No Room Rent Capping | No Medical Check-up up to 55yrs | Tax Benefit up to Rs.75,000 | Buy Health Insurance starting @ ₹160 pm Check Plans

Aditya Birla Health Insurance plans, offered by Aditya Birla Capital, include a comprehensive suite of individual and family floater policies. They safeguard you from financial burdens due to medical emergencies with 100% coverage for hospitalisation bills. 

 

Lakhs of claims have been settled by the insurance provider till date, helping them achieve a high claim settlement ratio of 96%. Besides numerous coverage benefits, you can enjoy expert guidance from health coaches and care managers.

Health Insurance Plans Offered by Aditya Birla Capital

On Bajaj Markets, you can get an Aditya Birla Health Insurance plan at affordable premiums starting from ₹3,273 per year. Check out the features of the Activ Assure Diamond plan:

  • Get a 150% reload of the sum insured

  • Enjoy worldwide emergency assistance services

  • Get cashless treatment facilities at over 10,000 hospitals

  • Enjoy up to 30% of HealthReturns

  • Get coverage for approximately 568 daycare procedures

 

Disclaimer: The insurance premium is subject to change at the discretion of the insurance provider.

 

Reasons to Choose the Aditya Birla Health Insurance Policy

Having a reliable policy is essential to protect your finances from unexpected medical expenses. Aditya Birla Health Insurance offers a variety of plans designed to meet your specific needs.

  • Financial Protection

In a medical emergency, it covers the costs of hospitalisation, surgeries, medications, and other related expenses

  • Flexibility of Choices

Whether you are looking for an individual, a family, or a senior citizen plan, you can find a policy that aligns with your specific requirements

  • Cashless Treatment

At network hospitals, you can receive medical care without having to pay out-of-pocket expenses upfront

  • Easy Claim Settlement

It provides a hassle-free claim settlement process, helping you focus on your recovery

Benefits of Aditya Birla Health Insurance Plans

The following are some of the key advantages you can enjoy:

Hospitalisation Cover

Enjoy coverage for room rent, doctor's fees, surgical expenses, daycare, and other related costs

Pre- and Post-hospitalisation Cover

It covers diagnostic tests, consultations, and follow-up treatments before and after hospitalisation

Return on Premium

Many Aditya Birla Health Insurance plans offer a portion of the premium you paid back in the form of HealthReturns

Chronic Illness Cover

Many plans also extend financial protection for individuals with chronic illnesses, such as diabetes and hypertension

Dedicated Care Managers and Health Coaches

Benefit from personalised health recommendations and lifestyle advice to keep yourself fit and active

Coverage and Non-Coverage Under Aditya Birla Health Insurance

Knowing inclusions and exclusions in a policy is crucial before getting one. Check out:

Inclusions 

Exclusions

Hospitalisation expenses and pre- and post-hospitalisation expenses

Bariatric Surgery for cosmetic/aesthetic reasons

Expenses relating to maternity care

Treatment of drug-induced obesity

COVID-19 hospitalisation

OPD treatment

AYUSH in-patient hospitalisation

Expenses related to the transport of patient from the hospital to their residence

Annual medical check-up

Pre- and post-hospitalisation in AYUSH treatment 

Certain chronic diseases, such as Type 2 Diabetes

Any condition which is not clinically significant

How to Get an Aditya Birla Health Insurance Policy

You can get the Aditya Birla Activ Assure plan online on Bajaj Markets. You can also compare its features with other plans from other top insurance companies. Follow these simple steps to apply for the same:

  1. Go to the health insurance premium calculator page 

  2. Enter the relevant information, such as your name, mobile number, date of birth, etc.

  3. Check the relevant boxes and click on ‘GET QUOTE’

  4. Choose the relevant plan and include add-ons if you require any

  5. Make online payment for the premium to receive the policy

Premium Calculator of Aditya Birla Health Insurance

To get an estimate for the premium, you can use the health insurance premium calculator facility available on the official website of Aditya Birla Capital. It is a valuable online tool that provides the following benefits:

  • It simplifies the process of calculating premiums, allowing you to compare different options

  • It also enables you to assess your healthcare needs and make informed decisions about your coverage 

Aditya Birla Health Insurance Claim Process

When it comes to health insurance, a smooth claim settlement process is crucial. Check out the health insurance claim process:

Cashless Claim

You can enjoy the convenience of cashless treatment if admitted to a network hospital. Follow these simple steps:

  1. Find a hospital within Aditya Birla Health Insurance's network

  2. Present your Health Card or other valid identification

  3. Complete the Pre-authorisation Claim Form and submit it to the hospital

  4. The insurance company will directly settle the medical bills with the hospital

Reimbursement Claim

You will need to make payment upfront if you are admitted to a non-networked hospital or cannot make a cashless claim. You can file for a reimbursement claim by following these steps:

  1. Inform Aditya Birla Health Insurance within 48 hours of an emergency hospitalisation or 3 days before a planned one

  2. Provide all relevant documents, including medical bills, prescriptions, and discharge summary

  3. The insurance company will review your claim and reimburse you for eligible expenses

Documents Required

Having the necessary paperwork ready can streamline the process of purchasing a health insurance policy and filing claims. The following are the documents you need when opting for the Aditya Birla Health Insurance plan:

  • Proof of identity, such as a PAN card

  • Proof of residence

 

The following are the documents you need to submit when filing a claim:

  • A duly filled Part A of the Claim Form 

  • Aditya Birla Health Card

  • Proof of identification, such as a PAN card, Voter ID card, or passport

  • An original copy of the discharge summary

  • Original copies of hospital bills and payment receipts

  • Consultation papers from the doctor

List of Network Hospitals

Aditya Birla Capital has an extensive network of over 11,000 authorised hospitals. You can check the nearest authorised hospital by following these simple steps:

  1. Visit the official website of Aditya Birla Capital Health Insurance

  2. Select the ’Hospitals Network’ option from the menu at the top

  3. Choose your state and city to check the available authorised hospitals near you

Frequently Asked Questions

What is the eligibility to get the Aditya Birla Health Insurance Plan?

Different Aditya Birla Health Insurance plans have varied prerequisites for application. The following are some of the basic eligibility requirements:

  • You need to be an Indian citizen

  • You must be at least 18 years old

How can I pay my Aditya Birla Health Insurance premium?

You can pay for your policy’s premium easily online on the official website of Aditya Birla Capital.

What are the factors that could affect my premium?

The following elements influence the cost of your health insurance policy:

  • Age

  • Health status

  • Tobacco usage

  • Location 

  • Family’s medical history

  • Coverage amount

How many network hospitals does Aditya Birla Health Insurance have?

Aditya Birla Health Insurance has partnered with over 11,000 network hospitals.

How to check the Aditya Birla Health Insurance claim status?

 

You can track the Aditya Birla Health Insurance claim status on the official website of Aditya Birla Capital. Follow these simple steps:

  • Click on the ‘More’ tab on the menu at the top of the homepage

  • Select the ‘Check Claim Status’ option

  • Enter your claim number and captcha code

  • Hit the submit button to check the status of your claim request

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