Network hospitals
11000+
Incurred claim ratio
64.68%
Sum insured
Up to 2 CR
No. of Plans
22
Solvency Ratio
2.3
Pan India Presence
213
PolicyX.com is a Recognised Aditya Birla Partner View Certificate
Network hospitals
11000+
Incurred claim ratio
64.68%
Sum insured
Up to 2 CR
No. of Plans
22
Solvency Ratio
2.3
Pan India Presence
213
PolicyX.com is a Recognised Aditya Birla Partner View Certificate
Aditya Birla Platinum Enhanced Plan offers unique healthcare benefits to insured individuals such as health insurance protection with wellness benefits and chronic care. Individuals can avail of the benefits offered by Aditya Birla Platinum Enhanced Plan on an individual and family floater basis. The minimum age of entry under the plan is 91 days and there is no maximum entry age. Dependent children from the age of 91 days to 25 years will be covered under the family floater policy. You can provide coverage to yourself, your legally wedded spouse, up to 3 dependent children, parents, parents-in-law, and more.
Aditya Birla Platinum Enhanced plan provides insured individuals a wide range of sum insured options that range between 2 Lakhs to 2 Crores. With Aditya Birla Platinum Enhanced Plan, you can double your sum insured in 2 claim-free years, earn health rewards, avail coverage for chronic illnesses from day 1, expert health coaches, waiver of premiums on diagnosis of critical illnesses, and many more healthcare benefits.
Aditya Birla Activ Health Platinum Enhanced Plan Review
When purchasing the Aditya Birla Activ Health Platinum Enhanced the potential buyers must fulfill the following eligibility criteria:
Minimum: 91 Days Children: 3 Months to 25 Years
Maximum: No Limit
1/2/3 Years
Individual/Family Floater
2 L | 3 L | 4 L | 5 L | 6 L | 7 L | 8 L | 9 L | 10 L | 15 L | 20 L | 25 L | 30 L | 40 L | 50 L | 1 Cr | 1.5 Cr | 2 Cr
30 Days
Aditya Birla Activ Health Platinum Enhanced offers a plethora of benefits and customization features to the insured individuals that are mentioned below:
Insured individuals can opt between a wide range of sum insured options offered by the plan as per their needs and requirements
Coverage for SI:2 Lakhs - 2 Crores
Room Rent
Covered
ICU Charges
Covered
Pre-Hospitalization
Covered for up to 60 days
Post-Hospitalization
Covered for Up to 180 Days
Domiciliary Hospitalization
Covered
Daycare Treatment
Covered up to SI
OPD Charges
Covered
COVID-19 Treatment
Covered
Cataract
Covered
No Claim Bonus
Applicable, 50% increase, max up to 100%
Automatic Restoration
Applicable
Daily Hospital Cash
Covered
Organ Donor
Covered Up to SI
Maternity Cover
Not Covered
New Born Baby Cover
Not Covered
AYUSH Treatment
Covered Up to SI
IVF Treatment
Not Covered
Modern Treatment
Covered Up to SI
Ambulance
Covered Up to Actuals
Air Ambulance
Covered
Compassionate Travel
Not Covered
Global Coverage
Not Covered
E-Consultation
Not Covered
Health Check-Up
Covered
Second Medical Opinion
Covered
Vaccination
Covered
Co-payment
Applicable
Sub-limits
Not Applicable
The room rent limit is the maximum amount of bed charge that you can claim if you are hospitalized.
Common Room categories covered under room rent are:
Coverage status under Aditya Birla Activ Health Platinum Enhanced Insurance Plan?
Under Aditya Birla Activ Health Platinum Enhanced Insurance Plan, the room rent is covered:
It is a special department in the hospitals where patients with serious medical conditions a
Coverage status under Aditya Birla Activ Health Platinum Enhanced Insurance Plan?
Under Aditya Birla Activ Health Platinum Enhanced Insurance Plan, ICU charges are covered up to SI.
Medical expenses incurred before the hospitalization of the Planholder.
Coverage status under Aditya Birla Activ Health Platinum Enhanced Insurance Plan?
Under Aditya Birla Activ Health Platinum Enhanced Insurance Plan, pre-hospitalization is covered for up to 60 days.
Medical expenses incurred after the discharge of the Planholder from the hospital.
Coverage status under Aditya Birla Activ Health Platinum Enhanced Insurance Plan?
Aditya Birla Activ Health Platinum Enhanced 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 Health Platinum Enhanced Insurance Plan?
Aditya Birla Activ Health Platinum Enhanced 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 Health Platinum Enhanced Insurance Plan?
Aditya Birla Activ Health Platinum Enhanced 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 Health Platinum Enhanced Insurance Plan?
OPD charges are covered under Aditya Birla Activ Health Platinum Enhanced Insurance Plan.
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 Health Platinum Enhanced Insurance Plan?
Covid-19 Covered.
A common eye condition in which your vision gets blurred.
Coverage status under Aditya Birla Activ Health Platinum Enhanced Insurance Plan?
Aditya Birla Activ Health Platinum Enhanced Insurance Plan coveres Cataract Treatment.
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 Health Platinum Enhanced Insurance Plan?
Aditya Birla Activ Health Platinum Enhanced Insurance Plan offers a no-claim bonus of Sum Insured: 50% increase, max up to 100% (up to a maximum of INR 1 Cr).
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 Health Platinum Enhanced Insurance Plan?
Aditya Birla Activ Health Platinum Enhanced Insurance Plan offers automatic restoration benefits up to 100% of the Sum Insured.
It is a cash amount that you receive each day during the time of hospitalization.
Coverage status under Aditya Birla Activ Health Platinum Enhanced Insurance Plan?
Daily hospital cash is available under Aditya Birla Activ Health Platinum Enhanced Insurance Plan.
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 Health Platinum Enhanced Insurance Plan?
Under the Aditya Birla Activ Health Platinum Enhanced Insurance Plan, 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 Health Platinum Enhanced Insurance Plan?
Under the Aditya Birla Activ Health Platinum Enhanced Insurance Plan, Maternity Cover is not available.
It takes care of the medical expenses that arise due to the hospitalization of the newborn baby in case of unforeseen circumstances. Some of the common treatments that are covered under the newborn cover and these common treatments can vary from plan to plan:
Coverage status under Aditya Birla Activ Health Platinum Enhanced Insurance Plan?
Under the Aditya Birla Activ Health Platinum Enhanced Insurance Plan, newborn baby cover is not available.
Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.
Coverage status under Aditya Birla Activ Health Platinum Enhanced Insurance Plan?
Under the Aditya Birla Activ Health Platinum Enhanced Insurance Plan, AYUSH treatment is covered up to SI.
In Vitro Fertilization (IVF) is a method of assisted reproductive technology. The common expenses incurred under IVF and infertility treatments are for:
Coverage status under Aditya Birla Activ Health Platinum Enhanced Insurance Plan?
Under the Aditya Birla Activ Health Platinum Enhanced Insurance Plan, IVF is not available.
Medical treatments that demand the use of modern technology such as robotic surgeries, stem cell therapy, etc.
Coverage status under Aditya Birla Activ Health Platinum Enhanced Insurance Plan?
Under the Aditya Birla Activ Health Platinum Enhanced Insurance Plan, modern treatments are covered up to SI.
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 Health Platinum Enhanced Insurance Plan?
Under the Aditya Birla Activ Health Platinum Enhanced Insurance Plan, ambulance cover is covered
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 Health Platinum Enhanced Insurance Plan?
Under the Aditya Birla Activ Health Platinum Enhanced Insurance Plan, the air ambulance is 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 Health Platinum Enhanced Insurance Plan?
Under the Aditya Birla Activ Health Platinum Enhanced 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 Health Platinum Enhanced Insurance Plan?
Under the Aditya Birla Activ Health Platinum Enhanced 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 Health Platinum Enhanced Insurance Plan?
Under the Aditya Birla Activ Health Platinum Enhanced Insurance Plan, E-consultation is not covered.
A facility where the Planholder can avail of free health check-ups after fulfilling the company's policies.
Coverage status under Aditya Birla Activ Health Platinum Enhanced Insurance Plan?
Under the Aditya Birla Activ Health Platinum Enhanced Insurance Plan, a health check-up is covered once during the policy year.
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 Health Platinum Enhanced Insurance Plan?
Aditya Birla Activ Health Platinum Enhanced Insurance Plan covers the expenses for a second e-opinion for Major Illnesses.
Coverage against the expenses incurred on vaccinations is provided by the insurance companies.
Coverage status under Aditya Birla Activ Health Platinum Enhanced Insurance Plan?
Aditya Birla Activ Health Platinum Enhanced 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 Health Platinum Enhanced Insurance Plan?
Applicable under Aditya Birla Activ Health Platinum Enhanced Insurance Plan up to 25%
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 Health Platinum Enhanced Insurance Plan?
Sub-limits are not applicable.
Permanent Exclusions
Permanent diseases or health conditions that are not included under the Aditya Birla Health Platinum Enhanced Plan are mentioned below:
Change of gender treatments
Cosmetic or plastic surgeries
Injuries due to hazardous or adventure sports
Injuries due to breach of law
Sterility and Infertility
Coverage after Waiting Period
Certain diseases and treatments are covered under this plan after a certain time period. Read the details below:
Pre-existing Diseases 36 Months
Listed Ailments 24 Months
Individuals who are looking forward to a complete 360-degree health insurance plan that provides not just coverage against medical expenses but also motivates and encourages them to stay active must consider Aditya Birla Activ Health Platinum Plan. This efficient health insurance plan not only offers impressive sum insured options but also has multiple optional coverages to suit your needs.
Aditya Birla Health offers a wide range of health insurance plans to fulfill the medical needs of individuals, families, and senior citizens.
Affordable
Activ Assure Diamond is a complete health insurance plan that offers new-age health features at an affordable cost, and covers more than 500 daycare treatments.
Unique Benefits
Standard
A standard health insurance policy, wherein you can choose coverage of up to Rs.1 lac to Rs.5 lacs.
Unique Benefits
comprehensive Plan
The plan offers comprehensive coverage with health return benefits, COVID-19 coverage, a chronic management program, and more.
Unique Benefits
Super top-up
A top-up plan offering medical coverage up to Rs. 1 cr. The plan also gives health and wellness discounts.
Unique Benefits
Cancer Plan
Specially designed plan to protect you against the rising costs of treatment at every stage of cancer – early, major and advanced.
Unique Benefits
Accident Plan
The Plan is designed to protect individuals and families from all the contingencies (death and disabilities) that occur due to accidents.
Unique Benefits
Critical Plan
The plan is designed to provide financial protection against critical illnesses, & offers compensation against the loss of income arising out of critical illnesses.
Unique Benefits
Illness Plan
An Insurance plan that covers you against chronic illnesses like asthma, high blood pressure, high cholesterol, and diabetes.
Unique Benefits
comprehensive Plan
It is a comprehensive health insurance plan with 360-degree coverage for senior citizens. It supports your family members at every stage of their health.
Unique Benefits
comprehensive Plan
A health insurance plan designed especially for the youth. The plan provides protection and rewards for good health.
Unique Benefits
The eligibility criteria for Aditya Birla Platinum Enhanced Plan are as follows:
Dependent children can be covered under the plan from the age of 91 Days to 25 years.
The various sum insured options available under the plan range between 2 Lakhs to 2 Crores.
Yes, customers will get tax benefits towards the premiums paid for the Aditya Birla Activ Health Platinum Enhanced Plan as per the Income Tax Act of India, 1961.
There are multiple optional coverages available under the plan like
Expert health coaching is a part of the value-added benefits offered by Aditya Birla Platinum Enhanced plan wherein customers can avail of medical, nutritional, mental & fitness, mental counseling sessions, and homeopathy teleconsultation.
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Simran is an insurance expert with more than 3 years of experience in the industry. She may have all the answers to your insurance queries. With a background in Banking, she proactively helps her readers to stay on par with all the latest Insurance industry developments.
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