Care Health Incurred Claim Ratio
  • What’s Incurred Claim Ratio?
  • How It’s Calculated?
  • Incurred Claim Vs. Claim Settlement Ratio
Care Health Incurred Claim Ratio
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Incurred Claim Ratio of Care Health Insurance

The incurred claim ratio is the total claim amount paid by the insurance company in ratio to the total premium amount collected in a financial year.

Analyzing the incurred claims ratio of multiple health insurance companies will help you figure out the best company for you to buy a health policy. This analysis depends on the percentage of ICR showing the company’s credibility towards its insured members.

The incurred claim ratio of Care Health Insurance is 58.32% which is considered satisfactory for getting full coverage against your health policy. This page has all you want to know about the ICR of Care Health Insurance. Read on to learn more about it.

What is the ICR of Care Health Insurance?

As per the financial year 2023 reports of IRDAI, the incurred claim ratio of Care Health Insurance company was 58.32%. For more information about Care Health Insurance’s incurred claim ratio, or any other facts, you can click here

How is the Incurred Claim Ratio of Care Health Insurance Calculated?

The incurred claims ratio is calculated by a formula which is given below:

ICR = (Net claims paid) / (Net premiums collected)

For example;

If Care Health Insurance receives INR 100 Crores as premiums (in a year), they pay INR 58.32 Crores in total to the insured individuals. Then the incurred claim ratio of Care Health Insurance will be:

ICR = (58.32/100)X100 = 58.32%

Hence, the Care Health Insurance ICR is 58.32% here.

What are the Differences Between CSR and ICR?

SpecificationsClaim Settlement RatioIncurred Claim Ratio
Based on paid claims (formula)The ratio of total claims settled and total claims filed (to the insurer)The ratio of total claims paid and total premiums received (by the insurer)
Ideal ratio90 to 100% (the higher the better)50 to 80% or more (higher ICR means higher credibility of the insurer)
Tool of considerationTime taken for settling a claim is not a mandatory factorThe time taken to pay out the claims to the insured is considered
What does it mean about the insurer?Shows the frequency of the insurer to settle yearly claimsSignifies the financial capability of the company and how much it can provide to its policyholders

Summary

The incurred claims ratio of a health insurance company is a deciding factor of how your health policy will help you get its benefits to the fullest. Complicated, right? Worry not! We’re always here to help you in the simplest way possible.

Tap that call button on your phone’s screen and dial us at 1800-4200-269. What will happen later? Of course, we’ll solve all of your queries related to the claim ratio for Care health insurance incurred.

Care Health Insurance Network Hospital List

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.

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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:

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

  • High sum insured
  • 540+ procedures covered
  • Organ donation cover

Arogya Sanjeevani Plan (Pros)

Arogya Sanjeevani Plan
  • AYUSH treatment
  • Affordable premium
  • Lifelong renewability
  • Tax benefit

Arogya Sanjeevani Plan (Cons)

Arogya Sanjeevani Plan
  • Change of gender treatment
  • Obesity treatment unavailable
  • Hazardous activity not covered

Arogya Sanjeevani Plan (Other Benefits)

Arogya Sanjeevani Plan
  • Modern treatments available
  • 50% cumulative bonus
  • 30 days pre-hospitalisation

Arogya Sanjeevani Plan (Eligibility Criteria)

Arogya Sanjeevani Plan
  • Entry age- 5 years
  • Max entry age- 65 years
  • SI- 5 L
  • Waiting period- 30 days

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

  • Unlimited E-consultations
  • Automatic Restoration
  • Wellness Benefits

Care Operation Insurance (Pros)

Care Operation Insurance
  • Health services
  • Air Ambulance cover
  • Chemotherapy cover

Care Operation Insurance (Cons)

Care Operation Insurance
  • Illegal activities
  • Alcohol abuse
  • Obesity treatments

Care Operation Insurance (Other Benefits)

Care Operation Insurance
  • Dialysis cover
  • Second opinion
  • Organ donor cover

Care Operation Insurance (Eligibility Criteria)

Care Operation Insurance
  • Min entry age: 5 Years
  • Max entry age: 50 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 2 Cr

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

  • High sum insured
  • 540+ procedures covered
  • Organ donation cover

Care Advantage Plan (Pros)

Care Advantage Plan
  • No bonus claim up to 50%
  • Automatic SI recharge
  • Organ donor cover
  • Automatic recharge
  • High SI

Care Advantage Plan (Cons)

Care Advantage Plan
  • 20% co-pay
  • Obesity treatment unavailable
  • Hazardous activity not covered

Care Advantage Plan (Other Benefits)

Care Advantage Plan
  • Ambulance cover available
  • Optional cover available
  • Co-pay waiver
  • Room rent modification

Care Advantage Plan (Eligibility Criteria)

Care Advantage Plan
  • Entry age- 91 days
  • Max entry age- Lifelong
  • SI- 25 L to 6 Cr
  • Waiting Period- 30 days

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

  • Wide SI options
  • Lifelong renewability
  • Cancer-related global coverage

Cancer Mediclaim Policy (Pros)

Cancer Mediclaim Policy
  • Annual health checkup
  • Chemo and radiotherapy cover
  • Air ambulance cover
  • Chemo and radio therapy
  • Organ donor cover

Cancer Mediclaim Policy (Cons)

Cancer Mediclaim Policy
  • Change of gender treatment
  • Obesity treatment unavailable
  • HIV/AIDS not covered
  • Cosmetic surgery unavailable

Cancer Mediclaim Policy (Other Benefits)

Cancer Mediclaim Policy
  • International second opinion
  • Doctor on call
  • Air ambulance cover
  • OPD cover

Cancer Mediclaim Policy (Eligibility Criteria)

Cancer Mediclaim Policy
  • Entry age- 5 years
  • Max entry age- 50 years
  • SI- 10 L to 2 Cr
  • Waiting Period- 30 days

Accident Health Insurance

Care Secure personal accident policy covers accidental death, permanent and temporary partial/total disability, recovering treatment costs, accidental...

Unique Features

  • PTD & PPD cover
  • Cover for child education
  • 100% accidental death payout

Care Secure Personal Accident (Pros)

Care Secure Personal Accident
  • Accidental death
  • Accidental total disablement
  • Permanent total disablement

Care Secure Personal Accident (Cons)

Care Secure Personal Accident
  • Illegal activities
  • Alcohol abuse
  • Obesity treatment

Care Secure Personal Accident (Other Benefits)

Care Secure Personal Accident
  • Accidental hospitalisation
  • Tax benefits
  • Loyalty benefit

Care Secure Personal Accident (Eligibility Criteria)

Care Secure Personal Accident
  • Min entry age: 18 Years
  • Max entry age: 70 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 50 L

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

  • Unlimited E-consultations
  • Automatic Restoration
  • Wellness Benefits

Care Supreme Plan (Pros)

Care Supreme Plan
  • Modern treatments
  • Renewal discounts
  • Unlimited e-consultation

Care Supreme Plan (Cons)

Care Supreme Plan
  • Illegal activities
  • alcohol abuse
  • obesity treatments

Care Supreme Plan (Other Benefits)

Care Supreme Plan
  • Ambulance cover
  • Doctor on chat
  • Maternity care

Care Supreme Plan (Eligibility Criteria)

Care Supreme Plan
  • Min entry age: 18 Years
  • Max entry age: No age limit
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 1 Cr

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

  • Additional health checkups
  • Dialysis cover
  • No pre-medical check-up

Care Freedom (Pros)

Care Freedom
  • No pre-policy checkup needed
  • Dialysis cover available
  • Annual health checkup

Care Freedom (Cons)

Care Freedom
  • Change of gender treatment
  • Obesity treatment
  • HIV/AIDS not covered
  • Cosmetic surgery unavailable

Care Freedom (Other Benefits)

Care Freedom
  • Cashless healthcare
  • No pre-policy check up
  • SI recharge
  • Lifelong renewability

Care Freedom (Eligibility Criteria)

Care Freedom
  • 2 plan variants
  • Consumable allowance
  • Annual health check-up
  • Long term discounts

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

  • 32 Critical illnesses cover
  • Dialysis expenses covered
  • Avail psychiatric counselling

Care Critical Mediclaim (Pros)

Care Critical Mediclaim
  • Wellness benefits
  • Organ donor cover
  • 32 CI covered

Care Critical Mediclaim (Cons)

Care Critical Mediclaim
  • Obesity treatment
  • alcohol abuse
  • illegal activities

Care Critical Mediclaim (Other Benefits)

Care Critical Mediclaim
  • Global coverage
  • International opinion
  • Doctor on call

Care Critical Mediclaim (Eligibility Criteria)

Care Critical Mediclaim
  • Min entry age: 5 Years
  • Max entry age: 50 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 2 Cr

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

  • No pre-policy check-up
  • Annual rewards available
  • Reduction in wait period

Care Senior (Pros)

Care Senior
  • Affordable premiums
  • Day care treatments
  • ICU charges

Care Senior (Cons)

Care Senior
  • Illegal activites
  • Adventure sports
  • Alcohol abuse

Care Senior (Other Benefits)

Care Senior
  • No-claim bonus
  • Second opinion
  • Alternative treatments

Care Senior (Eligibility Criteria)

Care Senior
  • Min entry age: 61 Years
  • Max entry age: No Limit
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 10 L

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

  • No claim bonus up to 100%
  • Annual health check-ups
  • Personal accident cover

Care Plan (Pros)

Care Plan
  • In-built maternity cover
  • No upper age limit for enrollment
  • Coverage for modern treatment
  • Pre-existing diseases

Care Plan (Cons)

Care Plan
  • War
  • Riot
  • AIDS
  • Miscarriage
  • Congenital disease

Care Plan (Other Benefits)

Care Plan
  • Lifelong renewability
  • ICU charges
  • Day care treatment
  • Ambulance cover
  • Organ donor cover

Care Plan (Eligibility Criteria)

Care Plan
  • Min entry age: 91 days
  • Max entry age: No limit
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 6 Cr

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

  • Newborn baby cover
  • 541 Daycare treatments
  • Modern treatments cover

Care Joy Plan (Pros)

Care Joy Plan
  • 2 Plan variants
  • New born cover
  • Maternity cover

Care Joy Plan (Cons)

Care Joy Plan
  • Illegal activities
  • Alcohol abuse
  • Ambulance cover

Care Joy Plan (Other Benefits)

Care Joy Plan
  • No claim bonus
  • Renewal
  • Lifelong renewability

Care Joy Plan (Eligibility Criteria)

Care Joy Plan
  • Min entry age: 18 Years
  • Max entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 5 L

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

  • Flexible deductible
  • Modern treatments
  • No pre-medical check-ups

Care Enhance Plan (Pros)

Care Enhance Plan
  • Covers modern treatment
  • Flexible options of deducton
  • No pre-policy medical test
  • Annual health check-up
  • Floater option

Care Enhance Plan (Cons)

Care Enhance Plan
  • Change of gender treatments
  • Obesity treatment unavailable
  • HIV/AID not covered

Care Enhance Plan (Other Benefits)

Care Enhance Plan
  • High sum insured
  • Organ donor expenses
  • Expert opinion cover
  • Cashless treatment

Care Enhance Plan (Eligibility Criteria)

Care Enhance Plan
  • Entry age- 5 years
  • Max entry age- No age limit
  • SI- 1 L to 55 L
  • Waiting period- 30 days

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

  • IVF treatment cover
  • Free doctor consultation
  • Discounted premiums

Care Classic (Pros)

Care Classic
  • Room rent covered
  • Day care treatment
  • Advanced technology methods
  • ICU charges

Care Classic (Cons)

Care Classic
  • Global coverage
  • Air ambulance
  • Vaccination
  • Daily hospital cash

Care Classic (Other Benefits)

Care Classic
  • AYUSH treatment
  • IVF treatment
  • Cataract
  • No claim bonus

Care Classic (Eligibility Criteria)

Care Classic
  • Min. entry age: 18 Years
  • Max. entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 15 L

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

  • Comprehensive coverage
  • No upper age limit
  • Variants on Sum Insured

Care Plus Plan (Pros)

Care Plus Plan
  • Ambulance cover
  • Day care treatments
  • Domiciliary hospitalization

Care Plus Plan (Cons)

Care Plus Plan
  • Illegal activities
  • alcohol abuse
  • obesity treatment

Care Plus Plan (Other Benefits)

Care Plus Plan
  • Personal accident cover
  • Inflation shield
  • Health services

Care Plus Plan (Eligibility Criteria)

Care Plus Plan
  • Min entry age: 5 Years
  • Max entry age: No limit
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 25 L

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

  • Coverage for OPD
  • Home care available
  • International 2nd opinion

Care Heart Plan (Pros)

Care Heart Plan
  • Cardiac health check up
  • Second medical opinion
  • Automatic SI restoration
  • Lifelong cover

Care Heart Plan (Cons)

Care Heart Plan
  • Change of gender treatment
  • Obesity treatment unavaialable
  • Hazardous activity not covered
  • HIV/AIDS not covered

Care Heart Plan (Other Benefits)

Care Heart Plan
  • OPD care
  • Home care
  • International 2nd opinion
  • Automatic recharge
  • High SI

Care Heart Plan (Eligibility Criteria)

Care Heart Plan
  • Entry age- 18 years
  • Max entry age- No age limit
  • SI- 3 to 10 L
  • Waiting period- 30 days

Health Insurance Companies

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Care Health Incurred Claim Ratio: FAQs

1. What is the incurred claim ratio?

The total claim amount paid by the insurance company in ratio to the total premium amount collected in a financial year is the incurred claim ratio (ICR).

2. What is the ICR of the Care Insurance Company?

The incurred claim ratio (ICR) of the Care Health Insurance was 58.32% in the financial year 2023.

3. Is checking the ICR of the insurer important before buying a health insurance policy?

Yes, it’s always suggested to check the recent ICR data of the company so that you can make an informed decision on buying policy.

4. Is CSR and ICR different from each other?

Yes, ICR is the net amount of claim paid by the insurer in ratio to the net premiums collected by them from policyholders in a financial year. On the other hand, CSR is the percentage of the number of claims that have been settled by the insurers to the total number of claims they get in a financial year.

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Simran Nirala

Written By: Simran Nirala

Lives In: Delhi, NCR Expertise: Health & Term Insurance Simran has an experience of 4 years in content writing. She transitioned from hospitality and digital marketing to the insurance industry after her emerging interest in how vast insurance is. With her ability to write complex insurance concepts in a simple, relatable manner, she keeps her audience hooked and solves their doubts smoothly.