Aditya Birla Activ Secure Critical Illness Plan
96
Claim Settlement Ratio
8000
Network Hospitals
8
Customer Rating
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96
Claim Settlement Ratio
8000
Network Hospitals
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
This policy includes room rent coverage, offering a single private room for normal hospitalization and no cap on ICU stays.
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 Aditya Birla Health Insurance Activ Secure - Critical Illness Plan 1 is a fixed-benefit plan, meaning it provides a lump sum payout upon diagnosis of a covered critical illness. Since it is not an indemnity-based plan that reimburses hospitalization expenses, it does not have a co-payment clause.
Waiting Period
Initial Waiting Period: 90 days from the policy start date, during which no claims are payable.
Survival Period: 30 days post-diagnosis of a covered critical illness before the lump sum benefit is paid.
Pre-existing Disease Waiting Period: 48 months for pre-existing conditions before they are covered under the policy.
Cashless Healthcare Providers
The plan provides access to over 11,000 network hospitals across India, offering cashless treatment facilities.
Daycare Treatment
Covered under this plan.
AYUSH Treatment
AYUSH treatment covered under this policy
Room Rent
This policy includes room rent coverage, offering a single private room for normal hospitalization and no cap on ICU stays.
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 Aditya Birla Health Insurance Activ Secure - Critical Illness Plan 1 is a fixed-benefit plan, meaning it provides a lump sum payout upon diagnosis of a covered critical illness. Since it is not an indemnity-based plan that reimburses hospitalization expenses, it does not have a co-payment clause.
Exclusions
Pre-existing diseases are not covered until the completion of the specified waiting period.
Illnesses or conditions arising within the initial 90-day waiting period are excluded.
Self-inflicted injuries, suicide attempts, or harm due to substance abuse are not covered.
Treatments related to congenital diseases or birth defects are excluded.
Medical expenses for conditions arising from participation in hazardous activities or adventure sports are not covered.
Any illness or injury caused due to war, terrorism, or nuclear exposure is not covered.
Cosmetic or aesthetic procedures, unless required due to an accident, are excluded.
Treatment for infertility, fertility procedures, or assisted reproductive techniques is not covered.
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