Aditya Birla Health Insurance Complaints & Reviews

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...

Dear Sir,
My name is Dinesh Kumar Sahoo I have a agency code from Aditya Birla Health Insurance from 2023 but I am not doing any buisness in this agency I want to cancel my code:-ABH11117396 and remove my PAN from PAN LOOKUP portal IRDA. I have already inform my branch and head office but no body can help me to this, so I request you to kindly cancel my Code and remove my PAN from PAN LOOKUP IRDA portal.
Yours faithfully,...

Dear Sir/Madam,

I am writing to express my concern and dissatisfaction regarding the rejection of my reimbursement claim Number[protected] for the treatment of my son. I believe the rejection is based on incorrect or misunderstood reasons, and I would appreciate a thorough review of the matter. Below are the points raised in the rejection, along with my clarifications:

Hospital Registration Expired
Claim...

Dear Sir,
To got a Job in Private Bank I want to Cancel my Agency code. I have a IRDA Agency Code (ABH[protected] in Aditya Birla Health Insurance and I want to cancel it because I got a Job in Pvt Bank. That Bank not approved my appointment for active Agency Code in Aditya Birla Health Insurance. In Google Pan Look up it show "Inforce". On 23/08/2024 I already mailed to my Agency Sales Manager and Agency Branch Manager for Cancel...

Below region mention of cliam rejection

Dear Mr. Darshan Gawari,
This is in reference towards your concern raised for the captioned policy number[protected]
We apologize for the inconvenience caused to you.
Further, we have investigated your concern raised towards the claim number 6345139 and same were repudiated.
On further investigation of the documents it was observed that The patient...

I have a 1 year insurance policy for my father aged 80 years(bought on Feb 2023) with known and declared case of hypertension. Currently he is admitted in a hospital with chest congestion problem, the insurance company has rejected cashless claim by referring to an older 2020 general medicine prescription where doctor had mentioned IHD, so insurance company says I have willingly not disclosed heart disease while buying the policy, but the...

Please remove my pan card from IRDA.
Pan number : CDUPS1497L
Mobile : [protected]...

Please remove my Pan card IRDA portal

I Ghanshyam Belwal I was agent with Aditya Birla Health insurance in the year 2022. But due to some problem. Now my pan card is not remove from IRDA portal.please remove my pan card IRDA portal. My agent’s code ABH1183135no.00720070. My pan no.FESPB6090C

Regards
Ghanshyam Belwal

I have an existing Health Insurance policy from Aditya Birla and I need to renew the policy by making the premium payment online, but their portal is not working, they are picking up calls, no email support, no whattsapp support, no chat support ?? How do I renew the premium ??

Plz I remove my pan card ftom
irda

As of 17 November, I had renewed an existing policy with Aditya Birla for 12, 000. The premium was deducted and a new policy letter issued. When I went to check the policy on their website I found that they had never issued the policy on their system.
I had to lodged a complaint.

I emailed Aditya Birla health Insurance, however their mail box was full and therefore the email was undelivered.

It is a...

Respected sir/madam
patient kalpesh patil claim is rejected due to date discrepancy on xray report.
Xray chest film was taken on 19/11/22 and film has date of 19/11/22.
There is typing error on report with date 17/11/22.
Hence claim is rejected as per the company.
Then why was pre auth given on the same xray report.
Please find the correct xray report attached.
If there was discrepancy then why pre auth approval was given when the reports were send .
Please reconsider the claim otherwise legal action will be taken against the company as well as the patient.

Pathetic experience real fraudsters keep kn calling that they give free health checkups but cheat customers to sell health insurance and then display there actual face.They send such useless people to collect samples people who dont know to hold needles no mask no sanitiser no basic training useless pathetic people inserted needle 4 times and was not able to collect samples and even no revert or action taken from customer care even after sharing incident pictures pathetic health care brand

Claim not Seattle as per policy,
My name is Tushar Suresh Ubale
[protected]

Hi. I’ve taken a policy with Adithya Birla for my mother for a sum of ₹14, 026. Post completing the payment I didn’t get any policy number or details or username credentials. My money is not credited back after it got debited. I lost 14k taking policy without any details. I have the proof of payment and bank statement for the payment done from my side. Whenever I call or try to connect to customer care, I don’t get enough answer or information regarding my concern. They only schedule a call with a ticket number and nobody calls back to check the issue. My mobile number or mail ID isn’t linked or no account / user is found when I give my details. Kindly help me get me details or atleast my money back.

My claim application[protected] My policy no[protected]. Before going for the treatment i contacted the aditya birla executive Mr. Panchatcharam he assured me that the treatment will be taken care as he was assigned to me i trusted him i even have the WhatsApp conversation details
But after the treatment the claim was rejected and there was no response from anybody even after sending emails to aditya birla customer care no response
This is the wrost insurance service company they just cheat the customer and there won't be any response even through emails or if you visit the company in person

I posted my first grievance/complaint on May 23 and on May 25th, I was asked to submit KYC documents. I submitted the same on May 26th. I was give the Care id CRM:[protected]. On May 27th I was told by email and over a call that the case would be resolved in 3 days. On May 28th, I get another email asking for KYC documents and a call for which I replied that I had sent the same on May 26th. However, I sent the same again on May 28th. I got an email on May 29th that the case would be resolved in 3 days with a reference to service request number CAS[protected]B8F3S3. I have been following up every week and every time, 2-3 days after my email, I get a standard response asking for KYC documents. The most recent email is dated June 22nd.

This is complete nonsense and fraudulent on the part of Aditya Birla to charge me continuously without providing any clarification. I was charged Rs. 1, 83, 745 and then told that the insurance coverage doesn't include everything. I requested for cancellation and have email confirmation from Aditya Birla for the same. They have still charged me and not providing the refund. In spite of repeated reminders, there is no clarity. Totally disgusting behavior and response from a company that I considered has decent values and reputation in the market.

On 15th January 2022, I have authorised a transaction with Aditya Birla for health insurance for my parents for a total amount of Rs. 183, 745- to be paid in monthly EMIs. However, after realising that the coverage was inadequate, I have requested for cancellation on 20th January, 2022. There is a confirmation from Aditya Birla on the same and I have emails of the same for both the activities. In spite of this request, my credit card is being charged an EMI every month for the last 4 months - February, March, April and May. I have spoken with customer service and to the management multiple times to cancel the transaction and refund the amount and they have assured us of the same, but there has been no action from them

I am adviser of this company, i was renewed policy of my customer payment also done still policy not renew and payment also not refund.
Concern branch not support

My name is Sunil Roy and I have abhi policy which I wanted to close...
I got calls for renewal but I clearly refuse to renew it so many times yet I came to know that my policy has renewed... Its premium will deduct from my bank account from April 2020... I want to cancel my policy and request to take action who forcefully renewed my policy... Please help me
Thanks and Regards
Sunil roy
Policy Number:GHI-BF-FRB-21-IN6292813
Name - Sunil roy
Mobile - [protected]

The company is useless, as a customer I buy the policy, paying for that policy but have no rights to change the account for auto deduction. The company is allowing to change it only on the anniversary of the policy, yes you had read it properly the anniversary of the policy. Till that time customer (me) have to bare the deduction charges unnecessarily after paying the premium from other account.

Today I had call and try to solve my problem with the customer care executive, I had talk with 3 different executives none of them were able to help me, soo I ask them to transfer my call to a senior executive and guess what, non of the senior executive were available.

First the junior executive told me that the senior are not available right now,
later she told me that senior are busy in a meeting,
and last she told me that she is not able to reach the senior.

Whome to call for a solution to solve the problem???
If executive are not able to solve & senior are not able to attend the customer

The unnecessary charge of deduction & rights to change the account, rights to pay month or not, should be decided by customer who is buying the policy and paying for that or by the company who is selling or creating the policy???

And is it soo before selling the policy, the executive should tell each and every rules and regulations of the company to the customer properly!!!

I have submitted claim on June 2020 to there Vashi branch. All hard copies submitted. after 2 month I have visited again to there office for follow up and they inform me that 1 certificate (Influence of alcohol / drug abuse during the incident) is pending. I have get the copy from hospital and submitted.

They never replied my mail and when i have visited there office they informed me that this case is closed from over side and i have not received any mail or confirmation. they have provide mail id to reopen the claim request and thy replied on mail that Claim will be process in 30 days. after that i have never received any mail i have sent follow up mail but still no reply.
Claim Number[protected] CRM:[protected]

I have submitted claim on June 2020 to there Vashi branch. All hard copies submitted. after 2 month I have visited again to there office for follow up and they inform me that 1 certificate (Influence of alcohol / drug abuse during the incident) is pending. I have get the copy from hospital and submitted.

They never replied my mail and when i have visited there office they informed me that this case is closed from over side and i have not received any mail or confirmation. they have provide mail id to reopen the claim request and thy replied on mail that Claim will be process in 30 days. after that i have never received any mail i have sent follow up mail but still no reply.

Dear Team,
Aditya birla Health insurance co was deducted 25% from my health claim without any valid reason. They are showing claim deducted for change of zone but this kind of information not given while taking policy. and there is no information on signed proposal forms. Co. applied this conditions without my approval.

Kindly take up this meter with co. and do the needful,

Hi Team,

I have taken Aditya Birla health insurance thinking I will get good support during any health issues but I didn’t think that this will be a situation where I will be landed to escalate when related teams don’t do their work properly due to which I am suffering from my claim amount not getting cleared even after 45 to 60days. I have been rigorously following on the customer support engineers – where I didn’t get required information or claim status as well on the email support

I have been submitted all the related documents of the hospitalization for the claim, upon following it multiple times documents have picked up for the claim process after 30days when I call the support team they said it wasn’t picked for any claim and one of the engineers said it will be picked on priority and I will get a response in next 15working days, I didn’t get any response which is not surprised since your company(ABC) doesn’t treat customers claim amount has priority and its need for customers

If I need to renew the policy same company will call me million times to get the amount from my end but why don’t your teams work during the claim process to settle. I am very frustrated with the delay and not getting the service or response from any of them

During November end and December 6th when I called executives confirmed I will get claim amount and email by December 10th, as expected no call/email till 14th and I was been forced to redial to customer care on 15th and one of your executives said I will be receiving a call in next 2 hours again as expected no call/response. I waited for 24hours and redialled on 15th December, spoke to one of the floor managers, and forced him to provide an update. After putting me on HOLD multiple times he said there is an update on 8th December to provide some doctor documents, unfortunately, no one has been reached out to me for this request even when I called on 14th which is ridiculous and an Insane service which is been provided to me. After such a delay from ABC company I can't go to the doctor to ask for any details because for sure doctor won't be having all the information after 45 to 60 days and he might not respond at once(there are all chances I need to visit him multiple times) and I am not the same town, I request whatever the information you required please arrange any person to visit the hospital to get any details you need since the delay was been made from your end. If this can be done I will be to close the Insurance with your company(ABC) and I will take insurance which I get good support at least when we are in need.

PLEASE BE MINDFUL KNOW THAT HEALTH INSURANCE IS MEANT TO USE WHEN WE ARE NOT FEELING WELL AND AVAIL OF THE FACILITIES DURING HOSPITALIZATION, CLAIM PROCESS HAS TO BE DONE WITHIN THE TIME FRAME WHEN WE HAVE PROVIDED ALL THE REQUIRED DOCUMENTS. I UNDERSTAND THERE WILL BE A DELAY BUT NOT FOR A 45 TO 60 DAYS DELAY. I REQUEST YOU GUYS TO UNDERSTAND THIS IS A CLAIM POLICY AMOUNT NOT SOMETHING I AM CLIMBING FOR THE TRIPS I WENT

Note:
1. I do have the executive and floor manager names but I am not sharing it purposefully since its an entire team mistake, not just one person
2. Aditya Birla Company(ABC) is cheating customers without clearing the claim amount and response is so pathetic from the Executive on the calls and on the emails too. It’s been ~2months since I submitted my claim documents and it’s very sad to see the response on the status
3. I am not asking Aditya Birla company for the fee amount or any social service, Since I have paid the amount for Insurance and I have all the rights for the claim but looking at the claim status it's very pathetic and PLEASE STOP CHEATING CUSTOMERS by not settling the claim amount
policy no.[protected]
Certificate Number GHI-21-LR2-[protected]

R / SIR
I.am der Ashok Lakhabhai My policy number is[protected]. My health policy for the second year. Renewed from 27/09/210. And: Ta. I received an appointment from the company for the Annual Health Checkup (CAT32) on 01/10/21 at 9/00 AM on 5/10/21. After visiting Sangani Hospital Madhusudhan Nagar Keshod, Gujarat pincode 362220 with my family at the laboratory Our urine and blood tests were done and then we went to the first floor for cardiogram and physical test. There was no ladies staff present in the cardiogram room for cardio test and physical test of ladies. I asked if there is no ladies staff for physical test and cardiogram test of ladies. The answer is no and stated that the ladies no cardiogram test and physical test will be done by the male staff and my wife's physical and cardiogram test done by the male staff during this cardiogram test, I felt that no privacy of the woman was maintained. Incoming and outgoing in this room and other male staff sitting down in this room: which is a really serious matter. It seems necessary to take appropriate action at your level. If no action is taken from here, I will consider the matter further
Corona's guidelines were not followed during this test
I have photographs of evidence in this regard

Dear Gaurav Tripathi,

Policy Number: [protected]
Policy Holder: Chetan Zope
Cliam Number: [protected]
Patient Name: Mrs Nilima Vilas

Team please contact your panel doctor which is investigate the patient at the time of policy opening, we clearly mention no any earlier diseases to the patient.

I wish to inform you that the i had taken up activ assure - diamond policy for sum of Rs.300000 in the year[protected]. While taking the policy as a mandatory requirement as insisted by aditya birla, i have under gone all medical tests on concall due to Covide-19 as per aditya birla told us as per requirement of aditya birla before policy issue with your recognized panel of doctors during their check-up all the parameters were fine.

When i had a admited in hospital for my further course of treatment i had undergone further course treatment at Shree Datta hospital (Jalgaon Maharashtra India) I had given my request for reimbursement claim as per treatment as per the provision available in the policy. However, from long time from April-2021 to Sep-2021 i am shocked to receive your message as follows.

""On scrutiny of the documents it has been observed that On scrutiny of the documents it has been observed that the patient was admitted for treatment of Covid 19. However, the patient has a history of Hypertension since 2 years, which was not disclosed in the proposal form. and hence we are unable to approve the claim.""

Since rejection of my claim is base-less i had again resubmitted all original bills along with documents through insurance form part a & b as per insurance provision. My reference number for the claim as per above mention the same has also been rejected due to the following reason

On scrutiny of the documents it has been observed that the patient was admitted for treatment of Covid 19. However, the patient has a history of Hypertension since 2 years, which was not disclosed in the proposal form.

Since i am not accepting the reason for rejection, i had taken up with the grievance cell about my rejection. Since the grievance cell has also rejected my claim without any valid remarks, i further escalating the same as per the provision of insurance

Dear Sir,

I Have Claim in Adithya Birla Health Insurance in May-2021,
Policy No. :[protected],
Claim No :[protected],

Policy Holder is Dineshbhai Bhalala & Claim Person is Pushpaben Bhalala,
Dineshbhai was dead due to Covid-19, so Cheque was submitted by name of pushpaben (Nominee of Policy).
Till on date after Submitting all Document Claim was under process,

Request you to do needful for resolving matter.

I submitted claim on April 19th, from then Aditya harrassed me with this doc that doc, inspite of submitting everything that needed, they fail to reimburse the amount that's due for customer. They don't stand by their rule of clearing the amount in 30 odd days it's been close to 100 odd days and no one knows what's going on why there's a delay etc.