Aditya Birla Health Insurance Company

Aditya Birla Health Insurance Company

Aditya Birla Health Insurance Company Limited (ABHICL) is a joint venture between Aditya Birla Group and MMI Holdings of South Africa. Incorporated in 2015, ABHICL is a subsidiary of Aditya Birla Capital Ltd, which is the financial services arm of the Aditya Birla Group. Since October 2016, the company has been engaged in the health insurance business and provides various health insurance policies offering complete coverage to the insured persons and their families in case of illness, disease, or accident. 

Aditya Birla Health Insurance plans cover pre-hospitalization and post-hospitalization expenses, ambulance charges, AYUSH treatments, and intensive care. In addition, the company offers cashless treatment, rewards, and wellness programs for its policyholders.

The company also holds a strong presence with more than 17,000 employees and over 2 lakh agents and channel partners. It has marked its presence across various categories such as life insurance, general insurance broking asset management, corporate lending, housing finance, structured finance, wealth management, equity, private equity, project finance, online personal finance management, and many other services. 

Facts about Aditya Birla Health Insurance Company

Incurred Claim Ratio (F.Y. 2019-20) 49.08%
Network Hospitals 6000+
Renewability Lifelong

Why opt for Aditya Birla Insurance Company?

  • Aditya Birla Health Insurance boasts of a dedicated customer support team from where the policyholders can get their grievances and queries solved in no time.
  • The leading insurer offers a variety of health insurance plans catering to different requirements of its customers.
  • Aditya Birla Health Insurance has a vast network of more than 6,000 hospitals across India where the policyholders can avail of cashless treatments.
  • The company has an impressive Claim Settlement Ratio of 70.81% for the financial year 2019-20, which shows that it has a good claim settling ability.
  • With its Activ Health App, Aditya Birla Health Insurance gives power to policyholders to track their fitness level, even allowing them to assess and renew their health insurance policy.

Aditya Birla Health Insurance Plans

Aditya Birla Health Insurance offers a host of health insurance plans to fulfill different necessities of individuals and families. Below is the list:

  • Aditya Birla Activ Assure Diamond Policy
  • Activ Assure Diamond + Super Health Topup
  • Aditya Birla Activ Health Platinum Enhanced Policy
  • Aditya Birla Activ Health Platinum Essential Policy
  • Aditya Birla Activ Health Platinum Premiere Policy
  • Aditya Birla Activ Care Classic Policy
  • Aditya Birla Activ Care Standard Policy
  • Aditya Birla Activ Care Premier Policy
  • Aditya Birla Arogya Sanjeevani Policy
  • Corona Kavach

Aditya Birla Health Insurance Cashless Claim Settlement Process 

Below are the steps for a cashless claim process with Aditya Birla Health Insurance:

  • Step 1: To avail of the cashless treatment, visit any network hospital and get hospitalized. Inform the insurer about the hospitalization.
  • Step 2: Show patient’s ID card issued by Aditya Birla Health Insurance ID card or policy number for identification purposes at the hospital’s reception along with a valid ID proof like voter’s ID, PAN card or passport, etc.
  • Step 3: Once the identification process gets completed, the network hospital will submit the pre-authorization or the cashless hospitalization request form to Aditya Birla Health Insurance. In case of emergency hospitalization, the pre-authorization form needs to be submitted within 48 hours of hospitalization, and in case of planned hospitalization, the same needs to be submitted within 3 days before hospitalization.
  • Step 4: Aditya Birla Health Insurance will review the claim request and information about the decision to the network hospital. The company will also inform the insured through SMS or an e-mail within 2 hours if the request is received during business hours.
  • Step 5: Once all the formalities get done, the insurer will settle the claim directly with the hospital in accordance with the terms and conditions mentioned in the policy.

Aditya Birla Health Insurance Reimbursement Claim Settlement Process 

Below are the steps to raise a reimbursement claim with Aditya Birla Health Insurance Company:

  • Step 1: Get admitted to any network or non-network hospital and avail of the treatment. Inform the insurer within 48 hours in case of emergency hospitalization. Whereas in case of planned hospitalization, notify the insurer 3 days before admission in the hospital.
  • Step 2: After getting treated, pay all the medical bills directly at the hospital as per its process.
  • Step 3: Collect all the relevant documents in original from the hospital and submit them to Aditya Birla Health Insurance within 15 days of getting discharged from the hospital.
  • Step 4: After verifying all the documents, Aditya Birla Health Insurance will approve your claim, or can ask for more details and documents or even reject the claim on the basis of policy terms and conditions. The insured will be communicated about the same on the registered contact number or e-mail ID.

Documents required for reimbursement claim with Aditya Birla Insurance Company

The documents required to be submitted during the Aditya Birla claim reimbursement process are:

  • Claim form Part A and Part B duly filled by you
  • Aditya Birla Health ID card or policy copy
  • KYC documents (photo ID and proof of age and address)
  • Original discharge summary, original hospital bill, and final payment receipts
  • Diagnostic reports, pharmacy or medical bills along with the prescription
  • Letter from medical practitioner specifying duration, complaints, past history, and treatment details
  • All previous consultation papers related to current illness

Aditya Birla Health Insurance Policy Renewal Process

Aditya Birla Health Insurance allows policyholders to renew their health insurance plan easily online after every 1 year, 2 years, or 3 years, depending on the term of the policy. During the renewal process, the insured can modify or make changes in the policy, such as enhancing sum insured, coverage features, and more. Below are the steps to renew Aditya Birla Health Insurance plan:

  • Step 1: Visit the official website of Aditya Birla Health Insurance. Navigate to the ‘policy renewal’ page.
  • Step 2: Fill in the policy details, proposer’s date of birth, and proposer’s mobile number)
  • Step 3: ‘Click on the ‘Proceed’ tab.
  • Step 4: Verify the details in the policy and premium amount for policy renewal.
  • Step 5: Pay online using the available payment modes.

 

The policy will be renewed on successful premium payment, and the insured can avail of benefits under the Aditya Birla Health Insurance policy.

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