Aditya Birla Platinum – Enhanced Health Insurance

Aditya Birla Health Insurance

Aditya Birla Claim Settlement Ratio

Aditya Birla Premium Calculator

Coverage range

2 Lakh - 2 Cr

Premium starts from

8,215/ Yr

Age eligibility

91 days onwards

Claim settlement ratio

98.12%

What Is Special About Platinum – Enhanced Policy?

With unique benefits such as 100% Health Returns, cover for Modern treatments methods and chronic management program, the Activ Health Platinum- Enhanced Plan is one of a kind.

Coaching on nutrition, fitness and dental consultation
Health Assessment measures MER including BP, BMI, HWR and smoking status, Blood Sugar and Total Cholesterol. Charges for the same shall be borne by Aditya Birla once in a policy year
Expert Health Coach,Mental wellness counselling, homeopathy teleconsultation,Premium Waiver

Features of Aditya Birla Platinum – Enhanced Health Insurance Policy

Check the features and coverage of Aditya Birla Platinum – Enhanced Health Insurance plan below:

Ambulance Charges

Covered up to actual expenses per event in case of network providers,Reimbursed up to 5,000 per hospitalisation for non-network providers,Domestic Emergency Assistance Services (including Air Ambulance and International Emergency Assistance Services (including Air Ambulance) Covered

Ayush Treatment

Covered up to Sum Insured

Co-pay

Zone Upgrade - Zone II to Zone I: 10%,Zone III to Zone II: 15%,Zone III to Zone I: 25%

Cover Restoration

Available (up to 100% of Sum Insured)

Day Care Procedures

Covered up to Sum Insured

Treatment At Home

Covered up to Sum Insured

Aditya Birla Platinum – Enhanced Plan Resources

Policy Brochure

Exclusions of Aditya Birla Platinum – Enhanced Health Insurance Policy

Aditya Birla Platinum – Enhanced plan does not cover the following:

Daily cash allowance

Maternity expenses

New born treatment

Ancillary hospital charges

Hazardous activities

Artificial life maintenance

Other Plans From Aditya Birla

Aditya Birla health insurance offers 1 health insurance plan. The premium of these plans starts from Rs. 7149/yr. The sum insured ranges from Rs. 2 Lakh - 2 Cr. Details of the comprehensive coverage provided by the following 1 Aditya Birla health insurance plan is listed below:

Aditya Birla Activ Assure – Diamond Policy

Starting Premium- 7,149/Yr

Eligible Age

91 days onwards

Coverage

2 Lakh - 2 Cr

Calculate Platinum – Enhanced Plan Premium

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

Premium Calculator

Enter just a few details to calculate your health insurance premium within 30 seconds.

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%.

Know More About Aditya Birla Claim Settlement

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 Health Insurance Renewal Process

Renewal Process of Aditya Birla Health Insurance

To continue enjoying the benefits of your health insurance plan, it is essential to renew your Aditya Birla Insurance policy at regular intervals, depending on your chosen policy term of 1 year, 2 years, or 3 years. Renewing your health insurance policy is crucial to avoid policy lapses and to prevent going through the initial waiting period of 30 days again. Follow these steps for a hassle-free renewal process for Aditya Birla Health Insurance Co. Limited

Read below the process to renew Aditya Birla Health Insurance plan online or offline
Step 1: Visit the official website of Aditya Birla Health Insurance. Click on the ‘Renew’ tab and select ‘Renew Now’
Step 2: Provide information for any two from the following: Policy Number, Date of Birth and Mobile Number. Click ‘Proceed’
Step 3: Pay Health Insurance Premium Online for your Aditya Birla Insurance Policy via any mode of payment of your choice
Step 4: An email will be sent to you confirming the successful payment of premium and policy renewal

If you are not able to renew your policy online then you visit the nearest Aditya Birla Health Insurance branch. You can also contact the company’s customer care executives if you wish to do it via offline mode or reach out to a Turtlemint expert Insurance advisor who can help you with the Aditya Birla Insurance Renewal.

To renew, visit Turtlemint’s home page www.turtlemint.com or download the Turtlemint App here.