Aditya Birla Activ Assure Diamond
96
Claim Settlement Ratio
8000
Network Hospitals
8.8
Customer Rating
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96
Claim Settlement Ratio
8000
Network Hospitals
8.8
Customer Rating
Our Verdict
Expert Review: Aditya Birla Health Insurance
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About
About Aditya Birla Health Insurance
Inclusions and Exclusions
Inclusions and Exclusions of Aditya Birla Insurance Company Limited
Room Rent
Room Rent Limit: No limit on room category, allowing policyholders to opt for any hospital room as per their preference.
ICU Limit: No capping on ICU charges, ensuring full coverage for intensive care treatments without any restrictions.
Advanced Treatments
Covers advanced treatments, including robotic surgeries, stem cell therapy (for approved conditions), targeted cancer therapy, organ transplant procedures, and specialized cardiac treatments, ensuring access to modern and high-cost medical care.
Co-payment
The Activ Assure Diamond Plan does not have a mandatory co-payment for most policyholders.
Waiting Period
Initial Waiting Period: 30 days from policy inception, except for accidental claims.
Pre-Existing Diseases (PED): Covered after 48 months of continuous policy coverage.
Specific Illnesses/Procedures: A waiting period of 24 months applies to certain listed conditions.
Maternity Benefits: Covered after 24 months for maternity-related expenses (if applicable).
Cashless Healthcare Providers
The plan provides access to over 12,000 network hospitals across India, offering cashless treatment facilities.
Daycare Treatment
Covered under this plan.
AYUSH Treatment
AYUSH treatment covered under this policy
Room Rent
Room Rent Limit: No limit on room category, allowing policyholders to opt for any hospital room as per their preference.
ICU Limit: No capping on ICU charges, ensuring full coverage for intensive care treatments without any restrictions.
Advanced Treatments
Covers advanced treatments, including robotic surgeries, stem cell therapy (for approved conditions), targeted cancer therapy, organ transplant procedures, and specialized cardiac treatments, ensuring access to modern and high-cost medical care.
Co-payment
The Activ Assure Diamond Plan does not have a mandatory co-payment for most policyholders.
Exclusions
Any pre-existing diseases not disclosed at the time of policy issuance or during the waiting period.
Illnesses or treatments during the initial 30-day waiting period, except for accidental injuries.
Treatment for self-inflicted injuries, suicide attempts, or harm due to substance abuse.
Cosmetic or plastic surgery unless required due to an accident or medically necessary.
Dental treatments, unless arising from an accident requiring hospitalization.
Infertility treatments, assisted reproductive techniques, or related complications.
Treatment for congenital diseases or genetic disorders.
Injuries due to participation in hazardous activities, adventure sports, or illegal acts.
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