Aditya Birla Health

Activ One Max

Aditya Birla Health · Activ One Max

AI Plan Summary*

Instant synthesis of official IRDAI public disclosures & policy wordings.

5X Cover Compounding

Super Credit up to 500%

Sum insured increases by 50% every year up to a massive 500% of base cover regardless of claims.

Extended Medical Window

90-Day Pre-Hospitalization

Covers all consultation, diagnostic, and medication bills incurred 90 days before hospital admission.

Zero Room Rent Capping

Any Room Category

Choose any hospital room category including Deluxe, Executive, and Luxury suites with zero deductions.

Coverage & Limits

Inpatient hospitalisation, room rent, ICU limits, and procedures.

Room rent limitNo Proportionate Penalty

Any Room (Zero Capping)

Restoration of cover

100% Unlimited Super Reload

Pre & Post Hospitalization

60 Days Pre-hospitalization / 180 Days Post-hospitalization covered at actuals

Day Care Procedures

All modern surgical procedures requiring <24 hours admission covered at actuals

Ambulance Cover

Road ambulance covered up to actuals; Air ambulance up to ₹5,00,000 per policy year

AYUSH Treatment

100% Inpatient hospitalisation covered in Ayurvedic, Yoga, Unani, Siddha, Homeopathy institutes

Organ Donor Expenses

Covered up to full Sum Insured for harvesting organ from donor

Value Added Services

Complimentary checkups, teleconsultations, and wellness rewards.

Waiting Periods

Initial, pre-existing disease (PED), and specific illness timelines.

Additional Features

Cumulative Bonus (NCB), Consumables, and Maternity riders.

Claim Settlement Track Record

Official IRDAI public disclosures (Form NL-37) on claim settlement metrics.

Total Claims Processed & Settled
₹1,124.8 Cr Disbursed

2,36,490+ Claims Paid across retail health.

Cashless Pre-Auth Turnaround SLA
30 Mins Cashless SLA

Average pre-authorization approval time at network hospitals.

Solvency Ratio
1.78

Financial stability metric (Mandatory IRDAI statutory minimum is 1.50).

Exclusions

Standard non-payable conditions per IRDAI master circular.

Summary

Licensed IMF Advisory
Select Desired Cover / Sum Insured
Chosen Cover₹1 Crore
LetsBima Quality Score
9.8 / 10
IRDAI Settlement Ratio94.0% CSR
Cashless Hospitals11,000+ Hospitals
Zero Room Rent Capping Guarantee
100% Automatic Refill on Claims
Dedicated LetsBima Claim Assistance
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HAMCHAAR IMF LLP · IRDAI License IMF09380620250815 · Zero fees charged for consultation