Aditya Birla Health Insurance Claim Settlement Ratio

When buying health insurance cover there is one important factor that you need to check that is the Claim settlement ratio of the Health Insurance Companies. Aditya Birla Health Insurance Co. Ltd has a claim settlement ratio of is 94%.

Read More

Aditya Birla Health Insurance Claim Settlement Ratio

*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C Apply
*Tax benefit is subject to changes in tax laws. Standard T&C Apply

Get insured from the comfort of your home No medicals required
I am a

My name is

My number is

By clicking on ‘View Plans’ you, agreed to our Privacy Policy and Terms of use
Close
Back
I am a

My name is

My number is

Select Age

City Living in

    Popular Cities

    Do you have an existing illness or medical history?

    This helps us find plans that cover your condition and avoid claim rejection

    Get updates on WhatsApp

    What is your existing illness?

    Select all that apply

    When did you recover from Covid-19?

    Some plans are available only after a certain time

    The claim ratio indicates how many claims a health insurance company can settle in a financial year. It is calculated based on the number of claims received vs. the number of claims settled.

    Here is the formula: Health Claim Settlement ratio = number of claims settled/number of claims received * 100

    For example, if a health insurance company receives 1000 claims and it settles 950 claims then the insurer’s health claim ratio will be 95%. Ideally, the claim ratio of 80% to 90% is considered good.

    Aditya Birla Health Insurance at a Glance:

    Key Features Highlights
    Network Hospitals 8200
    Incurred Claim Ratio 89.05
    Renewability Lifelong
    Additional Rider Benefit Available Available
    Claims Settled 63000+

    Claim Process of Aditya Birla Health Insurance

    Aditya Birla Health Insurance Co. Ltd. accepts both cashless and reimbursement claim requests. In any of the network hospitals you can avail cashless treatment and for treatment in non-network hospitals, you claim to get compensation for the expenses incurred.  The claim process for Aditya Birla health insurance plans is given below:

    Claim Process for Cashless Treatment

    Steps to raise cashless claims for Aditya Birla health insurance cashless claims are given below:

    1. Check network Hospitals- You can check the list of network hospitals to avail cashless claim facility

    2. Patient Identification- Show your health insurance cashless card and provide your health insurance policy number. For identification purposes, you can show your valid ID proof like PAN Card, Passport, and Voter’s ID, etc.

    3. Post identification the network hospital will submit the Pre-authorization form or cashless form to the insurer. Fill the claim form and submit it online to the insurer

    4. Emergency Hospitalization- Submit the cashless claim form within 48-hours of getting hospital admission

    5. Planned Hospitalization- Submit the cashless claim form 3 days before getting hospitalized

    6. Hospitalization Request Review- The insurer will review and provide the decision to the network hospital. You will receive intimation within 2 business hours. You can also check your claim status online

    7. Claim Settlement-The insurer will process the claim with the hospital after completing all the formalities. You can also check your claim status online

    Claim Process for Reimbursement Treatment

    The claim process for reimbursement in a non-network hospital, or in case of rejection of cashless treatment is as given below:

    • Notify the insurer or Policybazaar team within 48 hours if it is an emergency.
    • If the treatment or surgery is planned then notify us or the insurer 3 days beforehand
    • Submit all the required documents from the hospital within 15 days of getting discharged from the hospital
    • Also, provide the duly filled reimbursement claim form
    • All the documents, proofs, and papers will be review and the decision will be taken accordingly.  You will get intimation over a call or email
    • Once the request is approved the amount will be reimbursed

    Documents Required for Aditya Birla Health Insurance Claim Settlement

    The documents required for Aditya Birla medical insurance claims are given below:

    • Claim Form Part A filled by the insured ( you)
    • Claim Form Part B filled by the Insurer
    • Policy copy/Health card
    • KYC Documents i.e. Address Proof, Age Proof, and Photo ID
    • Copy of Hospital Registration Certificate
    • Discharge summary
    • Hospital bills/receipts/break-ups
    • Invoice/Implant stickers
    • Consultation papers
    • Original documents/pharmacy bills

    For cashless claim, the paperwork is lesser.

    To know more details, you can get in touch with the customer care team at Policybazaar on the helpline number- 1800-208-8787

    Health insurance articles

    Recent Articles
    Popular Articles
    List of Diseases Covered by Bajaj Allianz Health Insurance Plans

    05 Jul 2022

    Barely any person has remained unaffected due to rising health...
    Read more
    Annual Medical Check-ups in Health Insurance

    05 Jul 2022

    Regular health check-ups are important to keep a track of your...
    Read more
    Advantages and Disadvantages of Buying a Health Insurance Policy

    04 Jul 2022

    In India, healthcare is getting expensive with each passing day...
    Read more
    Does Health Insurance Cover Sports & Gym Injuries?

    27 Jun 2022

    Gone are the days when only athletes and professional sports...
    Read more
    Health Insurance for Rural India

    24 Jun 2022

    Healthcare is expensive in India and is increasing with each...
    Read more
    PMJAY Scheme: Ayushman Bharat Yojana Eligibility & Registration Online
    Prime Minister Shri Narendra Modi announced the launch of (PMJAY) Ayushman Bharat Yojana in his Independence...
    Read more
    Best Health Insurance Plans in India 2022
    Finding the best health insurance plan from so many different health insurance companies can get confusing for many...
    Read more
    Best Maternity Insurance Plans
    Maternity insurance offers comprehensive coverage for medical expenses incurred during pregnancy, including the cost...
    Read more
    How to apply for Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY)
    Ayushman Bharat health insurance is a flagship scheme launched by the Government of India, as per the...
    Read more
    Best Health Insurance Plans for Senior Citizens in 2022
    Considering the increase in medical inflation in India, buying adequate health insurance for your loved ones has...
    Read more
     
    top
    Close
    Download the Policybazaar app
    to manage all your insurance needs.
    INSTALL