Aditya Birla Health Insurance

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Aditya Birla
Health Insurance

Aditya Birla Health Insurance is a well-renowned name in the field of insurance. It offers a vast range of different insurance and its Health insurance is one of the most preferable and required insurance plans. Most of the customers go for Aditya Birla Health Insurance as it offers and covers different forms of illness and requirements at affordable prices. It is designed as per the needs of the time. Aditya Birla Health Insurance is emerging as a shining star in the Indian health insurance market. Aditya Birla Health insurance is established in partnership with South Africa based MMI Holdings Ltd, which owns a 49% stake. MMI Holdings Ltd has a legacy of 122 years which increase more trust of consumers in the Aditya Birla Health Insurance Plans.

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On Aditya Birla Official Website

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Updated: 18-05-2024 03:14:30 PM

Highlights Of Aditya Birla Health Insurance Company

Number of Network Hospitals 10000+
Claim Settlement Ratio 89.05%
Portability Available
Renewability of the Policy Lifelong renewal
Additional Rider Benefit available Available
Health wellness program Wellness coaching and wellness fitness centres

 

Benefits of Aditya Birla Health Insurance

There are many other health insurance policies in the market who promised to strongly focus on offering valuable and better service to the consumers but often forget their aim in the race of profit. Aditya Birla Health Insurance provides hassle-free and promising health insurance solutions but also have proven the same. Aditya Birla Health Insurance has researched the need and requirement of consumer thoroughly and then crafted its health insurance plans, keeping various factors in mind. There are many health insurance plans which not only benefit the individual but also their families, groups and loved ones.

High Sum Assured

Aditya Birla Health Insurance plans come with a high sum assured amount which may range from Rs.10 lakh, up to Rs.2 crore for comprehensive plans which help and assist policyholder holder to take care of rising medical expenses.

Tax Benefits

Aditya Birla Health Insurance along with the health insurance coverage offer various attractive tax relief benefit to policyholders under the provisions of section 80 D of the income tax act, 1961.

Longer Plan Terms

Aditya Birla Health Insurance Plans offer long-term coverage from one year to three years which ensures that the policyholder to be free from the hassle of renewing health insurance policy every year.

Flexible Plan Option

Aditya Birla Health Insurance of various plan which customer can choose as per their requirement. These plans can be chosen for an individual & all groups. Benefits or cover which is offered under the plan can also be chosen as per the needs accordingly for examples personal accident, critical illness.

Hospitalisation Coverage

Aditya Birla Health Insurance plans not only offer free and post hospitalisation expenses coverage but also
as per your plan you can also avail cover for extra treatments like ICU charges, room rent in hospital, operating
room charges, medicinal charges, and other patient’s treatments.

Daycare Coverage

With Aditya Birla Health Insurance you can choose the plan that also offers coverage of day care surgeries or
other procedures which do not require any hospitalisation for over 24 hours. Advance technology such
as dialysis does not require hospitalisation for more than 24 hours but cost too much.

Cover For Expenses

As medical expenses are touching the sky, hospitalisation charges are something that burns hole in the pocket
of a middle-class person.Aditya Birla Health Insurance plans provide cover for pre and post hospitalisation
charges for the duration of the insurance policy.

Riders

Customers can avail additional value-added services at extra cost. These Riders may include the option for critical in the world, health return reward, service of a wellness coach and etc depending on what value the policyholder
choose and what is required.

Network Hospitals

Many health insurance policies offer attractive coverage but when you are in need you come to know that most of the
hospitals are not covered under your health insurance policy. Aditya Birla Health Insurance Company has a big network of hospitals and doctors in cities/towns.

Aditya Birla Health Insurance Plans

Aditya Birla Health Insurance offers a wide range of health insurance plans. These health insurance plan covers almost everything that you require.

All plans are designed to offer a broader and wholesome coverage. They offer a wide range of health benefits to take care of the policyholder and family.

Plan Name Entry Age Plan Basis (Individual, family, etc.) Sum Insured (Min and Max) Policy Term
Activ Health Essential From 91 days; no upper limit Individual and Family Min: Rs.50,000
Max: Rs.10 lakh
1 to 3 years
Activ Health Enhanced From 91 days; no upper limit Individual and Family Min: Rs.2 lakh
Max: Rs.2 crore
1 to 3 years
Activ Secure – Personal Accident No limit Individual Varies 1 year
Activ Secure – Critical Illness No limit Individual Varies based on different plans 1 year
Activ Secure – Hospital Cash No limit Individual Varies based on the cash amount and the duration chosen 1 year
Activ Secure – Cancer No limit Individual Varies 1 year
Activ Assure – Diamond From 91 days; no upper limit Individual and Family Up to Rs.2 crore 1 to 3 years
Group Activ Health No limit Individual and Family Varies 1 year

Aditya Birla Group Insurance Products

Nowadays companies, organisations take care of their employees and treat them as their family members. Employees give their heart and soul to the workplace if they are treated with tender love and care by their management. Group health insurance products are just another way of employers to tell the employees that they love and care for them and their loved ones. There are two types of customised group health insurance by Aditya Birla Health Insurance Company:

  1. Group Activ health
  2. Group Activ secure
  • Both the products are customised keeping in mind the corporate portal and offers flexibility as per need of the company.
  • Group health insurance offers cashless claim settlement and simple documentation.
  • Premium amount paid is exempted under section 80 D of Indian income tax.
Health Returns Offer rewards for adopting a healthy lifestyle upto 30 percent of your health insurance premium and several other rewards
Hospital room Freedom to choose the room during hospital stay
Activ Health App App to track your health and activity & 24*7 access to health records
Second E-opinion Second expert advice in case of need

Aditya Birla Health Insurance Exclusions

  • First if any policyholder go through hospitalisation due to hazardous occupation or adventurous activities then his treatment expenses are not covered under the policy.
  • Rehabilitation expenses caused due to addiction of some illegal drugs or something are excluded. Treatment for any sexually transmitted disease STDs, HIV and AIDS are not paid any coverage under the plans.
  • Any plastic surgery or cosmetic surgery are also not covered under any of the insurance plan.
  • Any hereditary disease or genetic disorder is also not covered.
  • Any dental treatment or any type of eyesight and vision assistance are also not covered under the Aditya Birla Health Insurance Plans.

Documents Required

  • Identity proof such as voter ID card etc.
  • Address proof
  • Aadhaar card number
  • Any medical document in case if your health insurance Policy demand.

Aditya Birla Health Insurance Claim Process

  • First, you have to check the list of network hospital on the website of Aditya Birla Health Insurance.
  • You have to show policy number/cashless card at cashless helpdesk of the hospital. You also need to show your ID cards which can be a passport, PAN card or voter ID etc.
  • Then you have to fill the cashless hospitalization request form. If you want to save time then you can even fill the form online to pump up the process. In case of emergency hospitalization, the form is needed to be filled and submitted maximum within 48 hours of hospitalization. While in pre-planned hospitalization the form can be submitted at least three days before the hospitalization.
  • After making the decision of cashless hospitalization, information regarding the same is provided to the policyholder usually within two business hours.
  • The claim settlement process will be done as per the terms and condition of the hospital on completion of all the formalities.

Aditya Birla Insurance Reimbursement Process

Reimbursement process of Aditya Birla Health Insurance is very simple-

  • The insurance company should be notified in case of an emergency within 48 hours and three days before hospitalization in case of pre-planned hospitalization on number-1800-103-1033. You can also email at – [email protected]
  • You have to submit all relevant/required original documents from the hospital and submit them via post or login portal within 15 days of discharge from the hospital.
  • Submit all documents as per the conditions of the insurance policy.
  • You can check the claim status on the portal after logging in with username/member ID and password provided.

Document Required For Claim Process

Following document must be submitted to the insurance one making the claim request

  • Duly filled claim form
  • Original medical bills receipts
  • Dr/physician certificate with information about the diagnosis.
  • Death certificate in case of any demise and other relevant documents.

The policyholder may visit the online website of Aditya Birla Health Insurance and get all the details regarding claim procedure. In case of any situation where you want to file a claim you need to inform the insurer immediately. Always keep the customer care number handy and take care of all the documents required while filling the claim form

Aditya Birla Health Insurance Renewal Process

  • It is very easy to renew the Aditya Birla Health Insurance policy before it gets expired through the online method.
  • Visit the official website of Aditya Birla Health Insurance Corporation Limited.
  • Select the ‘Quick renewal’ button and then press on new.
  • Filled up the form on the next window with all accurate personal and policy information.
  • At last, select the ‘Renew Now’ To proceed with the online payment.
  • After payment, a confirmation message will be pop up and the same will be emailed to you with information about successful renewal process for the Aditya Birla Health Insurance Policy.

Factors That Affect The Health Insurance Premium

Aditya Birla Health Insurance premium is calculated on the basis of the following factors

  • Age of the insured medical history
  • Coverage type
  • Lifestyle including Resident and occupation also matter the premium amount. Example if you are working at Coal mine etc than the premium amount will be more.
  • Tobacco or smoking habits
  • Sum insured amount
  • Body mass index
  • Other factors depending on the policy.

And you can also calculate online premium very easily buy using the online health insurance premium calculator.

Aditya Birla Health Insurance Company Review

Aditya Birla Health Insurance Company is definitely a one-stop shop for all health insurance related needs. With a long list of effective health insurance plan, the company is ensuring to cover a wide area so that it can cater different needs of customers so that they can live their life happily and in peace. With all its plans, the company promotes to stay fit and healthy and for the same, it offers multiple wellness programs through which customers can easily earn huge cashback. In the Insurance Industry, Aditya Birla Health Insurance Company holds the position of a leading health insurance company. Its goals and mission are enough to show how much it values its customer and offer great services for a long term association. It is surely a recommend platform for your health insurance purchase.

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FAQs

It is quite easy. You just have to visit the Aditya Birla Health Insurance website and click on track claim section. You will be redirected to the login portal where you can log in using your username and password. As soon as you log in, you can check the details and your claim status.

Aditya Birla Health Insurance claims are settled within seven working days of the receipt from the time to submit the necessary documents and it is not later than 30 days.

You have to fill up the portability form at least 45 days before the renewal date of your existing policy if you wish to port.  After this, an agent from Aditya Birla Health Insurance will contact your current insurer and request for details like, medical history and other important information. After looking at all information about you and your policy, Aditya Birla Health Insurance will decide in 15 days from the date on which information is provided from your current insurer and then will make the changes accordingly.

In most of the case’s payment is transferred directly to the account of the policyholder in case of reimbursement claims. The policyholder also have the option of receiving payment via NEFT. You must provide information about the same in the reimbursement form.  Information like IFSC code, branch address, account number, account holders name should be provided. If it is not there, then there is a procedure of sending claim settlement amount via cheque to the policyholder’s registered address.

In most of the case’s payment is transferred directly to the account of the policyholder in case of reimbursement claims. The policyholder also have the option of receiving payment via NEFT. You must provide information about the same in the reimbursement form.  Information like IFSC code, branch address, account number, account holders name should be provided. If it is not there, then there is a procedure of sending claim settlement amount via cheque to the policyholder’s registered address.

No cashless facility of Aditya Birla Health Insurance cannot be availed in the government hospital