Magma HDI CSR
  • Types of claim processes
  • CSR of the company
  • Claim filing process
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Magma HDI Health Insurance Claim Settlement Ratio

An insurance claim settlement ratio is the ratio between the number of claims settled to the number of claims made in a financial year by an insurance company. This ratio is calculated every year by gathering all the claims data. The claim settlement ratio exhibits the eagerness of an insurer to iron out all the claims requests.

Claim Settlement Ratio of Magma HDI Health Insurance

Magma HDI General Insurance Company Limited is a joint venture between Magma Fincorp Limited and HDI Global SE Germany. Magma HDI covers a wide range of retail, general, and health insurance products. With more than 7200 network hospitals across India, the company asserts to have a claim settlement ratio of 92.34% (FY 2021-22). Claim Settlement Ratio data of Magma HDI Health Insurance company shows their willingness to settle the claims as much as possible, so be rest assured that your loved ones don’t have to go through a tough time getting the sum assured.

Health Insurance Claim Settlement Ratio

Types of Claims by Magma HDI Health Insurance Company

The company offers two types of claims according to customers' needs. Now, let's get into the details of the Magma HDI Claim Settlement.

  • Cashless Claim
  • Reimbursement Claim

Health Insurance Companies

Magma HDI Health Insurance Company Cashless Claims

Magma HDI has a hassle-free, app-based claim. The company has an official website and their customer app Magma -HDI’ allows you can contact the company directly for a claim, submit your documents and check your claim status easily on a device. Here is how the Magma HDI Health Insurance cashless claims are made.

Step 1: To avail the cashless claim facility visit the hospital in the network of Magma HDI Insurance Company with proper amenities.

Step 2: The customer needs to carry their health card and show it at the hospital's main desk.

Step 3: On the verification of your identity by the hospital, a claim request will be sent to Magma HDI hospital.

Step 4: After a while, the application will be processed for approval or denial of the claim requested. This process may take a few hours or even days.

Step 5: If the request for a claim gets approved, Magma HDI will transfer the bill directly to the network hospital. In case of rejection, the customer can request for reimbursement after getting discharged from the hospital.

Magma HDI Health Insurance Reimbursement Claims

The policyholder can get treated in a non-network hospital, only he or she can request a reimbursement claim. Here are some steps to successfully request the reimbursement procedure:

Step 1: After getting admitted to a network or non-network hospital, immediately convey to Magma HDI Health Insurance about the hospitalization along with the policy certificate number.

Step 2: Upon the completion of the medical treatment, the customers have to make payments for their expenses.

Step 3: The customer has to gather original documents and bills of all the medical procedures while getting discharged from the hospital.

Step 4: Fill out the claim form properly with all the relevant documents and submit it to the insurer.

Step 5: Approval or denial of the claim is decided according to the terms and conditions of a specific plan and then the amount is reimbursed.

Types of Plans offered by Magma HDI Health Insurance

Comprehensive

It is a comprehensive insurance policy that comes in an Individual and Family Floater option, wherein you can cover up to 4 adults and 3 children under a floater policy.

Unique Features

  • Covers Critical Illnesses
  • Covers Accidents
  • 5 Variants

One Health Insurance Policy (Pros)

  • Free Health check-up
  • Recharge of SI
  • Loss of Income Benefit
  • Bariatric Surgery Cover
  • Lasik Surgery Cover

One Health Insurance Policy (Cons)

  • Hazardous Sports Not Covered
  • Substance Abuse Unavailable
  • Hazardous Activity not covered
  • 10% Copay
  • Cosmetic Surgery unavailable

One Health Insurance Policy (Other Benefits)

  • Early Joining benefits
  • Second E-Opinion
  • Fitness rewards
  • Wellness services
  • Hospital Daily Cash benefit

One Health Insurance Policy (Eligibility Criteria)

  • Entry Age - 18 Years
  • Max Entry Age - 65 Years
  • SI - 2 L to 1 Cr
  • Waiting Period - 30 Days

personal accident

Magma HDI Individual Personal Accident Policy

The policy provides coverage against unfortunate accidents & covers Accidental Death, Permanent Total Disablement, & Temporary Total Disablement.

Unique Features

  • 3 variants to choose from
  • Medical Expense Extension
  • Hospital Confinement Allowance

Individual Personal Accident Policy (Pros)

  • Parents In Law Cover
  • Spouse Cover
  • Dependent Child Cover
  • Family Discount
  • Step Children Cover

Individual Personal Accident Policy (Cons)

  • No Alcoholism Ailment Cover
  • Hazardous or adventure sports
  • No Obesity Treatment Cover
  • No Cosmetic Treatment Cover
  • No War Injury Cover

Individual Personal Accident Policy (Other Benefits)

  • Easy Claim Settlement Process
  • Enhancement Of SI
  • Hospital Confinement Allowance
  • Medical Extension Cover
  • Staff Discount

Individual Personal Accident Policy (Eligibility Criteria)

  • Entry Age - 18 Years
  • Max Entry Age - 65 Years
  • SI - 1 L to 5 Cr
  • Waiting Period - 30 Days

Loan Protect

Magma HDI Loan Guard

The policy provides coverage against unfortunate accidents & covers Accidental Death, Permanent Total Disablement, & Temporary Total Disablement.

Unique Features

  • Lump Sum payout
  • Rehabilitation cost covered
  • Covers available

Loan Guard (Pros)

  • Annual Health Check-up
  • Day Care Treatment
  • Guaranteed Cumulative Bonus
  • Organ Donor Cover
  • Joint Replacement Cover

Loan Guard (Cons)

  • No Suicide Cover
  • Hazardous or adventure sports
  • No Obesity Treatment Cover
  • No Cosmetic Treatment Cover
  • No War Injury Cover

Loan Guard (Other Benefits)

  • Domiciliary Hospitalization
  • Second E-Opinion
  • Oral chemotherapy Cover
  • Wellness services
  • Ambulance Cover

Loan Guard (Eligibility Criteria)

  • Entry Age - 5 Years
  • Max Entry Age - No Upper Cap
  • SI - 5 L to 1 Cr
  • Waiting Period - 30 Days

Magma HDI Health Insurance Claim Settlement Ratio: FAQs

1. When should we inform Magma HDI Health Insurance Company about the planned hospitalization?

In case of a planned hospitalization, the customer can intimate the company 72 hours before getting admitted to the hospital.

2. What is the Claim Settlement Ratio of HDI Health Insurance Company for the FY 2021-2022?

The Claim Settlement Ratio of HDI Health Insurance Company for the FY 2021-2022 is 92.34%.

3. What is the name of the customer app of Magma HDI Health Insurance Company?

The customer app of Magma HDI Health Insurance Company is ‘Magma HDI’.

Magma HDI Health Insurance Reviews

Read what our customers have to say about Magma HDI Health insurance company and Magma HDI Health mediclaim policy.

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Laxman Shekhawat

Hyderabad

October 4, 2021

Superb customer staff. Bahut ache se handle kiya meri queries ko. I am supr impressed. Good luck for the future.

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S Tiwari

Indore

September 27, 2021

Amazing company. Proud customer of magma health insurance. Totally in love with the way the company works.

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Gaurav Taneja

Bhopal

September 27, 2021

Wow. I am literally blessed that I have chosen Magma Health Insurance company. This company just works for its customers. Thank God for letting me chose this health insurance company.

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Akshay Sharma

Chandigarh

September 21, 2021

Good company. I am simply impressed with how Magma Health Insurance works with all its ethics. Good. Keep up the good work.

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Avinash Bhatt

Pune

September 20, 2021

One of my friends sister suggested me to buy a Health Insurance from Magma Health Insurance company. I am quite satisfied with the service and customer-centric approach

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Shivay Singh

Meerut

September 8, 2021

Nice and handsome company. Plans are very best. I in love for the plans present in the market. No company can give better plans then Magma HDI Health Insurance

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Kavya Shah

Allahabad

September 6, 2021

Very nice company. Offers several product to choose from. Would give 10 on 10 to this amazing company.

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Vikrant Sherawat

Bhopal

September 6, 2021

Quick response, dependable services and customer friendly staff. Overall good experience with the company.

View All Magma HDI Health Insurance Reviews

Naval Goel

Reviewed By: Naval Goel

Naval Goel is the CEO & founder of PolicyX.com. Naval has an expertise in the insurance sector and has professional experience of more than a decade in the Industry and has worked in companies like AIG, New York doing valuation of insurance subsidiaries. He is also an Associate Member of the Indian Institute of Insurance, Pune. He has been authorized by IRDAI to act as a Principal Officer of PolicyX.com Insurance Web Aggregator.