*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C Apply
*Tax benefit is subject to changes in tax laws. Standard T&C Apply
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The health claim settlement ratio is not a hard and fast rule to buy a health insurance plan. But it is recommended to check the claim ratio as it holds some stress over your final decision. The reason is that health insurance benefits like hospitalization expense cover, critical illness cover, sway you towards one policy over another and may not prove helpful if the insurer has a low health claim ratio.
The better the claim ratio of an insurer the higher the chances for your to reap the policy benefits. You also get some reassurance each time you pay your policy premiums that the insurer will settle the claim should there be an emergency.
Niva Bupa Health Insurance Company (Formerly known as Max Bupa Health Insurance Company) Limited has a claim settlement ratio of 96% and anything above 90% is considered to be ideal. Let check out more about their claim process and the documents required.
Key Features | Highlights |
Network Hospitals | 4500+ |
Incurred Claim Ratio | 50.19 |
Renewability | Lifelong |
Pre-existing diseases Waiting Period | 4 years |
No of health policies issued till 2019 | 309900 |
Claim Settlement Ratio | 96% |
To file a claim for a planned treatment you can inform the insurance company 2 days before hospitalization. For emergency hospitalizations, the insurer needs to be informed within 24 hours of the hospitalization.
However, the process for both reimbursement and cashless claims are described below-
You can avail cashless treatment at a network hospital only. Please follow the process described below-
For any of the Niva Bupa (Formerly known as Max Bupa) health insurance claims the documents that need to be furnished are given below:
Additional documents as required. To lodge a claim, you can call our helpline number i.e. 1800-208-8787. You can also write a mail to us at customer care: care@policybazaar.com