Digit Health Insurance is among the newer entrants in the Indian health insurance industry, and it’s made quite a name for itself through a neat digital interface, simplified processes, and a customer-friendly approach. In this article, let’s closely examine Digit Health Insurance — its metrics, policies, strengths, weaknesses, and how it compares to other players in the industry.
Note: We say ‘Digit Health Insurance’ in this article because we are only talking about Digit's health insurance plans. However, they also provide other insurance services, such as motor, travel, etc.
Overview: Digit Health Insurance Review 2025
In this article, we’ll examine Digit Health Insurance's metrics—the Claim Settlement Ratio (CSR), Incurred Claim Ratio (ICR), and Complaint Volume. Then, we’ll examine the health insurance plans they provide and their essential features. We’ll also evaluate the company's pros and cons before comparing Digit with more established insurers. Finally, we’ll help you decide whether Digit is your health insurance provider in 2025.
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Metrics of Digit Health Insurance
Digit is one of the newer health insurers in the industry. The company was only founded in 2016, but it quickly built a decent list of 9,000+ network hospitals. For the uninitiated, the hospital needs to be part of the insurer’s network if you want a cashless treatment. If that’s not the case, you will have to pay upfront and then get it reimbursed later from the insurer.
Pro tip: When checking the list of network hospitals, you must also check if you have reliable ones within your locality or city. This is important because you can’t look for a network hospital in emergencies if it’s not within your locality.
The insurer also leverages technology to set itself apart from traditional insurers, which still rely heavily on paperwork and offline processing. But is this alone enough to set Digit Health Insurance apart from its competition? Let’s find out by taking a look at the company’s metrics:
| Metric | Average (2021-24) |
|---|---|
| Claim Settlement Ratio | 96.67% |
| Incurred Claim Ratio | 71.56% |
| Complaint Volume (per 10,000 claims) | 16 |
| Network Hospitals | 9,000+ |
Claim Settlement Ratio of Digit Health Insurance
Claim Settlement Ratio, or CSR, is one of the primary metrics used to determine the insurer's credibility. The CSR is calculated using the following formula:
Claim Settlement Ratio = Total no. of Claims Approved / Total no. of Claims Received x 100
For example:
If an insurer receives 1,000 claims in a year and settles 950 of them, the insurer successfully settles 95% of the claims received during that period. This is how the claim settlement ratio is calculated:
Claim Settlement Ratio = Total no. of Claims Approved / Total no. of Claims Received x 100
Here’s how you know if a health insurance company has a good CSR or not:
- CSR less than 80: Steer clear of this insurer. With such a low CSR, the insurer most likely doesn’t settle claims adequately. As potential policyholders, this exposes you to high risks of rejecting valid claims.
- CSR between 90-99: If the CSR is more than 90 but less than 100, this is the ideal range in CSR. You have made a solid pick if your insurer lies in this range.
- CSR over 100: While this CSR score is more than perfect, this is not a good sign. During CSR calculation, outstanding claims from the last year are considered. Hence, any insurer with a consistent CSR above 100 has delayed claim settlements. And as a health insurance policyholder, delayed claim settlement is the last thing you want.
This is the claim settlement ratio of Digit Health Insurance over the last 3 years:
| Claim Settlement Ratio | Digit Health Insurance % | Health Insurance Industry Average % |
|---|---|---|
| 2021 - 2022 | 93.02 | 89.967 |
| 2022 - 2023 | 98.18 | 91.46 |
| 2023 - 2024 | 98.83 | 92.25 |
| CSR Average (2021-24) | 96.68 | 89.76 |
Insight: This clearly shows us that Digit Health Insurance has a consistently improving CSR over the last three years. It has also persistently stayed over the industry average, thus adding confidence. However, if you compare this to industry veterans like HDFC ERGO, Digit still has some ground to cover. These older players have higher and more consistent CSRs, likely due to their experience in handling high claim volumes over long periods.
Incurred Claim Ratio of Digit Health Insurance
While CSR reveals the number of claims settled by an insurer across a year, an insurer’s Incurred Claim Ratio (ICR) indicates its financial health and claim settlement intent. An ideal ICR between 50-80% reflects a balanced approach, where the insurer manages to maintain profitability while fulfilling its claim obligations. This balance signals strong financial sustainability and suggests that the insurer is well-equipped to handle future claims reliably. For policyholders, this translates to greater confidence in timely and full claim settlements, making such insurers a dependable choice for long-term financial commitments. Here’s the formula used to calculate an insurer’s Incurred Claim Ratio:
(The amount of claims settled by an insurer in a year/ The total amount collected by the insurer via premiums in the year) * 100
But how do you know if an insurer has a good ICR? Well, that’s why we’re here:
- ICR is less than 50%: The insurer is most likely focused on its business interests, ignoring the complete settlement of claims. This is not a good sign for policyholders, who might face rejection of their valid claims or partial settlement of claims.
- ICR between 50 and 80: This is considered the ideal range for health insurance providers. Insurers within this range (they may go a bit higher) reveal that they pay equal attention to settling claims from policyholders and ensuring their business stability.
- ICR between 80 and 100: An ICR approaching 100% suggests that the insurer is paying out almost all of its premium revenue as claims. While this may seem favorable, it can also indicate thin profit margins and financial vulnerability. If claims rise unexpectedly, the insurer might struggle to maintain solvency, leading to higher premiums or stricter claim evaluations in the future.
- ICR greater than 100%: Such insurers are paying off excess claims to their policyholders. While this might be a good sign for policyholders, initially, in the long run, this isn’t promising. Paying off many claims indicates that the insurer may soon face a financial crunch and develop sustainability issues for the brand.
This is the incurred claim ratio of Digit Health Insurance over the last 3 years:
| Incurred Claim Ratio | Digit Health Insurance | Health Insurance Industry Average |
|---|---|---|
| 2021 - 2022 | 48.94 | 91.79 |
| 2022 - 2023 | 71.87 | 78.82 |
| 2023 - 2024 | 93.87 | 81.33 |
| ICR Average (2021-24) | 71.56 | 83.93 |
Insight: Digit’s three-year average ICR stands at 71.56%. This places it in the so-called Goldilocks zone — not too low to suggest stinginess, and not too high to risk financial instability.
Complaint Volume of Digit Health Insurance
Complaint Volume refers to the number of complaints received for every 10,000 claims filed. It’s a good indicator of customer satisfaction after filing a claim.
Here’s how Digit Health Insurance’s complaints stack up against the industry average:
| Complaint Volume | Digit Health Insurance | Health Insurance Industry Average |
|---|---|---|
| 2021 - 2022 | 16.84 | 35.969 |
| 2022 - 2023 | 15.1 | 19.578 |
| 2023 - 2024 | 16.41 | 29.76 |
| Average Complaint Volume (2021-24) | 16.12 | 22.66 |
Insight: Digit has averaged 16 complaints per 10,000 claims over the past three years, which is lower than the industry average of 23. While this is a positive sign, it could still improve, especially as the company scales up. The real test will be whether Digit can maintain these service standards when its policyholder base grows significantly.
Available Health Insurance Plans
Digit, still being a rather new player in the industry, has only three policies. Let’s take a look at them now:
1) Digit Double Wallet Plan
The Double Wallet Plan from Digit is a budget-friendly health insurance policy that checks several essential boxes. It doesn’t impose co-payment clauses, room rent restrictions, or disease-wise limits, ensuring flexibility during hospitalization. Pre-hospitalisation expenses are covered for 30 days, and post-hospitalisation expenses for 60 days. Coverage includes daycare procedures, AYUSH treatments, and domiciliary care up to the sum insured. The plan also features restoration of the base cover up to 100% once yearly, whether for the same illness or a different one, although a 45-day cooling period applies. Bonus benefits include a 10% increase in the sum insured for every claim-free year, capped at 100%.
Ambulance charges are also reimbursed up to 1% of the sum insured, with a maximum cap of ₹10,000. However, air ambulance costs are not covered. Policyholders are eligible for a health check-up once every two years, capped at 0.25% of the sum insured or ₹1,000, whichever is lower.
Standard waiting periods apply:
- 30 days for general treatments except for accidents (covered from Day 1),
- 24 months for specific illnesses, and
- 36 months for pre-existing diseases.
A notable built-in feature is personal accident cover, under which the nominee receives ₹50,000 in case of accidental death. Optional add-ons include consumables cover for items like gloves and syringes, and a deductible feature allowing discounts on premiums if the policyholder agrees to pay part of the treatment cost (ranging from ₹2,500 to ₹50,000). Though not currently active, options like network hospital discounts and waiting period modifications are mentioned in the brochure.
2) Digit Infinity Wallet Plan
The Infinity Wallet Plan is Digit’s more comprehensive variant, designed for families or individuals seeking robust protection. Like its counterpart, this plan has no co-payment, no room rent capping, and no disease-wise limits. What sets it apart, however, is the pre- and post-hospitalisation coverage of 60 and 180 days, respectively. Something far more extensive than the Double Wallet Plan. The plan covers daycare treatments, AYUSH, and domiciliary care up to the full sum insured. Restoration is available unlimited times during the policy year, even for the same illness, with a 45-day gap between activations. This makes the plan particularly useful for families with high or recurring medical needs.
Bonus accrual is generous, with 50% of the base sum insured added for every claim-free year, capped at 100%. Road ambulance charges are reimbursed up to 1% of the sum insured (capped at ₹15,000), and air ambulance charges are covered up to the full sum insured. Annual health check-ups are also included, with a limit of 0.25% of the sum insured or ₹1,500. The waiting periods remain standard:
- 30 days initial,
- 24 months for specified ailments, and
- 36 months for pre-existing conditions.
The plan also includes a personal accident benefit, paying out ₹1 lakh in the event of accidental death. It offers the same add-ons as the Double Wallet Plan (consumables cover and deductibles). Features like network hospital discounts and waiting period customisations are included in the brochure, though not yet live.
3) Digit Worldwide Treatment Plan
Digit’s Worldwide Treatment Plan offers all the features of a comprehensive Indian health policy, with the added perk of international coverage. There are no co-payments, no caps on room rent, and no disease-wise sub-limits, ensuring the plan remains flexible for various treatment needs. Pre-hospitalisation is covered for 60 days and post-hospitalisation for 180 days. Standard inclusions like daycare procedures, AYUSH treatments, and domiciliary care are also covered up to the sum insured. Restoration benefits allow you to reclaim 100% of the sum insured once yearly, usable for the same or a different condition after a 45-day gap.
The bonus structure remains the same as the Infinity Wallet Plan — 50% of the base sum insured per claim-free year, capped at 100%. Road ambulance coverage is provided for up to 1% of the sum insured (maximum ₹15,000). Air ambulance is covered up to the sum insured, essential for overseas medical evacuation. The plan also includes health check-ups every policy year up to 0.25% of the sum insured or ₹2,000. It maintains the usual waiting periods:
- 30 days for general illnesses,
- 24 months for specified illnesses, and
- 36 months for pre-existing diseases.
An interesting highlight is the built-in global treatment coverage for planned and emergency treatments abroad, provided the diagnosis is made in India. A ₹1 lakh personal accident benefit is also built into the plan. The same add-ons available in the other Digit plans also apply here.
Pros and Cons of Digit Health Insurance
One of the biggest advantages of choosing Digit is its tech-first approach. The digital onboarding process is straightforward, fast, and largely paperless. Their platform is intuitive, which makes policy management easier for tech-savvy users. The good CSR and a fairly vast network of hospitals (9,000+ and growing) also work in its favour.
However, despite these strengths, Digit is still relatively new. There is some uncertainty about whether the company can maintain service quality as it grows. Offline support is limited, so people who prefer traditional modes of communication may find it lacking. And while their complaint volume is lower than the industry average, it’s still not as low as some competitors. If I were you, this would make me think twice. So, to get a clear understanding, let’s compare it with other insurers and see which one stands out.
Comparison with Other Insurers
Here’s a table that compares the metrics of some of the top health insurers with Digit Health Insurance:
| Insurer | CSR | ICR | Complaints/10k claims | Network Hospitals |
|---|---|---|---|---|
| Digit | 96.67% | 71.56% | 16 | 9000+ |
| HDFC ERGO | 97.56% | 85.83% | 7 | 13,000+ |
| Aditya Birla | 95.09% | 67.51% | 22 | 12,000+ |
| Care Health | 89.89% | 58.56% | 36 | 11,400+ |
| Industry Avg | 89.76% | 83.93% | 22.66 | NA |
Note: We have considered the average for these metrics (except network hospitals) for the last three years (2021-2024). This gives a holistic view and evens out any extraordinary events in one of these years.
As you can see, Digit holds up quite well compared to more established names. But it still slightly trails behind in some metrics like complaint volume. HDFC ERGO, for instance, excels with one of the lowest complaint volumes in the industry and a high ICR, making it a benchmark for reliability.
Note: You might have noticed that HDFC ERGO’s ICR is slightly higher than what is considered the Goldilocks Zone. However, HDFC ERGO’s massive volume of business & strong parentage of HDFC Bank makes up for any financial instability that a high ICR may cause.
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Conclusion: Is Digit Health Insurance Right for You?
Digit Health Insurance is a promising option, especially for young, tech-savvy individuals looking for a modern insurer with streamlined services. Their digital claim process, decent hospital network, and simplified onboarding make them a convenient choice. However, better options are available if you’re looking for specialised coverage, established insurers, or options to reduce waiting periods. In that case, you might want to consider other options like HDFC ERGO or Aditya Birla.
That said, Digit is punching above its weight for what it offers. Its growth metrics are encouraging, and if they continue on this trajectory, they could become a major player in the next few years. And we certainly hope that would be the case. However, if you’re still unsure, you can compare health insurance policies using our free policy comparison tool and see for yourself. If you’re still unsure, you can always book a free call with one of our insurance experts to get personalised advice on what suits you the best.
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