“Comparing Aditya Birla Health Activ One Max and Activ Health Platinum Essentials: Which Plan is Right for You?”
Is it logical to choose the lowest features of health insurance plans instead of comprehensive ones in some situations?
The answer is yes, but it depends on a few situations, like:-
When the applicant’s age is too high
All insurance companies increase the premium of health insurance plans every 2-3 years, citing medical inflation. In some policies, the premium increases even when the age band changes and in some plans, the premium increases every year with the increase in age. In this situation, the premium is more likely too high due to higher age.
Suffering from Chronic Medical Conditions or co-morbid medical conditions
If a person already has some medical condition that is never cured, such as Asthma, Hypertension, Hyperlipidemia, Diabetes etc. In such a situation, the insurance company increases the premium of the policy because the person suffering from these medical conditions has more risk of getting other diseases as compared to a healthy person.
Affordability
In India, affordability issues are common as most Indians are middle-class family background
Insurance Planning should be a very smart decision, So, choose it wisely.
Now, we have the choice of very affordable health insurance exclusively designed for 55 Years and above persons. It is “Aditya Birla’s “Activ Health Platinum Essential Plan” For a better understanding of the features of this plan we are comparing it with Aditya Birla’s Flagship Plan “Activ One Max“
| Comparison Features | Activ One Max | Activ Health Platinum Essential |
| Entry Age Adults | 18 years to Any age | 55 & above (at least one member should be 55 Years) |
| Tenure | 1/2/3 Years | 1/2/3 Years |
| Family Definition | 2 Adults and 4 Kids | 2 Adults and 3 Kids |
| Cover Type | Family Floater, Individual & Multi-Individual | Family Floater, Individual & Multi-Individual |
| Premium Type | Age Banded | Every Year |
| Premium 3 Zones | Zone I,II & III | Zone I,II & III |
| Basic Sum Insured | 7 Lakh to 2 Cr | 5 Lakh to 2 Cr |
| Room Rent | Actuals Upto Base Sum Insured upto Any Room | Any Room, Single Room & Shared Room, Premium will vary accordingly |
| ICU Charges | Actuals Upto Base Sum Insured | Actuals Upto Base Sum Insured |
| Road Ambulance | Actuals Upto Base Sum Insured per hospitalisation | Actual through Network Hospital and 3K through Non-Network Hospital |
| Day Care Treatment | Actuals up to Sum Insured | Actuals up to Sum Insured |
| Modern Procedures / Treatments | Actuals up to the Sum Insured for listed procedures | Upto SI for Listed Procedures, but 50% Co-Payment will be applicable for robotic Surgery |
| HIV / AIDS and STD Cover | Actuals up to Sum Insured | Not Cover |
| Mental Illness Hospitalization | Actuals up to Sum Insured | Maximum 1 Lakh |
| Obesity Treatment | Actuals up to Sum Insured | Actuals up to Sum Insured |
| Pre-Hospitalization Expenses | 90 Days up to Sum Insured | 30 Days up to Sum Insured |
| Post-Hospitalization Expenses | 180 Days up to Sum Insured | 60 Days up to Sum Insured |
| Claim Protect (Non-Medical Expense Waiver) | Non-payable items will be covered (all 4 lists of Annexure I) | Not Cover |
| Domiciliary- Hospitalization | Actuals up to Sum Insured | Actuals up to Sum Insured |
| Home Health Care | Actuals up to Sum Insured | Upto 50K |
| AYUSH Treatment | Actuals up to Sum Insured | Actuals up to Sum Insured |
| Organ Donor Expenses | Actuals up to Sum Insured | Not Cover |
| Annual Health Check-up | Cover Listed & Cashless | Cover Listed & Cashless |
| Super Reload | from 2nd Claims onwards upto Base Sum Insured | Not Cover |
| Super Credit (Increases Irrespective of Claim)/ No Claim Bonus | 100% of SI per year, up to 500% of Base Sum Insured (up to Max of 3 Cr under this benefit) | No Claim Bonus 10% upto 100%, will reduce with the same % if claimed |
| HealthReturns | Upto 100% | Upto 50% |
Some Important Questions & Answers
Question- Is it covered on an optional basis if a person has Asthma, BP, Cholesterol and Diabetes?
Answer – Yes, these medical conditions are covered on an optional basis and the company charges some extra premium as loading, as per the medical underwriting and chronicity of the person’s complete medical history
Question- Are there any waiting periods on these above medical conditions, if the policy is accepted?
Answer – If hospitalization is accurate for the above-mentioned medical conditions, then no specific waiting periods are applicable.
Question-Is there any sub-limits for specific surgery and treatment?
Answer – There are no sub-limits for specific surgery or treatment for the Activ One Max Plan but sub-limits are applicable for essential plans as per the policy wording.
Question- Is any Co-Payment applicable for the Essential Plan?
Answer- Yes a mandatory 20% Co-payment is applicable for admissible claims in the Essential Plan, but a co-payment waiver rider is available to waive off.
Conclusion
The essentials plan is very much cheaper than any comprehensive plan but fewer features and sub-limits are applicable so choose as per your affordability in your lifetime