Manipal Cigna Health Insurance Claim Settlement Ratio

Q: What types of health claims can Manipal Cigna policyholders file?

Manipal Cigna policyholders can file cashless claims, where the insurer pays the network hospital directly, or reimbursement claims, where the policyholder pays the bills upfront and claims the amount later.

Q: How long does claim processing take with Manipal Cigna?

Manipal Cigna typically processes claims within 7 to 10 working days after receiving all required documents. Cashless claim authorization is usually provided within 1 to 2 hours at network hospitals. In complex cases, a final decision is made within a maximum of 30 days as per regulatory guidelines.

Quick Review

Manipal Cigna health insurance recorded a claim settlement ratio (CSR) of 93.70% in FY 2024–25. The insurer has maintained a three-year average CSR of 90.80% from 2022–25, which is slightly below the industry average of 91.22%.

Manipal Cigna health insurance, a joint venture between India’s Manipal Group and US-based Cigna, has grown steadily since its inception in 2014 and rebranding in 2019.

Headquartered in Mumbai, it operates across 600+ cities with 100+ branches, with a strong presence in southern states. Reports also suggest that LIC has explored acquiring a stake in Manipal Cigna, though there is no confirmed update or transaction to date.

If you’re considering a Manipal Cigna health insurance plan, one key question to ask is: how dependable is the company when it comes to settling claims?

This is where the claim settlement ratio (CSR) matters. It shows the percentage of claims an insurer settles in a year and provides a clear measure of reliability when policyholders need support.

In this guide, we break down the Manipal Cigna health insurance claim settlement ratio, explain how CSR is calculated, review other key performance metrics, and help you decide whether it’s the right choice for you.

Manipal Cigna Health Insurance Claim Settlement Ratio

Financial Year	CSR	Industry Average (in %)
FY 2022–23	90.16%	91.2%
FY 2023–24	88.54%	91.18%
FY 2024-25	93.70%	91.5%
Average CSR(2022-25)	90.80%	91.22%

The figures above are sourced from the insurer’s public disclosures (form NL 37).

Claim Settlement Ratio: How to Calculate it?

A CSR above 90% is generally seen as healthy, reflecting both reliability and operational efficiency, while a ratio below 90% may suggest some inconsistencies in claim handling.

However, a high CSR does not guarantee that every individual claim will be approved. Claims can still be rejected due to missing or incorrect documents, non-disclosure of medical information, or policy-specific exclusions. For more details, you may explore the common reasons for health insurance claim rejections.

It’s also important to note that official CSR figures from insurers may differ from ours. At Ditto, we use a consistent methodology across all insurers: excluding claims closed without payment and averaging over three years. This provides a more accurate, outcome-focused view of how reliably an insurer settles claims.

Our formula: CSR = (Total claims settled ÷ Total claims available to settle) × 100

Where, Total claims available to settle = Claims outstanding at the start + Claims reported during the year − Claims closed without payment − Claims outstanding at the end

Besides the claim settlement ratio, here are some other key metrics to consider when evaluating an insurer.

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Other Performance Metrics of Manipal Cigna Health Insurance

Metrics	FY 2022-23	FY 2023-24	FY 2024-25	Average (FY 22–25)
Average Complaints per 10,000 claims	19.40	25.80	25.30	23.50
Incurred Claim Ratio (ICR) in %	65	64	NA	68.20*
Annual Business / GWP (in crore)	₹986	₹967	₹1,691	₹1,215

*Average ICR considered for FY 2021–24.

Manipal Cigna Health Insurance: Key Insights

Average Complaints

Manipal Cigna Health Insurance records relatively higher average complaint volumes compared to some peers. This indicates areas where customer experience could improve.

Incurred Claim Ratio (ICR)

With an ICR in the mid-60% range, the insurer maintains a balanced approach in honoring claims while sustaining business stability. This shows it can handle claims reliably without taking excessive risks.

Annual Business / Gross Written Premium (GWP)

The insurer’s GWP grew to ₹1,691 crore in FY 2024–25, averaging ₹1,215 crore over three years. This reflects steady expansion and growing acceptance in the health insurance market.

Network Hospitals

With a network of over 8,500 hospitals, policyholders can access cashless treatment. Though this is smaller than some larger health insurers, which may affect convenience in certain regions.

Beyond these metrics, prospective buyers should also assess Manipal Cigna Health Insurance claim settlement process and timing, customer reviews, product portfolio, coverage limits, and policy terms to make a well-rounded and informed decision.

Top 10 Health Insurance Providers by Claim Settlement Ratio in 2025

To help you see how Manipal Cigna Health Insurance stacks up against other leading insurers in terms of claim reliability and efficiency, here’s a list of the the top 10 health insurance companies in India, ranked by their average CSR over the last three financial years:

Manipal Cigna Health Insurance Claim Settlement Ratio

As seen in the infographic, Manipal Cigna does not feature among the top 10 insurers by claim settlement ratio. This suggests there is room for improvement in its claims-handling efficiency.

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Ditto’s Take on Manipal Cigna Health Insurance

Manipal Cigna health insurance has a claim settlement ratio of around 91% (average 2022-25), indicating generally reliable claims handling (but not the best). Most of its claims are processed in-house, and a portion is handled through TPAs.

The insurer offers a flexible plan portfolio, but its smaller hospital network and partial TPA reliance may impact convenience and processing times for policyholders.

Note: Manipal Cigna is not a Ditto partner, and all information in this article is drawn from publicly available sources, including the company’s website, disclosures, and annual reports. To learn more about how we evaluate insurers, check out Ditto’s Cut.

Frequently Asked Questions

How do I file a health insurance claim with Manipal Cigna, and what are the timelines for intimation?

To file a claim, call 1800-102-4462 or email manipalcigna@mediassist.in. For planned treatments, inform the insurer at least 48 to 72 hours before admission to secure pre-authorization. For emergencies, notify within 24 hours of hospitalization. For reimbursement, you must submit all original medical documents to a Manipal Cigna branch within 15 days of discharge.

What types of health claims can Manipal Cigna policyholders file?

Policyholders can file cashless claims, where the insurer pays the network hospital directly, and reimbursement claims, where you pay the bills upfront at any hospital (network or non-network) and claim the money back later.

How long does claim processing take with Manipal Cigna?

Manipal Cigna typically processes and settles claims within 7 to 10 working days after receiving the final required document. For cashless requests, initial authorization is often provided within 1 to 2 hours at network hospitals. In more complex cases or if additional verification is needed, the regulatory limit ensures a final decision is made within a maximum of 30 days.

Last updated on: 27 Dec, 2025