Aditya Birla Health Insurance – Platinum – Enhanced

8.8
Expert ScoreRead review

With unique benefits such as 100% Health Returns, cover for Modern treatments methods and chronic management program, the Activ Health Platinum- Enhanced Plan is one of a kind.

  • Cover :₹ 50.0 Lakhs
  • Bonus / NCB :Cumulative Bonus Applicable on Sum Insured:50% increase, max up to 100% (up to a maximum of `1 Cr)
  • Copay :No copayment 
  • Claims Settled :99.41%

₹18,769.00

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Category:
Health insurance

Aditya Birla Health Insurance – Platinum – Enhanced

8.8
Expert ScoreRead review


Premium Amount

₹18,769.00

With unique benefits such as 100% Health Returns, cover for Modern treatments methods and chronic management program, the Activ Health Platinum- Enhanced Plan is one of a kind.

  • Cover :₹ 50.0 Lakhs
  • Bonus / NCB :Cumulative Bonus Applicable on Sum Insured:50% increase, max up to 100% (up to a maximum of `1 Cr)
  • Copay :No copayment 
  • Claims Settled :99.41%
Category:
100% Cover restoration
Available (up to 100% of Sum Insured)
Free Health Check-up
-
Daily cash allowance
NA
Ambulance charges
Covered up to actual expenses per event in case of network providers,Reimbursed up to 5,000 per hospitalisation for non-network providers,
Pre-hospitalisation
Expenses for 60 days covered
No claim bonus
Cumulative Bonus Applicable on Sum Insured:50% increase, max up to 100% (up to a maximum of `1 Cr)
Post hospitalisation
Expenses for 180 days covered
Ayush treatments
Upto Sum insured
Maternity
NA
Outpatient Expense
1000 available for Sum Insured 15 lakhs and above
Organ donor expenses
Covered up to Rs. 50000000
New-born treatment
NA
Domiciliary Hospitalisation
Covered up to Sum Insured
Recovery allowance
1% of Sum Insured, max of 10,000 (For consecutive 10 days of hospitalization due to accident)
Sum Insured
50 Lakh
E- Consultation
NA

Pros

NA
Cumulative Bonus Applicable on Sum Insured:50% increase, max up to 100% (up to a maximum of `1 Cr)
Upto Sum insured
Domiciliary Hospitalisation
Covered up to Sum Insured

cons

Category:

USP of This Plan

With unique benefits such as 100% Health Returns, cover for Modern treatments methods and chronic management program, the Activ Health Platinum- Enhanced Plan is one of a kind.

  • Cover :₹ 50.0 Lakhs
  • Bonus / NCB :Cumulative Bonus Applicable on Sum Insured:50% increase, max up to 100% (up to a maximum of `1 Cr)
  • Copay :No copayment 
  • Claims Settled :99.41%

Our Take

8.8Expert Score
With unique benefits such as 100% Health Returns, cover for Modern treatments methods and chronic management program, the Activ Health Platinum- Enhanced Plan is one of a kind.
  • Cover :₹ 50.0 Lakhs
  • Bonus / NCB :Cumulative Bonus Applicable on Sum Insured:50% increase, max up to 100% (up to a maximum of `1 Cr)
  • Copay :No copayment 
  • Claims Settled :99.41%
Best values score
8.8

Policy Exclusions :

Any claim other than accidental claims inside 30 day waiting period

Obesity & weight control
Any claim for PEDs made during the waiting period of 36 months for 1 & 2 year policies or 30 months for 3 year policy.
Change of gender treatments
Any claim for specific procedures or diseases during the waiting period of 24 months
Cosmetic or plastic surgery
Investigation & Evaluation
Hazardous or adventure sports
Rest care & rehab outside the limits covered
Breach of law
Alcholism, drug or substance abuse
Excluded providers
Treatment recieved in nature clinics, health hydros, spas, etc and dietary supplements and substances purchase without prescription
Refractive error
Unproven treatments
Sterility, Infertility expenses and Maternity expenses over and above those covered in the policy

Claims settlement

If you go to a non-network hospital, you will have to get the claim settled on reimbursement basis by providing the original bills and documents to the insurer
If you get admitted to a network hospital, you can get a cashless authorization from the insurer and then the insurer will settle the expenses directly with the hospital.
Aditya Birla Health Insurance – Platinum – Enhanced
₹18,769.00

Aditya Birla Health Insurance – Platinum – Enhanced

★★★★★
Added to wishlistRemoved from wishlist 0
Add to compare
8.8Expert Score
With unique benefits such as 100% Health Returns, cover for Modern treatments methods and chronic management program, the Activ Health Platinum- Enhanced Plan is one of a kind.
  • Cover :₹ 50.0 Lakhs
  • Bonus / NCB :Cumulative Bonus Applicable on Sum Insured:50% increase, max up to 100% (up to a maximum of `1 Cr)
  • Copay :No copayment 
  • Claims Settled :99.41%
Best values score
8.8

Specification: Aditya Birla Health Insurance – Platinum – Enhanced

Co-pay

Claims settlment Ratio

Sum Insured

100% Cover restoration

No claim bonus

Free Health Checkup

Ambulance charges

Daily Cash Allowance

Pre-hospitalisation Expenses

Post hospitalisation expenses

Organ donor expenses

Maternity

New-born treatment

Domiciliary Hospitalisation

Outpatient

Ayush treatments

Day Care Procedures

Abundance of network hospitals

Pre-existing diseases (PED)Coverage

Recovery allowance

Room Rent Limit

Tele-Consultation

The waiting period

Treatment at Home

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Aditya Birla Health Insurance – Platinum – Enhanced
Aditya Birla Health Insurance – Platinum – Enhanced

₹18,769.00

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