Data Lab Health Insurance - Data Insights June 2026

Q: Which insurance company has the best claim settlement ratio?

Based on the 3-year average CSR (FY 2022–25) from insurer public disclosures, New India Assurance leads established insurers with a CSR of 98.91%, followed closely by Digit at 98.66%. Bajaj General (96.78%), HDFC ERGO (96.71%), and Acko (96.50%) round out the top five. The industry average CSR stands at 91.22%. Ditto's benchmark for a reliable insurer is 90%+. Source: Insurer Public Disclosures, Form L37.

Q: Who are the top 5 health insurance companies in India?

Based on Ditto's multi-metric framework covering CSR, ICR, GWP, complaints, and network hospitals (FY 2022–25 averages): 1. HDFC ERGO — CSR: 96.71%, ICR: 81.62%, Complaints: 9.28 per 10,000 claims, Network: 13,000+ hospitals, GWP: ₹6,118 crores. 2. Bajaj General — CSR: 96.78%, ICR: 82.18%, Complaints: 3.07 per 10,000 claims (industry best), Network: 12,000+ hospitals, GWP: ₹6,119 crores. 3. Digit — CSR: 98.66%, ICR: 83.17%, Complaints: 16.88 per 10,000 claims, Network: 16,400+ hospitals, GWP: ₹1,388 crores. 4. Niva Bupa — CSR: 91.62%, ICR: 58.10%, Network: 10,000+ hospitals, GWP: ₹5,481 crores. 5. Aditya Birla — CSR: 95.81%, ICR: 68.16%, Complaints: 18.67 per 10,000 claims, Network: 12,000+ hospitals, GWP: ₹3,290 crores. Source: IRDAI Annual Reports and Insurer Public Disclosures.

Q: What is Care Health Insurance's claim settlement ratio?

Care Health Insurance has a 3-year average CSR of 93.13% (FY 2022–25), which is above Ditto's 90% benchmark. Year-on-year, Care's CSR has been 90.03% in FY 2022–23, 92.61% in FY 2023–24, and 96.74% in FY 2024–25 — showing a strong upward trend. However, its complaint ratio of 42.00 per 10,000 claims (3-year avg) is slightly above Ditto's SAHI benchmark of 40, which is worth watching. Care has 11,400+ network hospitals and a GWP of ₹6,775 crores. Source: Insurer Public Disclosures, Form L37.

Q: What is HDFC ERGO's claim settlement ratio?

HDFC ERGO has a 3-year average CSR of 96.71% (FY 2022–25), well above the industry average of 91.22%. Year-on-year: 95.49% in FY 2022–23, 97.19% in FY 2023–24, and 97.45% in FY 2024–25. Beyond CSR, HDFC ERGO scores strongly across all metrics — an ICR of 81.62% (within Ditto's ideal 50–80% range), a complaint ratio of just 9.28 per 10,000 claims, 13,000+ network hospitals, and a GWP of ₹6,118 crores. Source: Insurer Public Disclosures, Form L37.

Q: What is the claim settlement ratio of health insurance companies in India?

The industry average CSR across all health insurers for FY 2022–25 is 91.22%. Key insurer CSRs (3-year avg): New India Assurance 98.91%, Digit 98.66%, Bajaj General 96.78%, HDFC ERGO 96.71%, Acko 96.50%, SBI General 96.14%, Aditya Birla 95.81%, National Insurance 94.61%, Care 93.13%, Star Health 84.97%, ICICI Lombard 84.50%, Navi 71.44%. Ditto's benchmark: a CSR of 90%+ is considered reliable. Source: IRDAI Annual Reports and Insurer Public Disclosures, Form L37.

Q: What are the top 10 claim settlement ratios of health insurance companies?

Based on 3-year average CSR (FY 2022–25) from insurer public disclosures: 1. New India Assurance — 98.91%. 2. Digit — 98.66%. 3. Bajaj General — 96.78%. 4. HDFC ERGO — 96.71%. 5. Acko — 96.50%. 6. SBI General — 96.14%. 7. Aditya Birla — 95.81%. 8. National Insurance — 94.61%. 9. Universal Sompo — 94.20%. 10. United India — 93.79%. Industry average: 91.22%. Ditto benchmark: 90%+. CSR should always be evaluated alongside ICR, complaint ratio, GWP, and network hospitals for a complete picture. Source: IRDAI Annual Reports and Insurer Public Disclosures.

Q: What are the top 10 claim settlement ratio health insurance companies in India?

Based on 3-year average CSR (FY 2022–25) sourced from IRDAI Annual Reports and Insurer Public Disclosures (Form L37), the top 10 health insurers by claim settlement ratio in India are: 1. New India Assurance — 98.91% (PSU General). 2. Digit — 98.66% (Private General). 3. Bajaj General — 96.78% (Private General). 4. HDFC ERGO — 96.71% (Private General). 5. Acko — 96.50% (Private General). 6. SBI General — 96.14% (Private General). 7. Aditya Birla — 95.81% (Standalone Health). 8. National Insurance — 94.61% (PSU General). 9. Universal Sompo — 94.20% (Private General). 10. United India — 93.79% (PSU General). A high CSR is necessary but not sufficient on its own. Always check ICR, complaints per 10,000 claims, GWP, and network hospitals before choosing an insurer.

Q: What is the top 10 claim settlement ratio of life insurance companies?

This page covers the health insurance segment only. The CSR data on Ditto Data Lab — Health is sourced from insurer public disclosures (Form L37) and covers general and standalone health insurers regulated by IRDAI. Life insurance CSR is a separate metric published in IRDAI's Life Insurance Annual Report and is not covered in this dataset. For life insurance CSR data, refer to the official IRDAI Annual Report at https://irdai.gov.in/annual-reports.

Raw data taken from IRDAI annual reports and insurer public disclosures, processed to help you pick the right health insurer - without the sales pitch. All metrics except network hospitals use a 3-year average to smooth out year-on-year noise. The current data reflects figures up to FY 2024–25. Data compilation for FY 2025–26 is currently underway.

Data Sources

IRDAI Annual Reports

View source

Insurer Public Disclosures

View source

India’s Health Insurance Industry Insights

↓ Ditto: <20 (Gen) / <40 (SAHI)

CSR - Claim Settlement Ratio

The Claim Settlement Ratio represents the total number of claims successfully settled out of the total claims available for settlement during a given period. Higher is better.

Ditto's Benchmark ↑ 90%+

Formula & Methodology

Formula

Claims Paid
────────────────────── X 100
Opening Claims + Claims Reported − Claims Closed − Closing Claims

Variable Definations

Opening Claims - Claims outstanding at the start of the financial year.
Claims Reported - New claims intimated or booked during the period.
Claims Closed - Claims closed without payment (withdrawn, no-claim, etc.).
Closing Claims - Claims still outstanding at the end of the period.

Source

Calculated from Insurer Public Disclosures Form L37, Q4 filing (for full year). We use a 3-year average across FY 2022–23, 2023–24, and 2024–25.

Name of the Insurer	2019 - 20	2020 - 21	2021 - 22	2022 - 23	2023 - 24	2024 - 25	AVG. CSR (2022 - 25)
Acko	94.92%	94.41%	95.53%	97.45%	96.31%	95.75%	96.50%
Aditya Birla	78.89%	89.30%	93.72%	95.95%	95.61%	95.88%	95.81%
Bajaj General	97.29%	94.51%	90.75%	96.85%	96.16%	97.32%	96.78%
Care	92.28%	95.20%	87.03%	90.03%	92.61%	96.74%	93.13%
Cholamandalam	80.57%	82.95%	80.94%	81.81%	82.74%	83.28%	82.61%
Digit	99.15%	91.50%	93.02%	98.18%	98.83%	98.98%	98.66%
Generali Central (Formerly Future)	89.55%	84.04%	88.89%	88.64%	92.15%	94.54%	91.78%
Galaxy Health	NA	NA	NA	NA	NA	79.37%	79.37%
HDFC ERGO	96.44%	97.00%	100.00%	95.49%	97.19%	97.45%	96.71%
ICICI Lombard	88.45%	85.69%	85.87%	85.02%	84.83%	83.65%	84.50%
IFFCO Tokio	100.00%	100.34%	96.00%	94.73%	93.20%	85.64%	91.19%
Liberty	84.71%	87.33%	88.34%	90.69%	91.62%	90.84%	91.05%
Magma HDI	95.19%	90.99%	89.13%	89.27%	88.04%	90.83%	89.38%
Manipal Cigna	86.57%	90.26%	89.81%	90.16%	88.54%	93.70%	90.80%
Niva Bupa (Formerly Max)	89.93%	90.68%	90.78%	90.53%	91.93%	92.39%	91.62%
Narayana Health	NA	NA	NA	NA	NA	100.00%	100.00%
National Insurance	96.73%	95.55%	90.14%	95.60%	94.68%	93.56%	94.61%
Navi	96.74%	94.76%	57.00%	70.45%	63.49%	80.39%	71.44%
New India Assurance	100.00%	100.00%	99.75%	99.90%	98.44%	98.38%	98.91%
Oriental Insurance	103.81%	99.89%	99.86%	93.05%	94.21%	93.38%	93.55%
Raheja QBE	24.53%	18.64%	74.46%	90.63%	88.43%	89.70%	89.59%
Indusind (Formerly Reliance) General	93.95%	94.25%	90.59%	89.65%	86.32%	86.38%	87.45%
Royal Sundaram	91.79%	92.55%	93.35%	93.42%	95.06%	89.23%	92.57%
SBI General	87.23%	93.31%	97.31%	94.20%	98.08%	96.13%	96.14%
Shriram	77.99%	72.30%	59.88%	84.35%	93.93%	94.26%	90.85%
Star Health	82.93%	83.64%	82.33%	80.07%	86.49%	88.34%	84.97%
Tata AIG	80.68%	87.70%	90.85%	88.65%	90.88%	86.63%	88.72%
United India	90.63%	96.34%	97.84%	92.72%	92.72%	95.92%	93.79%
Universal Sompo	95.70%	86.66%	76.12%	100.00%	93.39%	89.21%	94.20%
ZUNO (Formerly Edelweiss)	98.83%	92.59%	92.98%	94.16%	89.72%	86.43%	90.10%
Zurich Kotak	80.17%	78.65%	91.18%	93.02%	88.51%	92.05%	91.19%

Please Note: Galaxy and Narayana Health are newly established insurers with limited operational data, their high initial metrics (such as Narayana’s 100% CSR) reflect a very small volume of early claims. It would be premature to rank them above established players until they demonstrate consistent performance over a sustained, long-term period.

ICR - Incurred Claims Ratio

The Incurred Claims Ratio (ICR) measures the percentage of total collected premiums that an insurer pays out as claims. It serves as a vital indicator of an insurer's financial health and pricing sustainability.

Ditto Ideal Range 55–85%

High ICR: A consistently high ratio suggests that the insurer might be struggling to maintain a sustainable balance between premium collection and claim payouts. This could eventually force them to hike premiums or tighten their underwriting rules.
Low ICR: A consistently low ratio often implies that the insurer is focusing heavily on profitability and maintaining a highly conservative approach to approving claims.

Source - IRDAI Annual report, direct numbers are published for the year.

Name of the Insurer	2019 - 20	2020 - 21	2021 - 22	2022 - 23	2023 - 24	2024 - 25	Avg ICR (2022 - 25)
Acko	21%	85%	103.75%	83.88%	56.91%	57.82%	66.20%
Aditya Birla	49%	50%	69.56%	64.68%	68.31%	71.50%	68.16%
Bajaj General	82%	77%	90.64%	74.27%	84.96%	87.31%	82.18%
Care	59%	55%	65.07%	53.82%	57.69%	64.53%	58.68%
Cholamandalam	41%	77%	117.08%	67.88%	66.67%	73.04%	69.20%
Digit	52%	64%	48.94%	71.87%	93.87%	83.78%	83.17%
Generali Central (Formerly Future)	83%	90%	88.44%	79.18%	84.62%	95.29%	86.36%
Galaxy Health	NA	NA	NA	NA	NA	NA	NA
HDFC ERGO	69%	79%	97.47%	79.04%	80.98%	84.85%	81.62%
ICICI Lombard	70%	78%	91.67%	77.33%	78.85%	82.24%	79.47%
IFFCO Tokio	96%	99%	130.65%	111.18%	107.46%	83.74%	100.79%
Liberty	88%	77%	89.30%	74.17%	79.92%	92.99%	82.36%
Magma HDI	73%	63%	66.42%	72.10%	87.46%	85.54%	81.70%
Manipal Cigna	62%	61%	76.17%	64.66%	63.78%	74.81%	67.75%
Niva Bupa (Formerly Max)	54%	56%	62.12%	54.05%	59.02%	61.22%	58.10%
Narayana Health	NA	NA	NA	NA	NA	NA	NA
National Insurance	103%	101%	125.53%	102.35%	90.83%	96.05%	96.41%
Navi	35%	27%	28.56%	59.28%	59.40%	101.89%	73.52%
New India Assurance	101%	93%	124.54%	103.33%	105.87%	100.98%	103.39%
Oriental Insurance	105%	113%	139.86%	130.09%	101.96%	102.58%	111.54%
Raheja QBE	85%	97%	109.54%	138.67%	106.27%	105.12%	116.69%
Indusind (Formerly Reliance) General	62%	94%	98.76%	86.31%	89.42%	87.34%	87.69%
Royal Sundaram	64%	68%	90.22%	83.36%	92.06%	95.56%	90.33%
SBI General	51%	61%	81.92%	73.92%	87.86%	82.19%	81.32%
Shriram	97%	5%	37.07%	51.53%	47.47%	74.55%	57.85%
Star Health	66%	94%	87.06%	65.00%	66.47%	70.30%	67.26%
Tata AIG	67%	67%	86.53%	78.33%	77.94%	76.24%	77.50%
United India	104%	106%	120.21%	89.57%	109.23%	97.51%	98.77%
Universal Sompo	79%	111%	113.39%	82.84%	105.76%	97.12%	95.24%
ZUNO (Formerly Edelweiss)	113%	112%	112.32%	89.59%	88.45%	90.12%	89.39%
Zurich Kotak	49%	55%	72.11%	56.01%	59.06%	70.69%	61.92%

Note: Galaxy and Narayana Health are new insurers with limited data.

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Annual Business Volumes (GWP)

Annual Business Volume, also known as Gross Written Premiums (GWP), is a direct reflection of an insurer's market scale, operational depth, and overall system capacity. In the insurance industry, size translates to reliability; a larger volume indicates a deeply established company capable of managing extensive networks and heavy claim loads. Higher is always better.

Ditto's Benchmark ₹2,500 crores+

Source - Insurer public disclosures, Form NL-4-Premium Schedule. Figures utilize the Gross Direct Premium Numbers specifically for the Total Health Segment and have been converted from lakhs to crores for clarity.

Name of the Insurer	2021 - 22	2022 - 23	2023 - 24	2024 - 25	AVG. GWP/ Annual Business (2022 - 25)
Acko	₹407	₹736	₹898	₹930	₹855
Aditya Birla	₹1,021	₹1,348	₹3,701	₹4,822	₹3,290
Bajaj General	₹3,381	₹3,373	₹6,943	₹8,043	₹6,119
Care	₹3,991	₹5,142	₹6,864	₹8,318	₹6,775
Cholamandalam	₹691	₹893	₹1,104	₹1,156	₹1,051
Digit	₹676	₹933	₹1,606	₹1,626	₹1,388
Generali Central (Formerly Future)	₹6,696	₹8,796	₹1,542	₹1,628	₹3,989
Galaxy Health	NA	NA	NA	₹16.94	NA
HDFC ERGO	₹4,941	₹5,716	₹6,538	₹6,100	₹6,118
ICICI Lombard	₹4,007	₹5,592	₹7,117	₹7,673	₹6,794
IFFCO Tokio	₹1,860	₹2,170	₹1,646	₹905	₹1,573
Liberty	₹275	₹336	₹336	₹375	₹349
Magma HDI	₹113	₹252	₹512	₹743	₹502
Manipal Cigna	₹652	₹986	₹967	₹1,691	₹1,215
Niva Bupa (Formerly Max)	₹2,810	₹4,073	₹5,608	₹6,762	₹5,481
Narayana Health	NA	NA	NA	₹2.37	NA
National Insurance	₹6,078	₹7,406	₹7,450	₹8,592	₹7,816
Navi	₹21	₹13	₹13	₹52	₹26
New India Assurance	₹15,999	₹17,530	₹19,014	₹19,928	₹18,824
Oriental Insurance	₹6,702	₹8,789	₹9,028	₹10,032	₹9,283
Raheja QBE	₹5	₹15	₹28	₹31	₹24
Indusind (Formerly Reliance) General	₹1,121	₹1,561	₹2,054	₹2,217	₹1,944
Royal Sundaram	₹426	₹476	₹610	₹775	₹620
SBI General	₹1,118	₹1,255	₹3,999	₹4,731	₹3,329
Shriram	₹32	₹61	₹120	₹123	₹101
Star Health	₹11,463	₹12,952	₹15,254	₹16,716	₹14,974
Tata AIG	₹1,930	₹2,770	₹3,134	₹3,592	₹3,165
United India	₹6,827	₹7,683	₹8,248	₹7,519	₹7,817
Universal Sompo	₹548	₹489	₹595	₹1,089	₹725
ZUNO (Formerly Edelweiss)	₹126	₹197	₹395	₹376	₹323
Zurich Kotak	₹276	₹483	₹690	₹748	₹640

Note: Galaxy and Narayana Health are new insurers with limited data.

Complaints per 10,000 claims

This metric serves as a key indicator of service quality and customer satisfaction, tracking the number of formal grievances filed for every 10,000 claims registered. Lower is always better. Because health insurance claims involve complex medical definitions, pre-authorizations, and multiple hospital touchpoints, they naturally experience higher friction than other insurance lines. To account for this operational reality, the Ditto Benchmark sets two distinct, rigorous standards depending on the insurer's core focus:

General Insurance Companies: Because their broad product portfolios (like motor or home insurance) help balance out overall claim volumes, we hold them to a tighter standard. The Ditto Benchmark requires General Insurers to maintain fewer than 20 complaints per 10,000 claims.
Standalone Health Insurers (SAHIs): Since these companies deal exclusively with highly complex, multi-stage health claims, a slightly higher baseline is expected. The Ditto Benchmark requires SAHIs to keep customer grievances fewer than 40 complaints per 10,000 claims.

Source - Directly taken from insurer public disclosures Form NL - 45, grievance disposal.

Name of the Insurer	2019 - 20	2020 - 21	2021 - 22	2022 - 23	2023 - 24	2024 - 25	AVG. Complaints (2022 - 25)
Acko	62.29	7.06	8.89	14.97	27.33	15.58	19.29
Aditya Birla	30.00	35.00	26.00	18.00	22.00	16.00	18.67
Bajaj General	1.14	1.72	2.27	2.91	2.87	3.42	3.07
Care	5.54	22.21	29.38	40.00	39.00	47.00	42.00
Cholamandalam	6.38	15.59	19.11	19.43	14.47	13.33	15.74
Digit	1.72	4.45	16.84	15.10	16.41	19.13	16.88
Generali Central (Formerly Future)	17.25	15.28	12.17	11.57	10.78	10.71	11.02
Galaxy Health	NA	NA	NA	NA	NA	0.00	NA
HDFC ERGO	6.21	6.21	7.95	6.23	6.89	14.72	9.28
ICICI Lombard	5.64	7.19	8.86	7.50	10.53	13.98	10.67
IFFCO Tokio	5.22	8.81	11.67	12.28	12.81	40.90	22.00
Liberty	10.00	18.00	16.00	14.00	13.00	14.08	13.69
Magma HDI	5.75	8.40	11.00	11.00	12.00	17.00	13.33
Manipal Cigna	21.00	23.00	31.00	19.40	25.80	25.30	23.50
Niva Bupa (Formerly Max)	38.57	44.46	42.74	46.36	38.76	43.44	42.85
Narayana Health	NA	NA	NA	NA	NA	0.00	NA
National Insurance	19.90	1.76	24.12	22.81	38.88	28.69	30.13
Navi	21.33	15.36	56.88	99.23	333.72	285.14	239.36
New India Assurance	NA	NA	5.05	4.76	5.58	4.77	5.04
Oriental Insurance	NA	NA	NA	3.00	7.60	11.40	7.33
Raheja QBE	12.81	3.16	12.81	14.15	16.37	134.11	54.88
Indusind (Formerly Reliance) General	2.67	6.17	6.62	4.90	2.99	5.04	4.31
Royal Sundaram	6.49	8.87	15.75	19.68	13.47	17.59	16.91
SBI General	16.90	3.86	12.30	23.59	23.28	14.66	20.51
Shriram	10.34	15.98	14.85	23.16	32.68	26.71	27.52
Star Health	10.73	4.62	33.65	48.85	55.79	52.30	52.31
Tata AIG	6.15	8.15	10.22	10.08	12.11	9.75	10.65
United India	15.61	6.84	4.84	9.32	9.32	19.60	12.75
Universal Sompo	32.11	35.04	52.58	6.29	4.45	6.52	5.75
ZUNO (Formerly Edelweiss)	NA	NA	14.72	6.68	10.81	28.61	15.37
Zurich Kotak	8.99	9.05	15.38	14.11	21.05	24.25	19.80

Note: Galaxy and Narayana Health are new insurers with limited data.

Network Hospitals

A large hospital network ensures that you can access quality medical care without paying out of pocket during emergencies. This metric tracks the total number of healthcare providers where an insurer offers seamless, cashless treatment. Higher is always better.

While a massive nationwide footprint is important, it is even more critical to verify your local coverage. Always check if your preferred neighborhood hospitals, workplace medical centers, or trusted family healthcare facilities are included in the insurer’s active list so that your specific geographic needs are fully met.

Data Source: Compiled directly from the respective insurers' official websites.
Note on Data: These figures are updated periodically. Readers are highly encouraged to utilize each insurer's specific, real-time network hospital locator tool for the latest local listings.

Ditto's Benchmark 10,000+

Zurich Kotak

General Insurer

16,900+

Network hospitals

SBI

SBI General

General Insurer

16,600+

Network hospitals

Digit

General Insurer

16,400+

Network hospitals

Star Health

Standalone Health Insurer

14,000+

Network hospitals

HDFC ERGO

General Insurer

13,000+

Network hospitals

Bajaj General

General Insurer

12,000+

Network hospitals

Aditya Birla

Standalone Health Insurer

12,000+

Network hospitals

Cholamandalam

General Insurer

12,000+

Network hospitals

Navi

General Insurer

12,000+

Network hospitals

Care Health

Standalone Health Insurer

11,400+

Network hospitals

Tata AIG

General Insurer

11,000+

Network hospitals

ICICI Lombard

General Insurer

10,200+

Network hospitals

Acko

General Insurer

10,000+

Network hospitals

Niva Bupa

Standalone Health Insurer

10,000+

Network hospitals

Royal Sundaram

General Insurer

10,000+

Network hospitals

Indusind General

General Insurer

10,000+

Network hospitals

Manipal Cigna

Standalone Health Insurer

8,500+

Network hospitals

Generali Central

General Insurer

8,000+

Network hospitals

IFFCO Tokio

General Insurer

7,900+

Network hospitals

Magma HDI

General Insurer

7,300+

Network hospitals

ZUNO (Edelweiss)

General Insurer

6,200+

Network hospitals

Universal Sompo

General Insurer

5,000+

Network hospitals

Raheja QBE

General Insurer

5,000+

Network hospitals

Liberty

General Insurer

5,000+

Network hospitals

Oriental Insurance

PSU Insurer

4,000+

Network hospitals

United India

PSU Insurer

4,000+

Network hospitals

New India Assurance

PSU Insurer

3,700+

Network hospitals

NIC

National Insurance

PSU Insurer

3,200+

Network hospitals

Shriram General

General Insurer

N/A

Data not disclosed

Galaxy Health

Standalone Health Insurer

N/A

New insurer

Narayana Health

Standalone Health Insurer

N/A

New insurer

Note: Galaxy and Narayana Health are new insurers with limited data.

Corrections & Feedback

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Source URL: The exact webpage link containing the data point.
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Frequently Asked Questions

Which insurance company has the best claim settlement ratio?

Based on the 3-year average CSR (FY 2022–25) from insurer public disclosures, New India Assurance leads established insurers with a CSR of 98.91%, followed closely by Digit at 98.66%. Bajaj General (96.78%), HDFC ERGO (96.71%), and Acko (96.50%) round out the top five. The industry average CSR stands at 91.22%. Ditto's benchmark for a reliable insurer is 90%+.

Who are the top 5 health insurance companies in India?

Based on Ditto's multi-metric framework covering CSR, ICR, GWP, complaints, and network hospitals (FY 2022–25 averages):

HDFC ERGO — CSR: 96.71% | ICR: 81.62% | Complaints: 9.28 per 10,000 claims | Network: 13,000+ hospitals | GWP: ₹6,118 crores
Bajaj General — CSR: 96.78% | ICR: 82.18% | Complaints: 3.07 per 10,000 claims (industry best) | Network: 12,000+ hospitals | GWP: ₹6,119 crores
Digit — CSR: 98.66% | ICR: 83.17% | Complaints: 16.88 per 10,000 claims | Network: 16,400+ hospitals | GWP: ₹1,388 crores
Niva Bupa — CSR: 91.62% | ICR: 58.10% | Network: 10,000+ hospitals | GWP: ₹5,481 crores
Aditya Birla — CSR: 95.81% | ICR: 68.16% | Complaints: 18.67 per 10,000 claims | Network: 12,000+ hospitals | GWP: ₹3,290 crores

No single insurer is universally best — the right choice depends on your priorities across all these metrics. Source: IRDAI Annual Reports and Insurer Public Disclosures.

What is Care Health Insurance's claim settlement ratio?

Care Health Insurance has a 3-year average CSR of 93.13% (FY 2022–25), which is above Ditto's 90% benchmark. Year-on-year, Care's CSR has been 90.03% in FY 2022–23, 92.61% in FY 2023–24, and 96.74% in FY 2024–25 — showing a strong upward trend. However, its complaint ratio of 42.00 per 10,000 claims (3-year avg) is slightly above Ditto's SAHI benchmark of 40, which is worth watching. Care has 11,400+ network hospitals and a GWP of ₹6,775 crores. Source: Insurer Public Disclosures, Form L37.

What is HDFC ERGO's claim settlement ratio?

HDFC ERGO has a 3-year average CSR of 96.71% (FY 2022–25), well above the industry average of 91.22%. Year-on-year: 95.49% in FY 2022–23, 97.19% in FY 2023–24, and 97.45% in FY 2024–25. Beyond CSR, HDFC ERGO scores strongly across all metrics — an ICR of 81.62% (within Ditto's ideal 50–80% range), a complaint ratio of just 9.28 per 10,000 claims, 13,000+ network hospitals, and a GWP of ₹6,118 crores. Source: Insurer Public Disclosures, Form L37.

What is the claim settlement ratio of health insurance companies in India?

The industry average CSR across all health insurers for FY 2022–25 is 91.22%. Here is how major insurers compare on their 3-year average CSR:

New India Assurance: 98.91%
Digit: 98.66%
Bajaj General: 96.78%
HDFC ERGO: 96.71%
Acko: 96.50%
SBI General: 96.14%
Aditya Birla: 95.81%
National Insurance: 94.61%
Care: 93.13%
Star Health: 84.97%
ICICI Lombard: 84.50%
Navi: 71.44%

Ditto's benchmark: a CSR of 90%+ is considered reliable. Source: IRDAI Annual Reports and Insurer Public Disclosures, Form L37.

What are the top 10 claim settlement ratios of health insurance companies?

Based on 3-year average CSR (FY 2022–25) from insurer public disclosures:

New India Assurance — 98.91%
Digit — 98.66%
Bajaj General — 96.78%
HDFC ERGO — 96.71%
Acko — 96.50%
SBI General — 96.14%
Aditya Birla — 95.81%
National Insurance — 94.61%
Universal Sompo — 94.20%
United India — 93.79%

Industry average: 91.22%. Ditto benchmark: 90%+. Note: CSR should always be evaluated alongside ICR, complaint ratio, GWP, and network hospitals for a complete picture. Source: IRDAI Annual Reports and Insurer Public Disclosures.

What are the top 10 claim settlement ratio health insurance companies in India?

Based on 3-year average CSR (FY 2022–25) sourced from IRDAI Annual Reports and Insurer Public Disclosures (Form L37), the top 10 health insurers by claim settlement ratio in India are:

New India Assurance — 98.91% (PSU General)
Digit — 98.66% (Private General)
Bajaj General — 96.78% (Private General)
HDFC ERGO — 96.71% (Private General)
Acko — 96.50% (Private General)
SBI General — 96.14% (Private General)
Aditya Birla — 95.81% (Standalone Health)
National Insurance — 94.61% (PSU General)
Universal Sompo — 94.20% (Private General)
United India — 93.79% (PSU General)

A high CSR is necessary but not sufficient on its own. Always check ICR, complaints per 10,000 claims, GWP, and network hospitals before choosing an insurer.

What is the top 10 claim settlement ratio of life insurance companies?

This page covers the health insurance segment only. The CSR data on Ditto Data Lab — Health is sourced from insurer public disclosures (Form L37) and covers general and standalone health insurers regulated by IRDAI. Life insurance CSR is a separate metric published in IRDAI's Life Insurance Annual Report and is not covered in this dataset. For life insurance CSR data, refer to the official IRDAI Annual Report at irdai.gov.in.

Customer Reviews

4.9

20915 reviews

Ditto is doing really great. Absolutely spam free- that's the best part. They don't talk to you like they are forced to sell the product. It's more like, helping us buy better. Advisor Nuha was very patient and answered all my questions with clarity. Thanks for the service

INDHUMATHI M

Loved the service! Maheta Nidhi Hitesh was incredibly helpful and knowledgeable. She guided me through the whole process and made everything super easy to understand. I really appreciated how patient she was with all my questions—there was no pressure at all, just clear and honest advice. Honestly, I'm very happy with my experience at Ditto so far. Highly recommend!

Ragul Kumar

I had a great experience with Ditto while exploring health insurance options. The process was smooth and everything was explained clearly. A special thanks to Swaroop SK for patiently answering all my questions and guiding me through the policy details without any pressure. The transparency and support made it much easier to understand and choose the right plan. Really appreciate the assistance!

Pulkit Singh

Had a great experience with Ditto Insurance. Ishita Sudrania was extremely helpful in guiding me through choosing the right term plan. There was no spamming or sales pressure, and all my questions were patiently answered. She also assisted me thoroughly with the entire application process. Highly recommend!

Samil Shah

I had a great experience with Ditto while filing my health insurance claim. Their team guided me clearly through the entire process, helped with the required documents, and promptly answered all my queries. Their support made the claim process much smoother and less stressful. Highly appreciate their assistance.

Raghappriya Marimuthusamy

Last updated on: 10 Jun, 2026

Ditto Data Lab - Health Insurance

Data Sources

India’s Health Insurance Industry Insights

CSR - Claim Settlement Ratio

ICR - Incurred Claims Ratio

Annual Business Volumes (GWP)

Complaints per 10,000 claims

Network Hospitals

Corrections & Feedback

Why Choose Ditto for Health Insurance?

Frequently Asked Questions

Which insurance company has the best claim settlement ratio?

Who are the top 5 health insurance companies in India?

What is Care Health Insurance's claim settlement ratio?

What is HDFC ERGO's claim settlement ratio?

What is the claim settlement ratio of health insurance companies in India?

What are the top 10 claim settlement ratios of health insurance companies?

What are the top 10 claim settlement ratio health insurance companies in India?

What is the top 10 claim settlement ratio of life insurance companies?

Customer Reviews