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Aditya Birla Claim Settlement Ratio

98.12%

Aditya Birla

94.21%

Industry Average

Health claim settlement ratio is the percentage of claims settled against the total claims received by the insurance company in a given fiscal year. Aditya Birla has a claim settlement ratio of 98.12%, as compared to the industry average of 94.21%.

Aditya Birla Claim Process

Aditya Birla supports both cashless claims and reimbursement claims. This section covers the information on how to check Aditya Birla health insurance claim status, fill Aditya Birla health insurance claim form, and the claim settlement process.

Step 1: Hospitalization at Network Hospital:
Find treatment at a hospital from the aditya birla health insurance hospital list of 10051+ hospitals and ensure that the hospital is aware of the cashless claim request.

Step 2: Intimate the Insurance Company:
Inform Aditya Birla Health Insurance within 48 hours, or planned hospitalisation 3 days before your admission. In emergency cases, intimate the insurer within 24 hours of admission.

Step 3: Pre-Authorization Request:
Submit the pre-authorization request form, duly filled and signed, to Aditya Birla company. Include relevant medical documents such as doctor's advice,diagnostic reports,and estimates of treatment costs.

Step 4: Verification by the Insurer
The insurance company will review the pre-authorization request and documents.Carry valid ID proof such as PAN Card, Passport for verification.

Step 5: Claim Process
Post the Pre-Authorization Approval to the hospital, they will process the cashless claim with aditya birla health insurance network hospital.

Step 1: Hospitalisation Information
In case of any emergency, inform Aditya Birla Health Insurance within 48 hours of being admitted and 3 days prior before you are admitted for planned hospitalisation.

Step 2: Make Payment
Once admitted, you can make the payments directly to the hospital unless Aditya Birla Health Insurance has issued a pre-authorization.

Step 3: Fill The Form
Complete the aditya birla health insurance claim form along with submission of all necessary documents, including the medical records, bills, prescriptions, and any other relevant documents.

Step 4: Claim Process
If the claim is approved, Aditya Birla will reimburse the approved amount directly to the policyholder's bank account.

Aditya Birla Premium Calculator

Use the Aditya Birla health insurance premium calculator to estimate your health insurance premiums.

Premium Calculator

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FAQs

Assuming all documentation is in order, Aditya Birla Health Insurance typically settles claims within 30 days from the submission date of all "required" documents.

Aditya Birla Company retains the exclusive right to alter, include, or limit any network hospital for cashless services offered under the policy at its discretion. Prior to utilizing the cashless service, the policyholder/insured person should verify the current list of applicable network hospitals on their website.

Regrettably, they are not obligated to process any claims that arise within the grace period.

HealthReturns™ is a rewarding feature applicable to Aditya Birla Activ Health, Activ Assure, and Activ Care Plans. It incentivizes your healthy lifestyle choices by offering monetary rewards that you can accumulate over time and use according to your needs.

By earning 13 Active Dayz™ plus a Green Healthy Heart Score, you can receive up to 30% of your premium back. The principle is straightforward – the healthier your habits, the greater the rewards.
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