Aditya Birla Claim Process
  • Explore the CSR process of Aditya Health
  • Know the significance of a good CSR
  • Claim Filing procedure
Aditya Birla Claim Process
Buy Policy in just 2 mins

Buy Policy in just 2 mins

Happy Customers

2 lakh + Happy Customers

Free Comparison

Free Comparison

Customized Health Insurance Plan for you.

Get upto 15% Online Discount*

Select Members You Want To Insure

Age of Eldest Member

Aditya Birla Health Insurance Claim Process

The claim process in health insurance plan 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.

Types of Aditya Birla Health Insurance Claim Process:

The company has designed two methods of filing the claims, according to the convenience of the customer. The methods are:

  • Cashless Claims: The expenses incurred can be settled directly between the insurance provider and the hospital.
  • Reimbursement Claims: The policyholder can pay the expenses upfront and later claim the bill from the insurance provider.

How To Claim Aditya Birla Health Insurance Policy: Cashless Claims

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:

  • Claim Intimation: Here the policyholder has to inform the company about the claim.

    Step 1: Visit the official website of the Aditya Birla Health Insurance Company.

    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.

  • Document Submission:
    • The policyholder has to now provide all the relevant documents that support the claims. Submit all the required documents along with the claim form.
    • The policyholder can scan and submit the documents online.
  • Claim Settled:
    • The insurance company will cross-check all the claims and the documents provided by the insured.
    • After verification of the documents, the company will transfer the amount directly to the hospital’s bank account.

How To Claim Aditya Birla Health Insurance Policy: Reimbursement Claims:

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:

  • Claim Initiation: Informing The Company

    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’.

  • Submit Essential Documents:
    • Here the customer has to submit essential documents, to substantiate his/her claim.
    • Scan and attach the documents to the website.
  • Settlement Of The Claim:
    • The insurance provider will go through the documents and verify the authenticity of the document.
    • After all the verification the amount will be transferred to the policyholder’s bank account.

Sign Up For Aditya Birla Health Insurance User’s Account:

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.

Things to Keep In Mind

For a smooth claim filing process, keep the following points in mind.

For Cashless Claims:

  • Inform the company 72 hours before the case of planned hospitalization.
  • In case of emergency hospitalization, inform the company within 24 hours of hospitalization.

For Reimbursement Claims:

  • Inform the company about the claim within 30 days of discharge from the hospital.
  • The company may request additional documents if the policyholder is receiving the treatment in a non-network hospital.
  • Aditya Birla Health Insurance Company will transfer your compensation within 15 days, after the complete verification of the documents.
  • The insurance provider will ask for KYC documents, prescriptions, payment proof, discharge summaries, and original medical bills.

Conclusion:

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.

Network Hospital List

Network Hospitals are present in 31 states nationwide. With a wide network of hospitals, ensures that you are medically secured, irrespective of the city you reside in.

Explore other Aditya Birla Health Insurance Company

To cater to the different medical needs of an individual & their family, Aditya Birla Health Insurance Company offers several Health Plans ranging from senior citizen plans to specialized plans for autistic children, to health insurance for cardiac patients, and many more.Take a look below to Aditya Birla Health Insurance Company plans explore more:

Critical Illness Health Insurance

Aditya Birla Cancer Secure health plan is a health insurance plan designed specifically for cancer patients protecting them financially from all three...

Unique Features

  • Upto 1 Cr SI
  • Minimum Survival Period
  • All Cancer Stages Covered

Aditya Birla Cancer Health Plan (Pros)

Aditya Birla Cancer Health Plan
  • Covers 3 stages
  • 150% of SI
  • 10% of no claim bonus
  • High SI
  • Lump sum payout

Aditya Birla Cancer Health Plan (Cons)

Aditya Birla Cancer Health Plan
  • Illness due to intoxicants
  • Obesity treatment unavailable
  • Hazardous activity not covered
  • HIV/AIDS not covered
  • Cosmetic surgery unavailable

Aditya Birla Cancer Health Plan (Other Benefits)

Aditya Birla Cancer Health Plan
  • Wellness coach
  • Second e-opinion
  • Short survival period
  • Upto 1 Cr SI
  • Hospitalization Expense

Aditya Birla Cancer Health Plan (Eligibility Criteria)

Aditya Birla Cancer Health Plan
  • Entry Age- 18 Years
  • Max Entry Age- 65 Years
  • SI- 5L to 1 Cr
  • Waiting Period- 90 days

Accident Health Insurance

Aditya Birla Activ Secure Personal Accident Plan is designed to protect you and your family in case of any unforeseen incident. Activ secure personal ...

Unique Features

  • Up to 20 Cr SI
  • 11 Optional Covers
  • Avail Wellness Benefit

Aditya Birla Personal Accident Plan (Pros)

Aditya Birla Personal Accident Plan
  • Total and partial disability cover
  • Accidental death cover
  • No claim bonus
  • Ambulance cover
  • Education benefit

Aditya Birla Personal Accident Plan (Cons)

Aditya Birla Personal Accident Plan
  • Illness due to intoxicants
  • Obesity treatment unavailable
  • Hazardous activity not covered
  • Cosmetic surgery unavailable

Aditya Birla Personal Accident Plan (Other Benefits)

Aditya Birla Personal Accident Plan
  • Income cover
  • Loan protect cover
  • Orphan benefits
  • Compassionate visit
  • Coma benefit

Aditya Birla Personal Accident Plan (Eligibility Criteria)

Aditya Birla Personal Accident Plan
  • Entry age- 5 years
  • Max entry age- 65 years
  • SI- 30L
  • Waiting period- 30 days

Individual and Family Health Insurance

Aditya Birla Platinum Enhanced Plan offers unique healthcare benefits to insured individuals such as health insurance protection with wellness benefit...

Unique Features

  • Critical Illness Cover
  •  Health Coach
  •  SI Up to 2 Crores

Aditya Birla Activ Health Platinum Enhance (Pros)

Aditya Birla Activ Health Platinum Enhance
  • Earn 100% health returns
  • Cover for dental consultations
  • Modern treatment cover
  • Wellness coach
  • Mental illness cover

Aditya Birla Activ Health Platinum Enhance (Cons)

Aditya Birla Activ Health Platinum Enhance
  • Illness due to intoxicants
  • Change of gender treatment
  • Hazardous activity not covered
  • HIV/AIDS not covered
  • Cosmetic surgery unavailable

Aditya Birla Activ Health Platinum Enhance (Other Benefits)

Aditya Birla Activ Health Platinum Enhance
  • Chronic management program
  • Premium waiver benefit
  • Reload of SI
  • Road ambulance cover
  • Second e-opinion

Aditya Birla Activ Health Platinum Enhance (Eligibility Criteria)

Aditya Birla Activ Health Platinum Enhance
  • Entry age- 90 days
  • Max entry age- 45
  • SI- 1L to 1 Cr
  • Waiting period- 30 days

Individual and Family Health Insurance

Aditya Birla Activ Fit Plan is designed to provide quality medical coverage to young individuals. The plan not only provides medical coverage but als...

Unique Features

  • Health Rewards
  • Avail Multiple Discounts
  • Optional Covers Available

Aditya Birla Activ Fit Health Plan (Pros)

Aditya Birla Activ Fit Health Plan
  • Provides health reward for keeping yourself healthy
  • gives optional benefits
  • Get maternity expense benefits

Aditya Birla Activ Fit Health Plan (Cons)

Aditya Birla Activ Fit Health Plan
  • Does not cover air ambulance
  • No coverage for global treatment

Aditya Birla Activ Fit Health Plan (Other Benefits)

Aditya Birla Activ Fit Health Plan
  • Health Rewards
  • Avail Multiple Discounts
  • Optional Covers Available

Aditya Birla Activ Fit Health Plan (Eligibility Criteria)

Aditya Birla Activ Fit Health Plan
  • Entry Age - 18
  • Maximum Entry Age - 65
  • SI -4-25 Lakh
  • Waiting Period - 30 days

Critical Illness Health Insurance

Aditya Birla Activ Secure Critical Illness Plan is designed to cover your financial losses due to any treatment for critical illness. The plan has wid...

Unique Features

  • 64 Critical Illnesses Covered
  • Replace Loss of Income
  • Short Survival Period

Aditya Birla Activ Secure Critical Illness Plan (Pros)

Aditya Birla Activ Secure Critical Illness Plan
  • 64 Critical Illnesses Covered Replace
  • Loss of Income
  • Short Survival Period

Aditya Birla Activ Secure Critical Illness Plan (Cons)

Aditya Birla Activ Secure Critical Illness Plan
  • Does not cover maternity
  • Does not cover any congenital illness
  • Does not cover any evaluation purposes

Aditya Birla Activ Secure Critical Illness Plan (Other Benefits)

Aditya Birla Activ Secure Critical Illness Plan
  • The sum insured of this plan is of up to 1 Crore
  •   It comes in three different variants - Plans 1/ 2/ & 3 with specific coverage options. 

Aditya Birla Activ Secure Critical Illness Plan (Eligibility Criteria)

Aditya Birla Activ Secure Critical Illness Plan
  • Min- 5 years
  • Max- 65 years

Senior Citizen Health Insurance

Growing old comes with several complications related to our health, at times. It's so natural that nobody could deny accepting the complications and s...

Unique Features

  • 360 degrees support to seniors
  • Cashless home treatment
  • 586 category of daycare procedures

Aditya Birla Activ Care Classic Plan (Pros)

Aditya Birla Activ Care Classic Plan
  • 360 degrees support to seniors
  • Cashless home treatment
  • 586 category of daycare procedures

Aditya Birla Activ Care Classic Plan (Cons)

Aditya Birla Activ Care Classic Plan
  • Does not cover modern treatments
  • Vaccinations not covered
  • Compassionate travel not covered

Aditya Birla Activ Care Classic Plan (Other Benefits)

Aditya Birla Activ Care Classic Plan
  • Tax benefits
  • Advanced health check-up
  • Optional room upgrade facility

Aditya Birla Activ Care Classic Plan (Eligibility Criteria)

Aditya Birla Activ Care Classic Plan
  • Min- 55 years
  • Max- 80

Individual and Family Health Insurance

Aditya Birla Activ One Plan comprises features such as: Health returns Health assessment Daycare treatments No capping on hospitalization expenses Me...

Unique Features

  • Health Rewards
  • Avail Multiple Discounts
  • Optional Covers Available

Aditya Birla Activ One (Pros)

Aditya Birla Activ One
  • Chronic illness covered
  • double coverage

Aditya Birla Activ One (Cons)

Aditya Birla Activ One
  • Daily hospital cash not covered
  • OPD charges not covered
  • Maternity not covered

Aditya Birla Activ One (Other Benefits)

Aditya Birla Activ One
  • Initial waiting period 30 years

Aditya Birla Activ One (Eligibility Criteria)

Aditya Birla Activ One

Individual and Family Health Insurance

Raho Fit to Get Benefits! Ye hai #FitnesskaUltimateInfluencer You can earn with the Aditya Birla Activ Fit Plus plan and become wealthy! YES, you hear...

Unique Features

  • Stay fit & get rewarded
  • Travel protection cover
  • Unlimited SI refill

Aditya Birla Activ Fit Plus Plan (Pros)

Aditya Birla Activ Fit Plus Plan
  • Pre-hospitalization cover
  • Post-hospitalization cover
  • Modern treatment cover
  • Organ donor cover

Aditya Birla Activ Fit Plus Plan (Cons)

Aditya Birla Activ Fit Plus Plan
  • Obesity/ weight control
  • Change of gender treatments
  • Hazardous or adventure sports
  • External providers
  • Beauty/cosmetic treatment

Aditya Birla Activ Fit Plus Plan (Other Benefits)

Aditya Birla Activ Fit Plus Plan
  • 10-50-100 benefits
  • Activ Health App
  • Binge SI refill
  • Premium back option
  • Super no-claim bonus

Aditya Birla Activ Fit Plus Plan (Eligibility Criteria)

Aditya Birla Activ Fit Plus Plan
  • Entry Age - 91 days
  • Max Entry Age - 45 years
  • SI - 5 L - 1 Cr
  • Waiting Period - 30 Days

Individual and Family Health Insurance

Activ Health Platinum, a health product by Aditya Birla Health Insurance Company is a health insurance plan designed to look after the healthcare need...

Unique Features

  • Explore the Eligibility Criteria
  • Key Features of the Plan
  • Inclusions & Exclusions

Activ Health Platinum (Pros)

Activ Health Platinum
  • Post hospitalisation physiotherapy
  • Health coach benefit
  • One premium waiver
  • Health assessment
  • Chronic management program

Activ Health Platinum (Cons)

Activ Health Platinum
  • Illness due to intoxicants
  • change of gender treatment
  • Hazardous activity not covered
  • HIV/AIDS not covered
  • Cosmetic surgery unavailable

Activ Health Platinum (Other Benefits)

Activ Health Platinum
  • Road ambulance cover
  • No claim bonus
  • Critical illness cover
  • Domiciliary hospitalisation
  • Super reload of SI

Activ Health Platinum (Eligibility Criteria)

Activ Health Platinum
  • Entry age- 91 days
  • Max entry age- 65 years
  • SI- 10L to 2 Cr

Individual and Family Health Insurance

Aditya Birla Activ Health Platinum Essential Plan is your best friend if you are looking for a health insurance cover that protects you against chroni...

Unique Features

  • Avail Chronic Management Care
  • Wellness Benefits Included
  • COVID-19 Care

Aditya Birla Activ Health Platinum Essential (Pros)

Aditya Birla Activ Health Platinum Essential
  • Health returns cover
  • Chronic management program
  • Mental illness cover
  • Home care treatment
  • Obesity treatment

Aditya Birla Activ Health Platinum Essential (Cons)

Aditya Birla Activ Health Platinum Essential
  • Illness due to intoxicants
  • Change of gender treatment
  • Hazardous activities not covered
  • HIV/AIDS not covered
  • Cosmetic surgery unavailable

Aditya Birla Activ Health Platinum Essential (Other Benefits)

Aditya Birla Activ Health Platinum Essential
  • AYUSH treatment cover
  • Road ambulance cover
  • Health check-up program
  • International cover
  • Critical Illness cover

Aditya Birla Activ Health Platinum Essential (Eligibility Criteria)

Aditya Birla Activ Health Platinum Essential
  • Entry age- 91 days
  • Max entry age- No age limit

Health Insurance Companies

Choose Right Insurance Banner Choose Right Insurance Banner

Aditya Birla Health Insurance Claim Process: FAQs

1. What is the time frame for Aditya Birla Health Insurance Company to settle the claim?

There is no fixed time frame in which the company settles the claim, however, they pay the compensation within 15 days, after the complete verification of the document.

2. What are the additional documents requested by the company in case of a reimbursement claim?

For Reimbursement claims the company may ask for: KYC documents, medical bills, discharge summary, prescriptions, medical reports, claim form, photo Id.

3. From where I can get the claim form?

The claim form can be obtained from the official website of the company.

4. Can we file our claim offline?

Yes, you can file your claim offline. You can visit the company’s nearest branch and submit the claim or call on the toll-free number of the company. The company executive will guide you through the process.

Share your Valuable Feedback

Rating Icon

4.4

Rated by 2630 customers

Was the Information Helpful?

Select Your Rating

We would like to hear from you

Let us know about your experience or any feedback that might help us serve you better in future.

Reviews and Ratings
Bindiya Sinha

Written By: Bindiya Sinha

Bindiya is a seasoned content writer specializing in keeping readers acquainted with the insurance industry, term insurance developments, and life insurance sector shifts. With an experience of 3 years in insurance, Bindiya ensures that her readers stay well informed with the insurance developments and factually correct information.