Network hospitals
11000+
Claim settlement ratio
64.68%
Sum insured
Up to 1 Cr
No. of Plans
1
Solvency Ratio
2.3
Pan India Presence
4800+
Isn't it right to have a health insurance policy that provides all-time healthcare accessibility for you and your family and doesn't drain out your all-life savings in one go? You deserve an affordable health insurance policy that covers all your healthcare needs at times and keeps the financial situation in your control.
Well, Aditya Birla Arogya Sanjeevani's policy offers you hospitalization expenses, AYUSH treatment covers, and so much more. But what does the Arogya Sanjeevani Policy mean?
IRDAI has made it mandatory for all the health insurance companies that sell standalone plans, to offer Arogya Sanjeevani health policy from 2022. Some mandatory coverage includes room rent, ICU, pre & post-hospitalization covers, daycare procedures, COVID-19 care, cataract treatment, and a few other basic healthcare benefits.
This page provides all related to the Aditya Birla Arogya Sanjeevani Policy, read further to know more about the same.
To understand Aditya Birla Arogya Sanjeevani Plan Insurance in detail, take a look at the below table:
Min- 3 months, Max- 65 years
Individual and Family Health Insurance
1 L | 2 L | 3 L | 4 L | 5 L
30 Days
Lifelong
1 Year
*Initial Waiting Period is the time period between the issuance of the policy and the time it starts actively. During this period, a policyholder has to wait to avail of the benefits offered under a health insurance plan.
Read more specifications in the brochure.
With wide coverage options available, Aditya Birla Arogya Sanjeevani Plan Insurance Plan allows you to choose your ideal coverage as per your family’s health requirements. Take a look at the coverage under every SI option available and choose your ideal coverage:
Room Rent
Covered
ICU Charges
Covered
Pre-Hospitalization
Covered
Post-Hospitalization
Covered
Domiciliary Hospitalization
Not Covered
Daycare Treatment
Covered
OPD Charges
Not Covered
COVID-19 Treatment
Covered
Cataract
Covered
No Claim Bonus
Covered
Automatic Restoration
Not covered
Daily Hospital Cash
Not covered
Organ Donor
Not covered
Maternity Cover
Not covered
New Born Baby Cover
Not covered
AYUSH Treatment
Covered
IVF Treatment
Not Covered
Modern Treatment
Not Covered
Ambulance
Covered
Air Ambulance
Not covered
Compassionate Travel
Not covered
Global Coverage
Not covered
E-Consultation
Not covered
Health Check-Up
Not covered
Second Medical Opinion
Not covered
Vaccination
Covered
Co-payment
Covered
Sub-limits
Covered
The room rent limit is the maximum bed charge you can claim if you are hospitalised. Common Room categories covered under room rent are all kinds of rooms including single, private and AC rooms (except suite).
It is a special hospital department where patients with serious medical conditions are treated.
Medical expenses incurred before hospitalisation of the policyholder.
Medical expenses incurred after the discharge of the policyholder from the hospital.
Domiciliary hospitalization or home care treatments are the arrangements for an insured individual due to the unavailability of medical amenities in hospitals, or in a case where an insured member can not be admitted to the hospital due to an inability. The treatment should last equal to or more than 72 hours to get financial coverage.
Treatments that can be completed within 24 hours of hospitalization like blood dialysis, cataracts, etc.
Covers the cost of doctor consultations and prescribed medical tests that may not require hospitalization. .
It includes the treatment cost for COVID-19 with a confirmative diagnosis from a government-approved centre.
A common eye condition in which your vision gets blurred due to cloudy formation in your eyes.
For every claim-free year, insurance companies reward policyholders with an increase in the sum insured amount as a no-claim bonus or cumulative bonus on policy renewal. However, in the case of a claim, this bonus amount either lapses or is reduced by a certain percentage varying from one plan to the other.
It is a benefit in which an insurance company restores the amount of sum insured completely or up to a certain percentage after it gets fully exhausted in treatments. This restoration amount may vary from one plan to the other.
Daily hospital cash or Hospicash is a cash amount that you receive each day during the time of hospitalization to cover your non-medical expenses.
It is a cover that includes the cost of the procedure for removing the damaged or malfunctioning organs from the body. In most of the cases, the insurer pays for the hospitalization and transplant expenses for both the parties i.e. the donor and the receiver.
It refers to the cover that includes expenses for normal and c-section deliveries.
It takes care of the medical expenses that arise due to the hospitalisation of the newborn baby in case of any childbirth complications, medical challenges, and so on. Some of the common treatments that are covered under the newborn cover and these common treatments can vary from plan to plan:
Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.
In Vitro Fertilization (IVF) is a method of assisted reproductive technology. The common expenses incurred under IVF and infertility treatments are settled or reimbursed for:
Medical treatments that demand the use of modern technology and advanced machinery such as robotic surgeries, stem cell therapy, etc.
An ambulance is used to move the patient from home to the hospital, transfer them to another hospital, and take them for different tests outside the hospital.
Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.
Refers to the travelling expenses of a family member who’s visiting the hospital to look after the patient when the policyholder gets admitted to a hospital outside his/her residential city.
Any kind of medical/health emergency when you are outside of India is covered for hospitalization expenses, modern and specific treatments, etc.
If a policy offers e-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.
A facility where the policyholder can avail of free health check-ups after fulfilling the company's eligibility criteria. In most cases, the insured member/s gets an annual health check-up cover.
If the policyholder wants, they may opt for a second medical opinion wherein the policyholder can consult another doctor within the company’s network of medical practitioners.
Coverage against the expenses incurred on vaccinations of either the newborn baby, for an animal bite, etc is provided by the insurance companies.
In the co-payment clause, policyholders have to pay a preset amount (either compulsorily or voluntarily) of the hospitalisation expense on their own and the insurer will pay the rest of the medical bill amount.
Sub limit is a condition in which the insurer will have to pay the medical expense up to a certain percentage and the remaining amount will have to be paid by the policyholder. For instance, if your policy covers room rent for upto 20% of the sum insured, but the expense of the same is more than 25%, you will have to pay the rest amount, i.e. 5%, for your room rent.
Aditya Birla Health Insurance Network Hospitals are present in 31 states nationwide. With a wide network of hospitals, Aditya Birla Health Insurance ensures that you are medically secured, irrespective of the city you reside in.
Permanent diseases or health conditions that are not included under Aditya Birla Arogya Sanjeevani Policy are:
Investigation & Evaluation
Rest cure, rehabilitation, & respite care
Obesity/weight control
Change of gender treatments
Maternity expenses and newborn care
Unproven treatment, sterility/infertility
Treatment taken outside India
Hazardous/adventure sports/life-threatening activities
Plastic/cosmetic surgery
Breach of law
Suicide or self-inflicted injury
Any expenses incurred on Domiciliary Hospitalization and OPD treatment
Treatment for, alcoholism, drug or substance abuse
Certain diseases and treatments are covered under this plan after a certain time period. Read the details below:
Specific illnesses (Hernia, Piles, Cataract and age-related eye ailments, Varicose veins etc): 24 months
For joint replacement treatment or Age-related Osteoarthritis & Osteoporosis: 48 months
Pre-existing diseases: 48 months
Are you searching for a health insurance policy that covers basic healthcare facilities at an affordable premium? Worry not!
Aditya Birla Arogya Sanjeevani policy has got you covered for all the medical care benefits such as ambulance for emergency hospitalization, pre and post-hospitalization, daycare procedures, AYUSH treatment cover, room rent and ICU charges, COVID-19 expenses cover, and much more.
So, what are you waiting for? Call us at 1800 4200 269 and get the quotations for the Arogya Sanjeevani Aditya Birla health insurance plan only at PolicyX.
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It provides a cashless treatment facility for several basic healthcare services such as pre & post-hospitalization, daycare procedures, AYUSH treatment, and so on.
No, the Aditya Birla Arogya Sanjeevani policy does not cover maternity or newborn care expenses.
You can include your parents in a family floater plan upto the age of 65 years.
Arogya Sanjeevani policies are generally basic health insurance plans that come with lower sum insured options, no riders available, fewer coverage benefits, limited room rent capping, and so on.
Yes, networking hospitals provide cashless treatment facilities under this insurance policy.
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Lives In: Delhi, NCR Expertise: Health & Term Insurance Simran has an experience of 4 years in content writing. She transitioned from hospitality and digital marketing to the insurance industry after her emerging interest in how vast insurance is. With her ability to write complex insurance concepts in a simple, relatable manner, she keeps her audience hooked and solves their doubts smoothly.
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February 5, 2023
Asia/Kolkata
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