| Address: Delhi |
| Website: adityabirlacapital.com |
Aditya birla health insurance is GHATIYA / WORST insurance provider and must be avoided to save yourself from hassles as when your health issues are a priority and they will pain you much more further.
No dedicated helpline, no standalone website, merged with complex aditya birla capital helpline and website to annoy.
Unresponsive call helpline, Care email and defunct/silent next level escalation gro mailbox later to find no customer facing calls for weeks of repeated calls and emails requests.
Cashless Anywhere is their USP while marketing trap customers but on ground is nothing. And no updates unless complaint to consumer forum/courts. Unruly kids on grievance team calls, false accusing me of raised and rude voice though on recorded line both side. No guidance/assistance to log claim requests even after requesting.
Rejection without logical reasoning and later no reasoning shared leading to long wait and search and repeated requests not attended but copy pasting old scripted rejection emails.
Repeat reject even after hospital declaration of oversight records keeping.
Another initial Ayurveda ongoing treatment claim rejected on IPD vs OPD ground though only opd clinic is involved
On 8, July, 2025 I called my ABHI sales guy Shubhashish Mishra to get me someone to assist me in registering for cashless treatment as will be admitted on 9th or 11th July, 2025 basis availability of room. He assured me, he himself will help and asked me to post a request on app and share reqd on email, which I did. He vanished, no customer care support after long hold, no dedicated helpline and no dedicated website must be noted as merged with a birla capital helpline and website.
I while being admitted for 10 days and being treated, in pain, wanted to escalate and on 2nd/3rd day emailed to GRO mailbox alongside customer care mailbox after manual online searching and validating myself. wherein GRO is next level yet till date is silent mailbox with no ack't as unresponsive. Made complaint on next day to national consumer forum helpline. Another team ladies called me next day rather enquiring concern, misbehaved and falsely claiming my behaviour and lastly fakely assured of assistance, which never happened till date. Now all on myself, search, calls, emails, somehow posted 2 claims with valid and sufficient gaps between both, got both rejected on illogical reason. Herein, the reason for first case rejection isnt disclosed after immediate email replies multiple calls and more emails but copy pasting previous scripts for pre existing disease which I surely denied and kept asking for their findings and base of decision but they paid no heed to what I sought!
Somehow got the reason of their findings via repeated calls and realised as I pointed out could be some filing error either by them or hospital, and later hospital agreed upon sharing the document copy gathered from abhi helpline and hospital provided me with declaration letter which I duly submitted to abhi email and all this while second claim is still long under process. Yet they are deliberate as it seems to only reject claims and realised by multiple customers complaining in social media. This time rejection reason says we stand by our decision which is against IRDA guidelines.
And now 2 days later they rejected my second claim which is the initial treatment before admitting to hospital stating that why I went for IPD while could be treated in OPD? I replied to ABHI, I only went for OPD day care and no admission was reqd as its a clinic setup not a hospital though your policy allows any treatment. But getting no assistance from your company I went ahead and submitted reimbursement request on app on my own opting for Ayush segment on it with no simple process.
I want full reimbursement of both claims and my insurance premium now
Was this information helpful?
Post your Comment