Reliance Claim Settlement Ratio
  • Checkout the CSR of Reliance Health
  • Compare the CSR of last 3 years
  • Understand the claim settlement process
Reliance Claim Settlement Ratio
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Reliance Health Insurance Claim Settlement Ratio

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.

As per IRDAI, the Reliance Health Claim Settlement Ratio is 98.65%. The higher the percentage of claim support, the higher the ability of the company to settle claims.

Take a look at the below table to get an insight into the claim settlement ratio of Reliance General Insurance. The comparison of the Reliance Health Insurance Claim settlement ratio for the three financial years will help you evaluate the company’s claim settling ability in the past years

Status of Reliance General Insurance Claim Settlement Ratio

Status of Reliance General Health Insurance Claim Settlement Ratio - 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 Settled76.367.277.275.453.640.00

What is the Process to Claim Reliance Health Insurance?

Cashless Claim

  • Get admitted to one of Reliance’s partnered network hospitals in case of a medical situation.
  • Intimate the company about your hospitalization as soon as possible.
  • Submit the authorization form along with the photo identity and health card copies at the TPA hospital desk.
  • The hospital will contact Reliance General for treatment approval.
  • Once everything is settled, the company will clear the treatment bills.

Reimbursement Claim

  • Here you have the option to get yourself treated at any hospital (apart from the network) and file for reimbursement.
  • Inform the insurance provider about the hospitalization at the earliest.
  • Pay for the treatment and collect all the necessary documents (original copies) before you leave the hospital.
  • All original documents have to be submitted within 15 days of post-hospitalization treatment to get the reimbursement.
  • The company will verify the claim request and transfer the payment on approval.

Explore other Reliance Health Insurance

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

Reliance Health Personal Accident Policy covers individuals against accidental death and disability along with multiple other benefits like child edu...

Unique Features

  • Death Cover
  • Upto 20L SI
  • Disability Cover

Reliance Health Personal Accident (Pros)

Reliance Health Personal Accident
  • Children education fund
  • Accident hospitalization reimbursement
  • Increase in CSI

Reliance Health Personal Accident (Cons)

Reliance Health Personal Accident
  • HIV/AIDS
  • Breach of law
  • Maternity and newborn baby cover
  • Daycare procedures

Reliance Health Personal Accident (Other Benefits)

Reliance Health Personal Accident
  • Accidental death cover
  • PTD/PPD/TTD covers
  • Cumulative bonus

Reliance Health Personal Accident (Eligibility Criteria)

Reliance Health Personal Accident
  • Entry Age: Minimum: 18 Years
  • Dependent Children: 5 to 25 Years
  • Sum Insured: 5 - 20 Lakhs
  • Waiting period: Accidental death covered from day 1

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

  • Customize Your Plan
  • Critical Illness Cover
  • Recovery Benefit

Reliance HealthWise Policy (Pros)

Reliance HealthWise Policy
  • Daily Hospitalization Allowance
  • Domiciliary Hospitalization
  • Critical Illness Cover

Reliance HealthWise Policy (Cons)

Reliance HealthWise Policy
  • Global coverage
  • OPD not available
  • AYUSH treatment not covered

Reliance HealthWise Policy (Other Benefits)

Reliance HealthWise Policy
  • In-patient hospitalization
  • Daycare procedures
  • Modern treatment cover
  • Ambulance charges

Reliance HealthWise Policy (Eligibility Criteria)

Reliance HealthWise Policy
  • Entry age: 18 - 65 Years
  • SI: 1 L - 5 L
  • Initial waiting period: 30 Days

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 and Floater Options
  • Lifetime Renewability
  • Hassle-free Claim Process

Health Gain Policy (Pros)

Health Gain Policy
  • Consumable Cover
  • Unlimited Base SI Reinstatement
  • Room Rent Modification

Health Gain Policy (Cons)

Health Gain Policy
  • Global coverage unavailable
  • Breach of law
  • Intentional injury
  • OPD not covered

Health Gain Policy (Other Benefits)

Health Gain Policy
  • Domiciliary hospitalization
  • Daycare procedures covered
  • Air ambulance services

Health Gain Policy (Eligibility Criteria)

Health Gain Policy
  • Entry Age: 91 days to 65 Years
  • SI: 5 L to 1 Cr
  • Initial waiting period: 30 Days
  • Policy term: 1/2/3 Years

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

  • Pre-policy Medical Check-up
  • AYUSH Coverage
  • No Sub-limits

Health Infinity Plan (Pros)

Health Infinity Plan
  • In-patient hospitalisation
  • Daycare expenses
  • Domiciliary hospitalization
  • Organ donor expenses

Health Infinity Plan (Cons)

Health Infinity Plan
  • OPD cover unavailable
  • No global coverage
  • Adventure sports
  • Health check-up unavailable

Health Infinity Plan (Other Benefits)

Health Infinity Plan
  • Modern treatment
  • Organ donor cover
  • Co-payment option
  • Add-on covers applicable

Health Infinity Plan (Eligibility Criteria)

Health Infinity Plan
  • Entry Age 91 days to 65 Years
  • Policy Type Individual / Family Floater
  • SI: 3 L to 1 Cr
  • Initial waiting period: 30 Days

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

  • AYUSH Benefits
  • Inclusions and Exclusions
  • Quick Claim Process

Reliance Arogya Sanjeevani Plan (Pros)

Reliance Arogya Sanjeevani Plan
  • In-patient hospitalization
  • Daycare treatments
  • AYUSH treatments
  • Ambulance charges

Reliance Arogya Sanjeevani Plan (Cons)

Reliance Arogya Sanjeevani Plan
  • OPD cover
  • Domiciliary hospitalization
  • Daily Hospital Cash
  • Organ Donor

Reliance Arogya Sanjeevani Plan (Other Benefits)

Reliance Arogya Sanjeevani Plan
  • Modern treatment
  • Vaccination
  • Cataract
  • Covid-19

Reliance Arogya Sanjeevani Plan (Eligibility Criteria)

Reliance Arogya Sanjeevani Plan
  • Entry Age Minimum: 18 years
  • Entry Age Maximum: 65 Years
  • Policy Term 1 Year
  • Sum Insured: 50K to 10 Lakhs
  • Initial Waiting Period: 30 Days

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

  • Covers COVID-19
  • Check the Eligibility
  • Coverage Details of the Plan

Corona Kavach Plan (Pros)

Corona Kavach Plan
  • AYUSH treatment cover
  • Ambulance charges
  • COVID-19 treatment cover

Corona Kavach Plan (Cons)

Corona Kavach Plan
  • OPD charges
  • Daycare procedures
  • Modern treatment
  • Organ donor treatment

Corona Kavach Plan (Other Benefits)

Corona Kavach Plan
  • Home care treatment
  • In-patient hospitalization
  • Pre and post-hospitalization

Corona Kavach Plan (Eligibility Criteria)

Corona Kavach Plan
  • Entry Age Child Age: 1 day to 25 yrs
  • Adult Age: 18 yrs to 65 yrs
  • SI- 50 K to 5 L
  • Waiting period - 15 days

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

  • 10 Major Illnesses Covered
  • Choose Your SI
  • Avail Tax Benefits

Reliance Critical Illness Insurance (Pros)

Reliance Critical Illness Insurance
  • COVID-19 cover
  • No-claim bonus
  • Cover for 10 critical illnesses

Reliance Critical Illness Insurance (Cons)

Reliance Critical Illness Insurance
  • Hospitalization out of war
  • Congenital disease
  • Intentional self-injury
  • IVF treatment
  • Air ambulance

Reliance Critical Illness Insurance (Other Benefits)

Reliance Critical Illness Insurance
  • Cancer of specified severity
  • Major organ/Bone marrow transplant
  • Multiple Sclerosis with persisting symptoms
  • Third degree burns
  • Aorta graft surgery

Reliance Critical Illness Insurance (Eligibility Criteria)

Reliance Critical Illness Insurance
  • Minimum entry age: 18 years
  • Maximum entry age: 65 years
  • SI: 5 - 10 Lakhs
  • Waiting period:

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

  • Coverage for employees
  • 3 variants available
  • Avail tax benefits

Reliance Group Mediclaim Policy (Pros)

Reliance Group Mediclaim Policy
  • Day care procedures
  • Regular health check-ups
  • Tax benefits

Reliance Group Mediclaim Policy (Cons)

Reliance Group Mediclaim Policy
  • Cosmetic treatment
  • Treatment of PEDs
  • HIV/AIDS treatment

Reliance Group Mediclaim Policy (Other Benefits)

Reliance Group Mediclaim Policy
  • Family floater clause
  • Extra insurance cover
  • Cover for all employees and their families

Reliance Group Mediclaim Policy (Eligibility Criteria)

Reliance Group Mediclaim Policy
  • Entry age: 18 to 65 years
  • Policy type: Group medical policy
  • Initial waiting period: 30 days

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

  • 150+ surgeries cover
  • 140+ daycare cover
  • Lumpsum cash benefits

Reliance Hospi-Care Policy (Pros)

Reliance Hospi-Care Policy
  • 150+ listed surgeries
  • 140+ daycare procedures
  • Daily hospital cash

Reliance Hospi-Care Policy (Cons)

Reliance Hospi-Care Policy
  • Treatment outside of India
  • Self-inflicted injury
  • Breach of law

Reliance Hospi-Care Policy (Other Benefits)

Reliance Hospi-Care Policy
  • Hospitalisation due to Dengue/Malaria
  • Surgical payout
  • Affordable premiums

Reliance Hospi-Care Policy (Eligibility Criteria)

Reliance Hospi-Care Policy
  • Entry age: 18 to 65 years
  • SI: 1 to 10 Lakhs
  • Initial waiting period: 90 days

Health Insurance Companies

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Reliance Claim Settlement Ratio: FAQs

1. What is the claim settlement ratio of Reliance Health Insurance Company?

The claim settlement ratio (CSR) of the Reliance health insurance company is 86.31% as per the data of IRDAI 2022-23.

2. Can I claim against my Reliance health insurance policy online?

Yes. You can claim your Reliance health policy online from the official website of the company.

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Himanshu Kumar

Written By: Naval Goel

Naval Goel is the Founder and CEO of PolicyX.com (IRDA- Approved Insurance Comparison Website). He is a CFA charter holder (USA) and FRM (GARP). He holds an MBA from IIFT, Delhi, and is also an Associate from the Insurance Institute of India. Naval is an avid investor and entrepreneur who has a deep understanding of the Indian equity market and insurance sector. He has been investing for more than 10 years now and is a CFA charter holder.