Aditya Birla Health Insurance FAQs

Different policies have different age requirements. You need to check the policy document to confirm your qualification based on your age. However, usually, Aditya Birla health insurance plans have age eligibility of 5 years and 18 years. 

Yes, you can seek an increase in the sum insured while renewing your policy. Also, you can opt for such plans that come with restoration benefits. The sum enhancement, however, is subject to underwriter approval.

A long-term premium reduction of 7.5% or 10% is available when choosing a plan duration of the contract of two or three years. This will only relate to single premium policies.

Yes, however, there will be a 48-month waiting time for any pre-existing diseases/illnesses/injuries/conditions.

The AYUSH treatment coverage is included in the Active Assure Diamond as well as the Activ Care Health Insurance plans by Aditya Birla.

No, AYUSH treatment insurance does not cover hospitalisation for less than a day.

The insured may choose portability at the point of renewal by submitting a petition for portability a minimum of 45 days ahead, but no sooner than 60 days.

If everything is received in order, the company will satisfy claims within 30 days of receiving all required paperwork.

No. The company shall not be responsible for any claims that arise within the grace period.

Members can contact Aditya Birla Capital at 1800 270 7000 or send an email to care.healthinsurance@adityabirlacapital.com.

Aditya Birla health insurance online payment for renewal is easy. You can visit the Adiya Birla health insurance’s official website and renew by paying the applicable premium. 

In that case, you can visit the nearest branch of Aditya Birla health insurance and renew by paying the premium.

Aditya Birla health insurance can send renewal reminders a month or 45 days before the due date. So, if you want, you can renew around 30-45 days before the renewal date.

To take advantage of the plan’s benefits, look to pay the premium before the plan's expiration date. A 15 or 30-day grace period is offered to pay the payment; however, insurance advantages are halted during this time.

No, it can’t. You will need to renew during this time, or the policy will lapse, forfeiting accumulated benefits such as NCB. 

The company typically replies to claims within 7 working days after receiving the final "necessary" document. The deadlines are, however, occasionally extended. The time frame for these shouldn't exceed 30 days.

Any of the following grounds can result in a claim’s  amount being reduced:

1. Lack of legal documentation or prescriptions
2. Non-medical expenses like phone charges, food, and so on are not reimbursed
3. Beyond the specified sub-limits
4. Expenditure of the insured amount
5. There are no longer any authentic records or invoices, and there are cost caps for each particular service or benefit
6. Costs are associated with any research or treatment that is unrelated to the illness for which the patient is being hospitalised
7. When a co-payment is necessary

This data is provided for illustration purposes only and may vary based on your insurance policy.

Yes. In general, the filled claim form and supporting documentation must be delivered to the company within the allotted time. The claim will be accepted if the deadline is missed but the insured can show that the delay was justifiable and unavoidable, supported by proof.

In the event that the claimant has misplaced the original policy bond, they must present the indemnity bond for loss of policy document, which must be written on 200-rupee stamp paper and properly notarized.

To find out the status of Aditya Birla health insurance claim settlement or to get any necessary help, call 1-800-270-7000. You can visit the website and can easily check your claim status in simple steps. However, you can also stop by the Aditya Birla branch that is closest to you.

The actual Aditya Birla policy paper will typically be delivered to your registered email. On the company's website, you can also obtain the Aditya Birla health policy download. For extra help, you may also call customer service at 1800-270-7000.

For increased protection, Aditya Birla's insurance policy login is one-time passcode secured. Your passcode will be sent to your registered email or number when you click on send OTP after entering your id.

A contract (often a simple form of contract) between the insurance provider and the policyholder that outlines the claims the firm is required by law to pay might be referred to as an insurance policy. In exchange for a one-time payment known as a premium, the insurer makes the promise to cover harm brought on by risks mentioned in the policy language. You can get the Aditya Birla health policy download online.

Any insurance policy has five sections: insurance declarations, insurance contracts, definitions, exclusions, and conditions. The sixth element of many policies is endorsements.

A cover note known as a policy note by  Aditya Birla insurance is occasionally sent by the insurance provider when the real policy information is delayed or not yet available. On their official website, you may obtain the Aditya Birla health insurance copy download method.

The main distinction between in-patient and outpatient treatment is that the former calls for an overnight hospital stay, while  the latter does not. If you receive in-patient care, medical staff will keep an eye on you while you are receiving treatment and recovering in a hospital.

It is essential to remember that health insurance policies have several exclusions. And Aditya Birla health insurance is no exception. Here are its exclusions.

• Pre-existing illnesses won’t be covered till the waiting period is over.
• An initial waiting period of 30 days will apply, except for accidental injuries.
• Aditya Birla health insurance plans don’t cover cosmetic or plastic surgery.
• Coverage for expenses incurred on hospitalization for diagnostics and evaluation won’t be available.
• Some insurance companies exclude pregnancy-related expenses from your health plan.
• The cost of cosmetic treatment is excluded from Aditya Birla health insurance.
• Health insurance coverage does not pay for injuries if the insured actively damages himself. This covers all wounds brought on by self-inflicted injury or suicide attempts.

It is a critical illness coverage that you get under an INR 1 crore health insurance policy or a separate INR 1 crore critical illness policy. In this plan, if any of the above conditions are discovered, the insurer will pay you a flat payment. 

Ayurveda, Yoga, Siddha, Unani, and Homeopathy are some of the prominent alternative healthcare systems today; thus, having health insurance with AYUSH treatment coverage from Aditya Birla health insurance will allow you to investigate holistic healing techniques. Additionally, you can enroll in AYUSH treatment coverage as a component of wellness and preventative healthcare.

The insurance guarantees you the best care possible without being concerned about the costs. If you are aged between 5 years and 65 years  (individual policy), or 91 days and 65 years (floater policy), you may apply for coverage under the policy for a variety of sums insured, ranging from INR 3 lakh to INR 95 lakh.

You can go to the official Aditya Birla website and click on the ‘health insurance’ category. Now, on the home page of health insurance, you need to scroll down and then you can easily find ‘locate hospital’. Click on the same, a separate page will open, wherein you can easily find a nearest cashless hospital in your city. 

A network hospital is one that has a contract with the insurance provider and provides cashless care to the insured. If you receive care at a hospital in the network, your insurance provider will pay your medical expenditures out of pocket.

When you file a claim under your insurance, Aditya Birla health insurance will take care of your hospital and medical expenses. Therefore, insurers reward you with a no-claim bonus for each year you go without making a claim on your insurance in order to motivate you to live a healthy lifestyle and reduce the number of times you visit hospitals.

You must pay hospital fees out of pocket after discharge if you choose to have a procedure at a hospital that is not in your insurance network. Later, you can speak with the insurance provider and submit a refund claim.

TPA, or third-party administrator, is a company, organization, or corporation that has been granted permission by the Insurance Regulatory and Development Authority of India (IRDAI) to manage claims for corporate and retail policies as well as to offer cashless services on behalf of an insurance carrier.

Although a premium calculator is easy to use, it also saves a lot of time and effort. To receive an Aditya Birla Health Insurance premium quotes, no real papers are necessary. By entering a few simple details such as yearly income, identification, date of birth, and so forth, one may obtain premium quotes for various plans in under two minutes. If a person makes an informed choice, they can buy insurance coverage online without an agent's help.

Aditya Birla health insurance provides you with a "Find your quota" option which also can be utilised as a premium calculator. It is an online application that enables a prospective buyer of health insurance to estimate the premium cost for a certain health insurance plan. The importance of determining the premium increases with the rise of medical costs.

Aditya Birla's health insurance company is very particular about its renewal dates. They will send multiple reminders prior to the due date so that you do not miss your due premiums. However, if you happen to miss your monthly premium for any of the Aditya Birla health insurance plans, there is a grace period of about 30 days within which you can pay the same. If you do not pay within the grace period, then your policy will lapse.

Here are some suggestions for lowering your Aditya Birla health insurance premium:

• Longer tenure duration
• Begin your premium early
• Select a yearly premium sum
• Maintain your fitness
• Steer clear of extra riders

The entry age for insured under the Aditya Birla health top up plan is 5– 65 years for individual coverage and 91 days - 65 years for family floater coverage.

Yes. The policy is available both as a family floater and as an individual coverage plan.

No. The plan coverage does not include critical illnesses.

Yes. Emergency ambulance expenses are covered under the top up plan.

You can intimate top up health insurance claims from Aditya Birla by contacting the company’s customer care at 1800-270-7000 or sending an email at care.healthinsurance@adityabirlacapital.com. 

The lowest entry age is five years old, and the maximum allowed age is sixty-five years old.

You may buy the insurance for yourself and cover a maximum of four kids, as well as your and your spouse's dependent parents.

Most likely, no, as it is a plan with a lump sum payout option. Lump sum payout policies, usually, don’t allow you to raise the sum insured amount. But do check with the insurer for the same before buying Activ Secure - Cancer Secure Plan.

Yes. Activ Secure – Cancer Secure offers a second medical opinion as an optional coverage.

When you insure two or more members in the same policy, you can receive a 10% premium savings.