Aditya Birla Health Insurance Policy: Is Activ One Max Plus Better Than HDFC Ergo?
Choosing between health insurance plans can get confusing, right? Especially when both look great on paper. On one side, you have HDFC Ergo Optima Secure, and on the other, there’s this new Aditya Birla Health Insurance Policy called Activ One Max Plus.
Now, both are solid, no doubt about that. But what suits your family better? That depends on a few simple things—who you want to cover, what kind of benefits you expect, and how much flexibility you need from a plan like the Aditya Birla Health Insurance Policy.
If you’re thinking about the Aditya Birla Health Insurance Policy, this guide can help you decide if it’s the right fit. No complex words—just easy points that make sense.
This article compares HDFC Ergo Health Insurance’s flagship plan, “HDFC Optima Secure,” and the newly launched Aditya Birla Health Insurance Policy, “Activ One Max Plus.” Both plans have good features and claim settlement records. It will depend on the individual customer which one to prefer. This article helps them decide which one is better for them.
Sr. No | Basis of Comparison | HDFC Ergo Optima Secure | Aditya Birla Health- Activ One Max Plus |
1 | Entry Age Adult | Minimum 18 Years & Maximum No Capping | Minimum 18 Years & Maximum No Capping |
2 | Entry Age Child | 91 Days to 25 years | 91 Days to 25 years |
3 | Family Floater Combination | 2 Adults + 3 Kids | 2 Adults & 4 Kids, Self, legally married spouse OR live-in partner (same or opposite sex),dependent Children (Natural/legally adopted) |
4 | Multi-Individual Combination | 2 Adults & 4 Kids, Self, legally married spouse OR live-in partner (same or opposite sex), dependent Children (Natural/legally adopted) | Self, legally married spouse OR live-in partner (same or opposite sex), son, daughter, brother, sister, grandson, granddaughter, son-in-law, daughter-in-law, brother-in-law, sister-in-law, nephew, niece, parents and parents-in-law |
5 | Base Sum Insured offer | 10 Lakh to 2 Cr (Family Floater, Individual and Multi-Individual) | 10 Lakh to 2 Cr (Family Floater, Individual and Multi-Individual) |
6 | Room Type | Any Room | For any Room, Single Pvt AC Room and Shared Room, the premium will vary depending upon the room type selection |
7 | ICU Coverage | Upto Base Sum Insured and Earned NCB | Upto Base Sum Insured and Earned Super Credit |
8 | Road Ambulance | Upto Base Sum Insured and Earned NCB | Upto Base Sum Insured and Earned Super Credit |
9 | Modern/Advance Medical Treatment | Upto Base Sum Insured and Earned NCB | Upto Base Sum Insured and Earned Super Credit |
10 | HIV/AIDS and STD Coverage | Upto Base Sum Insured and Earned NCB | Upto Base Sum Insured and Earned Super Credit |
11 | Mental Illness Hospitalisation | Upto Base Sum Insured and Earned NCB | Upto Base Sum Insured and Earned Super Credit |
12 | Obesity Treatment | Upto Base Sum Insured and Earned NCB | Upto Base Sum Insured and Earned Super Credit |
13 | Pre-Hospitalisation | 60 days before the Hospitalization | 90 days before the Hospitalization |
14 | Post-Hospitalisation | 180 days after the discharge from the Hospital | 180 days after the discharge from the Hospital |
15 | Non-Medical Expenses Waiver | Only Annexure A is Covered | Non-payable items will be covered, all 4 lists prescribed by IRDA and include 146 items that are defined by IRDA as non-medical Expenses Waiver |
16 | Domiciliary Hospitalisation | Yes, up to the Sum Insured / earned NCB with some terms and conditions | Yes, up to the Sum Insured / earned Super Credit with some terms and conditions |
17 | Home Care Treatment | Not Available | the insurance company will provide AYUSH Treatment for inpatient hospitalisation and AYUSH Day Care Treatment, up to the sum insured and earn NCB |
18 | AYUSH Treatment | The insurance company will provide AYUSH Treatment for inpatient hospitalisation and AYUSH Day Care Treatment, up to the sum insured and earn NCB | The insurance company will provide AYUSH Treatment for inpatient hospitalisation and AYUSH Day Care Treatment, up to sum insured and earn Super Credit |
19 | Organ Donar Expenses | The company pays the expenses for organ donor treatment procedures only for harvesting and the below is not cover:- pre-post hospitalization of the donor, organ transportation & preservation and any medical complications of the donor | The company pays the expenses for organ donor treatment procedures only for harvesting and the below is not cover:- pre-post hospitalization of the donor, organ transportation & preservation and any medical complications of the donor |
20 | Annual Health Checkups | Family Floater policies limits will be for 5 Lakh SI Rs.2500, 10 Lakh SI Rs. 5000, 15 Lakh SI Rs. 8000, for 20,25 and 50 Lakh SI Rs. 10000 and 1 Cr & 2 Cr SI Rs. 15000 per policy year after 1st renewal of the policy, only on Reimbursement basis | Yes, available on a cashless pre-design package and it will vary upon the base sum insured, from day 1 of policy issuance per year for all 18 years and above members |
21 | Super Reload | As an Optional Cover, if opted will work 2X of Base Sum Insured from 1st Claim | Yes, unlimited times up to Base SI, per hospitalisation for all insured members |
22 | Super Credit / No Claim Bonus | 100% upto 400% | 100% of Basic Sum Insured up to 500%, irrespective of claim |
23 | Chronic Medical Conditions Coverage | Not Available | Asthma, BP, Cholesterol, Diabetic-Type -II, COPD, Obesity and PTCA are done before one year, but keep in mind it there will be very stringent medical underwriting before issuance of this policy, once issuance is done, coverage starts from Day 1 for these conditions |
24 | Health Returns | Not Available | This is very popular across the industry that company allowed to discount 100% on their net premium every year |
25 | Maternity Cover | Not Available | Not Available |
26 | Zonal Premim Applicability | Yes, Urban (Zone-I), Semi-Urban (Zone-II) and Rural (Zone-III), premiums will be lower for lower Zones | Yes, Urban (Zone-I), Semi-Urban (Zone-II) and Rural (Zone-III), premiums will be lower for lower Zones |
27 | PED Waiting Periods | 36 Months | 36 months, except for the Chronic Medical Conditions, mentioned in point no-23 |
28 | Specific Surgery Waiting Periods (For Fresh Policy Only) | 24 months, for listed specific surgery/ procedures | 24 months, for listed specific surgery/procedures |
29 | Premium Payment Options | 1 year, 2 years with 7.5% discount for both years and 3 years with 10% discount for all three years | 1 year, 2 years with 7.5% discount for both years and 3 years with 10% discount for all three years |
30 | Day Care | Cover for all listed Day Care up to SI and Earn NCB | Cover for all listed Day Care up to SI and Earn Super Credit |
31 | After 5 renewals Policy Sum Insured | 4 times of Sum Insured | 6 times of Sum Insured for lifetimes |
32 | Premium waiver | Not Available | Inbuilt for Listed 20 Critical Illnesses, which diagnosed for any Adults Member, next year renewal premium will be waived |
33 | Hospital Cash | In Optional Basis only | In Optional Basis only |
34 | Durable equipment cover | Not Available | 7 Listed. I. Ventilator II. Wheelchair III. Prosthetic device IV. Suction Machine V. Commode Chairs VI Infusion pump VII. Continuous Passive motion devices in case of Knee Replacement VIII. Oxygen concentrator Combined Sub-limit of INR 5 Lacs to buy / rent |
35 | Advanced Health Check-up | Not Available | Yes, Listed & Cashless (90 days waiting period) I. Computed tomography angiography (CTA) II. Positron emission tomography (PET) Scan |
36 | Default Personal Accident Plan | Not Available | Yes, 25 Lakh Each for Self & Spouse |
Comparison Summary: Aditya Birla Health Insurance Policy vs HDFC Ergo
Here’s a quick look at how the Aditya Birla Health Insurance Policy (Activ One Max Plus) compares with HDFC Ergo Optima Secure:
- Family Coverage: Aditya Birla Health Insurance Policy allows more relations, including in-laws and live-in partners
- Non-Medical Expenses: HDFC covers only Annexure A; Aditya Birla covers all 146 IRDAI-listed non-payable items
- Health Rewards: Available only in Aditya Birla Health Insurance Policy through the HealthReturns program
- Chronic Condition Coverage: Covered from Day 1 (after approval) in Aditya Birla; not available in HDFC Ergo
- Super Reload Benefit: Unlimited in Activ One Max Plus; optional and limited in HDFC Ergo
- Annual Health Check-ups: Cashless from Day 1 in Aditya Birla; available post-1st renewal in HDFC Ergo
- Accident Cover: Included by default in Aditya Birla Health Insurance Policy; not available in the HDFC plan
Some Strong Benefits of Aditya Birla Health Insurance Policy
Here’s why many people are choosing the Aditya Birla Health Insurance Policy over other plans:
- You can include in-laws, siblings, and even live-in partners.
- If you stay fit, you can get back up to 100% of your premium every year through their Health Returns program.
- Conditions like BP, asthma, and even diabetes are covered from day one (after a basic check).
- It pays for 146 nonmedical items (like gloves, masks, etc.), which most plans don’t cover.
- You get free checkups every year—no need to wait for a few years.
- If someone is diagnosed with a serious illness from their list, next year’s premium is waived.
- They also cover useful equipment like wheelchairs, oxygen machines, etc.
- You get unlimited reloads of your coverage amount for different hospital stays.
- ₹25 lakh accident cover comes automatically for both you and your spouse.
So, overall, the Aditya Birla Health Insurance Policy gives you more add-ons and flexibility than many regular plans.
Final Thoughts – Is Aditya Birla Health Insurance Policy Right for You?
Both plans have their good points. HDFC Ergo is clean and reliable, no doubt. But if you’re looking for something a bit more modern, with added wellness benefits and bigger family coverage, then Aditya Birla Health Insurance Policy stands out.
The Aditya Birla Health Insurance Policy rewards you for staying healthy, covers many items that other plans skip, and gives a bit more comfort for big families or those with chronic conditions.
At the end, it’s your call—but if you’re leaning towards modern benefits and broader coverage, the Aditya Birla Health Insurance Policy might give your family the best support when needed.
FAQs – Common Questions About Aditya Birla Health Insurance Policy
Q1. Is Aditya Birla Health Insurance Policy good for families with elderly parents?
Yes, it allows you to add parents and even in-laws.
Q2. What is Health Returns?
It’s a benefit that gives you discounts for staying active and healthy, and can reduce your yearly premium.
Q3. Are non-medical expenses like gloves and cotton covered?
Yes, 146 items are covered, as per IRDAI’s list.
Q4. Is there any accident cover in the Aditya Birla Health Insurance Policy?
Yes, ₹25 lakh for both self and spouse is automatically included.
Q5. Do I have to wait for years to get health check-ups?
Nope. From the first year itself, you can get check-ups done every year.