Network hospitals
11000+
Incurred claim ratio
64.68%
Sum insured
Up to 2 CR
No. of Plans
22
Solvency Ratio
2.3
Pan India Presence
213
PolicyX.com is a Recognised Aditya Birla Partner View Certificate
The claim process in health insurance refers to the procedure that a policyholder must follow to request reimbursement or avail of a cashless claim for medical expenses covered under the health insurance policy. If the policyholder incurs any medical costs, they can file a claim with their insurance provider, to seek compensation. The company has made the entire procedure, from filling the claim to settling it, so simple that even an individual with little knowledge can submit a claim.
Every company has a different procedure for how a policyholder can file a claim, and Aditya Birla Health Insurance is no exception. The company has a claim settlement ratio of 99.41%(for three months), this high figure demonstrates their commitment to their customers and their active dedication to claim resolution.
The company has designed two methods of filing the claims, according to the convenience of the customer. The methods are:
It is a straightforward, three-step process you can complete while at your home. The company offers online platforms such as the official website and mobile application, where customers can submit their claims. Although Let's go through each step, one at a time:
Step 1: Visit the official website of the company 'www.adityabirlacapital.com'.
Step 2: Select 'Claims', from the main menu options at the top of the page.
Step 3: In the drop-down menu select the type of claims, you wish to submit. Choose either 'Cashless Claims'.
Step 4: Click on the 'Cashless Claims'. This will take you to the page where the company will ask whether you have to 'Track Claim' or 'Raise Claim'. For raising the claim click on 'Raise Claim'.
Step 5: Now, the company will ask the customer to login in the company's account. Enter your registered 'Mobile number' for OTP login or 'Username' and 'Password'. And then hit 'Login'. This will take you to your dashboard. Now enter the details of your expenses, the name of the hospital, and the treatment availed.
Aditya Birla Health Insurance reimbursement claims are very similar to cashless claims, with the exception that the company may ask for some additional documents such as the original hospital bill, KYC Documents, and proof of payment. Let's go through the process one by one:
Step 1: Visit the official website of the company.
Step 2: Now, locate the 'Claims' option in the top menu of the webpage. From the drop-down menu select 'Reimbursement Claims'.
Step 3: This will lead to a page where you have to choose 'Raise a claim' or 'Track Claim'. For filling a claim select 'Raise a claim'.
Step 4: In the next step, the company will ask the customer to login into the company's user dashboard. Either login by entering the mobile number and receive an OTP or enter the 'User Name' and 'Password'.
For having your dashboard on the company's account the policyholder must have a 'ONE ID' number. If you are not an existing user, here are a few steps you can customers can follow to create a user account.
Step 1: Visit the official website of the company.
Step 2: Click on the 'Login' option on the top right corner of the page.
Step 3: This will take you to the next page, there select the option 'Create One Id with a Product You Own'.
Step 4: Next, under 'Solution you own to create your One Id', select the option 'Health Insurance'.
Step 5: This will take you to the next page where you have to enter 'Member Id', and click 'Register'.
Note: Member ID is the 12-digit number that is sent in the welcoming email, in the Policy Kit, or E-Card.
Aditya Birla Health Insurance Network Hospitals are present in 32 states nationwide. With a wide network of over 10051+ cashless hospitals, Aditya Birla Life Insurance ensures that you are medically secured, irrespective of the city you reside in.
For a smooth claim filing process, keep the following points in mind.
For Cashless Claims:
For Reimbursement Claims:
Aditya Birla Health Insurance Claim Process is simple and easy to follow. Keep the documents available so that you may not run into any problems later. Original bills submitted will be highly appreciated as this will result in a fast verification. Inform the company first, then submit the document and then wait for the company to verify and settle the claim. The procedure may take longer or shorter, depending on the documents and authenticity of the raised claim.
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Read what our customers have to say about Aditya Birla health insurance company and Aditya Birla health mediclaim policy.
April 8, 2024
PolicyX helped me with all my queries regarding the Aditya Birla Active Essential Plan and helped me with the buying process. I am so grateful.
April 8, 2024
With the help of PolicyX, I got my health insurance policy from Aditya Birla Health Insurance. They answered all my queries without any hesitation and helped with every process.
April 8, 2024
My mom needed a minor surgery recently. Thankfully, it was covered under our Aditya Birla Health Plan. PolicyX took care of cashless settlement and made our hard time easy.
April 8, 2024
Thank you PolicyX for helping me claim Aditya Birla Health Insurance. It even covered for the ambulance transportation.
April 8, 2024
I was suffering from liver damage, due to which I needed a transplant. Fortunately, my Active Health Platinum Enhanced plan covered all the costs. And PolicyX helped me to settle all the claims...
April 8, 2024
I want to purchase a health insurance plan that will cover my wife and kids. I am so grateful to PolicyX who helped me choose Aditya Birla Active One VIP.
April 8, 2024
PolicyX helped me get a perfect health insurance plan for my parents. I am so satisfied and relaxed now to get the Aditya Birla Activ Assure Diamond.
April 8, 2024
Buying an Aditya Birla Health Insurance policy was a difficult task for me. I had a lot of questions and PolicyX answered all the doubts. I am so grateful to them.
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