Aditya Birla Health Insurance
Claim Status
  • Explore the Claim Status of Aditya Birla
  • Check the Claim Status of 2020-21
  • Option to file your claim
Aditya Birla Health Insurance
premium

Network hospitals

11000+

premium

Incurred claim ratio

64.68%

premium

Sum insured

Up to 2 CR

premium

No. of Plans

22

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Solvency Ratio

2.3

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Pan India Presence

213

Recognized By Aditya BirlaPolicyX.com is a Recognised Aditya Birla Partner View Certificate

Customized Health Insurance Plan for you.

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Select Members You Want To Insure

Age of Eldest Member

premium

Network hospitals

11000+

premium

Incurred claim ratio

64.68%

premium

Sum insured

Up to 2 CR

premium

No. of Plans

22

premium

Solvency Ratio

2.3

premium

Pan India Presence

213

Recognized By Aditya BirlaPolicyX.com is a Recognised Aditya Birla Partner View Certificate

Aditya Birla Health Insurance Claim Status

Customers can easily comprehend the online claim services offered by the Aditya Birla health insurance policy. Nowadays, people choose to prefer online transactions from the comfort of their homes. If you are a policyholder of Aditya Birla Health Insurance, you can use a variety of online services offered by the company, such as updating policy information, finding hospitals, renewing, checking the claim status etc.

How to Check the Status of an Aditya Health Insurance Claim?

You can verify your health insurance policy online by visiting the insurer's website, or you can contact the health insurance specialists at PolicyX for any assistance you require. To follow the status of your claim, you must provide your policy number or claim number. It is a straightforward process that may be completed online in a few easy steps by entering the information below into the claim form:

  • Name of the hospital
  • Number of health insurance policies
  • Name of the hospitalized claimant or insured person
  • Relationship between the insured and the hospitalized person
  • Contact information for the claimant/insured (email id, phone number, landmark, address etc)
  • Type of illness (For health claim)
  • The accident's date and time (For accidents)

Health Insurer Policy And Claim Status

Claim Settlement Ratio Of Aditya Birla Health Insurance Company

As per IRDAI, Aditya Birla health insurance Claim Ratio is 99.41%. Take a look at the below given table that will let you get an insight into the ability of Aditya Birla Claim Settlement.

Status of Aditya Birla Health Insurance Claim Settlement ratio- 2021-22
Age Analysis of Number of Claims Paid (%) < 3 months 3 months to 6 months 6 months to <1 year 1 year to <3 year 3 years to <5 years 5 years
Claims Settled 99.41 0.26 0.05 0.28 0.00 0.00

Other Health Insurance Companies

Types Of Aditya Birla Health Insurance Claims

There are two types of health insurance claims you can choose from at your own convenience:

  • Cashless Claim
  • Reimbursement Claim

Let us take a look at both types of claim filing processes:

Cashless Claim

  • To avail of the cashless facility, you need to get admitted to any of the network hospitals of Aditya Health Insurance company.
  • At the network hospital, show the cashless card of Aditya Birla Capital Health Insurance and valid ID proof like a Passport, PAN Card, Voting card, etc.
  • Once the identification is done, the network hospital will send the cashless hospitalization request form to the company.**
  • The company will review the form. After completion of the formalities, the decision will be forwarded to you through SMS and E-mail.
  • Once approved, the payment will be made to the network hospital.

** For planned hospitalization, the form needs to be submitted 3 days in advance. For emergency cases, it needs to be submitted within 48 hours after hospitalization.

Reimbursement Claim

If you are admitted to a non-network hospital, you have to pay the hospital directly after the treatment is done.

1. To file a claim, submit the documents to Aditya Birla within 15 days of discharge: The documents required are:

  • Claim form (Part A & B)
  • Health card
  • KYC documents
  • Original discharge summary
  • Hospital bills
  • The invoice with payment receipt
  • All consultation papers
  • Others

2. After reviewing the documents, Aditya Birla will take the appropriate decision and if approved, the amount will be reimbursed through NEFT to the registered bank account.

** For planned hospitalization, the form needs to be submitted 3 days in advance. For emergency cases, it needs to be submitted within 48 hours after hospitalization.

Aditya Birla Health Insurance Network Hospital List

Aditya Birla Health Insurance Network Hospitals are present nationwide. With a wide network of over 10051+ cashless hospitals, Aditya Birla Health Insurance ensures that you are medically secured, irrespective of the city you reside in.

What Our Customers Have to Say

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Achintya Sharma

Ranchi

May 10, 2024

I’ve been covered by HDFC ERGO Platinum Health Guard plan for years now, and it has been a lifesaver. The coverage is extensive, and the claim process is so easy. I highly recommend the p...

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Shivalika Varghese

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May 10, 2024

If you are searching a health insurance like ManipalCigna ProHealth choose that offers straightforward claim assistance and the flexibility to optimize your coverage, go for it.

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Pratibha Chandrakar

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May 10, 2024

I was majorly focused on pre and post-hospitalization expenses coverage and found the best health coverage for these with the ManipalCigna ProHealth insurance policy.

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Kanupriya Ghadge

Nagpur

May 10, 2024

For anyone who’s looking for a comprehensive health insurance policy, I would recommend buying the ManipalCigna ProHealth Prime insurance plan as it provides maximum coverage.

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Neelam Sharma

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May 10, 2024

Star health has been my health insurer for more than 2 years and I am happy. Thanks to PolicyX for suggesting me Star Health

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Adi Kukreja

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May 10, 2024

My wife fell ill and was diagnosed with jaundice, due to which she had to be hospitalised for a week. But Star’s Family Health Optima Insurance Plan helped me pay the bill and PolicyX mad...

Naval Goel

Reviewed By: Naval Goel

Naval Goel is the CEO & founder of PolicyX.com. Naval has an expertise in the insurance sector and has professional experience of more than a decade in the Industry and has worked in companies like AIG, New York doing valuation of insurance subsidiaries. He is also an Associate Member of the Indian Institute of Insurance, Pune. He has been authorized by IRDAI to act as a Principal Officer of PolicyX.com Insurance Web Aggregator.