Aditya Birla offers two types of claim settlements – cashless and reimbursement. Follow the steps to raise a claim:
- Find the nearest network hospital of Aditya Birla
- Get admitted to the hospital
- Notify the insurance company about the hospitalization
- In case of pre-planned hospitalization, intimate the insurer before hospital admission.
- Fill up the pre-authorization form and submit it to the hospital staff
- The pre-authorization form will be sent to Aditya Birla for approval.
- Once approved, obtain medical treatment.
- At the time of discharge, sign all the medical documents.
- Pay for the items/services not covered under the Aditya Birla policy
- The network hospital will send the hospital bill to Aditya Birla.
- After review, the insurance company will pay the bill amount directly to the network hospital.
- Intimate Aditya Birla about the hospitalization
- In case of planned hospitalization, inform the insurance provider before hospital admission.
- Obtain medical treatment
- During discharge, pay the hospital bill in full.
- Collect all the medical documents, hospital bills and receipts
Our Claim specialists in below cities will reach your hospital or home in 30 minutes to support your health insurance claim
About Aditya Birla Health Insurance
The Aditya Birla Health Insurance Company was started as a partnership between India’s Aditya Birla Group and South Africa-based MMI Holdings in 2015. The company offers a variety of health insurance plans with a focus on chronic care and incentivized wellness. It also offers customized health plans for parents as well as for diseases like COVID-19, cancer, critical illnesses, etc.
Types of Aditya Birla Insurance Plans
Aditya Birla Activ Health Platinum is a comprehensive plan that covers a wide range of medical expenses. The plan is available in three types – Essential, Enhanced and Premiere.
Features and Benefits:
- Costs of hospitalization, OPD, day care procedures and home treatments are covered
- Coverage for mental illness hospitalization and obesity treatment are available
- Availability of emergency assistance services within India and abroad
- Dental consultations and investigations are also covered
- Annual health check-up facility is available along with the recovery benefit
- 100% reload of the sum insured and premium waiver benefits are available
- 50% cumulative bonus for up to 100% granted for every claim-free year
The Aditya Birla Activ Fit plan has been designed to provide medical coverage to people who are fitness enthusiasts.
Features and Benefits:
- Hospitalization expenses, home treatment and day care procedures are covered
- Coverage for mental care, HIV/AIDS and STDs are available
- Maternity expenses, ambulance charges and organ donor expenses are covered
- Annual health check-up facilities and domestic emergency assistance services are available
- Unlimited binge refill for up to 100% of the sum insured is available from day 1
- 10% No Claim Bonus for up to 100% is granted for every claim-free year
- OPD cover, Super No Claim Bonus and EMI Protection are available as optional covers
The Aditya Birla Activ Assure Diamond plan offers a wide range of medical coverage to the insured for an affordable cost.
Features and Benefits:
- In-patient, pre-hospitalization and post-hospitalization expenses are covered
- Both daily allowance and vaccination covers are available
- Second E-opinion available on 15 critical illnesses
- 150% reload of the sum insured is available
- Annual health check-up facilities and global emergency assistance services are available
- Reduction in PED waiting period, unlimited reload of the sum insured and any room upgrade are available as optional covers
The Aditya Birla Activ Care plan is a health insurance policy for parents designed to provide comprehensive coverage to elderly people of age 50 years and above. The plan comes in three types – Standard, Classic and Premier.
Features and Benefits:
- Hospitalization, home treatment and domiciliary hospitalization costs are covered
- Both OPD treatment and AYUSH treatments are covered
- Comprehensive health check-up benefit is available once in every year
- Coverage for emergency ambulance services and second e-opinion on major illnesses are available
- Reload of the sum insured is available once in a year
- 10% No Claim Bonus for up to 50% is granted for every claim-free year
- Room upgrades, life support equipment and nursing at home are available as optional covers
The Aditya Birla Activ Cancer Secure plan is a customized health plan designed to provide coverage against the treatment cost of cancer.
Features & Benefits:
- Treatment cost for all three stages of cancer is covered
- Up to 150% of the sum insured is available in a lump sum payment
- 10% cumulative bonus for up to 100% is available for every claim-free year
- Second e-opinion and wellness coach are available as optional covers
- 180 days waiting period applicable for early-stage cancer cover
- Survival period of only 7 days is applicable
The Aditya Birla Activ Cancer Secure plan is a customized health plan designed to provide coverage against the treatment cost of cancer.
Features and Benefits:
- Coverage for in-patient, pre-hospitalization and post-hospitalization expenses are available
- Both home treatments and domiciliary hospitalization are covered
- Day care procedures and the AYUSH benefit are also available
- No room rent limit is applicable
- Zero deductible feature available after 5 years
- Domestic and international emergency assistance services, including air ambulance, is available as an optional cover
- Option to choose health and wellness discounts on OPD consultations, pharmacies, etc.
The Aditya Birla Activ Secure Critical Illness plan has been designed to provide financial coverage to the insured for up to 64 critical illnesses and procedures. The plan is available in three types.
Features and Benefits:
- Plan A covers 20 critical illnesses, Plan B covers 50 illnesses and Plan C covers 64 illnesses
- Lump sum payment is paid on the diagnosis of the disease
- Survival period of only 15 days is applicable
- Wellness coach and second e-opinion are available as optional covers
The Aditya Birla Activ Secure Personal Accident plan provides financial support in case the insured suffers from an accident. The plan comes in five types.
Features and Benefits:
- Coverage for accidental death and permanent disabilities due to accidents are available
- Emergency ambulance services, funeral expenses and repatriation costs are covered
- Education benefit, orphan benefit and modification benefit are available
- 5% cumulative bonus is granted on every claim-free year
- Option to buy accidental hospitalization expenses, OPD cover, coma benefit and broken bones benefit
- Worldwide emergency assistance services and adventure sports benefit available as optional covers
- EMI protection and temporary total disabilities covers are also available as optional covers
The Aditya Birla Global Health Secure plan is an international health insurance plan that covers the insured against 16 major illnesses, including cancer, neurosurgery, etc.
Features and Benefits:
- In-patient hospitalization and post-hospitalization expenses are covered
- International second e-opinion for major illnesses is available
- Cost of travel and accommodation are covered
- Visa documentation guidance is also available
- Organ donor expenses and repatriation costs for mortal remains are also covered
Key Benefits of Aditya Birla Health Insurance
or select from popular citiess In case of emergency we are just a call away. Take care of your family, we will do the rest. Our claim specialists will reach your location & complete the formalties from filing the claim to documentation to coordinating with insurer, TPA & hospital. Available in New Delhi and 114+ cities View cities list ›Search Aditya Birla Cashless Network Hospital list
Policybazaar Claim Process
Here is the list of documents required to file a Aditya Birla health insurance claim:
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Claim FormDuly filled out Aditya Birla health insurance claim form
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Health Card/Policy CopyHealth card or a copy of health insurance policy
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Medical DocumentssHospital discharge card, doctor’s prescriptions, test reports, death summary, etc.
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Medical Bills & Payment ReceiptsMedical test and investigation reports with payment receipts, Surgeon's bills and payment receipts
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Post-hospitalization Medical ExpensesIt covers the medical expenses incurred up to 180 days after getting discharged from the hospital.
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KYC DocumentsKYC documents, such as an Aadhaar card, passport, etc.
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Legal DocumentsMLC/ FIR copy (in case of accidents)
Note: The exact list of claim documents varies from case to case. Contact the customer support team for the complete list.
Choose Aditya Birla Health Insurance Coverage of Your Choice
The process to buy a Aditya Birla Health Insurance plan is given below:
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Visit the Health Insurance SectionGo to the ‘Health insurance’ section on Policybazaar.com
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Fill in Personal DetailsProvide necessary details like age, mobile number, city, medical history, gender, etc.
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Pay the Premium OnlineChoose your preferred Aditya Birla health insurance policy and pay the premium online
The process to renew a Aditya Birla Health Insurance plan is given below:
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Go to the Renewal SectionNavigate to the ‘Renew Your Policy’ tab on Policybazaar.com and select ‘Health Renewal’
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Verify Your IdentityEnter your registered mobile number and the OTP sent to your device
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Pay the Renewal Premium OnlineSelect the Aditya Birla health insurance policy you want to renew and pay the premium online
Explore Aditya Birla Health Insurance
Take a look at the Aditya Birla Health Insurance contact number below:
| Categories | Contact Details |
|---|---|
| Toll-free No | 1800-270-7000 |
| Whatsapp No. | +91 88288 00035 |
| Customer Care Email ID | care.healthinsurance@adityabirlacapital.com |
Aditya Birla Health Insurance: FAQs
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Q1. Is Aditya Birla Capital health insurance good?
Ans: Yes. Aditya Birla health insurance plans are considered good as they focus on the overall fitness of the insured besides offering financial support during a medical emergency. The company has also settled more than 1.97 lakh claims and has a wide network of empanelled hospitals spread across the country.
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Q2. What is not covered in Aditya Birla health insurance?
Ans: Aditya Birla health insurance plans do not provide coverage for the following:
- Self-inflicted injuries or suicide
- Adventure or hazardous sports
- Treatment for alcoholism or drug addiction
- Cosmetic or plastic surgery
- Unproven treatments
- Venereal diseases
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Q3. How to check Aditya Birla health insurance policy?
Ans: You can check Aditya Birla health insurance policy status by logging in to the website of the insurer or calling on their customer care number. You can also check the policy status on Policybazaar.com if you have purchased the policy from them.
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Q. What is the advantage of selecting a policy with a duration of more than 1 year?
Ans: If one buys Aditya Birla Health Insurance for more than a year, one can save 7.5 % and 10% on the 2 and 3 years premium, respectively.
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Q. How is an Individual cover different from a Floater cover?
Ans: In an Individual cover, coverage is offered to each individual in the family separately. In a Family Floater health insurance plan, each family member is covered based on a floater sum insured.
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Q. How is an Individual cover different from a Floater cover?
Ans: In an Individual cover, coverage is offered to each individual in the family separately. In a Family Floater health insurance plan, each family member is covered based on a floater sum insured.
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Q. What is a waiver of a mandatory co-pay cover?
Ans: This benefit is covered on payment of an additional premium. Therefore, any mandatory co-payment that is applicable under the Aditya Birla Activ Health Essential Plan will be waived off.
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