Compare and Choose from the Top Health Insurance Companies in India
- Types of Health Insurance Companies with Market Share in India
- Best Health Insurance Plans for Families, Senior Citizens, & Critical Illness
- Role of CSR & Solvency Ratio in Choosing a Health Insurance Company
- List of Top Health Insurance Companies for 2024
How to Choose the Right Health Insurance Company?
In a world with changing lifestyles and increased health issues, dependable health insurance is essential. Given below are a few key features you should know while choosing the right health insurance that covers all your needs:
- Claim Settlement Ratio: The CSR shows the amount of claims settled by the insurance company annually to the total claims filed by the customers. The Claim Settlement Ratio (CSR) determines the efficiency of an insurer in settling claims. The higher the CSR, the stronger the insurer's commitment to their consumers.
- Solvency Ratio: The Solvency Ratio showcases the insurance company’s capability to fulfill its financial responsibilities. The better the solvency ratio, the healthier a company’s financial stability.
- Number of Products & Add-ons: The variety of plans and add-ons gives flexibility to a customer. They can customise their plans better and according to their health concerns and budget. An insurer with a wide range of products and add-ons should be preferable for a customer.
- Customer Support: While choosing an health insurance a customer must always consider the insurer’s customer care services. This plays an important role as the customer will need their assistance in the future with their doubts and concerns. Better customer care service makes the health insurance ride for a customer comfortable and hassle-free.
- Network Hospitals: The benefits of network hospitals are that the claim process is easier, ensures quality healthcare, provides emergency ambulance services, etc. These benefits are the main look points for every customer during emergencies. The insurer that provides the network hospital benefit should be considered as a better health insurance provider.
- Claim Settlement Process: While buying health insurance plans, it's important to see if the insurer’s claim settlement process is easier and faster. Having to go through different challenges to settle a claim makes the customer stressed and frustrated so choosing an insurer with a better claim settlement process is critical.
- Customer Reviews and Ratings: It reflects the satisfaction or dissatisfaction of the policyholders. The customer reviews and ratings give an idea regarding the health insurer’s customer relations.
Best Health Insurance Companies in India (Updated 2024)
We have chosen the top 10 health insurance providers based on factors including market share, cashless hospitalisation availability, solvency ratio, and claim settlement ratio.
You can refer to the table given below for the market share and cashless hospitalisation availability provided by the companies:
The data has been taken from the official IRDAI website.
Type |
Company |
Market Share |
Cashless Hospitalization |
|
Standalone |
Star Health and Allied Insurance |
12.18% |
Yes |
|
Care Health Insurance |
4% |
Yes |
||
Niva Bupa Health Insurance |
3% |
Yes |
||
Aditya Birla Health Insurance |
2% |
Yes |
||
General Insurance |
ICICI Lombard |
8.67% |
Yes |
|
Bajaj Allianz |
7.69% |
Yes |
||
HDFC Ergo |
6% |
Yes |
||
Go Digit General Insurance |
6% |
Yes |
||
SBI General Insurance |
2% |
Yes |
||
Reliance General Insurance |
2% |
Yes |
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What are Health Insurance Products & Add-Ons?
Health insurance products refer to the number of health insurance plans offered by a health insurer that provide coverage for your medical expenses. The health Insurance add-ons, however, are the additional benefits offered by the insurers to customise the product chosen by the customer according to their healthcare needs.
Types of Health Insurance Products
The multiple types of health insurance products provided by the health companies in India are mentioned in the list below:
- Individual Health Insurance Plans
- Family Floater Health Insurance Plans
- Group Health Insurance Plans
- Senior Citizen Health Insurance Plans
- Critical Illness Insurance Plans
- Maternity Health Insurance Plans
- Hospital Daily Cash Benefit Plans
- Preventive Health Insurance Plans
- International Health Insurance Plans
- Short-Term Health Insurance Plans
- Student Health Insurance Plans
- Top-Up and Super Top-Up Health Insurance Plans
- Disease-Specific Insurance Plans
- Personal Accident Insurance Plans
Types of Health Insurance Add-ons
The multiple types of health insurance Add-ons offered by health companies in India are mentioned in the list below:
- Critical Illness Rider
- Maternity Cover
- Accidental Death Benefit
- Home Care Treatment
- Dental Cover
- Alternative Treatment Cover
- Medical Equipment Cover
- Second Opinion Cover
- Travel Cover
- Donor Expense Cover
- Convalescence Benefit
- Hospital Cash
- Room Rent Waiver
- Personal Accident Cover
- OPD Cover
Top 5 Health Insurance Companies In India with No. of Products & Add-ons
The tabular data below highlights the No. Of Products & Add-ons of Top 5 Health Insurance Companies in India:
S.No. |
Company |
Number of Products and Add-Ons |
1 |
Bajaj Allianz Health Insurance |
19 |
2 |
Star Health Insurance |
14 |
3 |
Future Generali India Health Insurance |
11 |
4 |
Niva Bupa Health Insurance |
8 |
5 |
Royal Sundaram Health Insurance |
8 |
The data for No. of Products & Add-ons of the best health insurance providers in India has been taken from the official IRDAI website.
Understanding Claim Settlement Ratio and Solvency Ratio in Detail
Claim Settlement Ratio
The Claim Settlement Ratio informs a customer of the number of claims settled by the Insurance companies versus the number of claims filed by a policyholder. The claim settlement ratio shows the dedication of the health insurance company towards their customers. The insurer with a higher CSR shows their efficiency in settling a majority of their claims and provides them with the trust of their customers.
CSR=( number of claims settled/ Number of claims filed)* 100
Solvency Ratio
The Solvency Ratio showcases the health insurance company’s ability to meet their long-term financial responsibilities. The customers get reassurance and stability with a higher solvency ratio of their health insurance provider.
The solvency ratio shows the financial stability of the health insurance company. Whereas the claim settlement ratio shows the number of claims settled by the insurer. Both ratios together define the internal and external growth and stability of the health insurance provider.
Why Claim Settlement Ratio And Solvency Ratio is Important?
The following are the benefits of having a higher CSR and solvency ratio:
- Policyholder Protection: An insurer's purpose is to provide stability to policyholders and eventually gain their trust by displaying the financial ability of the insurance provider, particularly by settling their claims. This can be achieved with the help of the solvency and claim settlement ratio of the health insurance company.
- Timely Claim Settlements: Having a higher solvency ratio helps the insurers meet the claims filed by their policyholders. This will eventually increase their claim settlement ratio. A stable financial standing of a company is important. This helps in building a better relationship with the customers.
- Financial Stability: The solvency ratio estimates a health insurance provider's financial stability. It can help them prevent long-term financial issues. This will help the insurer settle their customer’s claims.
- Credibility and Trust: A higher solvency ratio encourages financial stability within a health insurance company. This stability builds the insurer's trust and credibility with their customers. The company can accomplish their goals and maintain a high CSR by settling filed claims without any issues.
Top Health Insurance Companies with Claim Settlement Ratio (CSR) and Solvency Ratio for Year 2022-23
The tabular data below highlights the solvency ratio and the CSR of different health insurance providers in India for FY 2022:
S.No. |
Company |
Claim Settlement Ratio FY22 (in %) |
Solvency Ratio Dec-2022 |
Solvency Ratio Mar-2023 |
1. |
99.80 |
1.74 |
1.81 |
|
2. |
99.90 |
1.59 |
1.57 |
|
3. |
99.80 |
2.45 |
2.51 |
|
4. |
98 |
2.2 |
2.05 |
|
5. |
97 |
2.3 |
1.83 |
|
6. |
96 |
3.03 |
2.63 |
|
7. |
93 |
1.9 |
1.82 |
|
8. |
94 |
2.06 |
2.01 |
|
9. |
94 |
1.93 |
2.1 |
|
10. |
95 |
1.73 |
1.8 |
|
11. |
93 |
1.9 |
1.78 |
|
12. |
98 |
1.91 |
1.87 |
|
13. |
98 |
3.73 |
3.91 |
|
14. |
98.60 |
2.14 |
2.27 |
|
15. |
92 |
1.81 |
1.67 |
|
16. |
90 |
1.7 |
2.1 |
|
17. |
99.10 |
2.17 |
2.14 |
|
18. |
93.40 |
1.55 |
1.56 |
|
19. |
66.08 |
1.85 |
1.72 |
The data for Claim Settlement Ratio has been taken from the official IRDAI website.
Types of Health Insurance Plans in India
Customers can choose from a variety of plans offered by health insurance companies to meet their needs and specifications. These insurance companies provide senior citizens, critical illness, family floater-based, and other policies with pre-existing coverage.
- Family Floater-based Plans: Insurance companies provide family health insurance policies that include all of your family's medical costs into a single, all-inclusive coverage. This occasionally covers you, your spouse, and your kids in addition to your dependent parents. These providers offer family health insurance that can cover the medical needs of your whole family without requiring you to purchase several policies.
- Senior Citizens Plan: As the name implies, this insurance is specifically made for individuals who are sixty years of age or older. Pre-existing medical disorders, chronic illnesses, and age-related issues are just a few of the healthcare needs that these plans cover specifically for senior citizens.
- Critical Illness Plan: Financial protection against serious medical disorders such as cancer, heart attacks, and other life-threatening illnesses is provided by these plans. If it is determined that the policyholder has a covered critical illness, the insurance will pay a lump sum to cover treatment-related medical expenses.
- Pre-existing Cover: Financial support for medical issues a customer has even before purchasing health insurance is provided by the pre-existing cover. However, this coverage is provided as a rider or add-on to the customers. The consumer can add this benefit to a base policy that they have purchased according to their needs.
Top 10 Health Insurance Plans in India
Given below are various plans offered by Top-rated Health Insurance companies for Families, Senior Citizens, Critical Illness & Pre-existing coverage:
Company Name |
Family Floater-based Plans |
Senior Citizen Plans |
Critical Illness Plans |
Pre-Existing Cover |
Care Health Insurance |
Care Supreme |
Senior Citizens Advantage |
Care Heart Health Insurance |
Yes |
Star Health and Allied Insurance |
Family Health Optima Insurance Plan |
Senior Citizens Red Carpet Health Insurance Policy |
Star Critical Illness Multipay Insurance Policy |
Yes |
HDFC Ergo |
My Health Suraksha |
Optima Senior |
iCan Cancer |
Yes |
ICICI Lombard |
Complete Health Insurance |
Health Protect |
Health Protect |
Yes |
SBI General Insurance |
Aarogya Sanjeevani |
Aarogya Plus Policy |
Critical Illness Insurance Policy |
Yes |
Aditya Birla Health Insurance |
Activ Assured |
Activ Care |
Activ Secure |
Yes |
Reliance General Insurance |
Health Gain |
Health Gain |
Critical Illness Insurance |
Yes |
Niva Bupa Health Insurance |
Niva Bupa Health Companion |
Reassure 2.0 |
Reassure 2.0 |
Yes |
Go Digit General Insurance |
Digit Health Plus Policy |
Digit Health Plus Policy |
Digit Health Plus Policy |
Yes |
ManipalCigna Health Insurance |
ProHealth Prime |
Prime Senior Citizen Plan |
ProHealth Prime |
Yes |
Types of Health Insurance Companies in India
The companies that insure people against medical expenses are known as health insurance companies. These companies accept regular and flexible payments from their customers, known as premiums, and in exchange, they cover all or part of the costs associated with prescription drugs, hospital stays, doctor visits, and other healthcare services. This makes medical care more affordable for people without requiring them to pay for it entirely out of pocket.
There are two types of Health Insurance Companies in India:
1. Private Health insurance Companies:
Private Health Insurance Companies offer health insurance coverage for individuals and groups. These companies offer insurance services such as medical costs such as doctor visits, hospital stays, prescription medicine, etc. to earn profit; they are privately held companies and not governed by the government. These services are offered in exchange for a regular premium paid by the customers.
There are two types of companies under Private Health Insurance Companies:
- Standalone Health insurance Companies offer Only health insurance plans. These firms only focus on health insurance, in contrast to other insurance providers that could offer a variety of insurance products. This implies that they devote all of their resources and knowledge to covering medical costs, including prescription drugs, hospital stays, and doctor appointments.
- General Insurance: Businesses that offer different kinds of insurance coverage, except life insurance, are known as general insurance companies. They provide plans that shield individuals and companies from monetary losses brought on by mishaps including auto accidents, theft, property damage, health concerns, and travel difficulties. In essence, they assist in reimbursing expenses in the event of unforeseen circumstances, sparing you from having to pay for everything yourself.
2. Public Health Insurance Companies:
In India, public health insurance companies are government-owned enterprises providing health insurance policies to the citizens. These plans lessen the financial load on people and families by helping to pay for hospital stays and medical treatments.
Cashless Hospitalization Facility
Health insurance companies in India also offer cashless hospitalization facilities, which enable the insured to have all medical costs fully covered. Customers are not required to pay for medical expenses out of pocket.
Health Insurance Companies Market Share in India
Market Share is a portion of industry revenue that your company receives by selling goods and services. Companies with higher market shares are leaders in their respective industries and pose competition to smaller ones. To calculate your market share:
Market Share = (Your Business Revenue/ Total Industry Revenue) * 100
Health Insurance Companies in India: Key Highlights
Health Insurance companies provide you with financial safety against most medical emergencies. They offer benefits such as network hospitals, annual health check-ups, alternative treatments, and wide coverage for health issues such as critical illnesses, maternity, etc.
Given below are the best health insurance companies in India that stand with their customers during uncertain times:
1. HDFC ERGO Health Insurance
HDFC Ergo Health Insurance Co. Ltd. is one of India's top health insurance companies. They are in a partnership with HDFC, India’s premium Housing Finance Insitute, and ERGO International AG, an insurance body of the Munich Re Group. It is a subsidiary of HDFC Bank, India's leading private bank, which offers insurance products such as motor, home, health, property, and personal accident insurance for people, as well as marine and liability insurance for businesses.
Company Highlights:
- HDFC Ergo Health Insurance was founded in 2002.
- Issued over 1.5 crore policies over the years.
- Wide Range of network hospitals of over 13,000.
- With a high Claim Settlement Ratio of 99.80%, it is a customer-centric company.
2. ICICI Lombard Health Insurance
ICICI Lombard General Insurance Co. Ltd., with a 21-year history, prioritises customers through their company’s motto of 'Nibhaaye Vaade'. With approximately 32.7 million policies issued and 3.6 million claims settled, the insurer provides wide coverage in a variety of insurance sectors, helping both rural and urban neighborhoods in India.
Company Highlight:
- ICICI Lombard Health Insurance was established in 2001.
- Issued 2.7+ policies over the years.
- Numerous network hospitals totaling more than 9500+.
- Settled 1.6 million claims in the past years.
3. Reliance Health Insurance
Reliance General Insurance Co. Ltd. provides affordable insurance to its consumers. They are spread throughout India, to help as many people as possible. They offer more than 100 products and give a variety of options. By becoming paperless, Reliance has simplified the claims procedure and made it a goal to settle these claims as quickly as possible. They are committed to making their customers' lives easier, with a claim settlement ratio of 99.90%.
Company Highlights:
- Reliance Health Insurance was founded in 2000.
- Issued more than 3 crore policies over time.
- Network healthcare providers of over 10,000.
- Claims settled, 1.26 crore+.
- Branches in 127 Indian cities.
4. Go Digit Health Insurance
Go Digit Health Insurance provides direct and affordable health coverage created to simplify the process of getting medical care. With easy-to-understand policies and a quick claims process, it guarantees your protection without the hassle of complicated paperwork or hidden fees. This insurance prioritizes transparency and comfort, making it open for everyone to understand and manage their health needs effectively.
Company Highlights:
- In 2016, Go Digit was established.
- During a period, issued over 3 crore policies.
- More than 16,400 network healthcare providers.
- Offers coverage across the globe.
- Provides built-in personal accident insurance.
5. Cholamandalam MS Health Insurance
Cholamandalam MS Health Insurance is an Indian company that provides various health insurance plans to cover medical expenses, hospital stays, and treatments. It's a joint venture between the Murugappa Group and Mitsui Sumitomo Insurance Group from Japan. Cholamandalam MS Health Insurance is known for its excellent customer service and easy claim process, the company strives to make healthcare affordable and accessible.
Company Highlights:
- Cholamandalam MS Health Insurance was founded in 2001.
- Issued more than 2.97 crore policies over a period of time.
- 12,000 or more healthcare providers in the network.
- Claims resolved; over 29 lakhs.
6. SBI Health Insurance
SBI Health Insurance, a subsidiary of the State Bank of India, provides a wide range of health insurance products that cover medical expenses. These plans cover hospital stays, treatments, and other healthcare expenses, as well as provide financial assistance during medical emergencies. Their objective is to make excellent health insurance available and affordable to people and families across India.
Company Highlights:
- SBI Health Insurance, was founded in 2009.
- Over the course of time, more than 20.46 crore insurance were issued.
- 16,625 or more medical professionals are part of the network.
- Over 24,000 crore of claims were settled.
7. Royal Sundaram Health Insurance.
Royal Sundaram General Insurance is a well-known insurance company in India, offering a variety of products such as health, auto, and travel insurance. It was founded in 2000 and is a subsidiary of Sundaram Finance. The company is known for its customer-centric mindset, innovative products, and vast network of hospitals and service centers around the country.
Company Highlights:
- Royal Sundaram Health Insurance, was founded in 2009.
- Over the course of time, more than 2.8 crore insurance were issued.
- They Have over 158 branches in India.
- The company has a claim settlement ratio of 98.60%.
8. Future Generali India Health Insurance
Future Generali India Health Insurance is a joint venture between Future Group and the Generali Group. It provides a variety of health insurance products designed to meet the needs of Indian customers. The company is well-known for its customer-centric approach, creative products, and solid financial support, which ensures that its policyholders receive trustworthy health coverage.
Company Highlights:
- Future Generali India Health Insurance was founded in the year 2006.
- They have a wide range of network hospitals in India approximately 8000+.
- Also, 158+ branches in India.
- They have settled claim around 2.6 lakh+ last year.
9. Liberty Health Insurance
Liberty Health Insurance is a prominent health insurance company known for its excellent customer service and multiple plan options. This health insurance company is committed to making healthcare accessible and within a reasonable price range. It emphasises reliability and complete assistance, to efficiently meet the healthcare requirements of individuals and their families.
Company Highlights:
- Liberty Health Insurance was founded in 2013.
- They have 6000+ network hospitals across India.
- Also, 110+Branches Across India
- Their Claim Settlement Ratio is 98%.
10. Zuno Health Insurance
Zuno Health Insurance, previously known as Edelweiss General Insurance is a contemporary insurance company that works mainly online. It aims to simplify the health insurance process with a user-friendly digital platform. Known for its innovative approach, Zuno stresses on transparency and ease of access, making it easier for people to understand and manage their insurance.
Company Highlights:
- Zuno Health Insurance Company was founded in 2016.
- They have 12500+ cashless hospitals in India.
- The company has a 95% Claim settlement ratio.
11. Magma HDI Health Insurance
Magma HDI is an Indian health insurance company in partnership with Magma Fincorp and HDI Global. They provide a variety of insurance products. Magma HDI stresses providing dependable and accessible insurance plans, supported by Magma's financial expertise and HDI's worldwide insurance experience.
Company Highlights:
- The Magma HDI Health Insurance Company Was Founded In 2012.
- They Have issued 44 lakhs+ policies.
- They have 95+ branches across India
- The Claim Settlement ratio is 90%
12. Bajaj Allianz Health Insurance
Bajaj Allianz specializes in health insurance and offers a wide range of products to cover medical expenses. The company is a joint venture between Allianz SE and Bajaj Finserv Limited. They aim to safeguard individuals and families from the financial burden of healthcare bills. By collecting premiums from policyholders, they help in medical emergencies, helping patients receive necessary care without worrying about the expense.
Company Highlights:
- The Bajaj Allianz health insurance company was founded in 2001.
- They have 18400+ cashless network hospitals across India.
- They have a claim settlement ratio of 98%.
13. Kotak Mahindra Health Insurance
Kotak Mahindra Health Insurance is a top provider of health insurance solutions in India. It was founded as a subsidiary of Kotak Mahindra Bank and aims to provide complete healthcare coverage to individuals and families. With a reputation for innovation and customer-centric services, the company is dedicated to providing financial stability and peace of mind to its policyholders.
Company Highlights:
- Kotak Mahindra Health Insurance Company was founded in 2015.
- They Have issued 1.23 crore+ policies.
- They have 9450+ cashless network hospitals across India.
- Their Claim Settlement Ratio is 97%.
14. Niva Bupa Health Insurance
Niva Bupa is a health insurance company that specializes in coverage options for individuals and families. Founded on the ideals of reliability and customer service, the organisation aspires to make healthcare accessible and affordable to all. Niva Bupa strives to be a trusted partner in protecting its customer’s health and well-being by focusing on openness and efficiency.
Company Highlights:
- Niva Bupa Health Insurance was founded in 2008.
- The company has issued more than 1.2 crore policies.
- Niva Bupa has more than 10000 network hospitals.
- The claim settlement ratio of the company is 92%.
15. Care Health Insurance
Care Health Insurance Company is an established provider of health insurance services. They specialise in providing a variety of insurance policies to cover medical expenses for individuals and families. With an emphasis on customer happiness, the organisation works with a network of healthcare providers to provide quality care for policyholders.
Company Highlights:
- Care Health Insurance was founded in 2012.
- The company has settled 48 lakhs + claims.
- More than 24800 cashless network hospitals are present.
- Care health insurance has a claim settlement ratio of 93%.
16. Star Health Insurance
Star Health Insurance, founded in 2006, is a top provider of medical insurance. To provide comprehensive coverage, it has formed partnerships with well-known healthcare organisations. Star Health Insurance's customer-centric approach aims to provide dependable and accessible healthcare plans to individuals and families across India.
Company Highlights:
- Star Health Insurance was founded in 2006.
- 17 Crore policies have been issued by the company.
- There are a total of 14000+ network hospitals.
- The claim settlement ratio is 99.10%.
17. Aditya Birla Health Insurance
Aditya Birla Health Insurance is a subsidiary of Aditya Birla Capital Ltd, a notable financial services provider. It is a joint venture between Aditya Birla Capital and MMI Holdings of South Africa. The company specialises in medical expense insurance coverage and offers a variety of plans to meet a wide range of healthcare requirements. Aditya Birla Health Insurance is committed to accessibility and affordability, guaranteeing that consumers may access great healthcare without financial stress.
Company Highlights:
- Aditya Birla Health Insurance was founded in 2015.
- The company has issued 2.5 Crore+ policies.
- Aditya Birla has more than 11000 cashless network hospital.
- The claim settlement ratio of the company is 96%.
18. ManipalCigna Health Insurance
Manipal Cigna is a health insurance Company founded in a collaboration between the Manipal Group and Cigna Corporation. They provide a variety of insurance plans to help cover medical expenses such as doctor visits, hospital stays, and prescription medicines. You pay a monthly premium, and if you want medical treatment, they assist with the expenses. It's a joint effort between two respectable organisations that guarantees full coverage and peace of mind.
Company Highlights:
- ManipalCigna Health Insurance, founded in 2014.
- There are total 8900+ network hospitals of the insurer.
- The company has more than 77 branches across India.
- 93.40% of total claims were settled by the company.
19. The New India Assurance Health Insurance
The New India Assurance Health Insurance covers medical expenses such as hospitalisation, therapy, and medications. Individuals and families can have peace of mind knowing that they are financially protected against unexpected healthcare emergencies. It strives to make healthcare more accessible and affordable for everyone by offering a variety of plans suited to individual requirements.
Company Highlights:
- New India Assurance Health Insurance, was founded in 1919.
- Over time, more than 2 Crore+ insurance was issued.
- There are a total of 7500+ network hospitals of the insurer.
- Over 99.4 Lacs of claims were settled.
- The company has a claim settlement ratio of 98 lacs
FAQs
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-
What are the Top 3 factors to consider while choosing a health insurance company?
The top 3 factors to consider while choosing a health insurance company are to look at the company’s Claim Settlement Ratio (CSR), Solvency Ratio, and Waiting Period (overall and for pre-existing diseases).
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How do I choose the best health insurance company for my needs?
To choose the best health insurance company based on your needs, you must look at the following factors: Claim Settlement Ratio (CSR), Solvency Ratio, Waiting Period (overall and for pre-existing diseases), Lives Covered so far, Riders and add-ons offered.
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Which is the most Trusted Insurance company in India?
With over 17 crore lives covered, Star Health & Allied Insurance Co. Ltd. is the most trusted Health Insurance company in India. Based on the claim settlement ratio (CSR), it is HDFC ERGO and Reliance Health Insurance with a CSR of 100% each.
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Can I compare health insurance plans from different companies?
Yes, you can compare health insurance plans offered by different companies directly on InsuranceDekho’s website. You can also call +91-7551196989 to get direct assistance from an InsuranceDekho advisor on buying the best health insurance policy as per your need.