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Aditya Birla Activ Health Platinum (Premier)

Introduction to Aditya Birla Activ Health Platinum (Premier)

Aditya Birla Activ Health Platinum (Premier) is a health insurance policy offered by Aditya Birla Health Insurance Company Limited. Health insurance is a type of insurance policy that covers hospitalization expenses incurred for any illness, accident, or injury. It acts as a protective shield for savings and healthcare, so you and your family can live a happy, fulfilling life. Aditya Birla’s Activ Health Platinum (Premier) Plan offers a wide range of benefits and coverage options to help you manage your and your family’s healthcare expenses effectively.

Verdict: Aditya Birla Activ Health Platinum (Premier)

This plan has some unique features and benefits, making it a good choice if you want to buy a plan that is tailored to your specific healthcare needs. Besides hospitalization and related expenses, it covers various expenses including maternity expenses, non-medical expenses, OPD expenses, i.e., day-to-day expenses for medicines, tests, consultations, etc. It also covers management expenses for diabetes, hypertension, high cholesterol, and asthma from day 1. This plan, however, is one of the most expensive plans in the market and doesn't provide the monthly premium payment option. And, as per our research, the insurer has received a higher number of claim settlement as well as policy purchase complaints. This implies that the insurer has a poor track record in terms of both purchase and claims service experience.

Pros & Cons: Aditya Birla Activ Health Platinum (Premier)

  • arrow No restrictions on the type of hospital room you choose
  • arrow Covers outpatient department costs, such as medications, tests, consultations, etc.
  • arrow Covers expenses associated with pregnancy
  • arrow Covers Bariatric surgery for weight loss
  • arrow Covers non-medical expenses or the cost of consumables such as gloves, oxygen masks, nebulization kits, etc.
  • arrow Management expenses for diabetes, hypertension, high cholesterol, and asthma are covered from day 1
  • arrow Much costlier than other products in the market
  • arrow Monthly premium payment mode not available
  • arrow Received higher number of complaints during policy purchase compared to other insurers
  • arrow Received higher number of complaints on claim settlement compared to other insurers
  • arrow Our study observed their responses on Twitter to be relatively slower than other insurers

Specific Exclusions: Aditya Birla Activ Health Platinum (Premier)

01 Injury or illness directly or indirectly due to terrorism, nuclear emissions, war, civil war, etc.
02 Injury or illness due to self injury or participation or involvement in naval, military or air force operation
03 Injury or illness caused by intoxicant abuse, smoking cessation programs, and nicotine addiction treatment, unless prescribed by a medical practitioner
04 Circumcision unless necessary for treating a disease or injury
+ Show 17 more

Special Conditions: Aditya Birla Activ Health Platinum (Premier)

01 Any day care procedure that necessitates a period of specialized observation or care following the procedure is covered
02 No Claim Bonus will not reduce for claims made, if the claim is up to 25% of the Sum Insured

About Aditya Birla Health Insurance Company Limited

Aditya Birla Health Insurance Company Limited logo

Aditya Birla Health Insurance Company Limited (ABHICL), a part of Aditya Birla Capital Ltd. (ABCL), is a joint venture between Aditya Birla Group and MMI Holdings of South Africa. ABHICL. The current product portfolio of the company includes unique offerings such as Chronic Care and Incentivized Wellness. It was founded in 2015 and is headquartered in Mumbai, Maharashtra. Mr. Mayanl Bathwal is the company's CEO and MD.

Founded in
2015
JV Partners
Aditya Birla Group and MMI Holdings
Turnover (GWP)
1196.29 Crores
Number of Policies
44,32,814
Number of Claims
3,91,990

Detailed Product Specs: Aditya Birla Activ Health Platinum (Premier)

Claims Experience advisor
Customer Service advisor
Product Benefits(10L Sum Insured) advisor
Limits and Exclusions advisor
% of claims settled in less than 30 days
Reflects on the speed of settling valid claims
96.53%
% of Complaints received on overall claims
% customers unhappy with claims experience
0.26%
Claims Incurred Ratio
78.36%
Claim Settlement Ratio (No. of claims)
What % of the claims received were paid?
92.25%
No. of Cashless Hospitals
10051+

Notes
  1. The health insurance data was last updated in January 2023. All data has been sourced from product brochures, policy wordings, prospectus, public disclosures (FY 2021-2022), insurer websites, and the IRDAI website.
  2. Only plans that are currently available for purchase online have been considered.
  3. For now, we have considered the most comprehensive plans from leading insurance companies. We will keep updating the Decoder Pages with new plans in the coming days.
  4. The affordability of the plans is assessed using premiums for a family of two adults and one child. And, the premiums are as of 31st December 2022.
  5. The product benefits section is based on a sum insured of ₹10 Lakhs and only highlights the top benefits and features of the plans. We will keep updating the Decoder Pages with new benefits and features periodically.
  6. Only those hidden and special conditions that apply to the benefits and features we have considered are included in the Decoder Pages. 
  7. The Decoder Pages only include the most significant specific exclusions under each plan.
  8. The Decoder Pages do not include any generic terms, conditions, or exclusions (those that are the same and apply to all health insurance plans).
  9. The response time on Twitter (Beta) was calculated using a sample set of tweets from April, May, and June 2022 (analyzed in August, September, and October 2022). 
  10. The claims experience data has been sourced from insurance company websites and public disclosures as of March 31, 2022.
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