CSR of Care Health
How to calculate CSR?
Care claim settlement process
21600+
Network hospitals
100%
Claim settlement ratio
Up to 1 Cr
Sum insured
1
No. of Plans
1.8
Solvency Ratio
158+
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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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Updated on Jul 08, 2025 4 min read
Health Insurance claim settlement ratio is used to determine the company’s ability to settle 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.
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 CSR of the company would be 90%.
The simple formula of calculating the CSR is
(Total Claims Settled)/(Total Reported Claims + Outstanding Claims at the beginning of Year-Outstanding Claims at the End of Year).
As per IRDAI, Care Health Claim Settlement Ratio is 92.77% in the first quarter of 2025. 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 shows 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 works in a very transparent and systematic manner to clear claims. Following is the claim settlement process of Care Health Insurance.
Case 1: 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
While Care Health Insurance boasts a substantial track record of settling over 25 lakh claims and aims for swift cashless settlements within 2 hours, it’s essential to note that the claim settlement ratio for the first quarter of 2025 stands at 92.77%. This figure, though robust, underscores the importance of understanding the claims process and ensuring all documentation is meticulously prepared. By staying informed and adhering to the outlined procedures, policyholders can navigate the claim settlement process with confidence, knowing that Care Health Insurance is committed to supporting them during medical emergencies. Ready to experience the peace of mind that comes with a reliable health insurance provider? Explore Care Health Insurance plans today and download our detailed claims guide to familiarize yourself with the process. Don’t wait for an emergency to understand your coverage. Visit our website or speak with a PolicyX.com representative to get personalized assistance and secure your family’s health today! We offer only expert advice, no gimmicks.
Care Health Insurance Network Hospitals are present in 31 states nationwide. With a wide network of hospitals, Care Health Insurance ensures that you are medically secured, irrespective of the city you reside in.
To cater to the different medical needs of an individual & their family, Care 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 Care Health Insurance plans explore more:
Group Health Insurance
Care Health provides Group Health insurance, Group Personal Accident Insurance, and Group Travel Insurance. Care Health Insurance has offered 11,000+ ...
Unique Features
Individual and Family Health Insurance
The Ultimate Care health insurance plan by Care Health is designed to provide comprehensive coverage to the policyholder with a range of benefits. Thi...
Unique Features
Critical Illness Health Insurance
Care Heart is a unique plan launched by Care Health Insurance that provides the flexibility to choose from benefits like Active heart health check-ups...
Unique Features
Individual and Family Health Insurance
Care Plus health insurance is a complete healthcare plan that is loaded with features and protects you and your family. Care Plus offers comprehensive...
Unique Features
Family
Get coverage based on your residential zone. Care Classic health insurance is a family floater health plan ideal for married couples, joint families, ...
Unique Features
Family
A top-up plan based on policy deductible principle Care Enhance is a super top-up health insurance plan that provides extra health insurance coverage ...
Unique Features
Women Health Insurance
An ideal combination of hospitalization and maternity care. Care Joy health insurance is designed specifically for expecting mothers and their newborn...
Unique Features
Individual and Family Health Insurance
Single health insurance to cover all family members. Care health insurance plan is a comprehensive medical policy for individuals and families. It is ...
Unique Features
Senior Citizen Health Insurance
Care Senior Citizen is specially designed to offer coverage for individuals above 60 years of age. It offers flexibility to choose the sum insured tha...
Unique Features
Critical Illness Health Insurance
Critical Mediclaim Care health insurance policy gives you protection against 32 defined critical illnesses based on an indemnity plan. This super-faci...
Unique Features
Individual and Family Health Insurance
Free yourself from the worries of healthcare. As the name suggests, Care Freedom is the plan that allows you to be worry-free in every situation. Thi...
Unique Features
Individual and Family Health Insurance
Care Supreme is an extensive coverage health insurance plan that safeguards you and your family members without worrying about your future healthcare ...
Unique Features
Accident Health Insurance
Care Secure personal accident policy covers accidental death, permanent and temporary partial/total disability, recovering treatment costs, accidental...
Unique Features
Critical Illness Health Insurance
Worried about cancer in your bloodline? Care Cancer Mediclaim has got you covered. Cancer can be defined as distress, hopelessness and loss. There cou...
Unique Features
Individual and Family Health Insurance
Care Advantage Health Insurance is an ideal 1 Crore option so that a policyholder's family is adequately covered. Care Advantage health insurance offe...
Unique Features
Individual and Family Health Insurance
Care Operation Insurance Plan is designed specifically to offer you surgical operations coverage. A wide range of sum insured options are available ra...
Unique Features
Individual and Family Health Insurance
Arogya Sanjeevani was first introduced by IRDAI (Insurance Regulatory and Development Authority of India) in the year 2020 to provide a standard and a...
Unique Features
The CSR for Care health insurance for FY 2023-24 IS 100%.
Yes. You can claim your Care health policy online from the company’s website.
According to the information provided, Care Health Insurance’s claim settlement ratio is 92.77%, as per IRDAI data in 2025.
During the FY-2023 and 2024, the claim settlement ratio of the company was 100%. A 100% claim settlement ratio indicates that Care Health Insurance has settled all eligible claims received within the reporting period. This suggests strong financial stability and a commitment to honouring its policy obligations.
Care Health Insurance makes sure to settle cashless claims within a timeframe of 2 hours.
Care Health Insurance has settled over 25 lakh (2.5 million) claims.
If your Care cashless claim is rejected, you can proceed with treatment and file for a reimbursement claim after discharge.
The official claim settlement ratio is published annually by the Insurance Regulatory and Development Authority of India (IRDAI) in its annual report. Also, to make your task easy, we have created data labs where you can find all the data related to insurance including CSR, incurred claims, etc.
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.
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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
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