Best Health Insurance Companies In 2021 Based On Claim Settlement Ratio

Published On Mar 31, 2021 5:30 AM By KANIKA WADHWA

Table of Contents

• What is the Claim Settlement Ratio?
• Best Health Insurance Companies In 2021 Based On Claim Settlement Ratio
• When Can I Make A Claim?
• Conclusion

The right choice of an insurance plan is a carefully thought-out decision that must be handled with the utmost care. Not only does it involve much of your finances but also covers situations and provides benefits that the policyholder would have to suffer otherwise. Therefore, several factors must be considered in order to choose the best health insurance plan.

Among such factors, the claim settlement ratio is one of the most important factors. It is especially relevant for health insurance plans where payouts and cover are needed within a short period of time. Read on to find the best health insurance companies in 2021, based on the claim settlement ratio.

What is the Claim Settlement Ratio?

The claim settlement ratio tells about the number of claims that have been filed against the insurance policy. It indicates the number of claims that have been rejected (or accepted) by the insurance company. The higher the ratio, the more claims have been approved by the insurance company and the better is the plan. 

A lower claim settlement ratio indicates that more claims have been rejected by the insurance company than have been accepted. This is of course not an ideal statistic. Therefore, make sure to take a look at the claim settlement ratio before settling on a plan. It is released by the Insurance Regulatory and Development Authority of India (IRDAI).

Best Health Insurance Companies In 2021 Based On Claim Settlement Ratio

To help you with your choice, here is the list of the best health insurance companies and their claim settlement ratios.

Rank	Insurance Company	Health Claim Settlement Ratio FY20	Network Hospitals
1.	IFFCO Tokio General Insurance	96.33%	5,000+
2.	Care Health Insurance	95.47%	7,400+
3.	Magma HDI Health Insurance	95.17%	4,300+
4.	The Oriental Insurance Company	93.96%	4,300+
5.	New India General Insurance	92.68%	1,500+
6.	Bajaj Allianz General Insurance	92.24%	6,500+
7.	Max Bupa Health Insurance	89.46%	4,500+
8.	Navi General Insurance	86.98%	5,100+
9.	HDFC ERGO General Insurance	86.52%	10,000+
10.	Manipal Cigna Health Insurance	85.72%	6,500+
11.	Edelweiss General Insurance	85.57%	2,500+
12.	National Insurance Company	83.78%	6,000+
13.	Future Generali General Insurance	82.96%	5,100+
14.	Royal Sundaram General Insurance	81.50%	5,000+
15.	Liberty General Insurance	81.03%	5,000+
16.	ICICI Lombard General Insurance	78.67%	5,000+
17.	Star Health Insurance	78.62%	9,900+
18.	United India Insurance Company	78.03%	7,000+
19.	Reliance General Insurance	76.43%	7,300+
20.	Tata AIG General Insurance	76.04%	3,000+
21.	Bharti AXA General Insurance	76.01%	4,500+
22.	Kotak Mahindra General Insurance	75.45%	4,000+
23.	Acko General Insurance	74.09%	5,000+
24.	Aditya Birla Health Insurance	70.81%	6,000+
25.	Universal Sompo General Insurance	70.75%	4,000+
26.	SBI General Insurance	66.08%	6,000+
27.	Go Digit General Insurance	63.56%	5,900+
28.	Cholamandalam MS General Insurance	56.25%	8,000+

Source: IBAI’s General Insurance Claim Insights Handbook - 5th Edition.

When Can I Make A Claim?

In the event of the unfortunate demise of the policyholder, before the policy period is over, the nominee can file for claims. There are multiple benefits paid out as a part of this claim, most importantly, the death benefit. 

Different companies have different protocols to file for claims. However, generally, you are required to show authentic and verified documents to prove that the policyholder has passed away. Any discrepancies or frauds revealed during this process (including any lie in the initial application), may lead to your claim getting rejected.

Conclusion

It is always important to carefully look into all factors if you want to get the best health insurance policy for yourself. Make sure to browse through various options and look into all factors for every plan, in order to get the right health insurance plan. 

Disclaimer: This article is issued in the general public interest and meant for general information purposes only. Readers are advised not to rely on the contents of the article as conclusive in nature and should research further or consult an expert in this regard.