Aditya Birla -Activ Health Essential plan offers comprehensive cover for medical treatment of illness and accidents requiring in-patient hospitalisation.This plan offers add-on optional coverage for OPD & Maternity expenses.
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Inception Year - {{policy.Yourstatus}} | Current Status - {{policy.CurrentStatus}}
Co-payment treatment in Higher room category | |||
Plan | Eligible Room Category | Room Category at which treatment taken | Co-payment applicable |
Essential | General/Economy Ward | Shared Room | 15% |
General/Economy Ward | Single Private Room | 25% | |
General/Economy Ward | Any Room | 50% | |
Shared Room | Single Private Room | 15% | |
Shared Room | Any Room | 40% | |
Single Private Room | Any Room | 25% |
Co-payment for treatment in Higher zone | ||
Applicable Zone | Treatment Taken at | Co-payment Applicable |
Zone II | Zone I | 10% |
Zone III | Zone II | 15% |
Zone III | Zone I | 25% |
Sub-limits | |||
Disease Category | Zone I | Zone II | Zone III |
Cataract (including cost of lens) per eye | Rs.40,000 | Rs.3,00,000 | Rs.20,000 |
Angioplasty (including cost of stent) | Rs.3,00,000 | Rs. 2,50,000 | Rs.2,00,000 |
Knee replacement (including revision Surgery) | Rs.3,00,000 | Rs.2,50,000 | Rs.2,00,000 |
Hip replacement (including revision Surgery) | Rs.3,00,000 | Rs.2,50,000 | Rs.2,00,000 |
Cholecystectomy (open or lap) | Rs.60,000 | Rs.45,000 | Rs.35,000 |
Lap / open / vaginal hysterectomy (with / without Salpigo-oophorectomy) | Rs.60,000 | Rs.45,000 | Rs.35,000 |
Any claims arising out of or attributable to any of the following is not covered,Please refer policy T & C for detailed list of exclusions.