Aditya Birla Activ Fit Health Plan

It is a special department in the hospitals where patients with serious medical conditions are treated.

Coverage status under Aditya Birla Activ Fit Insurance Plan?

Under Aditya Birla Activ Fit Insurance Plan, ICU charges are covered up to actuals for SI 5 Lacs and above.

Medical expenses incurred before the hospitalization of the Planholder

Coverage status under Aditya Birla Activ Fit Insurance Plan?

Under Aditya Birla Activ Fit Insurance Plan, pre-hospitalization is covered for up to 90 days

Medical expenses incurred after the discharge of the Planholder from the hospital.

Coverage status under Aditya Birla Activ Fit Insurance Plan?

Aditya Birla Activ Fit Insurance Plan covers medical expenses incurred during post-hospitalization for 180 Days.

Home hospitalization arrangements for the insured person due to the unavailability of medical amenities in hospitals. The treatment should last equal to or more than 72 hrs to get financial coverage.

Coverage status under Aditya Birla Activ Fit Insurance Plan?

Aditya Birla Activ Fit Insurance Plan covers domiciliary hospitalizations up to the Sum Insured.

Treatments that can be treated in less than 24 hours of hospitalization like blood dialysis, cataract, etc.

Coverage status under Aditya Birla Activ Fit Insurance Plan?

Aditya Birla Activ Fit Insurance Plan covers the expenses of all daycare procedures up to the Sum Insured.

Covers the cost of doctor consultations and prescribed medical tests that may not require hospitalization.

Coverage status under Aditya Birla Activ Fit Insurance Plan?

OPD charges are covered under Aditya Birla Activ Fit Insurance Plan as an optional cover.

COVID-19 treatment includes the cost of treatment for COVID-19 with a confirmative diagnosis from Govt. approved Centre.

Coverage status under Aditya Birla Activ Fit Insurance Plan?

Aditya Birla Activ Fit Insurance Plan does cover COVID-19.

For every claim-free year, insurance companies reward Planholders with an increase in the Sum Insured amount as a no-claim bonus on Plan renewal. However, in the case of a claim, this bonus amount either lapses or is reduced by a certain percentage that varies from plan to plan.

Coverage status under Aditya Birla Activ Fit Insurance Plan?

Aditya Birla Activ Fit Insurance Plan offers a no-claim bonus of 10% of the sum insured for each claim-free year subject to a maximum of 100% of the sum insured. An optional Super no-claim bonus (50% of SI per annum, Max up to 100%) is available.

Automatic restoration is a benefit in which an insurance company restores the sum insured amount completely or up to a certain percentage after it gets fully exhausted in treatments. This restoration amount may vary from plan to plan.

Coverage status under Aditya Birla Activ Fit Insurance Plan?

Aditya Birla Activ Fit Insurance Plan offers automatic restoration benefits up to Sum Insured unlimited times for any illness/injury

It is a cash amount that you receive each day during the time of hospitalization.

Coverage status under Aditya Birla Activ Fit Insurance Plan?

The Daily hospital cash is available under Aditya Birla Activ Fit Insurance Plan:

• SI 5 Lacs – 10 Lacs – INR 800 per day (Max up to INR 4,800 per event)
• SI 15 Lacs & Above: INR 1,000 per day (Max Up to INR 6,000 per event)

It is a cover that includes the cost of the procedure for removing the damaged or malfunctioning organs from the body.

Coverage status under Aditya Birla Activ Fit Insurance Plan?

Under the Aditya Birla Activ Fit Insurance Plan the organ donor expenses are covered up to SI.

It refers to the cover that includes expenses for normal and c-section procedure deliveries.

Coverage status under Aditya Birla Activ Fit Insurance Plan?

Under the Aditya Birla Activ Fit Insurance Plan Maternity Cover is available:

• Normal Delivery - INR 40,000
• C-Section Delivery – INR 60,000

An ambulance is used to move the patient from home to the hospital, transfer to another hospital, and take them for different tests outside the hospital.

Coverage status under Aditya Birla Activ Fit Insurance Plan?

Under the Aditya Birla Activ Fit Insurance Plan, ambulance cover is covered up to Actuals, and for non-network hospitals up to INR 3,000 per event.

Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.

Coverage status under Aditya Birla Activ Fit Insurance Plan?

Under the Aditya Birla Activ Fit Insurance Plan, the air ambulance is not covered.

Refers to the traveling expenses of a family member of the insured person in case the Planholder gets admitted to a hospital outside his/her residential city.

Coverage status under Aditya Birla Activ Fit Insurance Plan?

Under the Aditya Birla Activ Fit Insurance Plan, compassionate travel is not covered.

Any kind of medical/health emergency when you are outside of India.

Coverage status under Aditya Birla Activ Fit Insurance Plan?

Under the Aditya Birla Activ Fit Insurance Plan, global coverage is not covered.

If a Plan offers E-consultation it allows Planholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.

Coverage status under Aditya Birla Activ Fit Insurance Plan?

Under the Aditya Birla Activ Fit Insurance Plan, E-consultation is not covered.

If the Planholder wants, they may opt for a second medical opinion wherein the Planholder can consult another doctor within the company’s network of medical practitioners.

Coverage status under Aditya Birla Activ Fit Insurance Plan?

Aditya Birla Activ Fit Insurance Plan does not cover the expenses for a second medical opinion.

Coverage against the expenses incurred on vaccinations is provided by the insurance companies.

Coverage status under Aditya Birla Activ Fit Insurance Plan?

Aditya Birla Activ Fit Insurance Plan covers vaccination expenses.

In the co-payment clause, Planholders have to pay a portion of the hospitalization expense on their own and the insurer will pay the rest of the amount.

Status under Aditya Birla Activ Fit Insurance Plan?

Not Applicable under Aditya Birla Activ Fit Insurance Plan.

Sub-limits are the specific limits set in an insurance policy for its various features. For example, there are usually sub-limits set on room rent, OPD, doctor’s fees, ambulance charges, family visits, etc. Small amounts of the total sum insured are allotted to different features that the policy comes with and exceeding these amounts leads to out-of-pocket expenses from the policyholder.

Status under Aditya Birla Activ Fit Insurance Plan?

Sub-limits are not applicable.