SBI General Health Insurance Claim Settlement

SBI General Insurance Company Ltd. holds a firm claim settlement philosophy of a fair, fast, and transparent claim process. Their claims team is dedicated to providing you with convenient, prompt, and smooth claim settlement.

They can offer you assistance during medical emergencies promptly. Moreover, you can always stay updated on the progress of your claim through their website. You can initiate the claim process through their toll-free calling services, SMS services, email communications, and website’s claim application portal.

Here is the SBI General Health Insurance claim settlement ratio along with its minimum premium price.

How Does SBI Claim Settlement Ratio Benefit Policyholders?

The claim settlement ratio of an insurance company is a very crucial deciding parameter. It can be the ‘make or break’ factor when it comes to purchasing a health insurance policy. Similarly, this factor could help you decide whether or you’d like to purchase a health plan from the SBI General Insurance Company Ltd.

1. Reliable Insurance

A good claim settlement ratio indicates that the insurance company you have picked is loyal and trustworthy. It means that this company is committed to financially supporting you in times of dire need.

2. Prompt Claim Settlement

With a claim settlement ratio as high as that of SBI General Health Insurance, you can be sure of experiencing prompt action and quick claim settlements. This means that the company understands how time is of the essence when it comes to medical emergencies.

3. Credibility of Insurer

You may have already learned that the SBI General Health Insurance claim settlement ratio is 96%. Hence, you can rest assured knowing that you have the support of a very credible company. Not only can you expect substantial coverage and financial support, but also speedy claim settlements and quick resolutions.

4. Quick Claim Process

The SBI General Health Insurance CSR is also reflective of a hassle-free and swift claim process. The claim application takes only a few minutes when done online and the claim settled under 30 days.

SBI General Insurance Company Ltd. offers you two types of claim settlement options. You can choose the cashless claim option or its reimbursement claim alternative. Here is all you need to know about both.

1. What Are Cashless Claims

Much like its very name, a cashless claim does not require you to produce any cash from your personal wallet or savings. Any bills and expenses quoted by the network hospital will be paid by the SBI General Insurance Co. Ltd.

 

All you must do is file a cashless claim at the hospital and let SBI General Health Insurance executives know that you have done so. After that, you won’t have to pay a single penny if the overall costs are below the coverage limit.

2. How to Make a Cashless Claim?

Here’s how you can make a cashless claim through your SBI General Health Insurance plan.

 

• Contact the SBI General Insurance Company Ltd. through a call (1800-102-1111), an email (customer.care@sbigeneral.in), an SMS (“CLAIM” to 561612), or a website application (https://www.sbigeneral.in/claim/claims-intimation)

• Intimate them about your wish to file a claim

• Jot down the reference number given to you and keep it safe

• Send in all the necessary documents as asked within 24 hours of getting the reference number

• Inform the hospital that the claims will be handled by your SBI General Insurance Company Ltd.

• Allow the hospital and insurance company to handle the expenses internally

3. What Are Reimbursement Claims

Reimbursement claims offer you the chance to handle the medical emergency yourself before allowing your insurance company to step in. In this case, you can pay all the medical bills yourself and later, allow the SBI General Insurance Company Ltd. to step in and reimburse the costs to you. SBI General Health Insurance claims like these can be filed at non-network and network hospitals alike.

 

This reimbursement cannot exceed the coverage amount. Any expenses that rise above the maximum coverage limit will have to be borne by you.

4. How to File a Reimbursement Claim?

Follow the steps given below to file a reimbursement claim.

 

• Contact the SBI General Insurance Co. Ltd.through their toll-free number, email address, website, or SMS service

• Inform them about your planned/emergency hospitalisation

• Handle the costs of the medical emergency from your own funds first

• Submit all documents, certificates, bills, and receipts to the insurer within 30 days of discharge

• Wait for the claim to be verified and approved

• Provide the insurer with all the necessary bank details to carry out the reimbursement after the approval

5. Documents Required for Filing Reimbursement Claim

Given below is a list of all documents you might require during an SBI General Health Insurance claim settlement process.

 

• Identification proof

• Police FIR or Medico-legal Certificate

• Invoice of pharmaceutical bills

• Receipts and bills of hospitalisation

• Bank account statement, etc.

The possibility of your health insurance claim getting rejected is not far-fetched. An insurance company has the complete right to reject your claim. The reasons behind a claim rejection are listed below.

1. False Information

Be it an honest mistake or a deliberate attempt to provide wrong information, a reason like this jeopardises your chance of getting your claim approved. You need to make sure that all the information you provide during your claim process is completely accurate and true.

2. Claiming an Exclusion

There could be a possibility that you may have failed to read the policy document carefully and hence, aren’t fully aware of all the exclusions of your policy. Due to this, if you claim an exclusion, your claim request will not be entertained.

3. Informing Way Too Late

As stated previously, you need to let your insurer know about your intention to file a claim as soon as the emergency has struck or the planned hospitalisation has been scheduled. Any delay in intimating the insurer or in the submission of information/documents will result in a claim rejection.

4. Pre-existing Ailment

Policies often have a specific set of pre-existing conditions they may or may not allow. Hence, knowing if your pre-existing health issue is eligible for coverage is very important.

5. Lapsed Policy

You may have forgotten to pay the regular insurance premium that keeps your health policy active. This renders the policy inadequate for SBI General Health Insurance claims since it has lapsed. Making claims through a lapsed policy will be rejected.

Here’s how you can track your claim status online through the official website of the SBI General Insurance Company Ltd.

 

• Step 1

Visit SBI General Insurance Company Ltd.’s official website

• Step 2

Select ‘Quick Assist’ from the top-right corner of the page

• Step 3

Select ‘Claim Status’

• Step 4

Select your product from the dropdown

• Step 5

Enter your policy number or claim reference number

• Step 6

Solve the captcha for verification

• Step 7

Click on ‘Next’

Your claim status should be displayed on your screen now. 

 

Disclaimer : SBI General Insurance Company Limited | Corporate & Registered Office: Fulcrum Building, 9th Floor, A & B Wing, Sahar Road, Andheri (East), Mumbai - 400099. | The information in the advertisement is indicative in nature. For more details on the risk factor, terms and conditions, please refer to the Sales Brochure and Policy Wordings carefully before concluding a sale. | Tax benefits are subject to changes in tax laws. | For SBI General Insurance Company Limited IRDAI Reg. No. 144 dated 15/12/2009 | CIN: U66000MH2009PLC190546 | Bajaj Finserv Direct Limited is a registered corporate agent of SBI General Insurance Company Limited.  IRDAI Registration Number CA0551  |SBI Logo displayed belongs to State Bank of India and used by SBI General Insurance Company Limited under license. | Website: www.sbigeneral.in, Tollfree: 18001021111 SBI General Insurance and SBI are separate legal entities and SBI is working as Corporate Agent of the company for sourcing of insurance products.