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Aditya Birla

Aditya Birla

Activ One VIP

Activ One VIP is a premium variant within the Activ One policy series. It includes most of the comprehensive features that Active One Max (base plan) offers. And it extends coverage for maternity and international treatments (excluding USA and Canada) within certain limits. And while these features are nice to have, the added premiums you'll be expected to pay for the VIP plan may not always be worth it, unless you're specifically looking for maternity or international coverage.

What's good here?

special mention
🎉Special Mention

Extended coverage

The plan offers international coverage for emergency treatments up to 15 or 45 days per trip for unlimited trips each policy year. Along with this, one gets maternity coverage under this plan up to specified amount based on the cover amount chosen after a 2 years of maternity waiting period.

coPay

You’ll never have to split the bill

The insurer will bear the entire cost of treatment (up to the sum insured). You won’t have to pay a single penny. Meaning this policy has no co-payment.

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diseaseSublimit

You always have full cover irrespective of the disease

No funny business here. If your insurer hasn’t explicitly stated they won’t cover a certain illness, you can claim the full amount up to the sum insured, irrespective of the disease you’re dealing with. Meaning this policy doesn't impose the dreaded disease wise sub-limits.

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prePost

Pre & Post hospitalization expenses covered

No worries if the doctor had to run a host of diagnostic tests before or after hospitalizing you. The insurer has your back. They will cover this amount in full for a pretty reasonable duration - 90 days before you are hospitalized and 180 days after discharge. This includes the cost of medication by the way.

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dayCare

Day Care treatments covered

If you’re hospitalized for less than 24 hours in lieu of a minor procedure, then the insurer will cover these costs too. Think dialysis, chemotherapy or minor surgeries.

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domiciliary

Full coverage even if you are forced to hospitalize at home

The insurer will bear the costs even if you are hospitalized at home due to a condition or the hospital running out of beds. In insurance lingo, they call this a policy with domiciliary cover.

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maternity

Maternity benefits offered

The insurer will also cover expenses related to maternity— Think hospitalization expenses incurred while giving birth. But they’ll only pay upto ₹1,00,000 and make you wait 2 years before covering this expense.

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roomRent

You can pick any room you like

Shared room, single room, deluxe room or any room that’s available. The insurer won’t nitpick on your choice of room since the policy has no restrictions on room rent.

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ped

Reasonable waiting period for pre-existing diseases

If you’re already dealing with diabetes, cardiovascular problems or any such illnesses, the insurer will cover all costs arising out of these pre-existing problems after you wait for 3 years.

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restoration

Unlimited Restoration Benefit

Even after you claim part of the cover on one occasion, you will be allowed to claim the full cover any number of times repeatedly if you are hospitalized in the future. All in the same year by the way!!!

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healthCheckup

Free Health Checkups every year

If you’re planning on getting a full body checkup every year just to make sure you’re in fine working condition, the insurer will cover the costs.

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ayush

Covers Alternative Medicine

Think of getting Ayurvedic, Homeopathic or other alternative treatments to cure an illness? Your insurer will cover you fully, up to the sum insured.

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Add-ons

Critical Illness

With this add-on you get a lumpsum payment in the event you are diagnosed with critical illnesses outlined in the policy document.

Compassionate Visit

With this add-on, the insurance company covers the cost of 2-way economy class air ticket or travel fare max up to ₹50k if hospitalization exceeds 10 days.

Annual Screening Package for Cancer diagnosed Patients

With this add-on, the insurance company pays out for medical expenses done on annual screening package for people diagnosed with Cancer, provided the conditions required are met up to defined limits on a reimburesement basis.

Durable Equipment Cover

With this add-on, the insurance company will cover the cost of durable items like Ventilator, Wheelchair, Prosthetic device, Suction Machine, etc up to 5L or base sum insured; whichever is lower.

Tele-OPD Consultation

With this add-on, the insurance company provides coverage for teleconsultation from network facilities.

Reduction in PED

This optional cover reduces the applicable pre-existing waiting period from 36 months to either 24 months or 12 months. If you are currently diagnosed with any condition and want to reduce the waiting period, it makes sense to opt for this add-on.

Personal Accident cover

With this add-on, the insurance company will payout a lumpsum amount based on the cover chosen, in case the selected insured member encounters total or partial disablement or accidental death.

Second Medical Opinion

With this add-on, the insurance company provides second medical opinion for listed 27 major illnesses from doctors & experts from the network facilities.

Reduction in Specific Illness Waiting Period

With this add-on, the insurance company reduces the Specific Illness Waiting Period from 2 years to 1 year.

Vaccine Cover

With this add-on, the insurance company provides coverage against vaccination for diseases declared as pandemic or epidemic up to specified limits per insured person.

Cancer Booster

With this add-on, the insurance company will give additional coverage up to 100% of Sum Insured for medical expenses linked to Cancer of Specified Severity.

Extended International Cover

With this add-on, the insurance company extends the scope of international coverage to USA and Canada for Emergency treatments only.

Frequently Asked Questions

Yes. Activ One VIP imposes 4 kinds of waiting periods -
  • 30-Day Waiting Period: Hospitalizations won’t be covered for the first 30 days of the policy unless it’s an accident.
  • Specific Illness Waiting Period: There’s a 2-year waiting period for a list of diseases which is a mandate before you can start claiming.
  • Pre-Existing Disease Waiting Period: There's a 3-year waiting period for any pre-existing disease you may have while buying the policy.
  • Maternity and Newborn Waiting Period: There’s a 2 waiting period before you can make claims related to pregnancy and childbirth.
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