Aditya Birla Health Insurance - Activ Assure Diamond

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Aditya Birla Health Insurance Activ Assure Diamond Plan

Designed with an objective to secure you and your family during health emergencies, so that you can cushion the blow of uncertain medical expenses, the Aditya Birla Health Insurance Activ Assure Diamond plan acts as your companion during the tough times. So, next time a health emergency strikes, you can completely focus on recovery, while the expenses are taken care of the plan. Aditya Birla Health Insurance not only ensures that you are financially backed when a medical crisis hits, but also makes sure that you can live a healthy life ahead. From health check-ups to hospitalization cost coverage, the Aditya Birla Health Insurance Activ Assure Diamond Plan  offers plethora of benefits and is there by your side, when health adversities take over you.

Apart from regular health insurance benefits, the plan also offers health coach. Under this benefit, you get coaching and tips through a call-back service and digital chat service. This way, the plan not only safeguards you from rising medical expenses, but also motivates you to lead an active and fit lifestyle.

What are the Benefits of the Aditya Birla Activ Assure Diamond Plan

  • Emergency services

    The plan offers urgent domestic as well as international services such as air ambulance, so that you are not stranded in unknown destinations without adequate medical facilities, in case you were to face any medical emergency

  • Day care treatment

    With 586 day care procedures covered for less than 24 hours of hospitalization, the plan prevents you from spending out of your pocket

  • Reload of Sum Insured

    The plan offers an additional 150% reload of sum insured, maximum up to Rs. 50 Lakhs, in case of hospitalization caused for illnesses that are unrelated to the one claimed for in the previous policy year

  • Health Check-up Programs

    With this plan, you are offered a health check-up program, through which you can avail of the facility at the network hospitals & empanelled providers. However, it is important to note that the number of tests depends on the sum insured value and age of the policyholder.

  • Daily Allowance

    For each day on hospitalization, the plan offers an additional benefit of Rs. 500, which is paid for maximum of 5 days in a span of hospitalization. Applicable for sum insured of Rs. 2/3/4 Lakhs.

  • HealthReturnsTM

    The plan rewards you for maintaining a healthy lifestyle! You can get up to 30% of your premium as the HealthReturnsTM, which can be used to pay your renewal premium

Inclusions and Exclusions under Aditya Birla Activ Assure Diamond Plan

Here’s what is covered and not covered under the health insurance plan:

What's Covered

  • In-patient hospitalization

    Cover for expenses incurred in case of hospitalization for over 24 hours

  • Pre- & post hospitalization

    From expenses incurred for consultation to diagnostics even before admission and after discharge from hospital for specified number of days as per policy, the plan is an inclusive offering

  • Road ambulance cover

    Activ Assure Diamond ensures that you are covered for emergencies. With its road ambulance cover, the plan covers for expenses incurred in the transportation through an ambulance from the place of emergency to the nearest hospitals in case of an emergency

  • Day care treatment cover

    The plan covers you for 586 treatments annually that may not require a hospitalization for 24 hours

  • Domiciliary Hospitalization (Home care)

    Not just this, Activ Assure Diamond helps you the get medically necessary treatment at home too. With this benefit, you are covered for medical expenses incurred in getting a treatment at home, in case you were unable to be transferred to the hospital or a Hospital Bed was unavailable

  • Vaccination Cover

    Aditya Birla Activ Assure Diamond covers for the expenses up to Rs 10,000 incurred in the vaccination of insured children below the age of 18 years. This benefit is offered with sum insured of Rs. 1 Crore and above.

  • AYUSH In-patient treatment

    The plan covers for Ayurveda, Yoga and Naturopathy, Unani, Siddha, and Homeopathy in-patient treatment, as per your eligibility

  • Organ donor expenses

    You are covered for medical expenses incurred by or in respect of organ donor for organ donor treatment expenses and the costs incurred in organ harvesting, as per eligibility

What's not Covered

While we know what is covered in the Aditya Birla Health Insurnace Activ Assure Diamond plan, it also important to make a note of things that are not covered in the plan.

  • Intentional self-inflicted injury, attempted suicide, act of self-destruction, etc.

  • Diseases or disability caused due to any sexual disease or sexually transmitted disease

  • Any injury, disability or death that is incurred due to an act of foreign enemies, civil war, war-like operations, etc.

  • Any pre-existing injury or disease that arising out of a pre-existing illness or any medical complication shall not be covered

Eligibility Criteria & Documents Required

Eligibility Criteria
  • Dependent children from age 91 days to 5 years will be covered only if one adult is covered under family floater policy. In case of an individual policy, minimum age at entry is 5Yrs. b.
  • Children up to the age of 25 years can be covered under the floater as dependents.
  • Age at entry age is calculated as no. of years completed as on last birthday.
Documents Required
  • Your Aadhaar Card for the UIN
  • Identity Proof
  • Address Proof
  • Medical Certificates (if required)

Getting the Activ Assure Diamond Plan by Aditya Birla Health Insurance is a very easy and seamless process. After checking your eligibility for the plan, it is important to make a note of all the necessary documents that play an important role in buying the policy.

  • Download
  • Activ Assure Diamond Plan Brochure

How to File a Claim for Aditya Birla Activ Assure Diamond Plan

The claim settlement process of the Aditya Birla Activ Assure Diamond Health Insurance is very simple.

  • Cashless Claims
  • Reimbursement Claims

Here's what you must do!

1.       Fetch the network hospital

2.       Show your Cashless card for identification

3.       Submit the Preauth request form

4.       Insurer will review your claim

5.       Claim shall be settled directly with the hospital

Just follow these quick steps:

1.       Get in touch with the insurer

2.       Submit the claim documents

3.       Claim request is assessed and the reimbursement amount is transferred

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FAQs About Aditya Birla Activ Assure Diamond Plan

  • ✔️Does the plan offer NCB benefit?

    Yes, the Aditya Birla Activ Assure Diamond Health Insurance offer an No Claim Bonus (NCB) of 10% of sum insured maximum up to 50%, for every claim-free year.

  • ✔️What is the maximum sum insured amount offered with the Aditya Birla Activ Assure Diamond plan?

    The plan offers a range of sum insured options up to Rs. 2 Crore.

  • ✔️If I get a health check-up done, is it covered in Aditya Birla Activ Assure Diamond plan?

    Yes, under the health check-up program, you are covered for a health check-up done once a policy year.

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Contact

020-66399444 ( Mon to Sat - 10 am to 6 pm )

Address

4th Floor, B2 Building, Cerebrum IT Park, Kumar City, Kalyani Nagar, Pune – 411014.

Bajaj Finserv Direct Limited ("BFDL") is primarily engaged in distribution of financial products and services through its digital platform (“Bajaj Finserv MARKETS”) and inter alia renders services of customer acquisition, providing preliminary credit support activities, fulfilment services and post-acquisition customer services to Banks, NBFCs, HFCs. BFDL is also a registered Corporate Agent (Composite) under valid IRDAI registration number: CA0551 valid till 10-Apr-2024 for solicitation and servicing of Insurance Products. Registered Office: Bajaj Auto Limited Complex, Mumbai – Pune Road, Akurdi, Pune – 411 035 CIN: U65923PN2014PLC150522