Aditya Birla Activ Care Premiere
97.27%
Claim Settlement Ratio
11,000+
Network Hospitals
1.75/10
Plan Rating
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Our Verdict
Expert Review: Aditya Birla Active Care Premier
Final Verdict
About
What Is Active Care Premier?
Premier Ratings
Premier
Insurer Rating
8.21
out of 10
Insurance Rating
1.75
out of 10
No Room Rent Limit
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Consumables Covered
No
No Co-payment
No
Loyalty Bonus >= 500%
Add on
No Disease Sublimits
No
Unlimited Restoration
No
Additional Benefits (Informational Only — Not part of score)
PED Waiting <= 2 Years
Yes
Maternity Available
No
Waiting Period Waiver
No
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Inclusions and Exclusions
Aditya Birla Active Care Premier Inclusions and Exclusions
Room Rent
Single Private Room. ICU charges covered up to the Sum Insured.
Modern Treatment
Covered for listed modern treatment methods, subject to the policy's list of covered procedures.
ICU Charges
Covered up to the Sum Insured.
Cumulative Bonus
Earn 10% of Base Sum Insured per claim-free year, accumulating up to a maximum of 50%.
Consumable Cover
Covered in the base plan, including non-medical consumables used during hospitalisation.
Initial Waiting Period
30 days from policy inception for general illnesses. Accidental hospitalisationis covered from day 1.
Specific Waiting Period
2 years for listed specific illnesses and procedures.
PED Waiting Period
2 years for pre-existing diseases — a shorter-than-usual waiting period, helpful for seniors managing chronic conditions.
Annual Health Checkup
Available as an add-on — the Advanced Health Check-up covers additional tests like mammography, PAP smear, thyroid function test, TMT, chest X-ray,and abdominal sonography on a cashless basis.
Post-Hospitalisation
Post-hospitalisation medical expenses covered for60 days following discharge.
Pre-Hospitalisation
Pre-hospitalisation medical expenses covered for30 days prior to hospitalisation.
Outpatient Department Cover (OPD Expense)
Not covered in the base plan. Tele-OPD e-consultationsare available as an add-on.
Deductible Option
Not a core feature of this variant — verify availability from the policy wordings.
Coverage Options
Sum Insured options from ₹3 lakh up to ₹10 lakh, designed for senior citizens.
Maternity Cover
Not available in this plan.
AYUSH Treatment
Covered for listed AYUSH treatments, subject to policy terms.
Co-payment
20% co-payment applies on admissible claims.
Claim Settlement Ratio
Aditya Birla Health Insurance reports a 96% claim settlement ratio(3-year average.
Cashless Healthcare Providers
Cashless treatment available at 11,000+ network hospitals across India.
Daycare Treatment
586 daycare procedures covered, even when hospitalisationis less than24 hours.
Disease-wise sublimits
Certain treatments carry sub-limits — including domiciliary hospitalisationcapped at10% of Sum Insured,and organ donor expenses up to50% of Sum Insured.
Restoration Benefit
100% of the Sum Insured is restored for subsequent hospitalisations due to a different illnessin the same policy year.
Exclusions
Pre-existing conditions are covered after the specified waiting period and not immediately from the policy start date.
Cosmetic or aesthetic treatments, including plastic surgery, unless medically necessary due to accidents or injuries.
Dental treatments, except for those arising from accidental injuries requiring hospitalization.
Treatments related to alcohol or drug abuse, including detoxification and rehabilitation programs.
Injuries or conditions resulting from participation in hazardous activities, adventure sports, or self-inflicted harm.
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About the company
About Aditya Birla
With a strong network of over 8,000 hospitals across India, Aditya Birla ensures easy access to quality medical care through a smooth cashless claim process. The insurer also offers features like chronic care management, annual health check-ups, and value-added wellness services to promote long-term health.
Backed by 24/7 customer support, quick claim settlement, and a transparent service approach, Aditya Birla Health Insurance continues to build trust among policyholders. Its focus on innovation and holistic wellbeing makes it a dependable choice for those seeking comprehensive, wellness-driven health protection.
This content has been reviewed by Aman Shetty, Senior Insurance Advisor | BQP code: 33905
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