Aditya Birla Health Insurance

Aditya Birla Health Insurance – Plans, Coverage & Benefits

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Overview of Aditya Birla Health Insurance

Aditya Birla Health Insurance Company Limited is part of the Aditya Birla Group and offers a diversified range of health insurance solutions for individuals, families, senior citizens, corporates, and specialised needs. Its product portfolio includes comprehensive health insurance plans, super top-up plans, critical illness coverage, personal accident insurance, cancer-specific plans, and wellness-focused products.

The company follows a health-first approach by integrating insurance with preventive care, wellness programs, and digital health services. With a strong focus on technology-driven service delivery, Aditya Birla Health Insurance aims to enhance customer experience through paperless policy issuance, digital claims processing, and app-based health management tools.

Care Senior Health Plan Specifications

investkraft
  • 2024
    Strengthened digital health ecosystem with enhanced app-based wellness and claims services

  • 2023
    Expanded product portfolio with upgraded health and top-up insurance offerings

  • 2022
    Improved hospital network reach and claim settlement infrastructure across India

  • 2021
    Introduced wellness-linked health insurance products integrating preventive healthcare

  • 2019
    Launched comprehensive health insurance plans focused on holistic health management

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Key Features of Aditya Birla Health Insurance Company

 

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What’s Covered and Not Covered in Aditya Birla Health Insurance

Aditya Birla Health Insurance Inclusions

  • Inpatient Hospitalisation: Coverage for room rent, ICU charges, doctor’s fees and medical expenses during planned or emergency hospitalisation up to the sum insured
  • Pre-Hospitalisation Medical Expenses: Coverage for diagnostic tests and medical consultations incurred before hospitalisation as per policy terms
  • Post-Hospitalisation Medical Expenses: Coverage for follow-up treatments and medical tests after discharge within specified days
  • Day Care Procedures: Coverage for listed medical procedures not requiring 24-hour hospitalisation
  • Ambulance Charges: Emergency ambulance expenses covered as per policy limits
  • AYUSH Treatments: Coverage for Ayurveda, Yoga, Unani, Siddha and Homoeopathy treatments as per policy terms

Aditya Birla Health Insurance Exclusions

  • Pre-existing Diseases during the waiting period
  • Self-Inflicted Injuries or intentional harm
  • Treatment related to alcohol, drugs, or substance abuse
  • Cosmetic or aesthetic treatments, unless medically necessary
  • Infertility treatments, IVF procedures, and related expenses
  • Pregnancy, childbirth, miscarriage, and maternity-related expenses (unless covered under specific plans or add-ons)
  • War, invasion, riot, strike, or nuclear-related events
 

Claim Process Of Aditya Birla Health Insurance

Aditya Birla Health Insurance offers both cashless and reimbursement claim options across its hospital network, subject to policy terms and conditions.

Cashless Claims Process

  1. Visit a network hospital of Aditya Birla Health Insurance
  2. Inform the hospital help desk or insurance desk about your policy

  3. The hospital submits a pre-authorisation request to the insurer

  4. The claim is reviewed and approved based on policy coverage

  5. Receive treatment after approval

  6. The hospital and insurer settle the admissible bill directly

Reimbursement Claims Process

  1. Inform Aditya Birla Health Insurance about hospitalisation within the prescribed timelines

  2. Pay hospital expenses upfront

  3. Fill and submit the claim form along with the required documents

  4. Claim is assessed by the insurer

  5. Approved claim amount is reimbursed to the policyholder

 

Documents Required for Buying a Health Insurance

  • Valid ID proof like an Aadhar card, voter ID, PAN card, or passport is required.
  • Accepted address proofs include utility bills, rent agreements, and bank statements.
  • Insurance providers must do CDD for new policyholders using provided KYC documents.

Documents Required for Aditya Birla Health Insurance

  • Filled and signed the claim form with name, policy number, illness details and address.
  • Include all medical test reports and relevant documentation.
  • Original hospital bills, discharge summaries and payment receipts are crucial for claim verification.
  • Attach pharmacy bills and corresponding prescriptions for medication used during treatment.
  • Include police FIR and post-mortem report (if applicable) for accident claims.

 

Best Health Insurance Plans in India

The following are some of the best health insurance plans in India that you can buy from InvestKraft:

Insurance Provider Plan Name Coverage Type Sum Insured Range Age Limit (Adults) Important Parameters
Care Advantage Health Insurance Plan Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
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ICICI Elevate Health Insurance Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
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IFFCO Tokio Family Health Protector Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
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Niva Bupa Aspire Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
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Arogya Supreme Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
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TATA AIG Medicare Lite Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
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Frequently Asked Questions (FAQs)

A.

Yes, Aditya Birla Health Insurance is considered reliable due to its wide hospital network, wellness-focused plans, digital services, and flexible coverage options for individuals and families.

A.

Key benefits include cashless hospitalization, customizable plans, wellness and preventive health programs, coverage for day-care procedures, and optional add-ons for enhanced protection.

A.

The top health insurance companies in India generally include LIC Health, Star Health, HDFC ERGO Health, Care Health Insurance, and Aditya Birla Health Insurance, based on market presence and product range.

A.

Aditya Birla Health Insurance offers individual plans, family floater plans, senior citizen-focused options, super top-up plans, critical illness covers, and personal accident insurance.

A.

Yes, Aditya Birla Health Insurance provides cashless treatment at its extensive network of hospitals across India, subject to policy terms and pre-authorization.

A.

The insurer offers both cashless and reimbursement claim options, with claims initiated digitally through its mobile app or online portal for faster processing.

A.

Yes, several plans include wellness benefits such as health tracking, fitness rewards, and preventive health support linked to healthy lifestyle activities.

A.

आदित्य बिड़ला स्वास्थ्य बीमा में कैशलेस इलाज, वेलनेस प्रोग्राम, लचीले कवर विकल्प, डे-केयर उपचार और डिजिटल क्लेम सुविधा जैसे लाभ मिलते हैं।

A.

भारत में आम तौर पर शीर्ष 3 स्वास्थ्य बीमा कंपनियों में LIC Health Insurance, Star Health Insurance और HDFC ERGO Health Insurance को शामिल किया जाता है।

A.

यह बीमा उन लोगों के लिए उपयुक्त है जो हेल्थ कवर के साथ वेलनेस लाभ, डिजिटल सेवाएं और परिवार या व्यक्तिगत जरूरतों के अनुसार कस्टमाइज़ेबल प्लान चाहते हैं।

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