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Care Health (Previously Religare)

4.4/5
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Care Health Group Health Insurance overview

Care Health Insurance Limited, previously known as Religare Health Insurance Company, is a leading standalone health insurance provider established in 2012. The company specializes in offering a diverse range of insurance products for individuals, families, and corporates, including maternity, senior citizen, diabetes, heart, cancer, critical illness, OPD plans, and more. 

 

As a joint venture between Reliance Enterprises Limited, Corporation Bank, and Union Bank of India, Care Health Insurance is committed to leveraging advanced technology to deliver innovative products, exceptional value, and unparalleled customer support. With a wide array of retail offerings such as Critical Illness Cover, Personal Accident Cover, Top-up Cover, Maternity Cover, Group Health Cover, and Group Personal Accident Cover for businesses, the company has earned prestigious accolades, including the ‘Editor’s Choice Award for Best Product Innovation,’ ‘Best Medical Insurance Product Award,’ ‘Best Health Insurance Company,’ and ‘Best Claims Service Leader of the Year.’ Experience the difference with Care Health Insurance today.

Key features

Care Health claims process

With cashless settlement TAT being 2 to 4 hours and reimbursement settlement taking around 20 to 25 days, Care Health insurance is one of the best options available.

Paperless reimbursement claims ensure that you do not have any additional troubles even if your hospital is not present in the cashless network list.

Care Health has an In-house TPA and also has provisions of external TPAs.

Steps to file a Group Health Insurance claim with Care Health : 
For cashless treatment : 
  1. Locate a Care Health Network Hospital
    Search for a Care Health network hospital in the city where you want to avail cashless treatment for your group health insurance plan.
  2. Inform Care Health
    For emergency hospitalization, inform Care Health team within 24 hours, and for planned hospitalization, notify them 48 hours before admission.
  3. Carry Essential Information
    When visiting the network hospital, bring your cashless treatment card, policy number, and member ID for a seamless claims process.
  4. Share Details with Hospital Insurance Desk
    Provide your card or policy number and member ID to the hospital’s insurance desk for cashless claims assistance.
  5. Complete the Pre-Authorization Form
    Accurately fill out the pre-authorization form available at the hospital to initiate the claims process.
  6. Hospital Sends Form to Care Health
    After you’ve informed the insurer and completed the form, the hospital sends the pre-authorization form to Care Health Insurance Company.
  7. Await Approval or Rejection
    Care Health team  reviews the claim details and informs both the policyholder and hospital about the approval or rejection of the claim.
  8. Payment Process
    If approved, the insurance company directly covers the medical expenses. If rejected, the policyholder must pay the bills themselves.
Remember to follow these steps to ensure a smooth cashless claims experience with your Care Health group health insurance plan.
 

For reimbursement treatment : 

  • Inform Care Health: For planned hospitalization, notify the company 48 hours before admission; for emergencies, inform within 24 hours of hospitalization.
  • Submit Claim Form: Complete and submit the claim form with all required documents, as per your group health insurance plan’s terms and conditions.
  • Document Review: Care Health’s claim management team will examine the submitted documents and claim form details.
  • Approval Letter: Upon approval, the policyholder will receive a letter of approval from Care Health’s claim management team.
  • Reimbursement: After approval, the reimbursement amount will be processed within 15 days.
  • Rejection Response: In case of rejection, the insured individual must address any queries raised by the insurer or receive an explanation for the rejection.

Follow these straightforward steps for a hassle-free reimbursement claims process with your Care Health group health insurance plan

Documents required a Group Health Insurance claim with Care Health : 

  1. Original investigation reports
  2. Final hospital discharge summary
  3. FIR or post-mortem report if happened
  4. Pharmacy bills along with the prescription
  5. Original bills, receipts, and discharge report
  6. Indoor case papers and duly-filled claim form
  7. Original hospital bills and a valid photo ID proof
  8. Treating doctor’s report, and original consultation notes
  9. Nature of operation performed and surgeon’s bill and receipt
  10. Test reports along with attending doctor’s or surgeon’s report

Care Health x Healthysure advantage

Get 24×7 dedicated claims support with Healthysure’s claim support team.

Our experts take care of all the steps and documents so you can take care of things that matter!

Care Health's group health insurance plans

With Care Health’s corporate insurance plans, you have the option to design a custom insurance plan with : 

At Healthysure, we’re committed to helping businesses find the best Group Health Insurance options for their employees. That’s why we’re proud to showcase Care Health Insurance and their customizable Group Health Insurance plans that cater to the unique needs of every team.

Care Health Insurance offers comprehensive yet affordable Group Health Insurance plans, with prices starting as low as ₹80/month/life*. This means you can provide top-notch healthcare benefits to your employees without straining your budget.

The pricing of Care Health Insurance’s Group Health Insurance policies depends on several factors, such as team size, coverage options, and more. To obtain precise Group Health Insurance Quotes for your organization, simply connect with our knowledgeable team at Healthysure. We’ll guide you in finding the perfect coverage plan that aligns with your budget and employees’ needs.

Choose Healthysure as your trusted partner for Care Health Insurance solutions and secure your team’s future with our adaptable, cost-effective Group Health Insurance plans. Get in touch with us today to receive instant, customized Group Health Insurance Quotes and ensure your employees’ well-being.

Care Health 🤝 Healthysure advantage

Our partnership with Care Health allows you to get the lowest prices guarantee with Healthysure

Care Health reviews

Ram
Good network hospitals
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One thing I like the most of care health insurance is that there network hospitals are much better than the others
Shailesh Kinjale
Very good and smooth experience while going for cashless facility
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I had a very good and smooth experience while going for cashless facility insurance claim. Claim approved within 4 hours.
Praveen Venugopal
Excellent service provided by Healthysure
Read More
Healthysure team coordinated well with Care Health and ensured the entire process including claim settlement was hassle-free.
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Care Health FAQs

No, Care Health Insurance is a reputed insurer which was incorporated in 2012 as a subsidiary of Religare Enterprises which was later renamed to Care Health in 2020.

It is backed by big names like Religare Enterprises and Kedara Capital.

Cashless hospital network list for Care Health can be seen here

You can WhatsApp to the Care Health team for support on 918860402452

You can reach out to HDFC Ergo support at

[email protected]

Group health insurance plans or corporate health insurance plans of Care Health vary depending on details of the members covered, type of features you add in policy, policy type, etc.

The best way to get instant and free quotes for your team would be to reach out to Healthsure team below👇

Claims Settlement Ratio (CSR) is the percentage of claims settled by the insurance company against the no. of claims obtained in a financial year.

Care Health Insurance’s group health insurance has a claim settlement ration of 99% 

Imagine you have a jar full of candies. The solvency ratio is like a way to see if you have enough candies to share with your friends, but also keep some for yourself. If your jar has a high solvency ratio, that means you have a lot of candies and can share them without any problem. If the ratio is low, you might run out of candies and that wouldn’t be fun. Businesses use the solvency ratio to make sure they have enough money to pay their bills and still have some left for other things.

Care Health has a solvency ratio of 1.85  (IRDAI recommended: >1.5)

Have any other doubts 🤔

Have doubts regarding buying or renewing your corporate health policy? Not sure about your policy benefits? Set-up a free call with our group health insurance policy experts and find the policy that works the best for your team.

Note : Details compiled from various sources. Numbers are for Group Health Insurance plans by Care Health.

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