Multiple Sum Insured Option | Cashless Claims | Tax Benefits
Aditya Birla Health Insurance stands out as one of the most reliable insurance providers in the industry, boasting an impressive claim settlement ratio of 98.12%. The Claim Settlement Ratio (CSR) is a crucial metric that reflects the percentage of insurance claims settled by an insurer out of the total number of claims received within a specific timeframe. The formula for calculating the claim settlement ratio is:
Claim Settlement Ratio = (No. of claims settled in the year/No. of claims received in the year) x 100
The higher the claim settlement ratio of a health insurance company, the higher the chances that your claim will be approved.
When considering the purchase of a health insurance plan, it's essential to prioritize the "Claim Settlement Ratio" of the insurance company. Understanding the claim settlement process of your chosen insurer is equally vital, as it streamlines the claims registration process and increases the likelihood of claim approval. In this article, you can learn about the Aditya Birla health insurance claim settlement ratio and their claim settlement procedures. The firm boasts an impressive claim settlement ratio of 98.12%, contributing to its extensive customer base exceeding 10 million individuals. Discover some of the popular health insurance plans offered by Aditya Birla Sun Life Insurance:
Health Insurance Plans |
Premium Rate |
Features |
Check Plans |
Activ Assure Diamond Health Insurance Plan |
₹6,371/ annum |
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Activ Fit Health Insurance Plan |
₹6,863/ annum |
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Activ Care Classic Health Insurance Plan |
₹28,373/ annum |
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Activ Health Platinum Essential Health Insurance Plan |
₹5,390/ annum |
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Filing health insurance claims was never so simple. Just follow these steps and you’re done!
Register your claim through Bajaj Markets online
Upload the necessary documents
Your insurer will assess the claim
Check claim status online
Aditya Birla's Claim Settlement Ratio of 98.12% is undoubtedly good news for all its health insurance customers. Here's why a high claim settlement ratio like Aditya Birla's 98.12% is beneficial for policyholders:
A high claim settlement ratio reflects the insurer's capability to efficiently settle claims raised by policyholders. With Aditya Birla's ratio, out of 100 cases, over 98 claims are settled properly, ensuring timely financial assistance in times of need.
The claim settlement ratio significantly influences an insurer's market reputation. A company with a high ratio, like Aditya Birla, is perceived positively in the market, fostering trust among customers and attracting more clientele.
A robust claim settlement ratio indicates that the insurer's operational processes are functioning effectively. Aditya Birla's 98.12% claim settlement ratio reflects the company's adherence to sound policies, ensuring maximum claim settlements every policy year.
Here are some reasons why the claims on your health insurance policy may get rejected:
Misinterpreted Details: Providing incorrect information during the claim process can lead to rejection as insurers assess claims based on the provided details
Excluded Incidents: Claims for incidents excluded from your policy will likely be rejected
Inactive Policy: Filing a claim after your policy has lapsed can result in denial
Delay in Intimation: Failing to inform the insurer promptly about an incident may hinder a full assessment, leading to rejection
Note: Kindly refer to the policy wordings to check the complete list of policy exclusions.
Raising a claim is one of the most essential parts of any health insurance plan. So, you must understand everything about the process. Once you have raised your claim, you can track its progress. To track your health insurance claim with Aditya Birla Health Insurance, follow these steps:
Visit the official website of Aditya Birla Health Insurance Company.
Click on "Claims" on the home page.
Select "Check claim status" from the drop-down menu.
Fill in the required details and log in.
Upon successful login, you can easily track the details of your claim.
Understanding the claim settlement ratio of your health insurance provider, such as Aditya Birla Health Insurance, is crucial for ensuring a seamless claims experience. With a remarkable claim settlement ratio of 98.12%, Aditya Birla Health Insurance stands out as a reliable choice for policyholders. By leveraging platforms like Bajaj Markets, where you can explore different insurance plans, make informed decisions and secure the best health insurance coverage tailored to your needs.
Yes, you get the cashless treatment facility with Aditya Birla health insurance, where you can get your treatment done at the nearest network hospital, without having to shell out money from your pocket.
Each insurance company has their own claim settlement process and timelines. You should contact your insurance provider to know the exact time for claim settlement.
You can contact the Aditya Birla Health Insurance customer support team at 1800-270-7000 to know your claim status.
You can reach out to Aditya Birla Health Insurance representatives at care.healthinsurance@adityabirlacapital.com.