HDFC ERGO Claim Settlement Ratio
- CSR of HDFC ERGO
- Benefits of HDFC ERGO CSR
- HDFC ERGO Claim Settlement Process
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.
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.
Updated on Aug 07, 2023 4 min read
With the availability of numerous health insurance companies, selecting an appropriate and suitable health insurance plan has become quite a difficult task. Many times, you end up selecting an insurance plan that fails to meet your entire coverage requirements due to the lack of awareness about health insurance. Thus, to make an informed selection while purchasing health insurance, one needs to have a thorough knowledge of various aspects.
The claim settlement ratio of the insurance company is one such aspect. In India, every health insurance company has a claim settlement ratio. Claim settlement is one of the important factors to be considered while selecting a health insurance company as it tells you about the claim-settling ability of the insurance company. If the company is not able to settle claims in the given period, then the whole purpose of purchasing insurance goes to vain.
The CSR of HDFC Ergo for the year 2025 is 99.16% which is a great achievement.
In the article below, we will be discussing the HDFC ERGO Claim settlement ratio. Take a look below to explore the claim settlement ratio of HDFC ERGO health insurance and its claim settling process:
Claim Settlement Ratio or CSR, is the number of claims settled against the total number of filed claims during a financial year. Let’s understand how CSR is determined:
For example, ABC health company has a total of 100 registered claims during a financial year, and it settled only 90 claims out of them, then the health claim settlement ratio of that health company will be 90% for that particular year.
Well, before buying any new product, we check its reliability and the brand’s status. The same goes for buying a health insurance plan. By checking the claim settlement ratio of the company, one can get an insight into how the company is performing when it comes to claiming settlement.
Moreover, it will also give you an insight into the company’s claim settlement ability. The higher the percentage, the better the company’s ability to settle claims. Hence, this factor makes a company more trustworthy amongst its customers.
The Incurred Claim Ratio or ICR is the ratio of a health insurance company’s net claims paid out to the total premium collected. For example, if an insurance company receives INR 10 Crore in premiums and pays out INR 8 Crore in claims, the company’s ICR would be 80%.
The greater the ICR, the better the insurance company’s financial health. It means that the insurer is effectively resolving the majority of claims, which is something that every policyholder looks forward to while purchasing an insurance policy.
There are two ways to file a claim. Let’s take a look at them one by one:
Cashless Claim Settlement Process
Reimbursement Claim Settlement Process
You can check the status of your claim through both online and offline mediums.
Procedure for Online
Procedure for Offline
You can call the customer care executive at +91 120 6234 6234 to enquire about the status of your claim.
You can also visit the nearest branch of HDFC ergo general insurance company to know the status of your claim.
HDFC ERGO’s impressive 99.16% claim settlement ratio for 2025, coupled with its transparent claim processes, underscores its commitment to policyholder satisfaction. By offering both cashless and reimbursement options, and providing easy online and offline claim tracking, HDFC ERGO ensures a seamless experience during medical emergencies, making it a reliable choice for your health insurance needs. Secure your peace of mind with HDFC ERGO. Get a free quote and take the first step towards a healthier, worry-free future with PolicyX.com!
HDFC ERGO Health Insurance Network Hospitals are present in 31 states nationwide. With a wide network of hospitals, HDFC ERGO Health Insurance ensures that you are medically secured, irrespective of the city you reside in.
HDFC ERGO Health Insurance
To cater to the different medical needs of an individual & their family, HDFC ERGO 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 HDFC ERGO Health Insurance plans explore more:
Individual and Family Health Insurance
HDFC ERGO Optima Restore Policy is the best-selling plan of HDFC ERGO since its launch. It offers comprehensive health cover to you and your family un...
Unique Features
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Individual and Family Health Insurance
HDFC ERGO Koti Suraksha is a health insurance plan that provides a sum insured of up to INR 1 crore. Koti Suraksha Plan by the HDFC ERGO Insurance Com...
Unique Features
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Top Up and Super Top Up
HDFC Ergo super top-up plan is the best option by HDFC Ergo to ensure a cushion of ample cover to get the best medical treatment without any restricti...
Unique Features
Individual and Family Health Insurance
HDFC ERGO Health Insurance's Health Wallet plan by HDFC ERGO Health Insurance is a comprehensive health insurance plan that not only ensures your heal...
Unique Features
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Individual
HDFC ERGO Health Insurance offers an Energy Diabetes plan which is ideal for those who are suffering from diabetes Type 1, diabetes mellitus Type 2, p...
Unique Features
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Individual and Family Health Insurance
HDFC ERGO Health Suraksha Plan is a comprehensive plan from the house of HDFC ERGO Insurance Company that aims at providing 360-degree protection agai...
Unique Features
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Critical Illness Health Insurance
iCan Cancer Insurance is a cancer-specific plan offered by HDFC Health Insurance Company. The plan covers medical expenses incurred during the treatme...
Unique Features
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Individual
Accidental deaths or injuries can be devastating, it can attack your physical, emotional, mental, and financial status to ruin your happy life moment...
Unique Features
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Individual and Family Health Insurance
HDFC ERGO My:Optima Secure health insurance plan offers value that you might require in future to fight against medical discrepancies. Providing you a...
Unique Features
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Individual and Family Health Insurance
Are you sceptical about finding the best health insurance plan that protects you and your family under one roof? Read further to learn about the exclu...
Unique Features
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Individual and Family Health Insurance
The Arogya Sanjeevani Policy from HDFC ERGO is a basic plan designed for individual or family floater coverage. It provides you with the precise medic...
Unique Features
Women Health Insurance
HDFC My: Health Women Suraksha is a comprehensive policy that is designed to cater to the evolving needs of health and well-being of today's women. T...
Unique Features
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Know More About Health Insurance Companies
A person must file their reimbursement claim within 3 to 5 days from the date of their discharge.
87.70% is the incurred claim settlement ratio for HDFC Ergo health insurance
CSR is the percentage of claims settled out of the total claims filed. ICR is the ratio of net claims paid to the total premium collected, indicating financial health.
Get admitted to a network hospital, show your health card, and submit the pre-authorization form. HDFC ERGO will settle the bills directly with the hospital.
Visit the official website, click on the claim tab, enter your details, verify with OTP, and check the status.
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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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