Aditya Birla Health Insurance Co. Limited (“ABHICL”), a subsidiary of Aditya Birla Capital Ltd (ABCL), is a joint venture between Aditya Birla Group and MMI Holdings of South Africa. ABHICL was incorporated in 2015 wherein Aditya Birla Capital Limited (ABCL) and MMI Strategic Investments (Pty) Ltd. hold 51% and 49% shares respectively. ABHICL commenced its operations in October 2016 and is engaged in the business of health insurance. ABHICL’s current product portfolio includes unique offerings including chronic care and incentivized wellness and has covered more than 1.3 Mn lives as on date. ABHICL has nation-wide distribution presence in over 650 cities through branches and partner offices.
|Step I||To avail cashless facility approach to our Network Hospital. For a list of our network hospitals, kindly visit https://www.eindiainsurance.com/aditya-birla/health/|
|Step II||Show patient’s Aditya Birla Health Insurance Cashless Card or provide policy number. Also show valid ID proof like Passport, PAN card, Voter’s ID etc. for identification purposes.|
|Step III||Post identification, the network hospital will submit the Cashless Hospitalisation Claims Form to us. To speed up the process of Cashless Pre - authorization, intimate us by filling the request form.
Emergency - Cashless Hospitalization Request Form needs to be submitted within 48 hours from the time of hospitalization.
Planned - Cashless Hospitalization Request Form needs to be submitted 3 days before hospitalization.
|Step IV||We will review and provide our decision to the network hospital and also send a SMS and an e-mail to you within 2 hours, when a request is received within usual business hours.You can also check your claim status by logging on https://www.adityabirlacapital.com/healthinsurance/#!/claim|
|Step V||We will process the claim (as per policy terms & conditions) with the hospital after the completion of all the formalities.|
|Step I||For all claims for which Cashless Facilities have not been pre-authorised or for which treatment has not been taken at a Network Provider, We shall be given written notice of the claim along with the following details within 48 hours of admission to the Hospital or before discharge from the Hospital, whichever is earlier:
|Step II||Collect the relevant claims documents and submit within 15 days to the below address:
|Step III||We will review and approve claim accordingly / seek further information / documents / reject the same. (as per the terms & conditions).
If your request for reimbursement of expenses is approved, we will reimburse the approved amount through NEFT to your registered bank account.
In case of any information deficiency or further information requirements, you will be communicated to ensure resolution of the same at the earliest.
If your request for claim is declined, you will be communicated the same along with valid reason(s) for rejection.
All communication will be done on your registered e-mail and contact number.
Yes, you can. However, in this case- you'll have to claim for Reimbursement as Cashless Claims are available at our network hospitals only.
We’ll be here for you no matter what time or day it is. Just give us a ring at 1800-270-7000 and we’ll sort things out for you.
Yes, ABHI’s health insurance policy is valid pan India.
Yes, a health insurance claim can be rejected if it doesn’t comply with your policy’s terms and conditions. For example: If you claim for a pre-existing disease-related treatment before completing the waiting period, your claim may be rejected.
Yes, you can if it is a daycare procedure or an OPD – provided that you’ve opted for an OPD cover in your health insurance.
The right age to buy a health insurance would be while you’re still young. This is because, premiums are a lot cheaper and you complete waiting periods sooner too! Additionally, with healthcare expenses off the roof, if you ever need treatment for an illness – a health insurance will ensure it doesn’t eat up your early savings which you can instead use for your travels.
Yes, your spouse, children and parents can be added as a dependant under the floater plan. The policy can also be taken for your father, mother, father-in-law, mother-in-law, son, daughter-in-law, daughter, grandparents, and grandchildren on individual basis. Your unmarried children, under the age of 18, are eligible as dependants under the policy. Your children enrolled as full-time education students are eligible until the age of 25.
No, all benefits shall be payable when incurred in India only, in Indian rupees.
Aditya Birla Health has an extensive network of 5,900+ network hospitals across India growing steadily over the years. One must get admitted to a network hospital in order to avail cashless treatment for their illness. One can get the hospital closest to them by going through the Aditya Birla Health network hospital list available on https://www.eindiainsurance.com/aditya-birla/health/
The premium paid on a health insurance policy is eligible for deduction under Section 80D of the Income Tax Act. So save with your policy now.
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