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 Activ Health Platinum Essential Plan is your best friend if you are looking for a robust health insurance cover that protects you against chronic illnesses, provides hospitalization benefits, and a high sum insured. A health plan that goes beyond hospitalization coverage. Activ Health Platinum Essential offers coverage against:
The plan is available as an individual and family health insurance plan and provides multiple health benefits such as wellness coach, annual health check-ups and more.
Aditya Birla Health Insurance
Aditya Birla Health Insurance Plan Detailed Review
Individual/ Family Floater
50k - 10 lac
10051+
BP, Diabetes, Cholesterol, and Asthma
10% every claim-free year, max 50% of SI applicable for Sum Insured up to 10 Crores only.
586
To Know More About The Plan Refer To The Brochure Provided
Activ health platinum essential offers a multitude of benefits to the insurance holders that are mentioned below:
Below mentioned are the eligibility criteria for activ health platinum essential
Minimum: 91 Days
Maximum: No Limit
Self, spouse, up to 3 children, up to 2 parents, and 2 parents-in-laws
1/2/3 Years
Not Applicable for Accident Cover
The plan provides coverage to its customers for the following specifications mentioned below:
In-patient & Out-patient coverage
Room Rent
Covered up to SI
ICU Charges
Covered up to SI
Pre-Hospitalization
Covered for up to 30 days
Post-Hospitalization
Covered for up to 60 days
Domiciliary Hospitalization
Covered up to SI
Daycare Treatment
Covered up to SI
OPD Charges
Not Covered
Coverage Terms
COVID-19 Treatment
Covered
Cataract
Not Covered
No Claim Bonus
Applicable 10%, Max up to 100%
Automatic Restoration
Not Applicable
Daily Hospital Cash
Available
Organ Donor
Not Covered
Maternity Cover
Covered up to SI
New Born Baby Cover
Covered up to SI
Alternative Treatments
AYUSH Treatment
Covered up to SI
IVF Treatment
Not Covered
Modern Treatment
Covered up to SI
Emergency Coverage
Ambulance
Covered
Air Ambulance
Not Covered
Compassionate Travel
Not Covered
Global Coverage
Not Covered
Wellness Programmes
E-Consultation
Not Covered
Health Check-Up
Available
Second Medical Opinion
Available
Vaccination
Covered
Limitations
Co-payment
Applicable
Sub-limits
Not Available
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 Essential?
Under Aditya Birla Activ Health Platinum Essential, the room rent is covered:
The Intensive Care Unit (ICU) is a hospital special department where patients with severe medical conditions are treated.
Coverage status under Aditya Birla Activ Health Platinum Essential?
Under Aditya Birla Activ Health Platinum Essential, the ICU charges coverage is available up to S.I.
Medical expenses incurred before the hospitalization of the policyholder.
Coverage status under Aditya Birla Activ Health Platinum Essential?
Under Aditya Birla Activ Health Platinum Essential, pre-hospitalization is covered for up to 30 days.
Medical expenses incurred after the discharge of the policyholder from the hospital.
Coverage status under Aditya Birla Activ Health Platinum Essential?
Aditya Birla Activ Health Platinum Essential covers medical expenses incurred during post-hospitalization for up to 60 days.
Home hospitalization arrangement for the insured person due to 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 Essential?
Aditya Birla Activ Health Platinum Essential Plan covers domiciliary hospitalizations up to SI
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 Essential?
Aditya Birla Activ Health Platinum Essential plan covers expenses of all daycare procedures up to SI.
Covers the cost of doctor consultation and prescribed medical tests that may not require hospitalization.
Coverage status under Aditya Birla Activ Health Platinum Essential?
Conditional Coverage under Aditya Birla Activ Health Platinum Essential.
COVID-19 treatment includes the cost of treatment for COVID-19 with a confirmative diagnosis from Govt. an approved center.
Coverage status under Aditya Birla Activ Health Platinum Essential?
Covid-19 Covered.
A common eye condition in which your vision gets blurred.
Coverage status under Aditya Birla Activ Health Platinum Essential?
Aditya Birla Activ Health Platinum Essential plan does not cover Cataract Treatment.
For every claim-free year, insurance companies reward policyholders with an increase in the Sum Insured amount as a no-claim bonus on policy 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 Essential?
Aditya Birla Activ Health Platinum Essential plan offers an additional 10% to the sum insured as a no-claim bonus for each claim-free year, a maximum of up to 100% of the sum insured.
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 Essential?
Aditya Birla Activ Health Platinum Essential plan does not offer automatic restoration benefit .
It is a cash amount that you receive each day during the time of hospitalization.
Coverage status under Aditya Birla Activ Health Platinum Essential?
The Daily hospital cash available under Aditya Birla Activ Health Platinum Essential Plan is Rs. 500 to Rs. 5000 in multiples of Rs. 500 per hospitalization
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 Essential?
Under the plan Aditya Birla Activ Health Platinum Essential plan the organ donor expenses are not covered.
It refers to the cover that includes expenses for normal and c-section procedures deliveries.
Coverage status under Aditya Birla Activ Health Platinum Essential?
Under the Aditya Birla Activ Health Platinum Essential plan Maternity Cover is 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 are listed below and these common treatments can vary from plan to plan:
Coverage status under Aditya Birla Activ Health Platinum Essential?
Under the Aditya Birla Activ Health Platinum Essential plan, new born baby cover is available up to SI.
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 Essential?
Under the Aditya Birla Activ Health Platinum Essential 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 Essential?
Under the Aditya Birla Activ Health Platinum Essential plan, IVF is not available
Medical treatments that demand modern technology such as robotic surgeries, stem cell therapy, etc.
Coverage status under Aditya Birla Activ Health Platinum Essential?
Under the Aditya Birla Activ Health Platinum Essential plan modern treatment is covered up to SI for listed procedures. A co-payment of 50% is applicable for robotic surgeries.
An ambulance is used to move the patient from home to hospital, transfer to another hospital, and take them for different tests outside the hospitals.
Coverage status under Aditya Birla Activ Health Platinum Essential?
Under the Aditya Birla Activ Health Platinum Essential plan ambulance cover is available
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 Essential?
Under the Aditya Birla Activ Health Platinum Essential plan air ambulance is not covered.
Refers to the traveling expenses of a family member of the insured person in case the policyholders get admitted to a hospital outside his/her residential city.
Coverage status under Aditya Birla Activ Health Platinum Essential?
Under the Aditya Birla Activ Health Platinum Essential 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 Essential?
Under the Aditya Birla Activ Health Platinum Essential plan, global coverage is not covered
If a policy offers E-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.
Coverage status under Aditya Birla Activ Health Platinum Essential?
Under the Aditya Birla Activ Health Platinum Essential plan, E-consultation is not covered.
A facility where the policyholder can avail free health check-ups after fulfilling the company's policies.
Coverage status under Aditya Birla Activ Health Platinum Essential?
Under the Aditya Birla Activ Health Platinum Essential plan, health check-up is available once in a policy year
If the policyholder wants, they may opt for a second medical opinion wherein the policyholder can consult another doctor within the company’s network of medical practitioners.
Coverage status under Aditya Birla Activ Health Platinum Essential?
Aditya Birla Activ Health Platinum Essential plan covers the expenses for a second medical 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 Essential?
Aditya Birla Activ Health Platinum Essential plan covers vaccination expenses upto maternity sum insured.
In the co-payment clause, policyholders have to pay a portion of the hospitalization expense on their own and the insurer will pay the rest of the amount.
Coverage status under Aditya Birla Activ Health Platinum Essential?
Co-payment is applicable
Sub limit is a condition in which the insurer will have to pay the medical expense up to a certain percentage and the remaining amount will have to be paid by the policyholder.
Coverage status under Aditya Birla Activ Health Platinum Essential?
No sub-limits are available
The plan provides coverage to its customers for the following specifications mentioned below:
Basic Covers Provided under the plan include:
In-patient Hospitalization
Pre and Post Hospitalization Expenses
Day Care Treatment
Domiciliary Hospitalizations
Road Ambulance Cover
Mental Illness Hospitalization
Obesity Treatment
Home Treatment
Modern Treatment
AYUSH Cover
Additional cover provided under the plan include
10% cumulative bonus, maximum up to 100% of SI up to a maximum of INR 50 lac
Annual Health Check-up
Second E-opinion on critical illnesses
Chronic Management Program
Health Return Benefit
Expert Health Coach
Health Assessment
The plan has certain exclusions that are mentioned below in further details:
Suicide or attempted suicide, intentional self-injury
Venereal disease, mental illness or sickness, psychiatric condition
Any hospitalization not arising out of an injury
The insured person committing any breach of law with criminal intent
To avail of claim settlement services, the insured individual must follow the process given below:
Aditya Birla Activ Health Platinum Essential Plan provides protection to its customers from day 1 against personal accidents and other chronic illnesses. It is an individual and family floater plan with affordable premiums and a plethora of features along with affordable premium prices. It is an apt choice for those suffering from diabetes, hyper tension and other chronic diseases.
Aditya Birla Health Insurance Network Hospitals are present nationwide. With a wide network of over 10051+ cashless hospitals, Aditya Birla Health Insurance ensures that you are medically secured, irrespective of the city you reside in.
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
Platinum Plan
A unique Plan with features such as a chronic management program, modern treatments, covid-19, and more.
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 minimum entry age for the plan is 91 days and the maximum entry age has no limits.
Yes, the plan offers coverage from day 1 for illnesses such as Diabetes, High Blood Pressure, Asthma, and High Cholesterol.
It is an initiative provided by the company that motivates insurance holders to stay fit and healthy.
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Naval Goel is the CEO & founder of PolicyX.com. Naval has an expertise in the insurance sector and has professional experience of more than a decade in the Industry and has worked in companies like AIG, New York doing valuation of insurance subsidiaries. He is also an Associate Member of the Indian Institute of Insurance, Pune. He has been authorized by IRDAI to act as a Principal Officer of PolicyX.com Insurance Web Aggregator.
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