Aditya Birla Health Insurance

What Aditya Birla Health Insurance does

Aditya Birla Health Insurance Company Limited (ABHI) is a standalone private health insurer operating in India as a joint venture between Aditya Birla Capital Limited, part of the Aditya Birla Group, and South Africa's Momentum Metropolitan Holdings. The company was incorporated in 2016 and is headquartered in Mumbai. It sells a portfolio of retail and group health insurance plans under the Activ brand (Activ Yuva, Activ One MAX, Activ One NXT, Activ Health Platinum Essential/Enhanced, Activ Fit Plus) plus the Super Top-up Plus add-on, with annual premiums ranging from approximately ₹4,700 to ₹10,800. The company's central differentiator is the HealthReturns™ wellness-linked rewards programme, structured around Eat, Move, and Heal pillars, which allows policyholders to earn back up to 100% of their annual premium through healthy behavior tracking.

ABHI covers more than 24 million lives across 5,000+ Indian cities and reported FY26 Gross Written Premium of ₹6,855 crore with 39% year-on-year growth, significantly outpacing the 15.4% industry growth rate and translating to approximately 13.7% market share among standalone health insurers. The company reports a 97% claim settlement ratio and a 100% settlement ratio within three months per IRDAI FY24-25 data. Operationally, AI supports underwriting (30-40% productivity improvement) and automated cashless pre-authorisation (25% of claims, with 15-20% completed within 1-2 minutes). A health coaching partnership with Zyla Health has documented a 31% reduction in preventable claims and ₹1.72 saved per ₹1 invested across 29,463 customers.

Distribution combines a digital direct-to-consumer channel (ABCD app and website), a pan-India insurance advisor network, corporate group partnerships, and the NPS Swasthya pension-integrated scheme via Medi Assist. Abu Dhabi Investment Authority acquired a 9.99% stake in August 2022 for ₹665 crore at a ₹6,650 crore valuation. The company's wellness-engaged customer base shows materially better unit economics: an 8% lower claim ratio and 11% higher policy persistence, with a 75% loss ratio for active wellness customers versus 100% for inactive customers. CEO Mayank Bathwal leads the company under the Aditya Birla Capital umbrella.

Name

Aditya Birla Health Insurance

Legal name

Aditya Birla Health Insurance Company Limited

Website

https://adityabirlacapital.com

Company type

Private

Founded year

2016

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Aditya Birla Health Insurance is an India-based standalone health insurer offering retail and group health plans under the Activ brand. Serving 24M+ lives across 5,000+ cities, it differentiates through its HealthReturns™ wellness-linked rewards programme and AI-powered underwriting and claims processing.

Ownership category

akta.pro rank

Product category

Health Insurance

NAICS

Direct Health and Medical Insurance Carriers (524114)

SIC

Accident & Health Insurance (6321)

akta.pro primary industry

Individual Supplemental Health (Hospital Indemnity, Critical Illness, Accident) (FSAIAEAD)

akta.pro secondary industry

Small Group Health Insurance (2–50/100) (FSAIAFAD)

Keywords

• Health insurance
• Wellness rewards program
• Individual health plans
• Family health coverage
• Group health insurance

Headquarters

HQ city

Mumbai

HQ country

India

HQ region

Asia

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Operations, Technology or R&D, Marketing or Sales, Personnel, Infrastructure

Revenue model

1. Health Insurance Premiums: Annual and multi-year health insurance premiums collected from individual and corporate policyholders. The company achieved 39% year-on-year growth in gross written premium to ₹6,855 crore in FY26.
2. Wellness Programme Fees: Revenue generated through health coaching and wellness programmes, with prevention-led programmes generating ₹1.72 savings for every ₹1 spent.

Pricing tiers

Go-to-market motion3 records

Distribution channels3 records

Marketing channels4 records

Core offering

Aditya Birla Health Insurance is a standalone health insurer offering retail and group health insurance products to individuals, families, and corporate clients across India. Its portfolio centers on the Activ series of plans, which integrate hospitalisation coverage with the HealthReturns™ wellness reward programme that allows policyholders to earn back up to 100% of their premium through healthy behaviors tracked across nutrition, physical activity, and recovery pillars. The company leverages AI for underwriting and automated cashless claims pre-authorisation, and serves over 24 million lives across more than 5,000 Indian cities.

Product overview

Aditya Birla Health Insurance operates as a standalone health insurer offering a comprehensive portfolio of health and wellness insurance products. The product suite centers on the Activ series (Activ Yuva, Activ One MAX, Activ One NXT, Activ Health Platinum Essential, Activ Health Platinum Enhanced, Activ Fit Plus) complemented by the Super Top-up Plus Plan B. A distinguishing feature across the portfolio is the HealthReturns™ wellness incentive program, which rewards policyholders for maintaining healthy behaviors, allowing them to earn back up to 100% of their premium. The company covers over 24 million lives across more than 5,000 cities, with a 97% claim settlement ratio. The product architecture emphasizes a wellness-led model that aims to engage customers between claims rather than only during medical emergencies, incorporating fitness rewards, mental health support, and OPD benefits alongside traditional hospitalization coverage.

Differentiator

Problem solved

Functional benefit

Brands

• Activ Yuva: Wellness-focused health insurance plan launched in 2026 targeting young consumers aged 25-30, rewarding healthy habits through the HealthReturns program with Eat, Move and Heal pillars.
• HealthReturns
• Activ One MAX
• Activ Health Platinum

Products and services

• Activ Yuva A health-focused insurance plan that rewards policyholders for maintaining healthy habits across nutrition, physical activity, and recovery. Allows consistent performers to earn back up to 100% of their annual premium through behavior-linked rewards structured around Eat, Move and Heal pillars. Targets young consumers aged 25-30.
• HealthReturns™ A wellness-linked reward program integrated across Aditya Birla Health Insurance plans that allows customers to earn back up to 100% of their premium through healthy behavior such as walking 10,000 steps, maintaining healthy heart scores, or completing preventive health screenings.
• Activ One MAX Comprehensive health insurance plan with sum insured up to Rs 6 crores. Covers modern treatments and procedures with Claim Protect coverage for non-payable items.
• Activ Health Platinum Essential Entry-level health insurance plan providing cashless treatment at home, coverage for 586 day care procedures, and ability to earn up to 50% of premium back as HealthReturns™.
• Activ Health Platinum Enhanced Health insurance plan with expert health coaches available, ability to earn up to 100% premium back as HealthReturns™, and double the sum insured with cumulative bonus (NCB).
• Activ One NXT Health insurance plan offering up to 100% premium as HealthReturns™, a range of optional coverage benefits, and coverage for mental illnesses.
• Activ Fit Plus Budget-friendly health insurance plan providing up to 100% of the sum insured refilled and coverage for mental healthcare.
• Super Top-up Plus Plan B Supplemental health insurance plan providing additional coverage on top of an existing health plan at lower premiums. Allows waiving off deductible without health re-evaluation, choice of any room category, and coverage for home treatments.

Quantifiable outcome

• 8% lower claims ratios for wellness-rewarded customers
• +9 more outcomes

Named customers3 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability2 records

Feature3 records

Partnerships

Six partnerships are on record, tiered strategic, minor and core.

• Medi Assist Healthcare ServicesstrategicTechnology or Integration · 12 April 2026Core technology partner for NPS Swasthya scheme, providing digital platform infrastructure through their Maven app for cashless claims across 18,000 hospitals.
• Tata Pension FundminorChannel Partner/ Reseller/ Distributor · 12 April 2026Fund manager partner in NPS Swasthya proof of concept, enabling pension subscribers to access health insurance benefits.
• Axis Pension FundminorChannel Partner/ Reseller/ Distributor · 12 April 2026Fund manager partner in NPS Swasthya proof of concept, providing integrated health insurance coverage for pension subscribers.
• Zyla HealthstrategicTechnology or Integration · 17 March 2026Health coaching partner providing chronic condition management. Study showed 31% reduction in preventable claims and ₹1.72 saved per ₹1 invested through Zyla's health coaching programmes.
• Momentum MetropolitancoreStrategic or Co-development Partner · 12 August 2022Joint venture partner alongside Aditya Birla Capital. Momentum Metropolitan holds significant shares in Aditya Birla Health Insurance as part of the JV structure.
• Aditya Birla CapitalcoreStrategic or Co-development Partner · 12 August 2022Parent company and joint venture partner. Aditya Birla Capital is a listed NBFC and holding company of the financial services businesses, operating 16 subsidiary entities.

Scale indicators15 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Star Health & Allied Insurance: India's largest standalone health insurer and the category leader among SAHIs. Directly comparable to ABHI in product mix (individual and family health plans), distribution model, and regulatory category, making it the most relevant scale benchmark.
• Niva Bupa Health Insurance: Standalone health insurer (formerly Max Bupa) backed by a foreign JV partner, focused on individual and group health plans with a digital-first GTM. Highly comparable to ABHI in product range, JV ownership structure, and target customer segments.
• ManipalCigna Health Insurance: JV between Manipal Group and Cigna offering individual and group health insurance in India. Similar JV ownership pattern, similar product positioning around wellness and chronic care, and comparable customer base to ABHI.
• Care Health Insurance: Standalone health insurer (formerly Religare Health Insurance) offering individual, family, and group health plans across India. Direct competitor in the standalone SAHI category with overlapping products and distribution channels.

Broad incumbents

• ICICI Lombard General Insurance: One of India's largest general insurers with a substantial health insurance portfolio. Not a standalone health insurer, but competes directly with ABHI on retail and group health, leveraging a much larger bancassurance and agency network.
• HDFC ERGO General Insurance: Major general insurer with a sizeable health insurance line and broad distribution. Competes with ABHI in retail health and corporate group health while also offering motor, property, and other P&C lines.
• Tata AIG General Insurance: JV between Tata Group and AIG offering general insurance including health. Strong brand affinity and corporate distribution overlap with ABHI's enterprise channel and individual retail products.
• New India Assurance: Public-sector general insurer with a large health insurance book and dominant government-empaneled network hospital relationships. Sets pricing benchmarks and competitive pressure across the Indian health insurance market.

Others

• Medi Assist Healthcare Services: Third-party administrator and technology partner for NPS Swasthya alongside ABHI. Operates the Maven platform across 18,000 hospitals and serves as ecosystem infrastructure for ABHI's group health distribution.
• Zyla Health: Health coaching and chronic-condition management partner to ABHI, with demonstrated ₹1.72 saved per ₹1 invested in their programmes. Operates adjacent to ABHI's wellness-led insurance proposition as an enabling partner.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/abcapital
• YouTubeyoutube.com/@AdityaBirlaCapital
• Facebookfacebook.com/adityabirlacapital
• LinkedInlinkedin.com/company/aditya-birla-capital
• Instagraminstagram.com/adityabirlacapital

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds3 records

Investors3 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Aditya Birla Health Insurance