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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.
Health Insurance
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 Apr 08, 2025 4 min read
Claim Settlement Ratio tells you the ability of the company to settle claims in the stipulated time period and helps you understand the history of the insurance company, thus ensuring that the insurer you select is reliable or not.
If in the set time period your company will not be able to settle claims, then the whole purpose of buying a plan from this company gets wasted.
Let’s understand with the help of an example, Mr. Ravi availed health insurance from XYZ insurance company, but at the time of his wife’s treatment his health insurance company could not settle claims on time and this caused financial stress and burden among the family members. Therefore, before opting for a health plan, always ensure that your company’s claim support is good.
Talking about Reliance Health Insurance, it is recently separated fromits parent company Reliance General Health Insurance. So, now the health insurance segment will come under Reliance Health Insurance, and from January 2025, they have started commencing claims, renewal, and product pitching. According to the latest data released by IRDAI, the claim settlement ratio of Reliance Health Insurance is 40% and Reliance General Insurance is 99.57% for last three months.
Cashless Claim
Reimbursement Claim
In light of Reliance Health Insurance’s recent separation from Reliance General Insurance, it’s crucial to acknowledge the distinct claim settlement ratios now applicable to each entity. Reliance General Insurance has demonstrated a strong 99.57% claim settlement ratio for the past three months, and Reliance Health Insurance has reported a 40% ratio since commencing its independent operations in January 2025, policyholders should carefully consider these figures. As Reliance Health Insurance establishes its independent track record, understanding both the cashless and reimbursement claim processes remains essential. Prospective and current policyholders are advised to stay informed about the evolving performance of Reliance Health Insurance and to ensure they have all the necessary documentation to navigate the claims process effectively.
To know more about Reliance Health Insurance Companies, and their plans, you can reach out to us at PolicyX.com. We provide you with the expert advice only, and no gimmicks.
To cater to the different medical needs of an individual & their family, Reliance 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 Reliance Health Insurance plans explore more:
Individual
It's not an emergency if you are always prepared! Reliance Hospi-Care health insurance policy helps you prepare for unforeseen accidents and the uncer...
Unique Features
Group Health Insurance
Reliance General Group Mediclaim Insurance covers your employee's health at an economical cost and lets you enjoy tax benefits too. Reliance General ...
Unique Features
Critical Illness Health Insurance
Reliance Critical Illness insurance policy caters to life-threatening and lifestyle-disabling diseases, so you are worry-free. ​Reliance Critical Il...
Unique Features
Individual and Family Health Insurance
To avoid the financial stress and burden during Covid treatment, Reliance Health Insurance offers the Corona Kavach Plan that takes care of your medic...
Unique Features
Individual and Family Health Insurance
Reliance Arogya Sanjeevani's plan is affordable and efficient. In unprecedented times, covering you and your family is a necessity. Reliance Arogya Sa...
Unique Features
Individual and Family Health Insurance
Reliance Health Infinity is a comprehensive health insurance plan that comes with a number of benefits and discounts. The policy offers wide coverage ...
Unique Features
Individual and Family Health Insurance
Health Gain Insurance Plan is a newly launched health plan by Reliance Health Insurance company. The plan allows the customers to customise their poli...
Unique Features
Individual
A cover for those who are one in a million. The Reliance Specially Abled health insurance plan caters to specially-abled individuals who need medical ...
Unique Features
Top Up and Super Top Up
A backup for your medical emergencies. Reliance Health Super Top-up insurance acts like a cherry on the cake. In case you feel your basic health insur...
Unique Features
Individual and Family Health Insurance
Reliance HealthWise Insurance Policy is a comprehensive health insurance plan offering all-around medical care features and benefits. The plan comes i...
Unique Features
Individual
Reliance Health Personal Accident Policy covers individuals against accidental death and disability along with multiple other benefits like child edu...
Unique Features
Yes. You can claim your Reliance health policy online from the official website of the company.
Reliance Health Insurance has recently separated from the Reliance General Health Insurance company. Making a standalone health insurance company, the CSR of Reliance Health Insurance is 40% during the first quarter of 2025. However, the CSR of Reliance General Health Insurance Company is 99.57%.
It indicates that Reliance General Insurance has settled 99.57% of the eligible claims received within the specified period, demonstrating a high level of reliability in claim settlement.
The claim settlement ratio reflects the insurer’s reliability, efficiency, and financial ability to handle claims. A high CSR indicates that the insurer is likely to pay claims promptly and reliably.
You need to inform your insurance provider about your treatment. Pay bills for the treatment and collect the original documents. Then submit the documents within 15 days of post-hospitalisation. Your reimbursement amount will be transferred to your account after the verification and approval.
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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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February 5, 2023
Asia/Kolkata
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