Claim Settlement Ratio 99.73%
Claim Settlement Facility 100%
COVID-19 Cover Yes
Network Hospitals 10000
Incurred Claim Ratio 59%
Aditya birla health insurance company limited (ABHICL) which is a joint venture between the Aditya birla capital limited, which is the holding company for the financial services business of the Aditya birla group and Momentum Metropolitan Strategic Investments (formerly known as MMI Strategic Investments Pvt Ltd) was incorporated in the year 2015. Aditya birla health insurance has obtained the standalone health insurance license from the Insurance regulatory and development authority of India (IRDAI) in the year 2015 and commenced its operations in October 2016. Aditya Birla capital holds about 51% in the joint venture whereas MMI group holds about 49% in the joint venture.
The plan is designed to provide rewards to insured customers maintaining a healthy lifestyle in the form of return of premiums and various other benefits. The minimum and maximum sum insured under the plan is Rs.5 Lakhs and Rs.1 Crore. For sum insured of Rs. 5 Lakhs and above the insured customer can opt for any room without any restriction on the room rent limit. Modern treatments are covered under the plan up to the sum insured. Daily cash benefits of up to Rs.6000 per event are available under the plan. The pre and post hospitalization expenses are covered up to 90 days before and 180 day after the hospitalization. In case of network hospitals the road ambulance charges are covered up to the actuals and in case of non network hospitals the road ambulance charges are covered up to Rs.3000 per event. Alternative treatments and organ donor expenses are covered up to the sum insured limits mentioned under the plan.
There are various discounts which are offered by Aditya birla health insurance company for its customers that are mentioned below:
Aditya birla health insurance provides for both reimbursement and cashless claim settlement facility. The cashless facility is available in network hospitals only. Aditya birla health insurance hospital list or cashless hospital list can be downloaded from the website of the company or from here. Aditya birla health insurance claim form can be found here and the status of health insurance claim can be found on the website and app of the company. Aditya birla claim settlement through reimbursement mode would be done if the claim settlement service is available in any of the hospitals other than that of the network hospital.