Aditya Birla Health Insurance Benefits
Aditya Birla Health Insurance Company Limited is a joint venture between the Aditya Birla Group of India and MMI Holdings of South Africa. The firm has covered more than 2.1 crore lives since it was founded in 2015. The business is present in more than 5000 Indian cities.
Aditya Birla Health Insurance’s existing plans include everything from basic coverage to chronic care, and mental health, along with wellness incentives. Currently providing a "Cashless Everywhere Claim Facility," Aditya Birla Health Insurance has a 96% claim settlement ratio. Modern medical care, pre-and post-hospitalization care, alternative therapies like AYUSH, etc. are all covered by their health insurance plans. Customers can select from a range of plans, such as individual, family-floater, senior citizen, critical illness, etc, according to their medical needs.
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Aditya Birla Health Insurance Plan List
- Individual (9)
- Family (9)
- Woman (9)
- Parents (6)
- Blood Pressure (9)
- Kids (7)
- Thyroid (9)
- Diabetes (9)
- Heart (3)
- Senior Citizen (5)
Activ Assure – Diamond
Cover
5 Lakh
Cashless Hospital
10849
Starting From ₹ 481/month*
Activ Assure – Diamond with Super NCB
Cover
5 Lakh
Cashless Hospital
10849
Starting From ₹ 530/month*
Activ Care
Cover
5 Lakh
Cashless Hospital
10849
Starting From ₹ 1,500/month*
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Unique Features Offered By Aditya Birla Health Insurance
Aditya Birla Health Insurance stands out for the unique benefits listed below, which are advantageous to their customers:
- Mental Wellness Cover: Aditya Birla Health Insurance plans covers mental wellness under their Activ Health Platinum Enhanced plan, which includes benefits including inpatient hospitalisation and outpatient therapy for mental health disorders.
- Up to 100% Health Returns: Aditya Birla offers up to 100% health returns as a no-claim bonus within a policy year. This benefit helps customers restore their coverage for the following year. Staying healthy and fit helps customers get access to this benefit.
- Second E-Opinion: Aditya Birla Health Insurance provides a second opinion on critical illnesses from doctors internationally. This helps the customer make an informed decision regarding their health, especially a serious illness.
- Chronic Management: The health insurance company offers diagnostic tests and expert consultation on chronic illnesses. This benefit helps the policyholder manage their medical needs better and takes off the financial burden off them regarding consultations.
- Wellness Coach: Aditya Birla provides their policyholders with wellness coaches which help them stay healthy and fit. This benefit provides customers with nutrition plans and guidance to stay healthy.
- Free Health Check-Ups: Free annual health check-ups help customers stay informed about their health and avoid any future medical emergencies.
Benefits of Buying Aditya Birla Health Insurance
The following are a few advantages that Aditya Birla Health Insurance offers:
- OPD Expenses: Aditya Birla Health Insurance offers coverage for OPD expenses. With this benefit, the customers do not require hospitalisation for 24 hours. Any treatments within 24 hours are covered under this benefit.
- Hospitalisation Coverage: This means that Aditya Birla Health Insurance will cover hospital-related costs including doctor visits, tests, and prescription drugs, up to the maximum amount specified in your policy.
- Tax Benefits: The Income Tax Act's Section 80D provides tax benefits for paying health insurance premiums. You can deduct from your taxable income the premiums you pay for yourself, your spouse, your parents, and your children, up to a certain amount.
- Cashless Everywhere: Aditya Birla Health Insurance enables cashless medical services at network hospitals. This suggests that payment for medical expenses won't be required in advance. Instead, you save the hassle by having the insurer settle the account with the hospital directly. Aditya Birla Health Insurance offers cashless everywhere benefits, which help you to make cashless claims even at non-network hospitals.
- AYUSH Treatment: Aditya Birla Health Insurance covers treatments in AYUSH (Ayurveda, Yoga and Naturopathy, Unani, Siddha, and Homeopathy). This states that in addition to routine medical treatment, you could receive both regular and alternative forms of therapy, depending on the specifics of your insurance policy.
- No Claim Bonus: Under Aditya Birla Health Insurance customers have access to avail no-claim bonus. This benefit helps customers get a restoration of their unclaimed coverage from the previous policy year. This benefit, however, is only activated if you stay healthy and do not make a claim in a policy year.
- Critical Illness Cover: They offer critical illness cover to their customers which covers the mentioned critical illnesses in their health insurance policy. Aditya Birla Health Insurance also offers e-consultation with experts internally for customers suffering from critical illnesses.
Note: To know more about Aditya Birla Health Insurance you can connect with InsuranceDekho’s customer advisor at our contact number 7551196989 or you can also reach out to us through support@insurancedekho.com.
FAQs
Ques 1. What types of health insurance plans does Aditya Birla Health Insurance offer?
Ans: Aditya Birla Health Insurance offers individual, family floater, senior citizen, maternity, super top-up, etc. health plans.
Ques 2. What is covered under Aditya Birla Health Insurance plans?
Ans: Mental illness, pre and post-hospitalisation, maternity, critical illness, chronic illness management, asthma, room rent, etc is covered under Aditya Birla Health Insurance plans.
Ques 3. What is the waiting period for Aditya Birla health insurance for new policyholders?
Ans: A waiting period of 24 months is required under Aditya Birla Health Insurance for specific diseases.
Ques 4. Can I increase my sum insured during the policy term?
Ans: Yes, however, this may depend on the terms and conditions of your health insurance policy.
Ques 5. Does Aditya Birla's Health Insurance cover outpatient expenses?
Ans: Yes, Aditya Birla Health Insurance offers coverage for outpatient expenses.
Aditya Birla Health Insurance Top Up List
Name of Plan | Sum Insured | |
Super Health Plus Top-up PolicyMin: 91 Days; Max: 65 years | 3 Lakh - 95 Lakh | Check Premium |
FAQs
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Can I buy a health insurance policy for my 4-year-old kid?
Aditya Birla Health Insurance does not offer any separate health insurance plan for kids. But, they can be covered with their parents either on an individual or a floater basis.
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When should a reimbursement claim request be submitted?
Request for reimbursement claim should be submitted within 15 days of getting a discharge from the hospital or clinic.
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What is the period in which Aditya Birla Health Insurance settles claims?
Aditya Birla Health Insurance settles claims, including the rejection, within 7 working days of receiving necessary documents, but not more than 30 days.
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What is the Incurred Claims Ratio of Aditya Birla Health Insurance for the financial year 2018-2019?
The ICR for Aditya Birla Capital Health for FY 2018-19 is 59%.