Aditya Birla Health Insurance - Group Activ Health Plan starting at Rs. 8,182*
Key features
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 3 days before planned hospitalisation.
Find the nearest hospital here -
Chronic illness coverage
Get medical expenses coverage for treating chronic illnesses like asthma, blood pressure, cholesterol, and diabetes for all members covered under the policy.
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Pre- and post-hospitalisation expenses coverage
Get coverage for medical costs incurred for treatments undertaken for illnesses or injuries 30 days before or 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 medical expenses incurred for treatments undertaken by 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. The service must be availed from a 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 basic details such as name, gender, mobile number, date of birth, and residential PIN code for you or the person you want to insure.
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Step 3
Now click on ‘Get Quote’ to proceed.
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Step 4
Enter the One Time Password (OTP) received on your registered mobile number for verification.
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Step 5
Choose Aditya Birla Group Activ Health Plan from the list of health insurance policies and click on ‘Buy Now’.
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Step 6
Your personal details, based on our records, will be pre-filled. All you need to do is check if the details are correct and click ‘Next’.
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Step 7
Enter your address and nominee details.
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Step 8
Answer a few questions about your health and lifestyle by clicking the relevant checkboxes. Click on the ‘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.
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After successful payment, your policy document will be available for you to download instantly. A copy of the policy document will also be mailed to your registered email ID within 5-7 working days.
You will also receive an SMS confirmation immediately after the payment process is completed.
You can also access your policy details through the 'My Account' section within 5-7 days after purchase.
Policy details
Here’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 | 6 members (2 adults + 4 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 | 6 members (2 adults + 4 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 till 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
Reach out to the insurer within 48 hours of emergency hospitalisation and 3 days before planned 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 along with a valid identity proof (PAN, voter ID, passport) at the hospital reception.
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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.
The insurer will review and verify the documents and process the claim per the policy terms and conditions. The bills will be settled between the insurer and 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
Reach out to the insurer within 48 hours of emergency hospitalisation and 3 days before planned 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 the required documents like the reimbursement claim form, hospital discharge summary, bills and prescriptions, and more to the nearest branch office of the insurer.
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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 you need to raise a claim request with Aditya Birla Health Insurance.
- Claim form (Part A and B). Part A to be filled by the insured and Part B to be filled 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 plan that offers coverage against chronic illnesses like asthma, blood pressure, cholesterol, and diabetes to all members covered under the policy. It also provides 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.
In order to avail cashless hospitalisation, reach out to the insurer within 48 hours of emergency hospitalisation and 3 days before planned hospitalisation.
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 can get tax exemptions on premiums paid for this health insurance policy under section 80D of the Income Tax Act of 1961.
You can reach out to 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