Aditya Birla Group Health Insurance

About Aditya Birla Capital Limited

Aditya Birla Capital Limited (ABCL) is a registered Core Investment Company (CIC) and acts as the parent entity for its financial services businesses. Through its subsidiaries and joint ventures, ABCL offers a wide range of financial solutions, including loans, investments, insurance, and payment services, catering to the evolving needs of customers at different stages of their lives. With a workforce of over 55,000 employees, ABC's businesses have an extensive presence across India, operating through 1,470+ branches and supported by over 200,000 agents, channel partners, and banking partners.

With Individual health insurance plans like Activ Health Enhance and Activ Health Essentials, you get comprehensive coverage with attractive benefits. With Activ Assure and Activ Health plans, you get coverage against the majority of health risks. In addition to all this, Aditya Birla also has an excellent segment of Group Health Insurance policies like Group Activ Secure and Group Activ Health with comprehensive benefits and coverage. A detailed description of these plans is mentioned below.

Aditya Birla Group Activ Health:

This group health insurance plan provides coverage for all the members' or employees' expenses that arise out of hospital treatment or medical emergency.

Aditya Birla Group Activ Health Insurance – Key Features

The key features of this plan are:

• The premiums you pay for this health insurance policy are exempted under section 80D of the IT Act, 1961.
• The premiums that you pay towards this health insurance policy are exempted U/S section 80D of the IT Act, 1961.
• Easy and simple documentation process.
• The facility of cashless claim settlement.
• Simple underwriting for easy and quick policy issuance.
• Multiple cover options to select from.

Aditya Birla Group Activ Health Insurance - Benefits:

The advantages of this plan are:

Activ Health App:

• It is a special mobile app that helps to track your activities and health.
• This app has a feature to search for a nearby doctor.
• 24X7 access to electronic health records.
• This app has a feature to browse the healthcare network of the company.

Returns for Good Health:

• If you maintain good health and live a healthy lifestyle, you get rewards.
• You get up to 30% back of the premium of your health insurance.

Hospital Room:

• The policy provides an option to select a private or shared room during a stay at the hospital.

Aditya Birla Group Activ Health Tax Benefits:

• The premium that you pay under this plan is eligible to get tax exemption U/S 80D of the IT Act, 1961.

Second – Opinion:

• Second opinions are covered in case of critical disease.
• The policy provides an option to get a second opinion, even from international experts.

Aditya Birla Group Activ Health – Inclusions

The inclusions of this policy are:

• This plan provides coverage for all the possible medical treatment including:
  • Expenses of hospitalization
• Daycare treatment:
  • Post and pre-hospitalization expenses
  • Charges of ambulance
  • Expenses of health check-up
  • In Group Activ Health, there is no waiting period for critical illnesses such as asthma, hypertension, heart ailments, diabetes, etc.

Aditya Birla Group Activ Health – Exclusions

The exclusions of this policy are as follows:

• Treatment that is directly or indirectly from or as a result of war or warlike act, foreign enemy act, invasion, warlike operations.
• Attempt to suicide, self-injury while insured is insane or sane.
• If one participates in extreme sports.
• Involvement or participation in the military, air force, or naval operations.
• Abuse of hallucinogenic substances or intoxicants like alcohol or intoxicating drugs.
• Aesthetic, cosmetic, re-shaping surgeries and treatments.
• Psychological or psychiatric disorders, stress, sleep apnea, Alzheimer's and Parkinson's disease, exhaustion or general debility ('rundown condition).
• STDs/ AIDS/ HIV
• External Congenital Anomalies, genetic disorder, defect or disease, stem cell therapy.
• Treatment that is taken in a foreign country.

Aditya Birla Group Activ Health – Claim Process

Within seven days of diagnosis, you must inform the HR of your organization and submit the documents related to the claim within 30 days.

List of Documents Needed for Filing a Claim:

• Duly filled and signed claim form
• Medical certificate confirming your illness or critical illness
• Indoor case papers’ photocopy, if there is any.
• Medico-legal certificate or FIR copy, in case of an accident.
• Specific documents, if needed.

Aditya Birla Group Activ Health – Eligibility Criteria

In organisations where the Aditya Birla Group Activ Health policy is implemented, all employees are automatically eligible for coverage. This inclusive approach ensures that every team member, regardless of their role or tenure, can access the health benefits provided under this plan.

Documents Needed to Purchase Aditya Birla Group Activ Care:

You do not need to provide any specific document for getting yourself enrolled in this policy if your organization has this policy. All the employees of an organization automatically get enrolled in this policy, if it is in effect.

Aditya Birla Group Activ Secure:

Under Group Activ Secure plan, an approximate advantage as per the scope of your organization’s selected plan is provided. The options of health events offered under this policy are:

• Group Personal Accident Cover
• Group Hospital Cash Benefits
• Group Critical Illness Cover

Aditya Birla Group Activ Secure – Key Features

The key features of this plan are:

• The cost of hospitalization is covered.
• Post and pre-hospitalization expenses are covered under this policy.
• The policy provides coverage for all the daycare processes that are listed in the policy.
• Expenses of health check-up incurred by the individual are also covered.
• An insured can claim the charges of the ambulance that are incurred at the time of transporting the insured to the hospital.
• Insured can avail of the cashless facility by availing the required treatment in the network hospital.

Aditya Birla Group Activ Secure – Inclusions

The inclusions of this policy are:

• The plan provides expenses of hospitalization in case of critical illness or personal accident as per the inclusions of the Group Activ Secure policy offered by your organization.
• Daycare treatment expenses are also covered.
• Post and pre-hospitalization medical expenses are covered.
• Expenses of the ambulance are covered.
• Expenses of health check-up are covered.

Aditya Birla Group Activ Secure – Exclusions

The exclusions of this policy are:

• Treatment of illness caused due to drug or alcohol abuse.
• Expenses incurred in the treatment of any type of HIV, STD, or AIDS.
• Treatment of illness other than that is mentioned in the policy document.
• Attempt to suicide or attempt to self-harm is also not covered.
• Diseases that are caused because of any act or activity that is against the law.
• Coverage for alternative treatments is not provided.
• Specific surgeries that are mentioned in the policy like dental surgery, cosmetic surgery, and joint replacement surgery are not covered.

Aditya Birla Group Health Insurance - FAQs