Which is better: HDFC ERGO or Aditya Birla Health Insurance?
Both HDFC ERGO and Aditya Birla Health Insurance are strong choices, but they cater to different priorities.
HDFC ERGO excels in financial stability, a larger hospital network (13,000+ hospitals), a higher claim settlement ratio (97%), and robust market presence, making it ideal if reliability and quick claim support are your priorities.
Aditya Birla Health Insurance focuses on wellness, preventive care, lifestyle rewards, and more affordable premiums, appealing to those seeking holistic health coverage with chronic illness, maternity, and fitness benefits.
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Introduction
When it comes to choosing the right health insurance, HDFC ERGO and Aditya Birla Health Insurance are two prominent players. Both companies offer a wide range of policies and are backed by strong financial institutions. But which one should you go for? Let’s break down the key differences to help you make an informed decision.
HDFC Ergo vs Aditya Birla Health Insurance Overview
About HDFC Ergo Health Insurance
HDFC ERGO is a prominent general insurance provider offering a wide range of insurance products, including health, motor, travel, home, and more. It is a joint venture between HDFC Bank Ltd. and ERGO International AG, part of the global Munich Re Group.
- Founded: 2002
- Type: General insurance company with a strong focus on health
- Branches: 300+ offices across India
- Key Development: In 2020, HDFC ERGO merged with Apollo Munich Health Insurance, further strengthening its health insurance portfolio.
What this means for you: Backed by two leading global institutions, HDFC ERGO provides financial stability and a wealth of experience. Their long-standing presence in the industry ensures reliable claim handling, excellent customer service, and a strong reputation. These qualities become invaluable in times of need.
If you’d like to learn more about them, you can check out our HDFC Ergo Review or take a look at their public disclosures.
About Aditya Birla Health Insurance
Aditya Birla Health Insurance offers health insurance plans that prioritize coverage and promote a healthier lifestyle through its unique health rewards program.
- Founded: Established in 2015; started operating in 2016
- Type: Health insurance specialist (Standalone Health Insurer)
- Network Hospitals: 12,000+ across India
What This Means for You: Aditya Birla Health Insurance’s focus on wellness and health management, combined with a vast network of hospitals, makes it an appealing option for those looking to get built-in preventive care in their insurance plan.
If you’d like to learn about them in more detail, you can check out our Aditya Birla Health Insurance Review or take a look at their public disclosures.
HDFC Ergo vs Aditya Birla Health Insurance: Key Differences
As you can see in the above metrics table, HDFC ERGO slightly edges out Aditya Birla in terms of network hospitals, offering more options for cashless treatment. However, the difference is minimal, and both insurers have a solid network.
As for Annual Business Volume, HDFC ERGO has a significantly larger volume, which may indicate a more substantial presence and greater market stability.
Now, let’s break down some crucial metrics in more detail.
HDFC Ergo vs Aditya Birla Health Insurance: Claim Settlement Ratio
Both companies have excellent claim settlement ratios, making them both reliable choices. HDFC ERGO has a marginally higher ratio (97%), which means it settles a slightly larger percentage of claims than Aditya Birla Health.
HDFC Ergo vs Aditya Birla Health Insurance: Incurred Claim Ratio
This ratio indicates the percentage of claims paid by the insurer relative to the premiums collected. HDFC ERGO’s higher incurred claim ratio (86%) suggests it pays out a larger share of premiums in claims, which is reassuring for reliability and claims management.
HDFC Ergo vs Aditya Birla Health Insurance: Complaint Volume
HDFC ERGO (9 per 10,000 claims) has a lower complaint volume than Aditya Birla (19 per 10,000 claims), which suggests that it may offer slightly better customer service or fewer issues with policyholders.
Note: Standalone health insurers like Aditya Birla often report higher complaint ratios than diversified general insurers (e.g., ICICI Lombard, HDFC ERGO, or Bajaj Allianz), since their complaints are primarily health-related. On the other hand, general insurers deal with motor, travel, home, and other types of insurance, so they receive fewer health insurance complaints than general ones.
Which insurer uses third-party administrators (TPAs)?
Both insurers use TPAs, but those are primarily for Group insurance claims (a standard industry practice). For retail/individual policy claims, both insurers have an in-house claims team.
HDFC Ergo vs Aditya Birla Health Insurance: Plan Comparison
HDFC ERGO Plans:
Aditya Birla Plans:
Click on the plan names to check out what each plan offers and read expert reviews by our IRDAI-certified advisors.
In essence, HDFC ERGO offers more straightforward options but limits coverage towards younger, healthier folks. On the other hand, Aditya Birla Health Insurance offers customised options with higher bonuses, maternity, and chronic illness coverage.
To further expand on this, let us do a quick premium comparison.
HDFC Ergo vs Aditya Birla Health Insurance: Premium Comparison
For a premium comparison, let us take profiles of non-smokers with no PED living in a Tier 1 city like Delhi.
As it’s evident from the table, Aditya Birla Health Insurance’s Activ One Max consistently offers lower premiums than HDFC ERGO’s Optima Secure across all individual and family profiles. The difference increases with age and family size, with HDFC ERGO being significantly costlier for older adults and larger families.
Now, finally, let’s decide which plan is best for you.
Who Should Choose HDFC Ergo vs Aditya Birla Health Insurance?
HDFC ERGO vs Aditya Birla Health Insurance
HDFC ERGO might be a better choice if:
You want a a higher claim settlement ratio and a larger network of hospitals. HDFC ERGO also offers more options for cashless treatment and a smoother claims experience. So if you're looking for an insurer with a solid reputation and a history of reliable service during emergencies, HDFC ERGO might be the ideal choice.
Aditya Birla Health Insurance could be ideal if:
You want plans that combine insurance with preventive care and health rewards, offering a more holistic approach to health insurance. Additionally, Aditya Birla offers slightly more affordable premiums, considering their business volume and claim ratios, which may appeal to those on a tighter budget.
Why Choose Ditto for Health Insurance?
At Ditto, we’ve assisted over 8,70,000 customers with choosing the right insurance policy. Why customers like Abhinav love us:
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HDFC Ergo vs Aditya Birla Health Insurance: Which Is Better? Ditto’s Take
Did You Know?
For the period ending March 2025, HDFC ERGO had a solvency ratio of 2x, while Aditya Birla Health Insurance had a solvency of 1.84x. Although the minimum requirement specified by IRDAI is 1.5, HDFC ERGO performs slightly better in this comparison.
Both HDFC ERGO and Aditya Birla Health Insurance offer excellent products, and the choice largely depends on your preferences:
- HDFC ERGO: If you’re seeking robust financial stability, a broader hospital network, and a clear track record of profitability, HDFC ERGO may be your ideal choice. The company has consistently demonstrated strong performance and reliability in the health insurance space. But note, their premiums are usually on the higher side.
- Aditya Birla Health Insurance: If you are looking for a wellness-driven policy with lifestyle rewards and more agile offerings, Aditya Birla Health Insurance may suit you better. Although younger in the market, it has recently achieved profitability in its health insurance segment; this demonstrates strong growth potential.
Both insurers are long-term partners of Ditto, with HDFC ERGO being with us longer. We’ve had positive experiences with both companies with regard to post-sales support and claims processes, which is why either is a trustworthy choice for our customers.
Note: All data and metrics used in this article are sourced from the HDFC Ergo and Aditya Birla’s annual reports, public disclosures, and IRDAI reports.
Frequently Asked Questions
Which is better for family floater policies: HDFC Ergo or Aditya Birla Health Insurance?
Both insurers offer good family floater policies, but HDFC ERGO may have an edge in terms of scale, faster claim settlements, and a larger hospital network.
Does Aditya Birla Health Insurance offer better maternity benefits compared to HDFC Ergo?
Yes, Aditya Birla tends to offer more comprehensive maternity benefits with its Activ Fit plan, though HDFC ERGO offers a maternity add-on with its Optima Secure plan. Its premiums are pretty expensive, and it does not cover newborn-related complications.
Which company is best in health insurance?
The answer depends on your priorities. HDFC ERGO is better if you value financial stability, a larger hospital network, and quicker claim settlements. On the other hand, Aditya Birla Health Insurance is ideal if you're looking for a wellness-driven policy with additional health rewards and preventive care.
Is Aditya Birla health insurance better?
Aditya Birla Health Insurance may be considered better if you prioritize lifestyle rewards, wellness incentives, and more affordable premiums. It’s an excellent choice for individuals who prioritize preventive health and achieving fitness goals.
Which is better: Care Health Insurance or HDFC ERGO?
Both Care Health Insurance and HDFC ERGO offer excellent health plans. However, HDFC ERGO stands out due to its larger claim settlement ratio and more extensive network of hospitals, making it a reliable choice for those seeking prompt support during emergencies. If you want to learn more, you can read about it in our detailed comparison piece on HDFC Ergo vs Care Health Insurance.
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