Raheja QBE Health Insurance Claim Settlement Ratio

(1 Reviews)
Insurer Highlights

*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

Back
Get insured from the comfort of your home
Get insured from the comfort of your home
  • 1
  • 2
  • 3
  • 4

Who would you like to insure?

  • Previous step
    Continue
    By clicking on “Continue”, you agree to our Privacy Policy and Terms of use
    Previous step
    Continue

      Popular Cities

      Previous step
      Continue
      Previous step
      Continue

      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

      Previous step

      When did you recover from Covid-19?

      Some plans are available only after a certain time

      Previous step
      Advantages of
      entering a valid number
      You save time, money and effort,
      Our experts will help you choose the right plan in less than 20 minutes & save you upto 80% on your premium

      Raheja QBE Health Insurance Claim Settlement Ratio

      Raheja QBE health insurance claim settlement ratio is a parameter to know the percentage of health insurance claims settled by Raheja QBE General Insurance Company during a financial year. The claim settlement ratio is derived by dividing the number of claims paid by the number of claims received in a financial year. The CSR is a good indicator of how likely the insurer is to settle your claim.

      Read More

      The Raheja QBE General Insurance Company has earned a claim settlement ratio of 95.8% for FY 2021-22. Besides, the insurer has a hassle-free claim process and ensures complete transparency.

      How to Claim Raheja QBE Health Insurance?

      Raheja QBE health insurance claim process is simple and smooth. Take a look at the procedure for both cashless and reimbursement claims below:

      Raheja QBE Health Insurance Cashless Claim Procedure:

      Read this step-by-step guide to know the Raheja QBE cashless claim procedure:

      • Firstly, get admitted to a nearby Raheja QBE network hospital.
      • Inform Raheja QBE General Insurance Company about your planned hospitalization in advance and emergency hospitalization within 24 hours.
      • Show your health card and a valid photo ID proof at the network hospital.
      • Fill out the pre-authorization form and give it to the doctor.
      • The hospital will send the pre-authorization request to the TPA.
      • The TPA will verify the documents and approve your cashless treatment.
      • Once your treatment is over, the TPA will pay the bill amount to the hospital. However, you will have to bear the co-payments, inadmissible expenses, and deductions.

      Raheja QBE Health Insurance Reimbursement Claim Procedure:

      To file Raheja QBE reimbursement claims, follow the process given below:

      • Notify the insurance company about your emergency hospitalization within 24 hours and planned hospitalization in advance.
      • Obtain the treatment and pay all the bills at the hospital.
      • Collect all the documents from the hospital at the time of discharge.
      • Fill out the Raheja QBE health insurance claim form and
      • submit it along with all the claim documents in original within 30 days of getting discharged from the hospital.
      • The insurer will verify all the documents and pay you the claim amount.

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

      The following documents need to be submitted to the insurer to file a reimbursement claim:

      • Duly filled claim form =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
      • Investigation reports like X-rays, blood reports, CT scans, sonography, MRIs, etc.
      • Copy of your health card
      • All pharmacy bills with doctor’s prescriptions
      • Invoices of the implant sticker, such as stent details in angioplasty, lens details in cataract cases, miscellaneous charges, etc.
      • FIR or Medico-Legal certificate for all accidental cases
      • Doctor’s referral letter advising hospitalization
      • Copy of the insurance policy
      • Death summary from the hospital
      • Indoor case papers
      • Death certificate/ post-mortem report
      • Inquest/Panchnama report
      • Disability certificate from the hospital or doctor
      • KYC details
      • NEFT details
      Policybazaar exclusive benefits
      • 30 minutes claim support*(In 120+ cities)
      • Relationship manager For every customer
      • 24*7 claims assistance In 30 mins. guaranteed*
      • Instant policy issuance No medical tests*
      Disclaimer: Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by an insurer.

      Health insurance articles

      Recent Articles
      Popular Articles
      Surgeries Covered by Manipal Cigna Health Insurance Plans

      01 Mar 2024

      Amidst the ongoing surge in healthcare expenses, securing
      Read more
      Star Preventive Health Check-ups: All You Need to Know

      29 Feb 2024

      Preventive health check-ups are essential to monitor critical
      Read more
      Reasons to Purchase High-Value Health Insurance Cover

      21 Feb 2024

      When you decide to purchase a health insurance plan for you and
      Read more
      Surgeries Covered by New India Assurance Health Insurance Plans

      22 Feb 2024

      In an era where healthcare expenses are skyrocketing in India, the
      Read more
      Is a 10 Lakh Health Insurance Adequate in Your City?

      10 Jan 2024

      An ongoing medical inflation of 14 percent in India (the highest
      Read more
      How to Apply for Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY)?
      Ayushman Bharat Yojana is a flagship health insurance scheme launched by the Government of India to offer universal
      Read more
      Best Health Insurance Plans for Senior Citizens
      Senior citizens are the most prone to diseases. Considering the medical inflation in India, buying health insurance
      Read more
      Does Health Insurance Provide Coverage for LASIK Eye Surgery?
      A vast majority of the Indian population is suffering from vision problems. For some of them, LASIK eye surgery is
      Read more
      10 Major Benefits of Ayushman Bharat Yojana
      Pradhan Mantri Jan Arogya Yojana (PM-JAY) is the second component under Ayushman Bharat Scheme. PM Narendra Modi
      Read more
      How Senior Citizens can save Tax with Medical Bills u/s 80 D?
      Senior citizens can save on income tax by availing tax benefits on medical expenses under Section 80D of the Income
      Read more

      top
      Close
      Download the Policybazaar app
      to manage all your insurance needs.
      INSTALL