Aditya Birla Super Top-up Health Plan

Aditya Birla Super Top-up Health Plan is an ideal plan for additional health coverage for your family. The plan allows you to opt for all the additional benefits required for your family, which aren't available in many health covers offered in the market.

The super top-up plan offers the benefits of a cashless claim facility across 6,000+ network hospitals. It gives you the freedom to customise your current plan, thus offering greater coverage. It offers affordable premium rates, saving you from the burden of ever-increasing medical expenses.

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  Cashless and reimbursement claim

  The plan offers cashless claims in 6,000+ network hospitals, and the claims are settled instantly. In an emergency, you can take the treatment in any hospital, get the medical expenses reimbursed after discharge, and submit the necessary bills.

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  High claim settlement ratio

  This plan offers a high claim settlement ratio of around 93.68% with affordable premium rates.

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  Room rent capping

  This plan covers the room rent for single AC and non-AC rooms. Other charges like professional fees, OT charges, investigation charges, and lab reports per the room rent restriction mentioned in the policy document are also included.

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  Day-care procedures

  The super top-up plan covers 527 listed day-care procedures for treatments that require less than 24 hours of hospitalisation and are conducted in a hospital or a day-care.

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  Domiciliary hospitalisation covered

  In case of hospital bed unavailability, the plan covers expenses incurred for home care treatment. Insured patients who cannot travel to the hospital will also be covered under this policy.

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  Pre-hospitalisation expenses coverage

  This plan covers medical costs incurred due to any illness or injury 30 days before hospitalisation.

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  Coverage against post-hospitalisation expenses

  The plan covers medical costs incurred due to illness or injury for 60 days after hospitalisation.

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  Organ donor expenses coverage

  This plan covers the medical expenses of the organ donor for organ procurement.

Health insurance helps you be stress-free while dealing with medical contingencies due to sickness and accidental injuries. Plans are available starting from Rs. 5,200 and offer maximum coverage of Rs. 50 lakh.

• To apply for the product, click on ‘Apply Now’ and fill in the necessary details in the application form.
• Make the fee payment online using your preferred mode of payment.
• Fill in your name and mobile number.
• If required, opt for a call back from our representatives or complete the process by clicking 'Buy Now'.

Here are the mandatory documents required to purchase the policy:

• Photograph of the applicant
• Age proof, such as birth certificate, Voter's ID, PAN card, passport, etc.
• Identity proof, such as passport, Aadhaar card, PAN card, Voter's ID, etc.
• Income proof, such as Form 16, salary slips, employment certificate, etc.
• Address proof, such as telephone bill, electricity bill, passport, bank statement, Voter's ID, etc.
• Medical test that the insurer requires you to undergo.

One can raise medical emergencies and accident claims by following the few simple steps given below.

With Aditya Birla Super Top-Up Health Plan, you can benefit from cashless treatment at 6,000+ network hospitals. The procedure to file a claim is as follows:

• First, search for an Aditya Birla network hospital in the city where you want to get cashless treatment.
• Intimate Aditya Birla within 48 hours of emergency hospitalisation and 3 days before admission in case of planned hospitalisation.
• While visiting the hospital, carry the patient’s Aditya Birla Health Insurance cashless card or the policy details.
• Show the health insurance cashless card and valid ID proof at the hospital's insurance desk.
• Fill in the pre-authorisation request form correctly available at the hospital and submit it to the hospital.
• For quicker action, fill in the request form on the official website and intimate the insurer. Wait for the decision as your request will be reviewed.
• Aditya Birla Capital Health Insurance may take up to 2 hours after receiving the request and will inform about the decision via an e-mail and an SMS.
• You can also check the status online. The claim will be processed as per the terms and conditions of the policy after all the formalities are completed.

Reimbursement claims

• In case of an emergency admission, you need to notify the insurer within 48 hours and pay the charges to the hospital directly unless they have issued a pre-authorisation.
• Collection and submission of claim documents: Send the insurer the list of the documents mentioned below within 15 days of discharge from the hospital.
• After reviewing the documents insurer will approve or reject the same per the terms and policy.
• The insurer will send the reimbursement amount via NEFT to your registered bank account if the request is approved.
• If the request is rejected, the same will be communicated to your registered contact phone number and e-mail address.

You will require the following relevant documents in original form. Collect it from the hospital and submit them to the insurer within 15 days of discharge from the hospital.

• All original investigation reports
• Final hospital discharge summary, FIR or post-mortem report, if any.
• Pharmacy bills along with the prescription
• Cancelled cheque or NEFT details for payment
• Original bills, receipts, and discharge report
• Indoor case papers and duly filled claim form
• Original hospital bills and a valid photo ID proof
• Treating doctor's report
• Original consultation notes, nature of operation performed, and surgeon's bill and receipt

1. Ailments that require treatment due to use or abuse of any substance, drug, or alcohol and treatment for de-addiction.
2. Circumcision, unless required for the treatment of illness or accidental bodily injury.
3. Cost of spectacles, contact lenses, hearing aids, crutches, artificial limbs, dentures, and artificial teeth, except for intrinsic fixtures used for orthopaedic treatments such as plates and K-wires.
4. Human Immunodeficiency Virus or variant/mutant viruses and/or any syndrome or condition of a similar kind commonly referred to as AIDS.
5. Plastic surgery unless necessary for the treatment of cancer, burns, or accidental bodily injury.
6. Treatment for any mental illness or psychiatric illness and Parkinson's disease.
7. Vaccination or inoculation, unless forming a part of post-bite treatment or, if medically necessary, forming part of the treatment recommended by the treating doctor.
8. Waiting period:
9. • Initial waiting period: 30 days
   • Pre-existing waiting period: 3 years
   • Specific illness restriction: 2 years


10. Refer to the policy brochure to know further exclusions in detail.

BFL helpline number: 08698010101

Aditya Birla Health Insurance: 1800-270-7000

E-mail:   wecare@bajajfinserv.in

Mailing address:Ground Floor, Bajaj Finserv Corporate Office, Off Pune-Ahmednagar Road, Viman Nagar, Pune – 411014.