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Health Insurance claim settlement ratio is used to determine the company’s ability of settling claims against the number of requested claims in a financial year.. Every year the Insurance Regulatory and Development Authority of India (IRDAI) publishes the claim settlement ratio of every health insurance company in its annual report.Â
Evaluating the claim settlement ratio before buying a health insurance plan is a good idea as it reflects the efficiency, reliability, and financial health of an insurer.
In this article, we will tell you everything about the claim settlement ratio of Care Health Insurance.
The claim Settlement Ratio of a company refers to the claims settled by a company against the total claims filed during that financial year. For example, if the company settled 90 claims out of 100, the the CSR of the company would be 90%.
The simple formula of calculating the CSR isÂ
(Total Claims Settled)/(Total Reported Claims + Outstanding Claims at the beginning of Year-Outstanding Claims at the End of Year).
As per the IRDAI Annual Report of 2021-22. The Claim Settlement Ratio of Care Health is 100%. The company claims to settle the cashless claims within the time frame of 2 hrs. Until now, the company has settled up to 25 Lakhs+ claims. The figure shocases that the company understands the importance of quick claim settlement and ensures to support you at the time of medical-financial need.
Care Health Insurance promises a wide Network of cashless Hospitals across India. A well connected network of over 20800+ cashless hospitals, Care Health Insurance ensures that you are medically secured, irrespective of the city you reside in
Care Health Insurance works in a very transparent and systematic manner to clear claims. Following is the clain settlemet process of Care Health Insurance.Â
Case 1:Â Cashless Claim Procedure
Note: If the cashless claim is rejected, the insured member can initiate the treatment and file for a reimbursement claim after discharge.
Case 2: Reimbursement Claim Procedure
Care health insurance offers a total of 13 health insurance plans. Check below to know more about the other care health insurance plans offered by the company.
A comprehensive family floater plan that decides your policy premium based on the living cost of the city you reside in.
Unique Benefits
Comprehensive health plan for people above 60 to make their second inning stress-free from health-related financial worries.
Unique Benefits
Get medical coverage for pre-existing diseases like BP, diabetes without any waiting period by bearing a co-pay of 20-30%.
Unique Benefits
A super top-up health insurance plan to provide extra medical cover on the basis of policy deductible principle.
Unique Benefits
A maternity health insurance plan with child cover. This plan protects individuals and families during medical emergencies.
Unique Benefits
Enjoy the advantage of 1 crore cover and multiple benefits at lower monthly premiums with this affordable individual & family floater plan.
Unique Benefits
A standard comprehensive plan mandated by IRDAI that offers coverage for both Ayurvedic or Allopathic treatments.
Unique Benefits
Offers lifelong coverage against cancer and the cost of its treatment with several other benefits.
Unique Benefits
Offers coverage against 32 critical illnesses that are pre-defined under the policy such as catastrophic burns, coma, etc.
Unique Benefits
A comprehensive plan that takes care of your medical needs in your late 40s.
Unique Features
Individuals with pre-existing cardiac diseases can get coverage against medical treatments by paying 20-30% of co-payment for every claim.
Unique Benefits
A flexible health plan that covers advanced technology methods, unlimited e-consultations and personal accidents.
Unique Benefits
A unique healthcare plan offering extensive coverage to individuals and families under a single plan with affordable premiums.
Unique Features
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See More Health Insurance Articles
Victor Rodricks
Pune
2 days ago
The Advisor Ms. Prajapati was excellent in handling all my queries n I am fully satisfied n would rate her performance to 10
Megha
Delhi
October 4, 2023
Very good insurance plans, required one for my whole family with a large sum insured and care provided me with the best options along with additional benefits.
Benji Soni
Allahabad
October 3, 2023
I vе had a smooth еxpеriеncе with thе add-on covеragе options availablе for spеcific diseases
Sunidhi Chauhan
Pune
October 3, 2023
Waiting pеriod for prе-еxisting disеasеs is rеasonablе and wеll-dеfinеd making it easy for me.
Praveen Rawat
Bhopal
October 3, 2023
Rеligarе Hеalth Insurancе valuеs customеr fееdback and continuously improvеs its sеrvicеs.
Anjali Rohit
Gandhinagar
October 3, 2023
Rеligarе Hеalth Insurancе valuеs customеr fееdback and continuously improvеs its sеrvicеs.
Anika
Mumbai
October 3, 2023
I needed assistance regarding my health insurance plan for renewal and care health insurance customer support offered the best assistance
Ankit Oberai
Delhi
October 3, 2023
I bought an individual super top-up health plan from care in addition to my corporate health plan and it has provided me with more than enough coverage
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.
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