Royal Sundaram Health Insurance Claim Settlement Ratio

The claim settlement ratio is the percentage of claims an insurance company settles compared to the total claims filed during a financial year. A higher ratio indicates a company's reliability in settling claims. Royal Sundaram Health Insurance boasts a high claim settlement ratio, making it a preferred choice.

Claim Settlement Ratio of Royal Sundaram Health Insurance

A claim ratio between 75% and 95% is considered good. Royal Sundaram Health Insurance has a claim settlement ratio of 97.26% (2025), making it a suitable option. Founded in 2000, the company has over 7,000 network hospitals. Royal Sundaram offers a hassle-free claim settlement process. Let's explore the types of claims settlement processes.

Types of Claims by Royal Sundaram Health Insurance Company

Royal Sundaram Health Insurance offers a quick and efficient claim settlement process. Policyholders can claim health policies through:

• Cashless Claim
• Reimbursement Claim

Royal Sundaram Health Insurance Cashless Claims

The company provides a simple, app-based claim process. Policyholders can contact the company, submit documents, and check claim status via the 'M-Chatra' app or the official website. Here's how cashless claims are processed:

Step 1: Visit a network hospital. The list is available on the company's website. For planned hospitalization, inform the TPA 72 hours in advance. For emergencies, inform within 24 hours of admission.

Step 2: Fill out the cashless authorization form at the hospital and submit it with medical documents to the TPA within 3 hours of admission. If more information is needed, the TPA will notify the customer.

Step 3: Pay for expenses not covered by the policy. If the claim is rejected, a letter will request additional documents or information.

Step 4: If approved, the claim amount is sent directly to the hospital.

Royal Sundaram Health Insurance Reimbursement Claims

For reimbursement claims, customers pay medical expenses upfront and request reimbursement. Upon approval, the amount is transferred to the customer's bank account.

Reimbursement claims can be filed at both network and non-network hospitals. Here are the steps:

Step 1: Undergo treatment at a network or non-network hospital.

Step 2: Submit all essential documents and the reimbursement claim form to the TPA/company within 30 days of discharge.

Step 3: Upon receiving final documents, Royal Sundaram approves the claim. If accepted, payment is made to the bank account within 7 days of acceptance.

Step 4: If required medical details are missing, claims are rejected. Resubmit correct documents and information to the company.

How to Buy/Renew Royal Sundaram Health Insurance Plans

Buying or renewing a policy from Royal Sundaram General Insurance is quick and largely digital.

How to Buy: Start on the insurer’s website or through a trusted advisor. Compare plans, choose the right sum insured, fill in personal and medical details, and pay online. The policy is issued instantly after verification.

How to Renew: Visit the renewal section, enter your policy number, review coverage, and pay the premium before the due date. Renewing on time helps retain benefits like waiting period continuity, no claim bonus, and uninterrupted coverage.

Conclusion

Royal Sundaram Health Insurance, with a claim settlement ratio of 97.26% for 2025 and a network of over 7,000 hospitals, is committed to providing accessible healthcare solutions. The streamlined app-based claim process, offering both cashless and reimbursement options, aims to alleviate financial burdens during medical emergencies. Understanding timelines and documentation requirements is crucial, and Royal Sundaram ensures a swift and efficient claim settlement experience. By prioritizing transparency and customer convenience, Royal Sundaram empowers policyholders to focus on recovery with peace of mind.

Ready for hassle-free health insurance? Explore Royal Sundaram Health Insurance plans today and download the 'M-Chatra' app to manage your policy and claims with ease. Get a free quote now and take the first step towards a healthier, worry-free future!