Star Health Claim Settlement Ratio
- 82.31% claims settled by Star Health
- Claim status of Star Health
- How to reimburse your Star Health claim?
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.
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 Aug 07, 2023 4 min read
Purchasing health insurance without researching the company’s performance can lead to complications in the occurrence of a medical emergency. The Claim Settlement Ratio is one such factor that you should definitely check when purchasing health insurance. Talking about the claim settlement ratio of Star Health Insurance company, so as per IRDAI, Star Health Claim Ratio is 82.31% in 2025.
After all, what good is a health insurance policy if your insurance company can’t fulfil your claims on time? Still confused? Do not worry. In this article, we have covered everything related to Star Claim Settlement Ratio, and its importance.
The claim settlement ratio or CSR is the percentage of claims that have been paid by an insurance company. In simpler words, it is the percentage of claims paid out by an insurer during a financial year. The ratio compares the number of claims filed to the number of claims settled.
Health Claim Settlement ratio = the number of claims settled/number of claims received * 100
If you have decided to buy a Health Plan from Star Health, then checking Star Health Settlement Ratio might provide you insight into how it’s doing in terms of settling claims. It will also give you details about the company’s ability to settle claims on time. The higher the claim settling ratio, the more capable the company is of settling claims.
The company grants two simple ways to file claims.
Cashless Claim Settlement Process
Reimbursement Claim Settlement Process
Understanding Star Health’s claim settlement ratio of 82.31% provides a crucial perspective on the company’s claim processing efficiency. While this figure offers insight into their performance, it’s essential to remember that claim settlement is a dynamic process influenced by various factors. By familiarizing yourself with the cashless and reimbursement claim procedures, and ensuring you have all necessary documentation, you can navigate the claims process with greater ease. Ultimately, choosing a health insurance provider involves a comprehensive evaluation of coverage, network hospitals, and customer service, in addition to the claim settlement ratio. To understand more about the Star Health Insurance Company, you can ask experts at PolicyX.com. We promise only expert advice. Also, we will call you only if you allow us.
Star Health Insurance Network Hospitals are present in 31 states nationwide. With a wide network of hospitals, Star 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, Star 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 Star Health Insurance plans explore more:
Individual and Family Health Insurance
Star Health Insurance Company has launched one of the most revolutionary insurance plans - the Super Star Health Plan. It has the flexibility to custo...
Unique Features
Individual and Family Health Insurance
Star Health Assure Insurance Policy is a versatile 360-degree health insurance plan providing wide coverage for self, spouse, dependent children, pare...
Unique Features
Critical Illness Health Insurance
The burden of medical expenses for cancer treatment can be overwhelming leaving the individuals and their families under financial strain. Star Cancer...
Unique Features
Critical Illness Health Insurance
Cancer is a deadly and difficult disease to deal with, causing patients and their families to struggle emotionally, physically, and psychologically. C...
Unique Features
Top Up and Super Top Up
Top-up health plans from Star Health Insurance can help you protect your health in the event of a medical emergency after you have exhausted the sum i...
Unique Features
Individual and Family Health Insurance
Star health special care is a unique plan providing indemnity cover to individuals diagnosed with Autism and it is an individual plan. Star health spe...
Unique Features
Critical Illness Health Insurance
Star Criticare Plus Policy falls under a dual benefit plan, as policyholders can get the coverage of health insurance and as well as critical illnesse...
Unique Features
3464-1725358785.webp){kind=logo}
Individual and Family Health Insurance
Most often health insurance plans inadequately cover OPD (out-patient department) expenses for an insurance holder, however, Star Outpatient Care is a...
Unique Features
Accident Health Insurance
Star Health Accident Policy provides optimal care and cover in case of any unfortunate accidents. Accidents are an uninvited inconvenience in any indi...
Unique Features
Individual and Family Health Insurance
Motherhood is a rewarding and fulfilling journey, it marks the start of a very important and exciting chapter in your life, but it also comes with its...
Unique Features
Critical Illness Health Insurance
It is good to be prepared by having a health insurance policy that will take care of the medical and other expenses in case of illness. But, then the ...
Unique Features
Individual and Family Health Insurance
Turning sixty is a major milestone for a person. It is time to become more careful about one's health. Any kind of illness can bring in a lot of anxie...
Unique Features
Individual and Family Health Insurance
Star Health Insurance plans for a family are a golden investment when it comes to securing the future of your loved ones. Star family plans are design...
Unique Features
Senior Citizen Health Insurance
Star Health Insurance for Senior Citizens is exclusively designed for senior citizens who want to meet high medical costs by paying a yearly premium....
Unique Features
Individual and Family Health Insurance
Star Health Gain Insurance Policy offered by Star Health is a medical insurance policy which is designed specifically to provide the best possible med...
Unique Features
Individual and Family Health Insurance
Star Health Arogya Sanjeevani is a Health Insurance that safeguards you and your family from the financial burden and stress during hospitalization. A...
Unique Features
Individual and Family Health Insurance
Young Star Insurance Policy is tailor-made for youngsters up to 40 years. This plan is available on an individual and family floater basis with two va...
Unique Features
Critical Illness Health Insurance
Star Health has introduced Star Novel Coronavirus (nCoV) (COVID-19) Insurance policy. The policy provides coverage for the expenses incurred during th...
Unique Features
Senior Citizen Health Insurance
Perfect plan to secure your old age from medical expenses. Star Senior Citizens Red Carpet Health Insurance Plan is designed to cater to the healthcar...
Unique Features
Individual and Family Health Insurance
A supersaver policy covering every family member. Star Family Health Optima is a strategically priced family health insurance plan. It offers comprehe...
Unique Features
Individual and Family Health Insurance
Star micro rural and farmers care is an individual and family floater plan with a sum insured of 1L and 2L respectively for individual and family floa...
Unique Features
Critical Illness Health Insurance
Medical insurance designed specially for heart patients. Star Health Cardiac Care Health Insurance plan is the perfect medical policy for individuals ...
Unique Features
Top Up and Super Top Up
A top-up plan for added coverage at affordable costs Star Super Surplus Insurance Policy is a top-up health insurance plan offering surplus coverage a...
Unique Features
Individual and Family Health Insurance
Young Star Extra Protect add-on cover policy is applicable for the Young Star insurance policy and acts as an enhancer for the benefits of the base in...
Unique Features
Individual and Family Health Insurance
Gift yourself the Star Women Care Insurance Policy, because we all know your responsibilities are endless and you need the best health to face them wi...
Unique Features
Individual and Family Health Insurance
Medi classic insurance policy provides cover for hospitalization expenses incurred as a result of illness/disease/sickness and/or accidental injuries ...
Unique Features
Individual and Family Health Insurance
Get comprehensive coverage at affordable premiums. Star Comprehensive insurance policy is a complete health insurance plan that looks after all the he...
Unique Features
Individual and Family Health Insurance
Star Smart Health Pro policy is a newly launched digital plan by Star Health Insurance for customers who want a truly customizable health insurance pl...
Unique Features
Top Up and Super Top Up
Star Extra Protect insurance plan is an add-on cover under Star Health Insurance that enhances the limitations imposed on your existing base policy. Y...
Unique Features
Individual and Family Health Insurance
A unique health insurance plan designed by Star Health Insurance to provide medical coverage to individuals with disabilities and HIV/AIDS. Star Speci...
Unique Features
Critical Illness Health Insurance
Ms. Aneesha, a 53-year-old working woman residing in Indore requires heart transplant surgery due to multiple cardiac ailments. However, since Ms. Ane...
Unique Features
Individual and Family Health Insurance
Star Hospital Cash Insurance Policy is designed to provide insured individuals with additional protection and takes care of incidental expenses such a...
Unique Features
Critical Illness Health Insurance
Star Critical Illness Multipay Insurance Policy is designed to cater to individuals by providing them with a lump sum coverage on the diagnosis of any...
Unique Features
Critical Illness Health Insurance
Star Cancer Care Platinum Insurance Policy is designed to cater to cancer patients. The plan helps the insured individual's family to be financially p...
Unique Features
Senior Citizen Health Insurance
Star Health Premier Insurance Policy is a unique health plan designed to cover individuals who are 50 years and above with no maximum entry age limit....
Unique Features
Critical Illness Health Insurance
Star Health Diabetes Safe Health Insurance Plan is a unique plan designed to offer coverage to individuals with diabetes both Type 1 and type 2. The p...
Unique Features
Know More About Health Insurance Companies
Usually cashless claim will be settled in 2 hours, and for reimbursement it might take 10-15 working days
If your claim is denied, you will receive a formal explanation from Star Health outlining the reasons. You usually have the right to appeal this decision. Review the policy documents carefully and follow the appeal process outlined by Star Health.
As per the information provided by IRDAI, Star Health’s claim settlement ratio is 82.31%.
The claim settlement ratio indicates the percentage of claims an insurance company settles. A higher ratio generally suggests a more reliable and efficient insurer.
Yes, cashless treatment is available at Star Health’s network hospitals.
You need to inform the hospital’s insurance desk and show your health identity card. Then submit a pre-authorization form. Wait for the verification and if approved, your bill will be settled directly with the hospital.
The reimbursement claim is applicable when treatment is received at a non-network hospital or if a cashless claim is rejected.
Inform the company within 24 hours of hospitalization.
Submit the documents within 15 days of discharge.
Key documents include the completed claim form, original hospital bills, pharmacy bills, diagnostic test reports, and doctor’s certificates.
Yes, the company’s assigned field doctor may visit you if required for verification.
See More Health Insurance Articles
See More Health Insurance Articles
4.4
Rated by 2631 customers
Select Your Rating
Let us know about your experience or any feedback that might help us serve you better in future.
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.
You May Also Know About
Do you have any thoughts you’d like to share?