Aditya Birla Health Insurance is a private health insurance company in India, which is a joint venture between the Aditya Birla Group and South Africa-based financial services provider, MMI Holdings. The company offers a wide range of health insurance plans for individuals, families and senior citizens. The plans offer features such as cashless hospitalization, coverage for pre-existing diseases, and coverage for alternative treatments.
Aditya Birla Health Insurance Plans
Some of the health insurance plans offered by Aditya Birla Health Insurance include:
- Activ Health Essential: It offers comprehensive health coverage and covers hospitalization expenses, day care procedures and pre and post-hospitalization expenses.
- Activ Health Elite: This plan offers higher coverage limits and additional benefits such as coverage for alternative treatments and critical illnesses.
- Activ Health Premier: This plan offers higher coverage limits and a wider range of additional benefits such as coverage for day care procedures, organ transplants and alternative treatments.
- Activ Health Shield: This plan is a personal accident cover that provides financial protection in case of accidental death or permanent total disability.
- Activ Health Senior: This plan is specifically designed for senior citizens and offers comprehensive health coverage for people over the age of 60.
- Aditya Birla Activ Health + Multiply Fit Combo
Aditya Birla Health Insurance also offers a range of corporate health insurance plans for companies and their employees.
Is it good to buy Aditya Birla Health Insurance?
Aditya Birla Health Insurance is a well-established company in India, and it offers a range of health insurance plans with different features and benefits. It’s always a good idea to research and compare different health insurance options before making a decision. Here are a few things to consider when evaluating Aditya Birla Health Insurance:
- Network hospitals: Make sure that there are enough network hospitals in your area where you can receive cashless treatment.
- Coverage: Review the coverage provided under the plan and check if it meets your requirements.
- Claim settlement ratio: This is the percentage of claims that the company settles as compared to the number of claims received. A higher claim settlement ratio indicates a higher level of customer satisfaction.
- Customer service: Review the company’s customer service record and see if they are responsive and helpful.
- Premiums: Compare the premium rates of different plans and see if they are affordable for you.
- Add-on covers: Check if the company provides any add-on covers, such as coverage for alternative treatments or critical illnesses.
It is important to review the company’s financial stability, ratings and reviews before buying a policy.
Overall, Aditya Birla Health Insurance is a good option to consider if you’re looking for a comprehensive health insurance plan. However, it’s always a good idea to compare different plans and options to find the one that best meets your needs.
What is the claim ratio of Aditya Birla health insurance?
Claim Settlement Ratio of Aditya Birla Health Insurance Company. As per IRDAI, Aditya Birla health insurance Claim Ratio is 94%.
The claim ratio of an insurance company is a measure of the percentage of claims that the company settles as compared to the total number of claims received. It is an indicator of the company’s efficiency and effectiveness in settling claims.
I am not able to find the exact claim ratio of Aditya Birla health insurance as my knowledge cut off is 2021 and this information is not publicly available, but generally, a higher claim ratio is considered to be a good indicator of a company’s customer satisfaction level.
It’s always a good idea to check the claim ratio of an insurance company before purchasing a policy, as it can give you an idea of the company’s ability to settle claims efficiently and promptly. It’s also important to keep in mind that the claim ratio can vary from year to year, so it’s a good idea to check the latest claim ratio available.
It is important to note that a high claim ratio does not necessarily mean that the company will always settle all claims promptly or that the policyholder will not face any issues during claim settlement process. It’s always recommended to read the policy wordings, terms and conditions before buying a policy and keep a track of claim settlement process.
What are the advantages of Aditya Birla Health Insurance?
Aditya Birla Health Insurance is a well-established health insurance company in India that offers a range of health insurance plans with different features and benefits. Here are a few advantages of Aditya Birla Health Insurance:
- Wide range of health insurance plans: Aditya Birla Health Insurance offers a wide range of health insurance plans for individuals, families, and senior citizens. This allows customers to choose a plan that best meets their needs.
- Network hospitals: Aditya Birla Health Insurance has a wide network of hospitals across India where customers can receive cashless treatment. This can save policyholders the hassle of arranging for payment and reimbursement of medical expenses.
- Coverage: Aditya Birla Health Insurance plans offer coverage for pre-existing diseases, hospitalization expenses, day care procedures, and pre and post-hospitalization expenses.
- Add-on covers: Aditya Birla Health Insurance plans offer additional coverage for alternative treatments and critical illnesses.
- Claim settlement: The company has a dedicated team for claim settlement and offers quick and hassle-free claims settlement process.
- Customizable plans: Aditya Birla Health Insurance plans can be customized to suit the specific needs of the policyholder.
- Discounts: The company provides discounts on premium rates for policyholders who opt for higher sum insured, long-term policy or family floater plans.
- Wellness program: Aditya Birla Health Insurance offers a wellness program “Multiply Fit” that rewards policyholders for maintaining a healthy lifestyle.
It’s always a good idea to research and compare different health insurance options before making a decision. Aditya Birla Health Insurance is a good option to consider if you
What is not covered in Aditya Birla health insurance?
Aditya Birla Health Insurance plans generally cover a wide range of medical expenses, but there are certain exclusions that are not covered under the policy. Here are a few examples of what is not covered under Aditya Birla Health Insurance plans:
- Pre-existing diseases: Most Aditya Birla Health Insurance plans do not cover pre-existing diseases for the first 2-4 years of the policy.
- Cosmetic treatments: Treatments that are not medically necessary, such as cosmetic surgery, are not covered under the policy.
- Self-inflicted injuries: Injuries that are the result of intentional self-harm or suicide are not covered under the policy.
- War and Nuclear perils: Any injury or damage arising out of war, invasion, act of foreign enemy, hostilities, civil war, rebellion, revolution, insurrection, military or usurped power, or due to nuclear weapon materials and/or radiation or radioactive contamination are not covered under the policy.
- Alcohol and drug abuse: Medical expenses arising from alcohol or drug abuse are not covered under the policy.
- Experimental treatments: Treatments that are experimental or not yet proven to be safe and effective are not covered under the policy.
- Non-allopathic treatments: Treatments such as Ayurveda, homeopathy, and other forms of alternative medicine are not covered under some of the plans, unless the plan specifically includes coverage for these treatments.
It’s important to read the policy wordings, terms and conditions carefully before buying a policy to understand what is and is not covered under the plan.
Aditya Birla health insurance Eligibility and Coverage
Eligibility for Aditya Birla Health Insurance plans varies depending on the specific plan you choose. Here are a few general guidelines for eligibility:
- Age: Most Aditya Birla Health Insurance plans have a minimum and maximum age limit for policyholders. For example, for an individual health insurance plan the age limit can be between 18 years to 65 years.
- Residency: Most Aditya Birla Health Insurance plans require policyholders to be residents of India.
- Medical examination: Some Aditya Birla Health Insurance plans may require a medical examination for policyholders who are above a certain age or who have pre-existing medical conditions.
As for coverage, Aditya Birla Health Insurance plans offer a wide range of coverage options. Here are a few examples of what is covered under the plans:
- Hospitalization expenses: This includes the cost of room, boarding, nursing, and other expenses incurred during hospitalization.
- Pre and post-hospitalization expenses: This includes medical expenses incurred before and after hospitalization.
- Day care procedures: This includes treatments that do not require a 24-hour hospital stay, such as chemotherapy and dialysis.
- Pre-existing diseases: Most Aditya Birla Health Insurance plans cover pre-existing diseases after the waiting period of 2-4 years.
- Critical illnesses: Aditya Birla Health Insurance plans offer coverage for critical illnesses such as cancer, heart attack, and stroke.
- Maternity and newborn expenses: Some Aditya Birla Health Insurance plans offer coverage for maternity and newborn expenses.
- Alternative treatments: Some Aditya Birla Health Insurance plans offer coverage for alternative treatments such as Ayurveda, homeopathy, and other forms of alternative medicine.
It’s always a good idea to review the coverage provided under the plan and compare it with your specific needs before buying a policy.