ManipalCigna Health Insurance Claim Settlement Ratio

Know everything about the claim settlement ratio, what it indicates, and how it helps you choose from different health insurance companies.
Check Our Health Insurance Plans
Get Quote
3 mins
18-December-2024

ManipalCigna Health Insurance is a well-known insurance provider that offers a range of health insurance plans to individuals and families. When choosing a health insurance plan, one of the key factors to consider is the claim settlement ratio (CSR) of the insurance provider.

The claim ratio of ManipalCigna Health Insurance is an important aspect that determines the authenticity and credibility of the provider. In this article, we will discuss the Manipal Cigna Health Insurance claim settlement ratio, its significance, and the benefits of insurance with a high claim settlement ratio.

What is the claim settlement ratio in health insurance?

The claim settlement ratio in health insurance is a key metric indicating the insurer's efficiency in processing and settling claims. It represents the percentage of claims settled against the total number of claims received. A higher CSR suggests that the insurer is more likely to honour and fulfil policyholder claims. Monitoring CSR is crucial for policyholders as it reflects the insurer's reliability in handling claims promptly and fairly.

A high CSR indicates a more trustworthy and customer-centric insurance provider, instilling confidence in policyholders regarding the likelihood of their claims being settled without complications. It is a vital factor to consider when selecting a health insurance provider for comprehensive coverage and hassle-free claim processes.

Benefits of a high claim settlement ratio

A high claim settlement ratio has several benefits for the policyholder. Some of the key benefits are:

  • Financial stability: A high claim settlement ratio indicates that the insurance provider is financially stable and capable of handling claims successfully without any major financial burden.
  • Customer support: A high CSR indicates that the insurance provider has a good and efficient customer support system. This, in turn, ensures that the policyholder can approach the company for assistance when needed without any inconvenience.
  • Fast claim settlement: A high CSR usually indicates that the company processes and settles claims faster, which reduces the wait time for policyholders. This, in turn, ensures quicker financial support for the policyholder during a medical emergency.
  • Reliability: Checking the claim settlement ratio of ManipalCigna Health Insurance gives you insights into the company's reliability. A high CSR indicates a history of fulfilling obligations to policyholders promptly.

Also, check: Step-by-step guide to claim health insurance

How to raise a claim with ManipalCigna Health Insurance?

If you buy your health insurance policy on the Bajaj Finance Insurance Mall, the claim is settled by the insurance provider. Given below are the steps you can follow to raise cashless and reimbursement claims:

How to raise a cashless claim?

Given below are the steps to raise claim requests for cashless hospitalisation with ManipalCigna Health Insurance:

Step 1: In the case of emergency hospitalisation, contact the insurer within 48 hours, and for planned hospitalisation, make sure to reach out at least 3 days in advance. You can reach the insurer through their toll-free number at 1800-102-4462 or via email at customercare@manipalcigna.com.

Step 2: Find a nearby network hospital. Access cashless treatment at over 6,500 ManipalCigna Health Insurance network hospitals throughout India.

Step 3: Complete and submit the pre-authorisation form. Obtain the form from the hospital's insurance desk or download it in advance from the insurer's website, ensuring it is filled out before submission.

Step 4: Upon evaluating your claim, the insurer will provide an initial approval, allowing the commencement of hospital procedures.

Step 5: Once the final approval comes, the claim will be processed as per the terms and conditions of the policy.

How to raise a reimbursement claim?

Follow the steps below for a reimbursement claim:

Step 1: Contact the insurer within 48 hours of emergency hospitalization and at least 3 days before scheduled hospitalisation by calling the toll-free number 1800-102-4462 or emailing at customercare@manipalcigna.com.

Step 2: Settle all medical bills and other costs involved in hospitalisation and treatment at the hospital.

Step 3: Within 15 days of hospital discharge, submit essential documents, including the reimbursement claim form, hospital discharge summary, bills, prescriptions, etc., to the nearest branch office of the insurer.

Step 4: Upon receiving all claim-related documentation, the insurer will assess the eligibility of the claim and proceed with its processing. The approved amount will then be transferred to your registered bank account.

Documents required for ManipalCigna Health Insurance claims

Given below is the list of documents that may be required to raise claims for ManipalCigna Health Insurance policy, purchased through Bajaj Finance:

  • Claim form (Part A and B). The insured needs to fill in Part A, and the hospital needs to fill in Part B.
  • Valid ID proof
  • Original discharge summary
  • Original hospital bills and receipts
  • Doctor consultation papers
  • FIR copy or post-mortem report in case of accident or death.

The Manipal Cigna Health Insurance claim settlement ratio is an essential aspect to consider when choosing a health insurance plan. A high claim settlement ratio indicates the insurance provider's ability to handle claims effectively, efficiently, and without any major financial burden. In addition, a higher CSR usually indicates that the insurance provider provides quality customer support, which can be crucial during medical emergencies.

Frequently asked questions

Who should I reach out to regarding claim notification and resolution?

You must reach out to the insurer, in this case, ManipalCigna Health Insurance to get any information related to claim or resolution. You can call them at 1800-102-4462 and write to them at customercare@manipalcigna.com.

What types of claims does ManipalCigna Health insurance cover?

ManipalCigna Health insurance covers claims related to a range of medical services and treatments, including hospitalisation, surgery, diagnostic tests, outpatient treatments, maternity, and more. The coverage may vary depending on the policy options and levels of coverage selected by the policyholder.

What factors can impact the ManipalCigna Health insurance claim settlement process?

Several factors can impact the ManipalCigna Health insurance claim settlement process, including the accuracy and completeness of the claim form and supporting documentation, the complexity of the medical treatment received, and the level of communication between the policyholder, healthcare provider, and insurance company.

Bajaj Finserv app for all your financial needs and goals

Trusted by 50 million+ customers in India, Bajaj Finserv App is a one-stop solution for all your financial needs and goals.

You can use the Bajaj Finserv App to:

  • Apply for loans online, such as Instant Personal Loan, Home Loan, Business Loan, Gold Loan, and more.
  • Invest in fixed deposits and mutual funds on the app.
  • Choose from multiple insurance for your health, motor and even pocket insurance, from various insurance providers.
  • Pay and manage your bills and recharges using the BBPS platform. Use Bajaj Pay and Bajaj Wallet for quick and simple money transfers and transactions.
  • Apply for Insta EMI Card and get a pre-qualified limit on the app. Explore over 1 million products on the app that can be purchased from a partner store on Easy EMIs.
  • Shop from over 100+ brand partners that offer a diverse range of products and services.
  • Use specialised tools like EMI calculators, SIP Calculators
  • Check your credit score, download loan statements and even get quick customer support—all on the app.

Download the Bajaj Finserv App today and experience the convenience of managing your finances on one app.

Disclaimer

*T&C Apply - Bajaj Finance Limited (‘BFL’) is a registered corporate agent of third party insurance products of Bajaj Allianz Life Insurance Company Limited, HDFC Life Insurance Company Limited, Future Generali Life Insurance Company Limited, Bajaj Allianz General Insurance Company Limited, SBI General Insurance Company Limited, ACKO General Insurance Limited, ICICI Lombard General Insurance Company Limited, HDFC ERGO General Insurance Company Limited, Tata AIG General Insurance Company Limited, The New India Assurance Company Limited, Cholamandalam MS General Insurance Company Limited, Niva Bupa Health Insurance Company Limited , Aditya Birla Health Insurance Company Limited, Manipal Cigna Health Insurance Company Limited and Care Health Insurance Company Limited under the IRDAI composite CA registration number CA0101. Please note that, BFL does not underwrite the risk or act as an insurer. Your purchase of an insurance product is purely on a voluntary basis after your exercise of an independent due diligence on the suitability, viability of any insurance product. Any decision to purchase insurance product is solely at your own risk and responsibility and BFL shall not be liable for any loss or damage that any person may suffer, whether directly or indirectly. Please refer insurer's website for Policy Wordings. For more details on risk factors, terms and conditions and exclusions please read the product sales brochure carefully before concluding a sale. Tax benefits applicable if any, will be as per the prevailing tax laws. Tax laws are subject to change. Tax laws are subject to change. BFL does NOT provide Tax/Investment advisory services.  Please consult your advisors before proceeding to purchase an insurance product. Visitors are hereby informed that their information submitted on the website may also be shared with insurers. BFL is also a distributor of other third-party products from Assistance Services providers such as CPP Assistance Services Pvt. Ltd., Bajaj Finserv Health Ltd. etc. All product information such as premium, benefits, exclusions, sum insured, value added services, etc. are authentic and solely based on the information received from the respective insurance company or the respective Assistance service provider company.

Note – While we have made all efforts and taken utmost care in gathering precise information about the products, features, benefits, etc. However, BFL cannot be held liable for any direct or indirect damage/loss. We request our customers to conduct their research about these products and refer to the respective product’s sales brochures before concluding their sale.