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Kotak Claim Settlement Ratio




Industry Average

Health claim settlement ratio is the percentage of claims settled against the total claims received by the insurance company in a given fiscal year. Kotak has a claim settlement ratio of 98.82%, as compared to the industry average of 94.21%.

Kotak Claim Process

Kotak supports both cashless claims and reimbursement claims. This section covers the information on how to check Kotak health insurance claim status, fill Kotak health insurance claim form, and the claim settlement process.

You face a claim in your health insurance policy when the contingency which is covered under the policy occurs. To make a claim, you should follow some steps and the claim would be settled

These steps are as follows

  1. Inform Kotak Mahindra General Insurance Company of the claim. This intimation can be done online. You can visit the company’s home page and choose ‘I want to Register a non-motor claim’
  2. You can also call the company’s toll-free number 1800 266 4545 or send an email to care@kotak.com for intimating the company of your health insurance claim
  3. If you are taking treatments at a networked hospital, you can make a cashless claim. For this claim, a pre-authorisation form should be filled and submitted to Kotak Mahindra General Insurance Company
  4. The pre-authorisation form should be submitted 3-4 days before you are planning your hospitalisation. In case of emergency hospitalisation, the form should be filled and submitted within 24 hours of such hospitalisation
  5. Once the form is submitted, Kotak would assess your claim and approve it
  6. Once you receive the approval of your claim, you would be eligible to get cashless services
  7. You can take treatments and your medical bills would be settled by Kotak directly with the hospital at which you are being treated
  8. Once you are discharged from the hospital, you should fill up a claim form and submit all the required documents to complete the claim settlement process

If you are getting treated at a non-networked hospital, you would have to bear your medical expenses yourself. Once you are discharged, the claim form should be filled and submitted and Kotak would reimburse you for the medical expenses that you have incurred

Kotak Premium Calculator

Use the Kotak health insurance premium calculator to estimate your health insurance premiums.

Premium Calculator

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Kotak health insurance plans allow you premium discounts for buying the policy for 2 or 3 continuous years and paying the premium at one go. There is another discount for covering two or more family members under the same policy. Moreover, under some plans, you can also find a premium discount if you have any other insurance policy offered by Kotak.

The cost of pre-entrance health check-ups is borne by the proposer himself/herself. Thereafter, if the policy is accepted by Kotak and it is issued, 50% or 100% of the costs incurred would be reimbursed by the insurance company.

Pre-existing conditions or illnesses are those health-related complications which the insured already suffers from at the time of buying a fresh policy. Since the insured has an illness at the time of buying the policy, such illness is called a pre-existing illness and it is excluded from coverage for the first 2 to 4 policy years depending on the plan that you select.
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