What is Star Health Insurance’s Claim Settlement Ratio?
Star’s average claim settlement ratio (CSR) over the past three years (2022–2025) stands at around 85%, notably below the industry average of 91.3%.
This suggests that while Star is a major player with diverse plans, its claim efficiency still lags behind that of its peers.
In simple terms, Star settles most of its claims, but its performance remains inconsistent year-on-year compared to peers like HDFC ERGO or Aditya Birla, who maintain CSRs above 90%.
Introduction
Star Health Insurance Company is a prominent player across the Indian health insurance sector, offering a diverse portfolio of health insurance policies. The insurer is India’s first standalone health insurance company and is currently the second-largest in terms of health insurance volumes.
Given the significant market share, many people associate the company with a good claim settlement ratio. But is this truly the case? Let’s find out.
If you need help choosing the right policy, feel free to chat with us on WhatsApp or book a call at a convenient time. No spam. Just honest insurance advice.
What is Claim Settlement Ratio?
A company’s claim settlement ratio (CSR) shows us the percentage of claims settled against the total claims it receives within a given financial year.
For example, if an insurance company receives 1,000 claims but settles only 950 claims, it has a CSR of 95% in a given year.
The ideal range of CSR for a good health insurance provider is above 90 and below 100. On the other hand, any insurer with a CSR above 100 indicates that the insurer has an issue with delayed claim settlement, while a provider with a CSR below 80 suggests that the insurer may be rejecting a significant number of claims.
Thus, as a policyholder, you should steer clear of an insurer with a CSR that is below 80 and above 100.
What is the Star Health Insurance Settlement Ratio for 2025?
To give you an idea, here are the last 5 years’ CSR of Star Health Insurance:
All figures are sourced from IRDAI public disclosures & the insurer’s public disclosures. The averages calculated by Ditto’s experts.
How to calculate the claim settlement ratio of Star Health Insurance?
Where can I find the claim settlement ratio for Star Health Insurance?
You can find the official metrics of any insurer on their public disclosures on their official website or on our Ditto website.
Claim Process of Star Health Insurance
Whether you’re opting for cashless treatment or reimbursement, the process is fairly straightforward, though each involves a few key steps and documents. We have explained this in detail here.
Why Choose Ditto for Health Insurance?
At Ditto, we’ve assisted over 8,00,000 customers with choosing the right insurance policy. Why customers like Gurpreet below love us:
✅No-Spam & No Salesmen
✅Rated 4.9/5 on Google Reviews by 15,000+ happy customers
✅Backed by Zerodha
✅100% Free Consultation
You can book a FREE consultation here. Slots are filling up quickly, so be sure to WhatsApp or book a call now.
Conclusion
Star Health’s CSR of around 85% indicates decent performance, though not flawless. Its claims process and network of hospitals are some things to look out for.
While most of Star’s plans address niche requirements, you must weigh the insurer’s pros and cons before making a final decision.
FAQs
Are pre-existing diseases covered by Star Health Insurance?
Pre-existing diseases are usually subject to waiting periods as per the policy and add-ons you select. Depending on how severe your pre-existing condition is, Star Health may accept or decline your policy application as per its underwriting rules.
Which company is No. 1 based on claim settlement ratio?
Based solely on the claim settlement ratio, New India Assurance is the #1 company, with an average CSR of 98.91% over the last three years.
Is Star Health a good insurance company?
Based on CSR, Star Health Insurance has consistently performed below the industry average for the last three years. That said, Star offers niche plans that cater to an audience often neglected by other insurers. This has to be kept in mind before making a decision.
Last updated on: