Navi Health Claim Settlement Ratio
  • Understand What is CSR
  • Check the CSR of Navi Health
  • Explore the Claim Settlement process
ManipalCigna Health Insurance
Buy Policy in just 2 mins

Buy Policy in just 2 mins

Happy Customers

2 lakh + Happy Customers

Free Comparison

Free Comparison

Customized Health Insurance Plan for you.

Get upto 15% Online Discount*

Select Members You Want To Insure

Age of Eldest Member

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.

Health Insurance Companies

Make Health Your Top Priority Banner

Complete Health Suraksha Banner

Status of Navi Health Insurance Claim Settlement Ratio - 2020-21

Financial Year 2020-21
Age Analysis of Number of Claims Paid (%) < 3 months 3 months to 6 months 6 months to <1 year 1 year to <3 year 3 years to <5 years 5 years
Claims Settled 99.99 0.01 0.00 0.00 0.00 0.00

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.

Health Insurance Articles

What Our Customers Have to Say

Customer Review Image

Ayush Sharma

Nagpur

November 30, 2022

I bought policy for my family from policy x.com, The advisor is very knowledgable,he suggest me better comparisons of plan and helps me to purchase suitable one. The process was very smooth.

Customer Review Image

Sanjay naraware

Pune

November 8, 2022

Sanjay nanaware here, first of all I appreciate Star Health for your punctuality, service, conversation and I really thanks to Mr.Sanchin pathavnkar who has suggest star health policy.

Customer Review Image

Vishal Singh

Delhi

September 27, 2022

I want to thanks Atul Bhardwaj he suggested me good policy and provide me good comparison which help me to choose best plan...........

Customer Review Image

Sagar Jain

Delhi

September 14, 2022

Very Good Organization, Very Decent Staff. Sales team is very good, they are following clients in proper manner

Customer Review Image

Mahesh Malvesh

Delhi

September 14, 2022

Thanks Manoj for suggesting Best plan and even for your patience level with good knowledge and exp l..really happy to see policy x help and Good exp in industry.. Keep going Good always in fut...

Customer Review Image

Mohan Bhargava

Chandigarh

September 14, 2022

Best company I ve ever seen. Good service. Politely way of talk. An employee of policy x is Azhar (13272) a best advisor. Good knowledge about the product and companies.

Customer Review Image

Paewn kumar

Delhi

September 14, 2022

I got good services from rinku kumar in health insurance team he suggest good plan for my parents and family thank you so much policyx.com

Customer Review Image

Santokh Singh Sethi

Delhi

September 14, 2022

I was great experience with policyx, the way the compare the plan is very good and web site is also easy to understand... I will suggest go with Policyx only

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.