Raheja QBE Health Insurance Claim Settlement Ratio

Raheja QBE health claim settlement ratio is a parameter to scale the percentage of health insurance claims a health insurance provider has settled during a financial year. The claim ratio is derived with the simple formula that calculates the number of claims received and the number of claims that have got settled and also the pending claims from the previous year. Before you buy the policy make sure that you check the health claim ratio as well, as it is a good indicator of how many claims request the insurer can settle during the policy term.

Read More

Raheja QBE Health Insurance Claim Settlement Ratio

*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

Get insured from the comfort of your home No medicals required
I am a

My name is

My number is

By clicking on ‘View Plans’ you, agreed to our Privacy Policy and Terms of use
Close
Back
I am a

My name is

My number is

Select Age

City Living in

    Popular Cities

    Do you have an existing illness or medical history?

    This helps us find plans that cover your condition and avoid claim rejection

    Get updates on WhatsApp

    What is your existing illness?

    Select all that apply

    When did you recover from Covid-19?

    Some plans are available only after a certain time

    Raheja QBE Health Insurance at a Glance:

    Key Features

    Highlights

    Network Hospitals

    2000+

    Incurred Claim Ratio

    18.19

    Renewability

    Lifelong

    Waiting Period

    -

    How to Claim Raheja QBE Health Insurance?

    Raheja QBE health insurance claim process is simple and smooth. If you need clarity as to how to file a health insurance claim with Raheja QBE General Insurance Company then here is what you need to do. We have explained the claim procedure for both cashless and reimbursement treatment along with the documents that need to be submitted.

    Raheja QBE Cashless Claim Procedure:

    Read this step-by-step guide if you want to know about Raheja QBE cashless claim procedures:

    • Firstly avail the cashless hospitalization service at the nearby Raheja QBE network hospitals
    • To start with the claim process fill and submit the pre-authorization form and get it signed by the attending doctor and the policyholder
    • Do not forget to mention your contact number on the Raheja QBE pre-authorization form
    • If you are going for a planned hospitalization, then Kotak General Insurance requires you to submit the pre-authorization form within 15 days of hospital admission
    • For emergency treatment, you need to send the pre-authorization form within 24 hours of hospitalization
    • In case the insurer denies cashless claims,  you ( the insured) needs to meet the cost of treatment and later the insurance company will reimburse those expenses for you
    • For any future reference you can quote your cashless (pre-authorization) number to RQBE
    • Any enhancement request needs to be made only after getting discharged from the hospital
    • You( the policyholder) to bear all the co-payments, inadmissible expenses, or deductions

    Raheja QBE Reimbursement Procedure:

    To proceed with Raheja QBE reimbursement claims follow the process as given below:

    • You need to mention your address details on the Raheja QBE mediclaim form
    • It is going to help you if you have a photocopy of the claim documents with you
    • When you submit the claim form make sure that it is filled and signed by your doctor and you both
    • Your mobile number should be mentioned on your claim form
    • Submit all the claim documents in original within 30 days of getting discharged from the hospital
    • For any future reference you can use your claim reference number
    • You ( the policyholder) to bear all the co-payments, inadmissible expenses, or deductions

    What are the Documents Required for Raheja QBE Health Insurance Claims?

    If you want your claim request to be processed fast these are the documents that you need to submit to the insurer:

    • Duly filled claim form duly signed by the insured and the treating doctor
    • Discharge summary from the hospital with the details of the treatment, doctor’s consultation papers, hospital bills with break-up along with interim bills payment receipts
    • At the time of claim, you also need to provide investigation reports like X-ray, original blood report, CT Scans, sonography, MRIs, etc.
    • A photocopy of your health card along with other medical documents is required
    • All the pharmacy bills with doctor’s prescriptions
    • Do submit if you have got invoices of the Implant sticker, stent details in angioplasty, lens details in cataract case, miscellaneous charges, etc.
    • An FIR report is a must for all the accidental cases
    • All the medical documents related to the treatment needs to be submitted in original to the TPA
    • Death certificate/ Post-mortem report
    • Inquest/Panchanama Report
    • Coroner’s Report
    • Submit the documents at the nearest Raheja QBE branch

    Raheja QBE health claim settlement ratio is a parameter to scale the percentage of health insurance claims a health insurance provider has settled during a financial year. The claim ratio is derived with the simple formula that calculates the number of claims received and the number of claims that have got settled and also the pending claims from the previous year. Before you buy the policy make sure that you check the health claim ratio as well, as it is a good indicator of how many claims request the insurer can settle during the policy term.

    How to Claim Raheja QBE Health Insurance?

    Raheja QBE health insurance claim process is simple and smooth. If you need clarity as to how to file a health insurance claim with Raheja QBE General Insurance Company then here is what you need to do. We have explained the claim procedure for both cashless and reimbursement treatment along with the documents that need to be submitted.

    Raheja QBE Cashless Claim Procedure:

    Read this step-by-step guide if you want to know about Raheja QBE cashless claim procedures:

    • Firstly avail the cashless hospitalization service at the nearby Raheja QBE network hospitals
    • To start with the claim process fill and submit the pre-authorization form and get it signed by the attending doctor and the policyholder
    • Do not forget to mention your contact number on the Raheja QBE pre-authorization form
    • If you are going for a planned hospitalization, then Kotak General Insurance requires you to submit the pre-authorization form within 15 days of hospital admission
    • For emergency treatment, you need to send the pre-authorization form within 24 hours of hospitalization
    • In case the insurer denies cashless claims,  you ( the insured) needs to meet the cost of treatment and later the insurance company will reimburse those expenses for you
    • For any future reference you can quote your cashless (pre-authorization) number to RQBE
    • Any enhancement request needs to be made only after getting discharged from the hospital
    • You( the policyholder) to bear all the co-payments, inadmissible expenses, or deductions

    Raheja QBE Reimbursement Procedure:

    To proceed with Raheja QBE reimbursement claims follow the process as given below:

    • You need to mention your address details on the Raheja QBE mediclaim form
    • It is going to help you if you have a photocopy of the claim documents with you
    • When you submit the claim form make sure that it is filled and signed by your doctor and you both
    • Your mobile number should be mentioned on your claim form
    • Submit all the claim documents in original within 30 days of getting discharged from the hospital
    • For any future reference you can use your claim reference number
    • You ( the policyholder) to bear all the co-payments, inadmissible expenses, or deductions

    What are the Documents Required for Raheja QBE Health Insurance Claims?

    If you want your claim request to be processed fast these are the documents that you need to submit to the insurer:

    • Duly filled claim form duly signed by the insured and the treating doctor
    • Discharge summary from the hospital with the details of the treatment, doctor’s consultation papers, hospital bills with break-up along with interim bills payment receipts
    • At the time of claim, you also need to provide investigation reports like X-ray, original blood report, CT Scans, sonography, MRIs, etc.
    • A photocopy of your health card along with other medical documents is required
    • All the pharmacy bills with doctor’s prescriptions
    • Do submit if you have got invoices of the Implant sticker, stent details in angioplasty, lens details in cataract case, miscellaneous charges, etc.
    • An FIR report is a must for all the accidental cases
    • All the medical documents related to the treatment needs to be submitted in original to the TPA
    • Death certificate/ Post-mortem report
    • Inquest/Panchanama Report
    • Coroner’s Report
    • Submit the documents at the nearest Raheja QBE branch

    FAQs

    Health insurance articles

    Recent Articles
    Popular Articles
    List of Diseases Covered by Bajaj Allianz Health Insurance Plans

    05 Jul 2022

    Barely any person has remained unaffected due to rising health...
    Read more
    Annual Medical Check-ups in Health Insurance

    05 Jul 2022

    Regular health check-ups are important to keep a track of your...
    Read more
    Advantages and Disadvantages of Buying a Health Insurance Policy

    04 Jul 2022

    In India, healthcare is getting expensive with each passing day...
    Read more
    Does Health Insurance Cover Sports & Gym Injuries?

    27 Jun 2022

    Gone are the days when only athletes and professional sports...
    Read more
    Health Insurance for Rural India

    24 Jun 2022

    Healthcare is expensive in India and is increasing with each...
    Read more
    PMJAY Scheme: Ayushman Bharat Yojana Eligibility & Registration Online
    Prime Minister Shri Narendra Modi announced the launch of (PMJAY) Ayushman Bharat Yojana in his Independence...
    Read more
    Best Health Insurance Plans in India 2022
    Finding the best health insurance plan from so many different health insurance companies can get confusing for many...
    Read more
    Best Maternity Insurance Plans
    Maternity insurance offers comprehensive coverage for medical expenses incurred during pregnancy, including the cost...
    Read more
    How to apply for Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY)
    Ayushman Bharat health insurance is a flagship scheme launched by the Government of India, as per the...
    Read more
    Best Health Insurance Plans for Senior Citizens in 2022
    Considering the increase in medical inflation in India, buying adequate health insurance for your loved ones has...
    Read more
     
    top
    Close
    Download the Policybazaar app
    to manage all your insurance needs.
    INSTALL