Aditya Birla Health Insurance - Group Activ Health Plan starting at Rs. 8,182*
Product highlights
Note: This policy is available only for existing Bajaj Finance Limited customers. By proceeding, you agree to the terms and conditions
Key features and benefits of this policy
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Cashless treatment at 10,000+ hospitals
Contact the insurer within 48 hours of emergency hospitalisation or three days before planned hospitalisation.
Find the nearest hospital here -
Chronic illness coverage
Covers the medical expenses for treating asthma, blood pressure, cholesterol, and diabetes. The plan covers all members enrolled in the policy.
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Pre- and post-hospitalisation expenses coverage
Covers the treatment costs for illnesses or injuries from 30 days before and 90 days after hospitalisation.
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527 daycare treatment procedures covered
Covers 527 daycare treatments that require hospitalisation for less than 24 hours.
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Organ donor expenses coverage
Covers treatment costs of the organ donor for any organ transplant procedure.
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Road ambulance coverage
Covers ambulance expenses of up to Rs. 2,500 for transporting the policyholder to the hospital. Avail the services from registered ambulance service provider.
Eligibility criteria and documents required
Anyone can apply for Aditya Birla Group Activ Health Plan as long as you meet these basic criteria mentioned below. If you meet all the eligibility criteria, we will need some basic information to complete your application process.
Eligibility criteria
- Exclusively for Bajaj Finance customers
- Nationality: Indian
- Age (adults): 18 years and above
- Age (dependent children): 0-25 years
Documents required
Only basic information required while buying the policy:
- Date of birth as per the PAN card
- Valid 10-digit mobile number
- Residential PIN code
Step-by-step guide to buy this policy
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Step 1
Click on ‘Get Quote’ to open our online application form.
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Step 2
Fill in the application form with some basic details of the insured/proposer. Fill in the name, gender, mobile number, date of birth, and residential PIN code.
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Step 3
Now click on ‘Get Quote’ to proceed.
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Step 4
From the list of policies shown, choose Aditya Birla Group Activ Health Plan by clicking on ‘Buy Now’.
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Step 5
Select the policy term and premium amount.
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Step 6
Enter your email ID and check if all personal details shown are correct. Click on ‘Next’ to proceed.
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Step 7
Enter some additional details, such as height, weight, nationality, marital status, address, and nominee details (if applicable).
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Step 8
Answer a few questions about your health and lifestyle by clicking the relevant checkboxes. Click on ‘Next’ button to proceed.
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Step 9
Verify if the previously filled details are correct and click on the ‘Proceed’ button to visit the payment page.
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Step 10
Make the payment through net banking, UPI, debit, or credit card to buy the policy.
After successful payment, your policy document will be available for you to download instantly. You will receive the policy document copy on your registered email ID within 5-7 working days.
You will also receive an SMS confirmation immediately after processing the payment successfully.
You can also access your policy details through the My Account section within 5-7 days after purchase.
Policy details
Recently updatedHere’s a quick look at the policy details of the Aditya Birla Group Activ Health Plan:
- With co-pay
- Without co-pay
| Policy details | Description |
|---|---|
| Policy type | Group (for customers of Bajaj Finance Ltd. only) |
| Starting premium (in Rs.) | 8,182* |
| Sum insured (in Rs.) | 10 lakh |
| Policy term | Annual plan |
| Co-pay | 10%, limited to a maximum of Rs. 10,000 on all claims |
| Number of members covered | Six members (two adults + four children) |
| Policy details | Description |
|---|---|
| Policy type | Group (for customers of Bajaj Finance Ltd. only) |
| Starting premium (in Rs.) | 8,781* |
| Sum insured (in Rs.) | 10 lakh |
| Policy term | Annual plan |
| Co-pay | Not available |
| Number of members covered | Six members (two adults + four children) |
Key inclusions and exclusions
Here’s a quick look at the inclusions and exclusions under the Aditya Birla Group Activ Health Plan:
- Key inclusions
- Key exclusions
| Key inclusions | Description |
|---|---|
| Chronic diseases | Asthma, blood pressure, cholesterol, and diabetes are covered |
| Daycare procedures | 527 daycare procedures covered |
| Pre-and post-hospitalisation | Medical expenses incurred from 30 days before hospitalisation and up to 60 days after hospitalisation are covered |
| Emergency road ambulance cover | Compensation of Rs. 2,500 for booking an emergency ambulance to carry the patient to the hospital |
| Key exclusions | Description |
|---|---|
| Alternative care | Ayurveda/homoeopathy hospitalisation benefit |
| Daily cash | No daily cash benefit under this policy |
| Sum insured reinstatement | Sum reinsured reinstatement not provided |
| Dental procedures | Dental treatments and cosmetic surgeries |
| Fertility treatment | Fertility, infertility, sterility, erectile dysfunction, impotence, or sterilisation |
| HIV/AIDS | AIDS or similar conditions caused by variant/mutant viruses |
Product information
For complete details on product benefits, features, terms and exclusions, please read the product brochure and policy wordings carefully before buying a policy.
How to raise a cashless claim
Follow these steps to raise claim requests for cashless hospitalisation with Aditya Birla Health Insurance.
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Step 1 - Contact the insurer
Contact the insurer within 48 hours of emergency hospitalisation. In case of planned admission, contact three days before hospitalisation.
1. Toll-free: 1800-270-7000
2. E-mail: care.healthinsurance@adityabirlacapital.com -
Step 2 - Locate a network hospital near you
You can get cashless treatment at 10,000+ Aditya Birla Health Insurance network hospitals across India. Click here to locate a hospital near you.
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Step 3 - Verify patient’s identity
Share the patient’s policy number or the Aditya Birla Health Card at the hospital reception. Also, provide valid identity proof (PAN, voter ID, passport).
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Step 4 - Submit the pre-authorisation form
Fill and submit the pre-authorisation form available at the hospital desk. You can also download the form online and fill it beforehand.
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Step 5 - Claim settlement
The insurer will review and verify the documents and process the claim per the policy terms and conditions. Insurer will directly settle the bill with the hospital.
How to raise a reimbursement claim
To reimburse your hospital and medical expenses with Aditya Birla Health Insurance, follow these steps.
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Step 1 - Contact the insurer
Contact the insurer within 48 hours of emergency hospitalisation. In case of planned admission, contact three days before hospitalisation.
1. Toll-free: 1800-270-7000
2. E-mail: care.healthinsurance@adityabirlacapital.com -
Step 2 - Settle all hospital bills
Settle all medical bills and other costs involved in hospitalisation and treatment at the hospital.
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Step 3 - Submit necessary documents
Submit reimbursement claim form, hospital discharge summary, bills, and prescriptions to the insurer. You need to submit the required documents at the nearest branch office.
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Step 4 - Claim settlement
The insurer will review and verify the documents and process the claim as per the policy's terms and conditions.
Documents required for raising a claim request
Here is the list of documents that you need to raise a claim request with Aditya Birla Health Insurance.
- Claim form (part A filled by policyholder and part B by the hospital)
- Aditya Birla Health Card
- Valid ID proof (PAN, voter ID, passport)
- Original discharge summary
- Original hospital bills and payment receipts
- All doctor consultation papers
- FIR copy or post-mortem report in case of an accident or death
Frequently asked questions
Aditya Birla Group Activ Health Plan is a comprehensive health plan. This plan offers coverage against chronic illnesses like asthma, blood pressure, cholesterol, and diabetes. The plan covers all the members enrolled in the policy. You also get coverage for pre-and post-hospitalisation expenses, organ donor medical expenses, and road ambulance charges. You also have the option to choose either a single private room or a shared room during hospitalisation.
The entry age for this policy is 18 years and above, and 0-25 years for dependent children. The candidate must also undergo a medical test as required by the insurer.
The cashless claim facility is available at 10,000+ network hospitals across India.
To avail cashless hospitalisation, contact the insurer within 48 hours of emergency hospitalisation. For planned hospitalisation, you need to contact the insurer three days before hospitalisation.
While raising the reimbursement claim request for this policy with Aditya Birla Health Insurance company, you need to share the following documents with the insurer:
1. All original investigation reports
2. Final hospital discharge summary, FIR, or post-mortem report if any
3. Hospital and pharmacy bills, along with the prescription, receipts
4. Cancelled cheque or NEFT details for payment
5. Original bills, receipts, and discharge report
6. Treating doctor's report and details like nature of operation performed
You get tax exemptions on premiums paid for the health insurance policy. You can avail the tax benefit under relevant sections of the Income Tax Act of 1961.
You can contact Aditya Birla Health for any claim or policy-related queries in the following ways:
1. Toll-free: 1800-270-7000
2. E-mail: care.healthinsurance@adityabirlacapital.com