Kotak Health Insurance Claim Settlement Ratio

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      Kotak Mahindra Health Insurance Claim Settlement Ratio

      Kotak Mahindra health insurance claim settlement ratio enables customers to check the ability of the insurance company to pay off the claims received. The higher is the claim settlement ratio, the greater are the chances of your claim getting paid. Generally, a claim settlement ratio above 85% is ideal.

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      The Kotak General Insurance Company earned a claim settlement ratio of 85.4% in FY 2021-22. Besides, the insurance company follows a smooth and fast claim settlement process.

      Claim Process of Kotak Mahindra Health Insurance

      Under Kotak Mahindra health insurance policies, you can file both reimbursement and cashless claims. Here, we have explained both cashless and reimbursement claim processes in detail:

      Kotak Mahindra Health Insurance Cashless Claim Process:

      Cashless claims can be filed on availing treatment at a network hospital of the insurance company. Check out the step-by-step procedure to raise a cashless claim with Kotak Mahindra health insurance:

      • Hospitalization Intimation: Visit the cashless helpdesk at the hospital at least 48 hours before the hospitalization. In case of emergency hospitalization, approach the helpdesk within 24 hours of getting admitted.
      • Document Submission: Fill out the pre-authorization form and submit it to the insurer along with a valid photo ID and medical documents.
      • Cashless Claim Authorization: The insurer will authorize your cashless claim after verifying the documents.
      • Claim Settlement: The insurer will settle your medical bills up to the approved amount at the time of your hospital discharge. You only need to pay inadmissible expenses and deductibles to the hospital at the time of discharge.

      Kotak Mahindra Health Insurance Reimbursement Claim Process:

      The procedure to file a reimbursement claim with Kotak Mahindra health insurance is given below:

      • Inform the Insurer: Intimate Kotak General Insurance Company about your hospitalization over email or call.
      • Pay the Bills: Settle all the hospital bills at the time of discharge and collect all the documents.
      • Document Submission: Now submit all the original required documents to the insurance company along with the completed claim form within 30 days of getting discharged from the hospital.
      • Claims Payment: Post verifying all the documents, the insurer will process your claim within 15 days.

      Documents Required for Kotak Mahindra Health Insurance Claims

      The list of documents to be submitted at the time of raising a Kotak Mahindra health insurance claim is given below:

      • Copy of the Kotak Mahindra health insurance policy
      • Valid photo ID proof
      • Original investigation test reports
      • Post-mortem report (if required)
      • Original hospital bills and payment receipts
      • Duly-filled claim form
      • Indoor case papers
      • Pharmacy bills supported by the doctor’s prescription
      • Treating doctor's original consultation notes and reports
      • Nature of operation performed and surgeon's bill & receipt
      • Hospital Discharge report

      If you need more details on the Kotak health insurance claim settlement process, you can speak to Policybazaar’s health insurance experts. You can write to us at care@policybazaar.com or call us at 1800-208-8787.


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      Disclaimer: Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by an insurer.
      Kotak Mahindra Health Insurance Plans
      Kotak Mahindra Group Health Insurance
      Health Care

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