Some Facts about Health Insurance Claims 2007-08

We have come across some good statistics about the claims made by health insurance policy holders in India. These are;

Data Sourced From : 28 Third Party Administrators operating in India

Claims Made by Females : 6,50,070
Claim amount paid : Rs 1,359 crore
Average Claim size : Rs 20,903

Average Claim for Cesarean Delivery : Rs 30,000 to Rs 35,000
Average Claim for Normal delivery : Rs 20,000 to Rs 25,000

Claims Made by males : 6,08,023
Claim amount paid : Rs 1,150 Crore
Average Claim : Rs 18,922

No of claims made by those in the age group 41-60 = 4,30,000

Amount paid in claims : Rs 1,001 crores

Lifestyle diseases for which claims are made by those in 41-60 age group
(1.)Heart Ailments
(2.)Diabetes
(3.)Hypertension
(4.)Degenerative Diseases

Share of Individual/family policies in the Premium : 51%
Share of Group Floater policies in the Premium : 33.9%
On an average Premium charged For Corporate Policy is 50% lower than that paid by individuals/Families.

For individual health insurance premium comparative visit www.healthinsuranceindia.org