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Royal Sundaram Claim Settlement Ratio

95.95%

Royal Sundaram

94.21%

Industry Average

Health claim settlement ratio is the percentage of claims settled against the total claims received by the insurance company in a given fiscal year. Royal Sundaram has a claim settlement ratio of 95.95%, as compared to the industry average of 94.21%.

Royal Sundaram Claim Process

Royal Sundaram supports both cashless claims and reimbursement claims. This section covers the information on how to check Royal Sundaram health insurance claim status, fill Royal Sundaram health insurance claim form, and the claim settlement process.

In case of a claim,if you want a cashless settlement of your claim, you should be admitted to a networked hospital and the following procedure should be followed

  1. Inform Royal Sundaram of your claim and register your claim with the insurance company
  2. Obtain a pre-authorization form from the hospital or the insurance company.Submit this form 3-4 days before a planned hospitalisation.If,on the other hand,you face an emergency hospitalisation, submit the form within 24 hours of your hospitalisation
  3. Based on the form, the insurance company would approve your cashless claim
  4. Once the claim is approved, the hospital would give you cashless treatments
  5. After being discharged, collect the discharge summary and file your claim with the insurance company to get the settlement

On the other hand,you are admitted to a non-networked hospital

  1. You should pay the medical costs yourself. After being discharged,file your claim and the costs incurred would be reimbursed by the company
  2. Documents required for claims
  • Claim form
  • Policy bond
  • Identity proof of the insured
  • Discharge summary
  • Medical and hospital bills
  • Medical and hospital reports
  • Doctor’s prescriptions

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FAQs

If the hospitalisation occurs within the pre-existing waiting period, coverage would not be available.However, after the waiting period is over,coverage would be allowed for pre-existing illnesses

Renewals of Royal Sundaram health insurance plans are allowed lifelong. There is no cover ceasing age

Yes, at the time of renewal, the sum insured can be increased if the company allows it. However, for the increased part of the sum insured, the pre-existing waiting period would apply from start

Porting means changing one health insurance policy to another. When you port, you can retain the renewal benefits of your existing health insurance policy. Thus, the waiting period in the new policy would be reduced by the term of the existing policy and you can enjoy better coverage.
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