Aditya Birla Activ Health Platinum Insurance

Activ Health: Platinum Enhanced Plan – Overview

• Product Features	Platinum Enhanced
  Sum Insured (in Rs.)	2 lakhs, 3 lakhs, 4 lakhs, 5 lakhs, 6 lakhs, 7 lakhs, 8 lakhs, 9 lakhs, 10 lakhs, 15 lakhs, 20 lakhs, 25 lakhs, 30 lakhs, 40 lakhs, 50 lakhs, 100 lakhs, 150 lakhs, 200 lakhs
  In-patient Hospitalisation	Room Options up to Sum Insured - 3 lakhs 1. Shared Room 2. Single Private A/C Room
  	Room Options Sum Insured 4 lakhs and above 1. Shared Room | 2. Single Private A/C Room | 3. Any Room
  	ICU charges covered up to Sum Insured
  Pre-hospitalisation Medical Expenses	60 days
  Post-hospitalisation Medical Expenses	180 days
  Day Care Treatment	Covered up to Sum Insured
  Domiciliary Hospitalisation	Covered up to Sum Insured
  Road Ambulance Cover	Covered up to actual expenses per event in case of network providers
  	Reimbursed up to 5,000 per hospitalisation for non-network providers
  Organ Donor Expenses	Covered up to Sum Insured
  Reload of Sum Insured	Available (up to 100% of Sum Insured)
  AYUSH Cover	Covered up to Sum Insured
  Mental Illness Hospitalisation	Covered up to Sum Insured
  Obesity Treatment	Covered up to Sum Insured
  Obesity Treatment	Covered up to Sum Insured
  Home Treatment	Covered up to Sum Insured
  Modern Treatment Methods and Advancement in Technologies	Up to Sum Insured for Listed Procedures
  Domestic Emergency Assistance Services (including Air Ambulance)	Available
  International Emergency Assistance Services (including Air Ambulance)	Available
  OPD Cover	1000 available for Sum Insured 15 lakhs and above
  Premium Waiver	1 Policy year premium waiver in case of detection of listed illnesses for adults 18 years & above
  Co-payment for treatment in higher zone	For Sum Insured 3 lakhs and below - Zone II to Zone I: 10% Zone III to Zone II: 15% Zone III to Zone I: 25% For Sum Insured 4 lakhs and above - Not Applicable
  Cumulative Bonus	Applicable on Sum Insured: 50% increase, max up to 100% (up to a maximum of 1 Cr)
  Health Check-up Program	Available, once in a policy year
  Second E-Opinion for Major Illnesses	Available
  Dental Consultation & Investigations	Available for Sum Insured 15 lakhs and above
  Recovery benefit	1% of Sum Insured, max of 10,000 (For consecutive 10 days of hospitalization due to accident)
  Chronic Management Program(OPD)	Available, As per Annexure 1
  Health Assessment	Available
  HealthReturns	Available, up to 100% of Premium
  Expert Health Coach	For Sum Insured upto 3 lakhs: Available - Medical, Nutritional, Mental & Fitness For Sum Insured 4 lakhs and above: Available - Medical, Nutritional, Fitness & Mental Counselling session, Homeopathy teleconsultation

• Eligibility and Coverage

  Eligibility	Minimum Age at Entry	Maximum Age
  Family Floater Policy	91 days – Dependent child 18 years – Adult	No Maximum age at entry
  Individual Policy	5 years	No Maximum age at entry