π¨π¨Latest IRDAI Data (FY 2024–25)
Many people ask:-
Which health insurance companies actually settle claims?
Instead of only marketing claims, let's look at the IRDAI reported numbers.
Claim Settlement Ratio (CSR) | Incurred Claim Ratio (ICR)
1. Star Health
CSR: 99.06% | ICR: 70.30%
2. HDFC Ergo
CSR: 96.71% | ICR: 84.85%
3. ICICI Lombard
CSR: 97.16% | ICR: 82.24%
4. Care Health
CSR: 96.74% | ICR: 64.53%
5. Niva Bupa
CSR: 92.39% | ICR: 61.22%
6. Aditya Birla Health
CSR: 95.64% | ICR: 71.50%
7. ManipalCigna
CSR: 88.64% | ICR: 74.81%
8. Bajaj Allianz
CSR: 93.54% | ICR: 57.82%
9. Navi General
CSR: 75.40% | ICR: 101.89%
PSU Insurers – Incurred Claim Ratio
10. New India Assurance – 100.98%
11. National Insurance – 96.05%
12. United India – 97.51%
13. Oriental Insurance – 102.58%
Important:- An ideal ICR range is usually between 70% – 90%. Below 70 and above 90 is risky.
Too low → Company paying fewer claims
Too high → Company paying more than premium collected
So while buying health insurance, don’t look only at premium or ads.
Look at:
• Claim ratios
• Network hospitals
• Product terms
• Claim support during emergency
And most importantly — who is advising you.
Because the right policy matters only when a claim happens.
What is your experience with health insurance claims?
#India #Public #HealthInsurance #InsuranceAwareness #IRDAI #ClaimSettlement #InsuranceAdvisor #InsuranceMatters
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