Navi Health Claim Settlement Ratio
  • Understand What is CSR
  • Check the CSR of Navi Health
  • Explore the Claim Settlement process
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Navi Health Insurance Claim Settlement Ratio

Checking the Navi Health Insurance Claim Settlement Ratio is one of the important things that should be kept in mind. Having a clear picture of how the company performs can help you and your family from further stress that you may face at the time of an unannounced medical emergency.

In the article below, we will discuss the Navi General Insurance Claim Settlement ratio.

Health Insurance Claim Settlement Ratio

What is Claim Settlement Ratio?

The claim settlement ratio (CSR) acts as an indicator that compares the proportion of health insurance claims settled by an insurer during a financial year against the total number of claims raised. This one factor gives you an idea of the reliability of the health insurance company. Every year, the Insurance Regulatory and Development Authority of India (IRDAI) releases the claims settlement details of general and health insurance companies enabling the customers to analyze the claim settlement ratios of all the insurance providers in India and make an informed decision for the betterment of their future.

Navi General Insurance Claim Settlement Ratio

Since now you know the what claim settlement ratio is, let us give you an insight into Navi Health Insurance's claim settlement performance. For health insurance companies this ratio is published for different periods of time such as less than 3 months, 3 months to 6 months to up to 5 years. In the below table, you can check the current Navi Health Insurance claim settlement Ratio in accordance to the time frames stated above.

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Status of Navi 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 Settled 99.990.

What Is The Claim Procedure Of Navi Health Insurance Plans?

  • Cashless Claims: wherein the insurance company settles the medical bill directly with the hospital. It works as a great way to lessen the burden on the customers
  • Reimbursement Claims: wherein the policyholders are required to clear their medical expenses arising out of hospitalisation first and then raise a reimbursement claim by submitting proper medical bills and documents.

The claim procedures for both these methods are described below.

Cashless Claim Procedure

  • Intimate the company about your claim request by calling its toll-free number or writing an email.
  • For planned hospitalisation, notify the company at least 48 hours prior to admission. And in case of emergency hospitalisation, the claim notification should be sent to the company within 24 hours of admission to the hospital or before discharge whichever is earlier.
  • Provide the health card along with photo identification proof of the policyholder to the hospital authorities.
  • Duly fill out the cashless request form and submit it to the hospital.
  • The pre-Authorisation request form will be sent by the hospital to the cashless department of TPA.
  • At the time of discharge, the hospital will forward a final authorisation request.
  • The discharge will be done post receipt of the final authorisation letter by the hospital.

Reimbursement Claim Procedure

  • Customers are required to settle all the hospital bills.
  • At the time of discharge, he/she must collect all the important documents provided by the hospital including the discharge summary and bills.
  • Submit all these documents to the company or Third-Party Administration within 15 days from the date of discharge.
  • The company will verify all the documents. On approval, the claim amount will be released.

Navi Health Insurance Plan

Navi Health Plan

A comprehensive health insurance plan that can be opted on an Individual or Non-Floater or Family Floater basis.

Unique Features

  • Modern Treatment Available
  • AYUSH treatment available
  • Organ Donor Expense covered

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Navi Health Insurance Reviews

Read what our customers have to say about Navi Health health insurance company

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February 24, 2022

Me and my husband met with accident and got injured during night. we admitted to the non-network hospital but the company paid reimbursement for our medical bills on time.

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Sonam Gandhi


September 6, 2021

Best comany. Have brought one health plan for every member of my family, including my parents in-laws as well as my parents.

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Purvi Choudhary


August 30, 2021

I bought the health policy from Navi General in 2018, and I must say that the company assisted me at every single step patiently and even helped me out to choose an ideal coverage as per my nee...

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Kiran Manish Dhaiya


August 30, 2021

Thankyou for helping me in choosing this amazing health company. I have not made any claim since I have bought this policy. Very lucky for me.

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Vivek Dhaiya


August 30, 2021

A class plan. Bahut varieties deti hai company health plans ki. Go and buy your policy now. 5 stars from my side.

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Pritam Negi


August 30, 2021

My sister told me to buy Navi Health Policy. For the last 2 years, I have had this policy. Very good customer service.

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Avinash Sinha


August 30, 2021

My father-in-law suggested me to buy a Health plan from Navi General. Happy to say that the company offers various benefits and I am totally satisfied with the policy. Good going.

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Devi Kumari


August 30, 2021

Simply loved the way the Navi General cares for its customers. If you are looking for a trustworthy company, this is 100% for you.

View All Navi Health Insurance Reviews

Naval Goel

Reviewed By : Naval Goel

Naval Goel is the CEO & founder of 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 Insurance Web Aggregator.