Health Insurance

Aditya Birla Health Insurance Review

Avni Mittal

Written by Avni Mittal

Insurance Writer

Gaurav Bhat

Reviewed by Gaurav Bhat

IRDAI-Certified Expert at Ditto

SP0738578124

Certified
Aditya Birla Health Insurance Review

Overview

Aditya Birla Health Insurance is a modern, wellness-focused insurer with a strong claims track record, a large cashless hospital network, and feature-rich plans such as Activ One MAX. Its claim settlement ratio has improved to 97.27% in FY 2025-26, while its network spans 16,500+ hospitals, making it a strong option for younger buyers and families seeking comprehensive coverage and wellness benefits.

Key Pros

  • Comprehensive Coverage: Activ One MAX offers unlimited restorations, no room-rent restrictions, no co-payments, and no disease-specific sub-limits.
  • Wellness Benefits: HealthReturns rewards and loyalty bonuses add meaningful long-term value.
  • Strong Claims Performance: Improving CSR and declining complaint volumes indicate a better overall claims experience.

Key Cons

  • Plan Complexity: With multiple variants and optional add-ons, buyers need to choose carefully to ensure their policy is sufficiently comprehensive.

Aditya Birla Health Insurance (IRDAI Reg No.153) is one of the leading standalone health insurers in India. It is a joint venture between Aditya Birla Capital Ltd (45.89%) and Momentum Group Ltd of South Africa (44.08%). The company focuses on combining health insurance with wellness benefits, which sets it apart from traditional insurers. 

In this Aditya Birla Health Insurance review, we’ll break down its performance metrics, plans, premiums, and whether it’s the right fit for you.

Aditya Birla Health Insurance Performance Metrics

Key Operational Metrics (FY 2024-26)Aditya Birla AverageIndustry Average
Claim Settlement Ratio (CSR)96.25%92.02%
Incurred Claim Ratio (ICR) (FY 2023-25)68.16%81.88%
Complaint Volume (Per 10,000 Claims)18.6629.35
Gross Written Premium (GWP)/ Annual Business Volume (In Crore)₹4,920₹4,504

Note: All data is sourced from IRDAI Annual Reports and Aditya Birla's public disclosures.

Key Takeaways from Aditya Birla Health Insurance’s Metrics

    • CSR: Aditya Birla’s CSR has improved significantly from 78.89% in FY 2019-20 to 97.27% in FY 2025-26, staying above 95% in recent years. For customers, this indicates increasingly consistent claim settlement and greater confidence that valid claims will be settled.
    • ICR: The ICR has risen from 49% in FY 2019-20 to 71.50% in FY 2024-25, despite some year-on-year fluctuations, with recent values remaining in a healthy range (55% to 85%). This suggests that a meaningful share of premiums is being used to pay claims, which is reassuring for customers when considered alongside the insurer’s overall financial health.
    • Complaint Volume: Complaints have declined overall from 30 in FY 2019-20 to 18 in FY 2025-26. The lower complaint levels compared with earlier years suggest an improvement in the customer and claims experience.
    • GWP: Aditya Birla’s GWP has grown sharply from ₹1,021 crore in FY 2021-22 to ₹6,238 crore in FY 2025-26, representing more than six-fold growth in four years. This sustained expansion indicates growing customer adoption and a stronger operating scale, which can support wider service capabilities and network reach.

In addition to the above metrics, Aditya Birla has a network of over 16,500 hospitals, exceeding our recommended benchmark of 10,000+. To check whether your nearest hospital is part of their network, visit their official website

Activ One

Activ One is Aditya Birla Health Insurance’s flagship product, offering comprehensive coverage and wellness benefits. It comes in seven variants: MAX, MAX+, SAVR, NXT, VIP, VIP+, and VYTL, each catering to different needs and budgets.

Activ One MAX: The Activ One MAX variant is the most comprehensive option in the Activ One lineup, ideal for individuals or families seeking extensive coverage with added wellness perks.

Key Features:

    • High-sum-insured options (up to ₹6 crore as per policy documents, availability may vary).
    • Unlimited restoration benefit, ensuring your cover refills even after claims are exhausted.
    • HealthReturns rewards, offering incentives (even premium discounts) for maintaining a healthy lifestyle.
    • Coverage for consumables, modern treatments, domiciliary, AYUSH (Ayurveda, Yoga and Naturopathy, Unani, Siddha, and Homeopathy), and daycare procedures.
    • Pre- & post-hospitalization cover (90/180 days).
    • An optional Chronic Care add-on for reducing the waiting period of listed diseases like asthma, diabetes, hypertension, etc., and covering them from day 1.
    • No co-payment requirement, no disease-wise sub-limits, and no room rent restrictions.
    • Loyalty bonus of 100% per year, accumulating up to 500% of the base sum insured (maximum up to ₹3 crore), irrespective of claims made during the policy period. 

Why Choose Activ One MAX?

It’s a well-rounded plan combining strong hospitalization coverage with competitive pricing, wellness benefits, and flexibility, making it one of the most value-packed policies in this segment.

Activ Fit

The Activ Fit plan is designed for younger individuals and families, focusing on affordability and specific benefits. It comes in two variants: Preferred and Plus.

Activ Fit Preferred: The Activ Fit Preferred variant is particularly useful if you’re looking for basic coverage with maternity benefits.

Key Features:

    • Maternity coverage (up to ₹60,000 after a waiting period of 3 years).
    • No co-payment, no room restrictions, and no disease-wise sub-limits, ensuring complete flexibility during hospitalization.
    • Unlimited restoration benefit, which reinstates 100% of the sum insured any number of times within a policy year, even for repeated claims.
    • Coverage for consumables (non-medical items) through an optional add-on, covering a defined list of items often excluded in standard policies.
    • Annual health checkups are included to encourage preventive healthcare.
    • No Claim Bonus (NCB) of 10% per year, accumulating up to 100% of the sum insured (subject to policy terms).

Why Choose Activ Fit Preferred?

This plan works best for young couples or families planning maternity coverage, while still offering decent hospitalization benefits. 

Talk to an expert
today and find
the right
insurance for you.

Ditto Advisor

Super Health Plus (Super Top-Up)

The Super Health Plus Top-Up plan is not a standalone comprehensive policy but a supplementary cover that enhances your existing health insurance.

Key Features:

    • High coverage at low premiums (up to ₹95 lakh).
    • Works on an aggregate deductible basis, kicking in after you exhaust your deductible once per policy year.
    • Covers hospitalization, AYUSH, organ donor expenses, 586 daycare procedures, and domiciliary care.
    • Includes pre- and post-hospitalization coverage (30/60 days).

Why Choose Super Health Plus?

It’s ideal if you already have a base policy and want extra protection against large medical expenses at a low cost.

Premium Comparison for Aditya Birla Health Insurance

ProfileActiv One MAXActiv One NXT
Individual Plan, Age 25₹11,671₹12,417
Family Floater, 2A: Age 31, 32₹24,700₹26,832
Family Floater, 2A, 1C: Age 35, 34, 5₹21,478₹23,571
Family Floater, 2A: Age 62, 63₹73,156₹84,269

Note: A stands for Adults, and C stands for Child. These are indicative base premiums (with recommended add-ons) for a Delhi resident (110010) with a ₹15 lakh sum insured. Your premium can change based on age, city, medical history, plan variant, and chosen add-ons.

For Aditya Birla Activ One NXT, we’ve added the recommended add-ons (Claim Protect, Super Credit, and Annual Health Checkup).

Aditya Birla: Contact Details and Address

For the latest details, you can also check out Aditya Birla’s contact us page. 

Top 10 Health Insurance Companies in India

InsurerDitto Score (Out of 5)Claim Settlement Ratio (CSR) (FY 2024-26)Complaints per 10,000 Claims (FY 2024-26)Annual Business (in Crore) (FY 2024-26)
HDFC ERGO4.9997.61%8.87₹6,596.53
Bajaj General4.9995.63%3.85₹7,900.76
Aditya Birla4.4996.25%18.67₹4,920.43
Care Health4.2395.45%42.67₹8,404.67
Niva Bupa4.2392.92%37.13₹6,985.24
SBI General3.7995.94%14.04₹4,974.56
Go Digit3.6999.01%19.08₹1,666.04
Generali Central (Formerly Future Generali)3.6693.50%11.68₹1,597.08
ICICI Lombard3.6586.81%15.05₹7,955.27
TATA AIG3.4388.94%11.47₹3,776.36

Aditya Birla ranks third among the best health insurance companies in India, driven by strong CSR and decent complaint performance. 

Note: If you'd like to explore the detailed figures reported by insurers and the IRDAI in their annual disclosures and public reports, visit Ditto Data Labs, our proprietary repository of health insurance data, meticulously compiled, verified, and maintained by the Ditto team over the years.

Why Choose Ditto for Health Insurance?

At Ditto, we’ve assisted over 12,00,000 customers choose the right insurance policy. Why customers like Pallavi love us:

Pallavi Nayak LinkedIn Customer Testimonial
    • 100% Free Consultation
    • No Spam. No Sales Pressure.
    • Rated 4.9/5 on Google Reviews by 30,000+ Happy Customers
    • Backed by Zerodha
    • Dedicated Claim Support Team
    • Compare Plans and Premiums with a Trusted Insurance Advisor

Confused about the right insurance? Speak to Ditto’s certified advisors for free, unbiased guidance. Book your call now or chat with us on WhatsApp. Slots fill up fast!

Ditto’s Take on Aditya Birla Health Insurance

Aditya Birla Health Insurance is a good fit for younger buyers and families who want a modern health plan with strong wellness benefits, a high claim settlement ratio, and a large cashless hospital network. 

It also works well for buyers who are comfortable choosing the right variant and adding optional covers where needed. 

However, it may not be the best fit for people who want the simplest possible policy structure, because some plans are comprehensive only when you pick the right add-ons.

Frequently Asked Questions

Does Aditya Birla Health Insurance have a good claim settlement ratio?

Yes. Aditya Birla's three-year average Claim Settlement Ratio (CSR) for FY 2024-26 is 96.25%, above the industry average of 92.02%. This means the insurer paid out the vast majority of claims filed against it rather than rejecting them. A high CSR is one of the clearest signs that an insurer honors its promises when a policyholder actually needs to make a claim. That said, CSR alone should not be the only factor, so it helps to also check complaint volume and the Incurred Claims Ratio (ICR) before buying.

What is the ICR of Aditya Birla Health Insurance and why does it matter?

Aditya Birla's Incurred Claims Ratio (ICR) came in at 68.16% for FY 2023-25, which falls within the healthy range of 55% to 85%. ICR shows how much of the premium collected is actually paid back out as claims. A ratio that is too low can mean claims are being denied too often, while one above 100 percent can signal financial strain on the insurer. At 68.16%, Aditya Birla is paying out claims responsibly while staying financially stable enough to honor future claims.

How many network hospitals does Aditya Birla Health Insurance have?

Aditya Birla Health Insurance works with a network of over 16,500 hospitals across India, well above the 10,000+ benchmark generally considered strong for cashless coverage. This wide reach means policyholders in most tier 1 and tier 2 cities can usually find a network hospital nearby for cashless treatment instead of paying upfront and filing for reimbursement later. Before buying, check the insurer's official hospital locator to confirm your preferred hospital is on the cashless list in your city.

Is Aditya Birla Health Insurance better than HDFC ERGO?

Not quite. HDFC ERGO edges ahead with a 97.61% Claim Settlement Ratio (CSR) and a 4.99 Ditto Score, compared to Aditya Birla's 96.25% CSR and 4.49 score. Aditya Birla reports a lower annual business volume of about ₹4,920 crore versus HDFC ERGO's ₹6,596 crore, suggesting HDFC ERGO has a longer track record at greater scale. Both insurers still rank among India's top health insurers on claims and complaints, so the better fit often comes down to specific plan features, pricing, and your own medical profile rather than brand alone.

What is the waiting period for pre-existing diseases in Aditya Birla Health Insurance?

Most Aditya Birla plans, including Activ One MAX, carry a standard 3-year waiting period before pre-existing conditions like diabetes or hypertension are covered. However, variants like Activ One VYTL cover seven listed chronic conditions from day one if you already have them at the time of purchase, provided you select no more than three. Buyers can also opt for a Chronic Care add-on on other variants to bring the PED wait down from three years to zero for select conditions, though this usually comes at a higher premium.

Does Aditya Birla Health Insurance have room rent limits?

No. Across all 7 variants of the Activ One series, Aditya Birla does not impose room rent restrictions, meaning you can choose a shared room, single room, or deluxe room without your claim being cut down proportionally. This is a meaningful benefit because many insurers still cap room rent as a percentage of the sum insured, which can lead to disallowed claim deductions at discharge. At Ditto, we generally recommend prioritizing plans without room rent sub-limits, since hospital costs vary widely by room category.

How do I contact Aditya Birla Health Insurance customer care?

You can reach Aditya Birla Health Insurance through their toll-free number, 1800-270-7000, which operates 24x7 for policy and claims support. Other options include emailing care.healthinsurance@adityabirlacapital.com, messaging on WhatsApp at 8828800035, or using the Activ Health App for claims, renewals, and policy downloads. Some customer reviews mention longer wait times on calls during high-volume periods, so the app or WhatsApp channel tends to get quicker responses for routine queries like renewal status or document uploads.

How much does Aditya Birla Activ One Max cost for a 25-year-old?

For a 25-year-old individual in Delhi, Activ One MAX costs around ₹11,671 per year for a ₹15 lakh sum insured, based on indicative premiums with recommended add-ons. For comparison, Activ One NXT costs slightly more at ₹12,417 for the same profile once add-ons like Claim Protect and Super Credit are included. Premiums rise sharply with age, so a family floater covering two adults aged 62 and 63 can cost roughly ₹73,156 annually under the same sum insured and city.

Aditya Birla Health Customer Reviews

4.5

89 reviews

Last updated on: