Paisawiki is a Part of Logo
Get insured from the comfort of your home No medicals required

Tell us about you

Aditya Birla Group Activ Health Plan
250+ Plans 18 Insurance Companies
₹ 5 Lakh Coverage @ ₹ 10/day
7 Lakh+ Happy Customers

*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C Apply

Aditya Birla Group Activ Health

The Aditya Birla Group has introduced the Aditya Birla Group Activ Health Plan for the welfare of the employees of a company. This plan has been presented with the vision to provide medical benefits to employees or workers of a company in times of medical emergencies or unforeseen hospitalization.

This plan provides financial cover in times of medical needs of the employees. Group insurance plans are highly recommended for people who ‘re unable to afford individual health policies due to exorbitant premium costs.

 It also provides the facility of wellness coach to an organization's employees who will guide for achieving fitness and health goals.

What is the Aditya Birla Group Activ Health Plan?

Aditya Birla Group Activ Health Plan, an annual group health insurance plan by Aditya Birla Health provides health and physical benefits to an organization's employees under the policy.  When an employee joins the organization, his compensation benefits include a group health insurance plan.

These health insurance policies for an employee group in a company are uniform in nature. This fact means all employees covered under the policy avail of the same benefits.  Employers have the option to extend the coverage under a group health insurance plan to their family members. This plan covers any hospitalization expenses, daycare procedures, ambulance charges due to any accidents or sickness.

Features of Aditya Birla Group Activ Health Plan

Aditya Birla Group Activ Health plan provides comprehensive financial coverage for its group members covered under the policy. Wherever required, the employer can customize the plan as per the needs of the employees. Below are the features offered by this plan.

  • This group insurance plan covers pre and post-hospitalization expenses. This plan includes all costs incurred in case of planned or emergency hospitalization like room rent, ambulance charges, doctor’s or nurse’s fee, etc.
  • Daycare treatment costs are also covered under this plan.
  • This plan provides for Maternity-cover starting from the day an employee enrols for this Group Activ Health plan.
  • An important feature associated with this plan is the absence of any waiting period for critical illnesses like asthma, diabetes, heart ailments, hypertension, etc. which is otherwise present under individual health plans.
  • Domiciliary hospitalization, along with attendant charges and medical costs is also covered and offered by this plan.
  • Employees have the facility to opt for any type of medical room, whether shared or private room.
  • Employees covered under the plan can obtain a second opinion online on critical medical illnesses or procedures from specialist doctors.
  • Unlike individual health insurance plans, health insurance coverage is provided for pre-existing illnesses as well.
  • Hospital allowance in the form of daily cash, from Rs 500 to Rs 5, 000, is provided in case of the hospitalization of the policyholder.
  • There is no need for group members covered under the plan to undergo any pre-medical check-up.
  • The policyholder can also get a free annual health check-up.

Benefits of Aditya Birla Group Activ Plan

Some of the alluring benefits of this policy are:

  • The plan offers a cashless claim settlement process. This facility can be availed at any of Aditya Birla Health's network hospitals, where they will directly settle the hospital or medical bills.
  • The whole process of enrollment to the Group Activ Health plan is simple, hassle-free and does not require significant documentation from group members.
  • Even though the main terms of the policy remain fixed for all group members covered under the plan, policyholders can opt for different medical covers as per their medical requirements.
  • Employees covered under this plan have the option to avail the benefits of a wellness coach, who can provide suggestions for a consistently healthy lifestyle.
  • The group plan provides access to a large number of over 6000 network hospitals under the Aditya Birla Health group.
  • You can earn rewards for a healthy lifestyle and earn up to 30% on your health insurance premium.
  • The policyholders can also avail of tax benefits under Section 80D of the Income Tax Act, 1961 towards any premium paid towards the plan.

*Tax benefits are subject to changes in tax laws.

Inclusion of the Aditya Birla Group Activ Health plan

The Aditya Birla Group Activ Health Plan provides comprehensive medical coverage for the following:

  • Hospitalization charges
  • Pre and post hospitalization charges
  • 520 daycare treatments and procedures are included
  • OPD charges
  • Ambulance charges, wherever required
  • Health check-ups charges, if any
  • Second medical opinion
  • Reconstructive surgery procedures
  • Genetic testing
  • Counselling sessions

Exclusions under Aditya Birla Group Activ Health Plan

The policy doesn’t cover the following:

  • Any medical expenses arising due to war, terrorism, invasion, or warlike operations
  • Any intentional self-injury or attempted suicide by the insured person
  • Any treatment expenses arising due to participation in naval, military, or air force operations
  • Injury due to participation in extreme sports
  • Any treatment arising due to consumption of alcohol, intoxicants, or drugs
  • Cosmetic or aesthetic surgeries or treatments, or any laser treatment
  • Any psychiatric or psychological disorders, or mental disorders
  • Any neurological ailments
  • Treatment for Parkinson and Alzheimer's disease or sleep apnea
  • Any external congenital diseases or defects
  • Stem cell therapy
  • AIDS or HIV, or any STDs
  • Any medical treatment is taken abroad
  • Any alternative medicine or therapy is undertaken

Eligibility Criteria to Buy the Aditya Birla Group Health Policy

This plan can be taken or enrolled by any member of the organization or employee of the company where the employer offers it. The plan coverage begins from day one of the joining of the employee.

Claim Process of the Aditya Birla Group Activ Health Plan

Aditya Birla Group health plan provides two methods of claim process:

  • Cashless Claim
  • Reimbursement Claim

Cashless Claim Process

The steps to be followed under cashless claim are:

  • The first thing that you need to do in case of hospitalization in a network hospital is to inform or notify Aditya Birla Health Insurance about your hospitalization with complete details.
  • You need to show your cashless claim card along with your valid ID proof.
  • Once the hospital has verified your identification, they will send the request form for cashless hospitalization to the insurance provider. For emergency hospitalization, it should be submitted within 48 hours, whereas for planned hospitalization, it should be submitted 3 days in advance
  • Aditya Birla Health Insurance officials will review the form and accept or reject it. Accordingly, payment will be made by them to the network hospital.

Reimbursement Claim Process

The steps to be followed under reimbursement claim are:

  • This process involves the settlement of hospitalization expenses in case of admission to a non-network hospital. Here you need first to settle the hospital amount after discharge and later file for the claim.
  • Once you get discharged from the hospital, you need to submit the required medical documents and reports to Aditya Birla Health Insurance within 15 days from the date of discharge.
  • Once you submit all the documents on time, Aditya Birla Health Insurance officials will review and verify your documents. If everything is correct, they will process your claim, and you will get the reimbursement amount as a bank transfer to your account.

Claim Documents

The documents required to be submitted for filing a Reimbursement Claim are as follows:

  • Claim Form
  • Identity and Address Proof
  • Health Card
  • Hospital Discharge Summary in original
  • Hospital bills and invoices
  • Medical reports, doctor bills and prescriptions

How to Buy Aditya Birla Group Activ Health Plan?

Aditya Birla Group Health Insurance Plan can be purchased easily online. As part of your company’s group health policy, you can access the company’s website. You can log on to the company portal and provide your name, email id, and mobile number on the company's website and request for a callback.

Alternatively, your company will provide an Aditya Birla Group Health Insurance help desk in their premises where you can get the enrollment form and fill it and submit it.

You can even buy this Group Health insurance policy at paisawiki.com. You can compare plans which provide the best medical coverage as per your medical needs.

Steps of Buying Health Insurance at paisawiki.com

  • Go to the health insurance page.
  • Enter your company name, name, mobile number, email id and city name
  • Click on proceed option to select the plan and buy it

You will receive the soft copy of the policy document at your email address within 48 hours. Paisawiki provides a one-stop-shop facility to purchase this plan online on the website.

Documents Required to Buy the Aditya Birla Group Activ Health Plan

The application process for Aditya Birla Group Activ health Plan is simple and easy with minimum documentation. The group members need to submit copies of the following documents at the time of enrollment to the plan with their company.

  • Identity Proof- PAN Card copy/AADHAAR card copy/Voter Id/Driving License/Passport
  • Address Proof: This can be VoterId, Passport copy or even a letter from the employer mentioning the address proof of the employee
  • Medical documents or reports, wherever required 

Renewal Process of Aditya Birla Group Activ Health Plan

You can easily renew your Aditya Birla Group Health Insurance plan online on the company’s website. These Group insurance plans need to be renewed annually. Renewal of your policy on time ensures that you continue to receive the health insurance benefits uninterruptedly offered by the policy.

Alternatively, you can visit paisawiki.com and access the Group Health Insurance page. After entering your necessary details, click on 'Renewal'.

Paisawiki works towards making the renewal process easy and simplified for you online. You can avail of the package of services, complete with expert guidance, plan comparison, purchase assistance and renewal of the plan. You can compare online and find the best plan as per your insurance needs.

You can even contact the insurance provider help desk in your employment company premises for policy renewal. You need to take the renewal form and submit it duly filled along with the necessary payment. 

FAQs

  • Does this plan provide coverage for chronic diseases?

    Ans: Yes, this Aditya Birla Group Health Insurance Plan provides coverage for chronic diseases like diabetes, hypertension and asthma from day 1 of enrollment to the plan. This feature is available under the Chronic Management Program offered by the policy.

  • What is the advantage of securing a Group Health Insurance Policy?

    Ans: Group health insurance provides health insurance benefits to an entire group of people under the policy. This kind of policy generally offers the same type of plan and benefits to all members of the particular group. However, the companies can offer customized plans as per the needs of the employee, i.e. different coverage amounts or number of members insured.

    Unlike Individual health Insurance policy, a Group Health Insurance provides coverage even in the case of pre-existing diseases, and there is also no waiting period involved.

  • What is the hospital room rent policy under the Group Health Insurance plan?

    Ans: Generally, hospital costs depend on the type of room chosen for hospitalization. Treatment cost in an AC room will be higher than that in a shared, regular hospital room. However, you can customize the room rent as per your group health plan. You can either take a room based on 1%, 1.5% or 2% of sum insured, or a single AC room or a room with no rent cap at all.

  • What is the provision for pre-existing diseases in case of Aditya Birla Group Activ Health policy?

    Ans: Aditya Birla Group Health insurance plan provides coverage for pre-existing diseases from the day of enrollment to the policy. These are the diseases that exist in the policyholder before he purchases the plan, ex., cardiovascular diseases, and Blood Pressure issues.

  • What are the maternity benefits provided by Aditya Birla Group Activ Health Plan?

    Ans: Unlike Individual health insurance policies, that have a maternity waiting period of 3 to 4 years, there is NO such waiting period for maternity in case of this policy. The insured member should be enrolled in the plan for at least nine months as the employee of the organization concerned. If the company so desires, even this minimum requirement for nine months can be waived off. This feature means that the insured members can claim the maternity benefits from Day 1 of enrollment to the policy.

Written By: Paisawiki - Updated: 25 September 2020

Top Articles

Best Health Insurance Plans in India

Best Health Insurance Plans in India

Best Health Insurance Plans in India 2020 Drafting a sound financial plan is challenging to an individual for reasons more than one. The primary aim of the plan is to cater for financial cover for life goals and long term wealth creation in the fo...
Best Health Insurance Plan For Senior Citizens

Best Health Insurance Plan For Senior Citizens

Best Health Insurance Plan For Senior Citizens When it comes to a health insurance plan it is more than a necessity in today’s times. As we know and will even agree that any eventuality does not come with prior notice or information. In any cas...
Best Health Insurance Companies in India 2020

Best Health Insurance Companies in India 2020

Best Health Insurance Companies in India 2020 Agent: Sir, what type of health policy do you want? Buyer: Yaar kuch bhi de de, sare to same he hote hai almost. Agent: No sir, there are multiple types as per the requirement. Buyer: Achcha, policy...
Best Maternity Insurance Plans in India

Best Maternity Insurance Plans in India

Best Maternity Insurance Plans in India Health insurance with maternity cover and childcare benefits provide for the expenses incurred before, after, and during the delivery process of a child. Expecting parents are often bombarded with expenses ...
Best Dental Insurance Plans in India

Best Dental Insurance Plans in India

Best Dental Insurance Plans in India One of the scariest aspects of everyday life is going to see a dentist. A simple toothache can turn a happy day into a painful experience. And we can’t ignore the expenses associated that can’t assume to be...