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Aditya Activ Health Platinum Enhanced Policy vs Criticare Plan

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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.

PLAN DETAILS

Aditya Activ Health Platinum Enhanced Policy


Criticare Plan

Premium Including GST
Product Type Individual and Family Health Insurance Critical Illness Health Insurance
Key Features
(Key features of the plan)
  • Critical Illness Cover
  •  Health Coach
  •  SI Up to 2 Crores
  • Enhanced Coverage
  • Eligibility
  • Sample Premium
OPD Details
(In some policies, OPD (Out patient department) expenses are also covered.)
Covered Covered
Room Rent
(A limit of room rent cover during hospitalization if any)
Covered Covered
Domicillary Hospitalization
(It is the expenses incurred on treatment of the patient at home)
Covered Covered
Pre-hospitalization
(Expenses before the insured is hospitalized)
Covered Covered
Post-hospitalization
(Expenses after discharge from the hospital)
Covered Covered
Day Care Treatment Covered
(Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.)
Covered Covered
Hospital_network
(Number of Hospital Network in city)
12900 10000
Organ Donor Expenses
(Expenses incurred on organ donor in case of organ transplants)
Covered Not Covered
Hospital Daily Allowance
(Some plans offer daily allowance to take care of expenses like food, etc)
Covered Covered
Ambulance Charges
(Expenses incurred on ambulance charges)
Covered Covered
Maternity Benefits
(All Hospitalization cost covered at the time of pregnancy.)
Not Covered Not Covered
New Born Baby Covered
(Newborn babies can be covered under the insurance plan after a certain period)
Not Covered Not Covered
Health Checkup
(An added benefit of one time full health checkup of policy holder.)
Covered Covered
Sub Limit
(Sub-limit is a monetary capping that applies on specific diseases like cataract)
Not Covered Not Covered
Co-pay
(Mentioned %, if any is to be borne by Insured and rest will be borne by insurer)
Covered Not Covered
Plan Entry Age Minimum: 91 Days Children: 3 Months to 25 Years Maximum: No Limit Adults - 18 -65 years
Plan Premium Entry Age and S/A 10 Lakh 17,765
Plan Waiting Period 30 days 90 days to 4 years
Plan Coverage In-patient hospitalization, Pre-hospitalization (60 days), Post-hospitalization (180 days), Daycare procedures AccidentCare cover, CritiCare cover, HospiCash cover
Plan Sample Premium Rs. 8,000 17,765
Plan Brochure Brochure URL Brochure URL
Policy Term 1, 2, 3 years 1 year, 2 year, 3 years
ICU Charges Covered Covered
Covid-19 Treatment Covered Not Covered
Cataract Covered Covered
Automatic Restoration Covered Not Covered
Ayush Treatment Covered Not Covered
Modern Treatment Covered Not Covered
E Consultation Not Covered Not Covered
Air Ambulance Covered Not Covered
Global Coverage Not Covered Not Covered
Claim Ratio 96 98
Solvency Ratio 1.88 3.03
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