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Updated on Apr 08, 2025 4 min read
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.
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 96.84% (FY 25). 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.
The company offers two types of claims according to customers’ needs. Now, let’s get into the details of the Magma HDI Claim Settlement.
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.
The policyholder can get treated in a non-network hospital, but 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.
Magma HDI Health Insurance’s reported claim settlement ratio of 96.84% for FY 2025 underscores their commitment to efficiently processing claims, providing policyholders with confidence during medical emergencies.
The company’s user-friendly app and extensive network of hospitals further streamline the claim process, offering both cashless and reimbursement options. However, policyholders must understand the specific procedures and documentation required for each claim type. By staying informed and prepared, individuals can ensure a smoother experience and leverage the full benefits of their Magma HDI Health Insurance plan.
Magma HDI has several plans that might benefit you and your family during the time of emergency. To learn more about Magma HDI Health Insurance Company, and their plans, you can reach out to us at PolicyX.com.
Know More About Health Insurance Companies
In case of a planned hospitalization, the customer can intimate the company 72 hours before getting admitted to the hospital.
The customer app of Magma HDI Health Insurance Company is ‘Magma HDI’.
The claim settlement ratio of Magma HDI company is 94.72% as per the IRDAI report.
Magma HDI Health Insurance reports a claim settlement ratio of 96.84% for FY 2025.
If your cashless claim is rejected, you can file for a reimbursement claim after discharge.
You can file a reimbursement claim when you receive treatment at a non-network hospital or if your cashless claim is rejected.
Yes, Magma HDI provides an app and website where you can track your claim 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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