NEW DELHI: Settlement of health insurance claims on an average takes 20-46 days from the date of intimation to the insurer, as per a survey conducted by insurer broker SecureNow.
For maternity claims, insurance companies take between 7 to 108 days to settle, while those related to caesarean section surgeries take 9 to 135 days.
Chemotherapy claims are typically settled between 12 and 35 days, as per the survey findings. “While patients don’t take a lot of time intimating the insurer for a claim reimbursement upon being admitted, the average time for an insurer to settle the claims is way higher.
In a typical claims processing timeline, the maximum time is taken between intimation and settlement," the survey said. About 13-26% of the claimed amount is deducted from the final settlement amount as they are deemed “uncovered consumables and administrative expenses".