 Years
  • Max entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 6 Cr

Individual and Family Health Insurance

Build your health plan, your way! Yes, you heard that right. You can now customize and create your own health insurance with D.I.Y Health Insurance. I...

Unique Features

  • Freedom to choose benefits
  • Multiple add-on cover options
  • Gender reassignment surgery

Future Generali D.I.Y. Health Insurance (Pros)

Future Generali D.I.Y. Health Insurance
  • Room rent
  • ICU charges
  • Pre and post hopitalisation

Future Generali D.I.Y. Health Insurance (Cons)

Future Generali D.I.Y. Health Insurance
  • Investigation and evaluation
  • Rest cure and rehabilitation; and respite care
  • Obesity and weight control management
  • Sterility and infertility treatments

Future Generali D.I.Y. Health Insurance (Other Benefits)

Future Generali D.I.Y. Health Insurance
  • Domiciliary hospitalisation
  • Daycare treatment
  • OPD charges
  • Cataract

Future Generali D.I.Y. Health Insurance (Eligibility Criteria)

Future Generali D.I.Y. Health Insurance
  • Min entry age: 17 Years
  • Max entry age: 70 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 15 L

Women Health Insurance

Don't be +1 everywhere: Embrace the powers of Health PowHer!' HEALTH POWHER is not just your ordinary health insurance plan, it's beyond that! Read fu...

Unique Features

  • Infertility treatment cover
  • Voluntary sterilization benefits
  • Puberty & menopause disorders

Future Generali Health PowHer (Pros)

Future Generali Health PowHer
  • Wellness benefits
  • Critical illness cover
  • Women-related cancer cover
  • Temporary domestic help
  • Infertility expenses

Future Generali Health PowHer (Cons)

Future Generali Health PowHer
  • Change of gender treatments
  • Hazardous or adventure sports
  • Non-medical expenses
  • Breach of law

Future Generali Health PowHer (Other Benefits)

Future Generali Health PowHer
  • Voluntary copay cover
  • Stem cell storage
  • Sum insured restoration
  • Miscarriage or medical termination

Future Generali Health PowHer (Eligibility Criteria)

Future Generali Health PowHer
  • Entry Age- 1 Day
  • Max Entry Age - 65 Years
  • SI - 5 L - 1 Crore
  • Waiting Period - 30 Days

Individual and Family Health Insurance

Future Generali Health Absolute is a comprehensive health insurance plan with 3 plan variants and a wide range of sum insured. The plan offers a wide ...

Unique Features

  • Up to 1 Cr SI
  • 3 Plan Variants
  • 10% Family Discount

Future Generali Health Absolute Plan (Pros)

Future Generali Health Absolute Plan
  • OPD charges
  • AYUSH cover
  • Maternity cover
  • Newborn baby care
  • modern treatment cover

Future Generali Health Absolute Plan (Cons)

Future Generali Health Absolute Plan
  • Domiciliary benefit
  • Second medical opinion
  • Air ambulance
  • Compassionate travel
  • Daily hospital cash

Future Generali Health Absolute Plan (Other Benefits)

Future Generali Health Absolute Plan
  • Pre &amp; post-hospitalization
  • Organ donor cover
  • ICU charges
  • Cataract treatment cover

Future Generali Health Absolute Plan (Eligibility Criteria)

Future Generali Health Absolute Plan
  • 18 years - No Limit

Individual and Family Health Insurance

Future Generali Health Total is a holistic comprehensive health insurance plan that offers a multitude of features like cover for up to 15 family memb...

Unique Features

  • SI Up to 1 Crore
  • Family Discounts
  • Avail Wellness Benefits

Future Generali Health Total Plan (Pros)

Future Generali Health Total Plan
  • Daily hospital cash
  • Maternity cover
  • Newborn baby care
  • Modern treatment cover
  • Global coverage

Future Generali Health Total Plan (Cons)

Future Generali Health Total Plan
  • OPD charges
  • Second medical opinion
  • IVF treatment
  • Air ambulance cover
  • Compassionate travel

Future Generali Health Total Plan (Other Benefits)

Future Generali Health Total Plan
  • Organ donor cover
  • Family floater benefits
  • E-consultations
  • Daycare procedures cover

Future Generali Health Total Plan (Eligibility Criteria)

Future Generali Health Total Plan
  • Minimum- Day 1
  • Maximum- No limit

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Future Generali Claim Settlement Ratio: FAQs

1. How to Avoid Rejection of Claims?

To enjoy the benefits of the insurance policy and not face a claim rejection, the policyholder should take some important steps. The following are the steps that should be followed to avoid claim rejection: To begin with, the policyholder should disclose all the information to the insurance company. Specifically, smoking habits and medical conditions do not give any false information; however, assessing the risk will vary from insurer to insurer. In case an individual is an avid smoker or has a critical ailment that was not disclosed earlier and the insurance company gets to know about it at the time of claim chances are that it could get rejected. When purchasing the insurance plan, it is highly recommended that the policyholder should fill the form themselves. Do not let an agent fill the form as chances are that the agent might miss out on some important information. During the free-look period, the policyholder should check the policy wordings and carefully examine the terms and conditions. In case, the policyholder is not satisfied with any clause, then the policy can be returned to the insurance company for a refund. As soon as the policyholder buys the policy, the first person to be informed is the nominee. In case there is a need that the nominee needs to raise the claim the person needs to be aware of it. The timely claim filing is important as that would ease the claim settlement process.

2. Why should you consider a claim settlement ratio when buying a term plan?

The loss of the breadwinner of the family causes severe emotional and financial turmoil. However, ICICI Lombard Insurance Plan can reduce your worries and burden. While there are so many things to consider when buying a life insurance policy, the claim settlement ratio of the insurance company should be one of the key factors amongst them.

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Simran Kaur Vij

Written By: Simran Kaur Vij

Simran is an insurance expert with more than 4 years of experience in the industry. An expert with previous experience in BFSI, Ed-tech, and insurance, she proactively helps her readers stay on par with all the latest Insurance industry developments.