Health claim settlement ratio refers to the number of claims that the insurance company settles in relation to the total number of claims filed during the policy term. A higher claim ratio indicates positively of the insurance companies’ ability to settle the claim requests received.
*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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Royal Sundaram General Insurance has a claim settlement ratio of 85% (2018-2019), which makes it a suitable option. Any claim ratio between 85% and 95% is considered good.
Key Features |
Highlights |
Network Hospitals |
3000+ |
Incurred Claim Ratio (2018-19) |
61% |
Renewability |
Lifelong |
Waiting Period |
3 years |
Policy Tenure Options |
1,2,3 years |
Restoration of Sum Insured |
Up to the base sum insured |
Grace Period |
30 days |
No-claim-Bonus |
In some plans the No-claim-bonus is 10% to 50% and in some plans, it ranges from 10% to 100% |
Daycare procedures |
Up to 200 |
Vaccination Charges |
In case of animal bite |
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There is no restriction on the number of claims that can be filed in a year up to the sum insured limit. There are two ways a policyholder can claim for health policies:
To avail cashless claims the treatment must be availed in a network hospital. The list of network hospitals is available online. To claim the benefits submit the authorization form to the TPA/ Insurance Company.
To file for reimbursement of expenses, a claim form needs to be provided along with the bills. More details are given below:
For treatments availed in non-network hospitals, you can file reimbursement claims. And the steps to file a reimbursement claim are given below:
Here are some of the crucial documents that you need at the time of claim. For complete list you can refer to the policy wordings or speak to Policybazaar’s health claim team. Some of the documents are given below:
For more details you can speak to our customer care team at 1800-208-8787 or write to us at care@policybazaar.com.