Aditya Birla Activ Assure – Diamond plan does not cover the following:
Maternity expenses
New born treatment
Opd expenses
Recovery allowance
Ancillary hospital charges
Hazardous activities
Aditya Birla health insurance offers 1 health insurance plan. The premium of these plans starts from Rs. 8215/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 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.
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