Aditya Birla Activ One NXT
96
Claim Settlement Ratio
8000
Network Hospitals
9.2
Customer Rating
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Get a Quote
96
Claim Settlement Ratio
8000
Network Hospitals
9.2
Customer Rating
Our Verdict
Expert Review: Aditya Birla Health Insurance
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Final Verdict
About
About Aditya Birla Health Insurance
Inclusions and Exclusions
Inclusions and Exclusions of Aditya Birla Insurance Company Limited
Room Rent
Normal; Option 1 - Single Private Room
ICU: no limit
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
For Sum Insured 3 lakhs and below - Zone II to Zone I: 10% Zone III to Zone II: 15% Zone III to Zone I: 25%
For Sum Insured 4 lakhs and above - Not Applicable
Waiting Period
Pre-Existing Diseases : Pre-existing Diseases shall be covered after a waiting period of 36 months as specified in Product Benefit Table / Policy Schedule
Specified disease / procedure waiting period (Code- Excl02): 24 months for specific illness/conditions and their complications in the first two years and is not applicable in subsequent renewals
Initial Waiting Period (Excluding Accidental Hospitalization): 30 days
Cashless Healthcare Providers
12354 + network hospitals.
Daycare Treatment
586 listed day care procedures covered by the policy.
AYUSH Treatment
Covered by the plan.
Room Rent
Normal; Option 1 - Single Private Room
ICU: no limit
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
For Sum Insured 3 lakhs and below - Zone II to Zone I: 10% Zone III to Zone II: 15% Zone III to Zone I: 25%
For Sum Insured 4 lakhs and above - Not Applicable
Exclusions
Expenses solely for diagnostic evaluations; non-related diagnostic expenses not incidental to current treatment.
Expenses for enforced bed rest admissions; custodial care for daily living; services for terminally ill individuals' needs.
Self-initiated obesity surgery without a doctor's advice; surgery covered only for BMI ≥ 40 or BMI ≥ 35 with comorbidities like severe sleep apnea, coronary heart disease, obesity-related cardiomyopathy, uncontrolled Type-2 Diabetes Mellitus, after failed non-invasive weight loss methods.
Expenses for changing body characteristics to the opposite sex.
Cosmetic or plastic surgery unless for reconstruction after accident, burn, cancer, or to remove immediate health risk, certified by a medical practitioner.
Add ons
Add-Ons
Pre Existing Diseases
Critical Illness Cover
Air Ambulance
Unlimited Care
Insurance Premium Calculator
Insurance Premium Calculator
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