About Aditya Birla Health Insurance

Aditya Birla Health Insurance is one of the most trusted insurance providers in the country. When you choose to purchase an Aditya Birla Health Insurance plan, you get to enjoy various benefits like cashless claim settlement at network hospitals, daily cash allowance, various sum insured options and of course, tax benefits on the premiums paid. 

 

The insurance provider also offers different types of health insurance plans, like individual health insurance and family floater policies. Each type of plan comes with its own inclusions and exclusions. To know more about what’s covered and what’s not, and to get a better idea of the claim process, you can read this article. 

No Room Rent Capping | No Medical Check-up up to 55yrs | Tax Benefit up to 75k | Buy Health Insurance starting @ ₹244 pm

  • Overview
  • Claim Settlement
  • Customer Care

Introduction

Aditya Birla Health Insurance Company Limited was established in 2015 as a partnership between Aditya Birla Capital Ltd and South African company MMI Holdings. Today it is among the largest insurance providers across India with a distinct line of products including chronic care and wellness benefits and programs. It is part of the Aditya Birla Group which is on the list of Fortune 500 companies. 

In the year 2022, Aditya Birla Health Insurance Company Limited (ABHICL) had over 16.2 million health insurance customers with a total revenue of ₹764 billion. It has over 68,000 agents who sell insurance directly and over 2,800 branches and offices across the country along with 14 bank partners present with over 16,000 branches. 

Types of Plans Offered by Aditya Birla Health Insurance

Aditya Birla Health Insurance understands the diverse requirements of its customers with regard to the rising medical risks and thus changing healthcare needs. Let’s check out the different types of policies offered by Aditya Birla Health Insurance:

Types of Plans

Plan Features

Hospitalisation Cover

How to Buy

Individual Health Insurance

This plan offers complete medical coverage against health risks. It is one of the most popular plans with unique features such as:

1. 10% of sum insured as No Claim Bonus

2. 586-day care treatment cover

3. 150% reload of sum insured

Up to 1 Crore

Family Floater Health Insurance

This plan lets you enjoy coverage for your entire family under a single plan. Along with protecting your entire family under one plan, it also offers the following benefits:

1. No Claim Bonus

2. In-patient hospitalisation cover

3. Ambulance cover

4. Hospital daily cash

Upto 2 Crore

How to Buy Aditya Birla Health Insurance Policy

At Bajaj Markets, we ensure that you can buy Aditya Birla Health Insurance seamlessly. Just follow a few quick steps, enhance your plan with suitable add-on covers, make quick payments, and that’s it!

  • Step 1: Click on the Buy Now button mentioned on the top of the page. . 

  • Step 2: Provide the necessary details and proceed to pay.

  • Step 3: Make your health insurance premium payment for the selected plan.

  • Step 4: Your policy will be sent to you within no time.

Why Choose Aditya Birla Health Insurance Policy

Aditya Birla Health Insurance plans are known to offer some of the most appealing features. These policies offer a range of add-on covers, ensuring they cater to your individual preferences. The main focus of their policies is to empower patients during health emergencies. Moreover, with a 98.08% claim settlement ratio, Aditya Birla medical insurance is one of the most dependable insurers in the market.

Aditya Birla Health Insurance Policy not just covers you against medical expenses but provides a wide range of advantages. Listed below are a few benefits that make Aditya Birla the right choice for a health insurance policy:

  • Cashless benefits

In case of health care assistance, you can visit the network hospitals for cashless treatment. Aditya Birla Health Insurance has numerous network hospitals across India. As per the estimates over 10,000 network hospitals are available that offer daycare, modern treatment technology, and more.

  • Devoted customer support service:

Aditya Birla Health Insurance Co. Limited provides the best customer support service around the clock. You can file your queries and complaints and the resolution is provided in no time.

  • Higher claim settlement ratio:

Claim settlement ratio reflects the ability to settle the claims of the policyholders of an insurance company. The better the ratio, the higher the claim settlement ability. Aditya Birla Health Insurance Company Limited has a claim settlement ratio of 98.08% which is a very good score.

  • Efficient Health application

Active Health is a mobile phone application from Aditya Birla Health Insurance Company Limited. With the help of this application, you can track your health, count calories, record your medical history and easily renew your health insurance.

  • Tax benefits

Under section 80D of the Income Tax Act, you can save taxes up to ₹75,000 on the health insurance premium for yourself, your spouse, dependent children and parents over 60 years, 

  • Health returns

Health return is a form of monetary reward issued to the policyholders for living a healthy life. The best part is, you can collect the reward points for a certain period and can encash it when needed. To know more visit their website.

  • Sum assured

With Aditya Birla Health Insurance, you get the highest coverage of up to ₹2 crores. You get to choose from various sum-assured options as per your need and budget.

  • Free health checkups

Aditya Birla Health Insurance provides preventive health checkups for free to their policyholders. You can avail of the benefits after 1-4 years of their policy as per the agreement.

  • Home treatment

In case you could not be admitted to a hospital due to any unforeseen reasons, Aditya Birla Health Insurance policies offer home care treatment.

Features & Benefits of Aditya Birla Health Insurance Plans

Aditya Birla Health Insurance plans come with power-packed features and endless benefits.

  • Cashless Claim Facility

With 8,200 Aditya Birla network hospitals, you can avail cashless treatments, where the claim is directly settled with the hospital.

  • Daily Allowance

The plan comes with a daily cash allowance of ₹500 for 5 days that you get hospitalised, so you can handle emergencies more efficiently!

  • Multiple Sum Insured Options

With a choice of multiple health insurance sum insured options, that go up to ₹2 crores, you can easily pick the plan that best suits your budget and needs.

  • Health Returns

With Aditya Birla mediclaim policy, you are rewarded for maintaining a healthy lifestyle! Get monetary benefits of up to 30% on your health insurance premium as HealthReturnsTM.

  • Day Care Procedures

You can gain coverage for 586-day care procedures under the Aditya Birla Health Insurance policy which doesn’t require 24 hours hospitalisation.

  • Tax Benefits

Above all, the plan not just offers financial protection against medical emergencies, but also lets you enjoy tax benefits on health insurance premiums. The premium you pay towards your Aditya Birla Health Insurance plan can be claimed under Section 80D of the Income Tax Act, 1961.

What is Covered & Not Covered Under Aditya Birla Health Insurance?

Inclusions

Exclusions

  • Coverage for expenses incurred in case of hospitalisation for over 24 hours.

  • Expenses incurred on consultation, diagnostics, and post-discharge tests are covered.

  • Aditya Birla Health Insurance sees that you are covered for emergencies. With its road ambulance cover, the plan covers expenses incurred on ambulances due to an emergency.

  • It covers the expenses incurred against 586 treatments annually that may not require hospitalisation for 24 hours.

  • Activ Assure Diamond plan helps you get the necessary medical treatment at home, too. With this benefit, you are covered for medical expenses incurred in getting treatment at home, in case you were unable to be transferred to the hospital or a hospital bed was unavailable.

  • Aditya Birla Health insurance covers the expenses incurred in the vaccination of insured children below the age of 18 years. This benefit is offered with a sum insured of ₹1 crore and above.

  • Ayurveda, Yoga, Naturopathy, Unani, Siddha, and Homoeopathy in-patient treatment are covered.

  • Intentional self-inflicted injury, attempted suicide, and any other act of self-destruction.

  • Diseases or disabilities caused due to any sexual disease or sexually transmitted disease.

  • Any injury, disability, or death that is incurred due to an act of foreign enemies, civil war, war-like operations, etc.

  • Illness or injury caused due to the consumption of any alcohol, intoxicant, substance, drug, or hallucinogen.

  • Any pre-existing injury or disease arising out of a pre-existing illness or any medical complication shall not be covered.

  • Coverage for any hereditary, genetic, or auto-immune disorders.

  • Any healthcare aid that has been taken overseas unless covered under the plan.

  • Dental care or oral care treatment, weight loss or obesity programs, etc.

  • External devices that are required for vision support.

  • Any additional hospital charges or non-medical expenses.

  • Reproductive treatment or pregnancy-related complications.

Premium Calculation of Aditya Birla Health Insurance

Because of the skyrocketing cost of medicines and healthcare treatment, health insurance policies are no longer a luxurious thing; instead, it is the basic minimum requirement for every human being. With a health insurance policy, you can achieve your future goals without compromising even during medical emergencies. You can select a suitable health insurance policy for you and your family through the Aditya Birla Health Insurance premium calculator.

The premium calculation of Aditya Birla health insurance is simple

  • Choose a policy that best matches to your requirement and budget

  • Be sure about the members of your family you want to insure

  • Input the age of each member

  • Fill up your contact details like email address, phone number

  • Click on submit and here you go with the calculated premium amount, sum insured value, and the key highlights of the plan

Tax Benefits for Aditya Birla Health Insurance

Along with healthcare protection, Aditya Birla Health Insurance offers multiple advantages, including tax savings. The government has implemented many exemptions under Section 80D of the Income Tax Act to minimise the effect of rising healthcare costs. One of the most celebrated advantages is the tax-free premium for your health insurance.

Below is the table reflecting the maximum amount of tax exemption under Section 80D for health insurance purchased for yourself, your spouse, dependent kids and your parents.

Condition

Yourself, your partner and your dependent kids

Parents

Total exemption

No one in the family is above 60

₹25,000

₹25,000

₹50,000

Policyholder and his/her family are below 60 but parents are above 60

₹25,000

₹50,000

₹75,000

Both the policyholder and his/her parents are above 60 years

₹50,000

₹50,000

₹1,00,000

Enhance Your Protection Against Medical Emergencies with Optional Covers by Aditya Birla Insurance

Aditya Birla Insurance offers the best comprehensive health insurance policies with some extraordinary riders/ add-ons as follows:

  • Surgical Care Add-on

You need to be admitted to the hospital for at least 24 hours for a minor/major surgery only for medical purposes. You will be given a benefit amount of ₹3,000 to ₹30,000. The best part is whichever benefit amount you will choose the sum assured value of the rider will be above 50 times that amount.

  • Hospital Care Add-on

If you are admitted to the hospital for 24 hours because of any disease or injury you will be paid daily expenses from the date you are admitted. The daily cash amount starts from ₹600-₹6,000.

  • Waiver of premium

If you are no longer in a position to pay your premium amounts because of total disability or critical illness, all your future premiums will be waived off by your health insurance provider.

  • Accidental death and disability cover

Under this add-on, you are covered by your insurer if you are completely disabled due to an accident or you died. The benefits are paid to you or the nominee.

  • Critical Illness add-on 

Health insurance policies do not cover critical illnesses like cardiac diseases, cancer, bone marrow transplant, etc. A critical illness add-on will protect you against the expenses after these diseases.

Aditya Birla Health Insurance Claim Process

Aditya Birla Health Insurance lets you file your claims without any hassle. The claim settlement process of the Aditya Birla Health Insurance is quick and simple and does not take much time. Here’s a step-by-step guide to making cashless and reimbursement claims:

1. Cashless Claims

Here's what you must do:

  • Step 1: Visit the network hospital

  • Step 2: Show your cashless card for identification

  • Step 3: Submit the pre-authorisation request form

  • Step 4: Insurer will review your claim 

  • Step 5: Claim shall be settled directly with the hospital

2. Reimbursement Claims

Just follow these quick steps:

  • Step 1: Get in touch with the insurer 

  • Step 2: Submit the claim documents

  • Step 3: Claim request is assessed and the reimbursement amount is transferred.

What is Aditya Birla Health Insurance Claim Settlement Ratio 


While choosing your health insurance provider, you must consider their claim settlement ratio (CSR). Aditya Birla enjoyed a high claim settlement ratio of 98.08% in the financial year 2021-22, while incurring a claim ratio of 94% in the financial year 2019-20. 

The claim settlement ratio of an insurance company represents its claim-settling abilities in a particular financial year. The computation depends on the total number of claims received in a year compared to the total number of claims settled.


The claim settlement ratio assists potential customers in selecting an appropriate insurance company for their health insurance policy. An elevated CSR reflects the financial capacity of the company and their ability to resolve claims. Meanwhile, the claim settlement ratio of Aditya Birla Health Insurance is the highest in the market.

Documents Required for Filing Aditya Birla Health Insurance Claim

Here are some documents that you must keep handy while filing an Aditya Birla Health Insurance claim:

  • Claim form

  • Aditya Birla Health insurance policy details

  • Original medical bills, receipts, prescriptions, etc.

  • Doctor’s certificate, for the diagnosis

  • Death certificate, in case of death

  • Other related documents and invoices.

Aditya Birla Network Hospitals 

A wide network of hospitals is a clear indication that in case of your medical needs, you would be able to get good quality treatment in a trusted hospital. No matter in which corner of the country you may be, with a strong network of over 8,200 hospitals and healthcare centres, Aditya Birla will help you in getting the right treatment. As the company keeps updating its list of hospitals, it is recommended that you keep checking the list of hospitals, especially the ones in your neighbourhood. 

Health Insurance Plans Available at Bajaj Markets

FAQs About Aditya Birla Health Insurance

  • ✔️What is the eligibility to get the Aditya Birla health insurance plan?

    The two basic factors in the eligibility criteria include entry age and medical check-ups.

  • ✔️How can I pay my Aditya Birla Health Insurance premium?

    You can easily pay your policy premium online through digital payment options.

  • ✔️What are the factors that could affect my premium?

    Health Insurance premiums are calculated based on a few key parameters. Here’s what could affect your health insurance premium:

    • Age of the insured

    • Sum insured amount

    • Habits like smoking and drinking

    • Lifestyle of the insured

    • Body Mass Index (BMI)

    • Medical history

  • ✔️Can I buy health insurance online?

    Yes. Buying health insurance online via Bajaj Markets is quite easy.

  • ✔️How many network hospitals does Aditya Birla Health Insurance have?

    Aditya Birla Health Insurance offers cashless service at 8,200+ network hospitals.

  • ✔️How to check the Aditya Birla Health Insurance policy status?

    To check the status of your Aditya Birla Health Insurance policy, you need to visit the company’s website, look for the Application Tracker, input your application or policy number, date of birth, and the captcha, click on "Submit," and the status of your policy will be displayed.

  • ✔️What are the benefits of cashless cover?

    Cashless coverage allows you to receive necessary health insurance treatment and pay no cash from your pocket. Your health insurance provider pays the money to the hospital on your behalf, as per the agreed terms and conditions.

  • ✔️What is the portability of Aditya Birla Health Insurance?

    Sometimes you realise that the insurance coverage is inadequate, the premium amounts are high and the insurance provider is not resolving the claims on time. In case you are not satisfied with your current insurance provider’s services and plans, you can port your health insurance policy to a different insurance provider. If you port your health insurance policy to Aditya Birla Health Insurance, you won’t have to compromise your no-claim bonus, and the waiting period for pre-existing or prolonged diseases continues. You can also change your policy to another plan from the same insurance provider.

  • ✔️What is Aditya Birla ₹1 Crore health insurance?

    Aditya Birla's ₹1 Crore health insurance policy is a combination of a base plan and a super top-up, leading to lower premium rates with comprehensive coverage. It includes pre and post-hospitalisation costs, ambulance charges, organ donor costs, and more. Please note that the earlier (in your 20s and 30s) you purchase the plan, the lower the premium amount, and vice versa.

  • ✔️Is Aditya Birla Health insurance good for parents?

    Yes, Aditya Birla Health Insurance offers a wide range of coverage for elderly people. Most of their senior citizen policies do not require pre-medical tests and provide cashless treatment in their network hospitals. With pre-existing diseases, you can include them in the plan after the waiting period. You also get preventive health checkups and other benefits.