Care Health Insurance Claim Settlement Ratio

(87 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

      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

      Care Health Insurance Claim Settlement Ratio

      Care Health Insurance claim settlement ratio allows customers to understand if the insurer will settle their claims. A Claim Settlement Ratio (CSR) is a good indicator of a company’s claim efficiency, reliability, and sound financial health. Generally, a CSR above 85% is considered good. It can be determined by using this formula:

      Read More

      Claim Settlement Ratio= (Total claims settled/ total reported claims) X 100

      Care Health Insurance has secured an impressive claim settlement ratio of 87.1% in FY 2021-22. This shows that the insurer has a consistent claim settlement pattern and is likely to settle the claims raised by most policyholders. Moreover, Care Health Insurance offers 24x7 claim and customer support.

      Claim Process of Care Health Insurance

      Care Health Insurance Company ensures smooth settlement of cashless as well as reimbursement claims. Mentioned below is the process for filing both cashless claims and reimbursement claims:

      Claim Process for Cashless Treatment:

      If you have availed treatment in a network hospital, then you can file a cashless claim request with Care Health Insurance by following the steps given below:

      • Claim Intimation: You can inform the customer care team at least 48 hours before a planned hospitalization and within 24 hours of an emergency hospitalization.
      • Initiate Pre-authorization Process: Now submit the filled-in pre-authorization form at the hospital’s insurance desk. The hospital will send the form to the insurer and seek cashless treatment approval.
      • Processing of Pre-authorization Request: The in-house claim management team will review the request and accept or reject it.
      • Claim Settlement: After your discharge, the insurer’s claim management team will pay the claim amount to the network hospital.

      Claim Process for Reimbursement Treatment:

      You can file a reimbursement claim with Care Health Insurance by following the steps given below:

      • Claim Intimation: Inform the customer support team of the insurer within 24 hours of an emergency hospitalization and at least 48 hours before a planned hospitalization.
      • Hospital Bills Payment: While getting discharged from the hospital, pay all the hospital bills and take all the documents home.
      • Initiate Claim Process: The health insurance claim form needs to be submitted along with all the required documents to the insurance company.
      • Claim Processing: All the documents will be reviewed by the claims management team of the insurer, and they will either accept or reject the claim. If the claim is rejected, a valid reason will be provided.
      • Claims Payment: If the claim is accepted, the insurer will pay the claim amount to you.

      Documents Required for Care Health Insurance Claims

      The following documents need to be submitted at the time of filing a Care health insurance reimbursement claim:

      • Duly filled and signed claim form (original copy)
      • Photo ID proof 
      • Doctor’s prescription recommending hospitalization
      • Letter from the doctor mentioning the list of medical tests, consultations, and medications
      • Receipts and bills (original copies)
      • Chemist bills (original copies) 
      • All the medical tests and reports with receipts (original copies)
      • Indoor case papers
      • Discharge card from the doctor/ hospital
      • Police FIR Report (if applicable)
      • Original post-mortem report ( if applicable)

      For additional details, you can speak to Care Health Insurance’s customer support team or the experts at Policybazaar.com.

      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 Aditya Birla Health Insurance Plans

      16 Apr 2024

      Aditya Birla Health Insurance Company offers a range of
      Read more
      Surgeries Covered by Cholamandalam Health Insurance Plans

      16 Apr 2024

      Cholamandalam MS General Insurance Company offers a range of
      Read more
      Surgeries Covered by Future Generali Health Insurance Plans

      16 Apr 2024

      Future Generali India Insurance Company offers comprehensive
      Read more
      Surgeries Covered by HDFC ERGO General Health Insurance Plans

      03 Apr 2024

      HDFC ERGO General Insurance Company provides a variety of
      Read more
      Surgeries Covered by Digit Health Insurance Plans

      28 Mar 2024

      Go Digit General Insurance Limited offers a wide range of
      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
      Zero Waiting Period in Health Insurance Plans
      Every medical insurance plan comes with a few terms & conditions, and the waiting period is one of them. A
      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
      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

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