Unlocking the Key Differences of Aditya Birla Health Insurance: ABHI Activ One Max Vs. ABHI Activ FIT

Sometimes we think there is a lot of difference in premiums in different health insurance plans of the same company. The company says that both the products are different, but we find out which is different for each person. When we compare the plans’ features and benefits, we find a huge difference in the premium.

In this article, we are comparing two plans of Aditya Birla Health Insurance, 1st Activ One Max many variants but here I am going to compare only Activ One Max and will compare it with Activ Fit Plus:-

Sr. NoBasis of Comparison Activ One Max Activ Fit Plus
1Entry Age AdultMinimum 18 Years & Maximum No Capping Minimum 18 Years and Maximum 45 years
2Entry Age Child91 Days to 25 years91 Days to 25 years
3Family Floater Combination2 Adults & 4 Kids, Self, legally married spouse OR live-in partner (same or opposite sex),
dependent Children (Natural/legally adopted)
Self, legally married spouse as long as they continue to be
married, son, daughter, brother, sister, grandson, granddaughter, son
in-law, daughter-in-law, brother-in-law, sister-in-law, nephew, niece
4Multi-Individual CombinationSelf, 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-lawSelf, legally married spouse as long as they continue to be
married, son, daughter, brother, sister, grandson, granddaughter, son
in-law, daughter-in-law, brother-in-law, sister-in-law, nephew, niece
5Base Sum Insured offer7 Lakh to 2 Cr (Family Floater, Individual and Multi-Individual)7 Lakh to 1 Cr (Family Floater, Individual and Multi-Individual)
6Room TypeFor any Room, Single Pvt AC Room and Shared Room, the premium will vary depending upon the room type selectionFor any Room, Single Pvt AC Room and Shared Room, the premium will vary depending upon the room type selection
7ICU CoverageUpto Base Sum Insured and Earned Super CreditUpto Base Sum Insured and Earned No Claim Bonus
8Road Ambulance Upto Base Sum InsuredOn Actual up to Base Sum Insured through network Hospital / through Non-Network hospital it is 3k/Event of Hospitalisation
9Modern/Advance Medical TreatmentUpto Base Sum Insured and Earned Super CreditUpto Base Sum Insured and Earned No Claim Bonus
10HIV/AIDS and STD CoverageUpto Base Sum Insured and Earned Super CreditUpto Base Sum Insured and Earned No Claim Bonus
11Mental Illness HospitalisationUpto Base Sum Insured and Earned Super CreditUpto Base Sum Insured and Earned No Claim Bonus
12Obesity TreatmentUpto Base Sum Insured and Earned Super Credit, but there are some conditions regarding the insured person’s BMI and age, The person’s age should be 18 years and above, and BMI should be 40 or Above, greater than a BMI of 35 or equal to this also considerable when person suffering from the co-morbid from the following, Obesity-related cardiomyopathy, Coronary heart disease, Severe Sleep Apnea and Uncontrolled Type2 DiabetesUpto Base Sum Insured and Earned Super Credit, but there are some conditions regarding the insured person’s BMI and age, The person’s age should be 18 years and above, and BMI should be 40 or Above, greater than a BMI of 35 or equal to this also considerable when person suffering from the co-morbid from the following, Obesity-related cardiomyopathy, Coronary heart disease, Severe Sleep Apnea and Uncontrolled Type2 Diabetes
13Pre-Hospitalisation90 days before the Hospitalization90 days before the Hospitalization
14Post-Hospitalisation180 days after the discharge from the Hospital180 days after the discharge from the Hospital
15Non-Medical Expenses WaiverNon-payable items will be covered, all 4 lists prescribed by IRDA and include 146 items that are defined by IRDA as non-medical Expenses WaiverNot Available
16Domiciliary HospitalisationDomiciliary Hospitalisation will be provided if this continues for the last 3 consecutive days, The condition of the Insured Person is such that he/she cannot be removed/admitted to a hospital, and the Medically Necessary Treatment is taken at Home on account of non-availability of room in a Hospital of Home city and the The Domicilia Hospitalization is prescribed in writing by treating Medical Practitioner.
It will be applicable for pre-post hospitalisation, AYUSH as well due to illness or injury, to base Sum Insured and Earn Super Credit
Same as Activ One Max
17Home Care TreatmentIn this plan, the company also provides cashless home care treatment as per the need, with some conditions, up to Sum Insured and earned super creditIn this plan, the company also provides cashless home care treatment as per the need, with some conditions, up to Sum Insured and earning super credit
18AYUSH Treatmentthe insurance company will provide AYUSH Treatment for inpatient hospitalisation and AYUSH Day Care Treatment, up to sum insured and earn Super CreditSame as Activ One up to Sum Insured and earn No Claim Bonus
19Organ Donar ExpensesThe 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 covered:-
pre-post hospitalization of the donor,
organ transportation & preservation
and any medical complications of the donor
20Annual Health CheckupsYes, 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 membersYes with the same condition as Activ One Max Plan, but the package will vary
21Super ReloadYes, unlimited times up to Base SI, per hospitalisation for all insured membersYes, unlimited times up to Base SI , per hospitalisation for all insured members
22Super Credit / No Claim BonusIn health insurance plans, it has long been known that if the policyholder has not taken any claim in a policy year, then the sum insured increases by some % of the basic sum insured, but in Aditya Birla’s plan, no matter whether there is any claim, the sum insured increases. On no ho basis sum insured will remain equal every year sum insured will increase till 500% i.e. after 5 renewals sum insured will be 6 times foreverOnly 10% of every claim free years up to base SI and blowback is also applicable
23Chronic Medical Conditions CoverageAsthma, 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 conditionsWill apply PED waiting periods for 48 Months
24Health ReturnsThis is very popular across the industry that company allowed to discount 100% on their net premium every yearMax up to 50% of Net Premium
25Maternity CoverNot Available Not Available
26PortibilityNot allowed in Activ One Max, allowed with Activ One Max Plus with some internal guidelines of the companyNot allowed
27Zonal Premim ApplicabilityYes, Urban (Zone-I), Semi-Urban (Zone-II) and Rural (Zone-III), premiums will be lower for lower Zones Not applicable
28PED Waiting Periods36 Months, except the Chronic Medical Conditions , mentioned in point no-2348 Months waiting periods applicable for all pre-medical disease
29Specific Surgery Waiting Periods24 Months 24 Months
30Premium Payment Options1 year, 2 years with 7.5% discount for both years and 3 years with 10% discount for all three years1 year, 2 years with 7.5% discount for both years and 3 years with 10% discount for all three years
31Day CareCover for all listed Day Care up to SI and Earn Super CreditCover for all listed Day Care up to SI and earn No Claim Bonus
32After 5 renewals Policy Sum Insured6 times of Sum Insured for lifetimes After 5 renewals Policy Sum Insured

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Here above is a comparison of Aditya Birla Health Activ One Max and Activ FIT Plus, remember one thing the premium will be higher for Activ One compared to Activ FIT.

For Complete Personal Finance consultation, we have dedicated consultants who have more than 2 decades of experience not only in product understanding but also in claims as well please get in touch with us

Disclaimer – This information totally based on the information on the policy wording/product benefits tables for both plans and might be changed in future as per the insurance company from time to time.

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