Quick Overview

Aditya Birla health insurance plans are designed to cover different life stages and healthcare needs. The standalone health insurer (SAHI) is known for combining comprehensive medical coverage with wellness-focused benefits like preventive care and rewards for healthy habits.

Its offerings, Activ One and Activ Fit series being the major ones, usually include options for individuals, families, senior citizens, and critical illness protection. However, the insurer’s own performance and premiums are equally important to consider. The right plan depends on your individual needs, with both coverage and premiums varying based on which one you choose.

With a presence in over 42 countries, the Aditya Birla Group is one of India’s largest conglomerates. When it entered the health insurance space in 2015 through a partnership with MMI Holdings, it was seen as a significant development for the industry. Over the last nine years, the company has built a strong foothold, introducing features like a 500% cumulative bonus and wellness focused benefits such as HealthReturns, which encourage a healthier lifestyle.

In this article, we look at Aditya Birla Health Insurance plans, its performance, premiums, and whether it could be the right choice for you.

Aditya Birla Health Insurance: Performance Metrics (FY 2022-25)

MetricsAditya Birla Health InsuranceIndustry Average (FY 2022-25)
Claim Settlement Ratio95.81%91.22%
Incurred Claims Ratio68.16%81.88%
Complaints per 10,000 claims 18.6727.06
Gross Written Premium (GWP) (in Crores)₹3,290 ₹3,969 

From the table above, we can see that Aditya Birla’s claim settlement ratio and complaint figures are better than the industry average, while its incurred claims ratio also sits comfortably within the recommended 50 to 80% range. They also have 12,000+ network hospitals, which is more than the recommended number of more than 10,000 hospitals. 

At the same time, it’s important to note that Aditya Birla Health is a relatively newer insurer with a shorter track record. As a result, its claims and operational processes may not yet be as refined as those of more established players like HDFC Ergo and Care.

List of Top Health Insurance Plans by Aditya Birla 

Activ One Max

Activ One Max is Aditya Birla health insurance’s flagship plan. One of its key highlights is the promise to increase your sum insured up to 6x within five years. The plan also includes several comprehensive benefits by default, such as coverage for consumable items, annual health check ups, and discounts for maintaining a healthy lifestyle. With a paid add on, you can also opt for day one coverage for select chronic conditions like diabetes, high blood pressure, and coronary artery disease, subject to specific conditions such as recent PTC angioplasty.

Activ One Nxt

Think of it as Activ One Max, but with a few benefits moved to optional add ons instead of being included by default. We generally do not recommend this variant, as it offers lower overall value compared to Activ One Max once all the recommended add ons are selected. However, it can be a good pick for people looking for modular offerings. 

Activ One Vytl

This plan is designed for individuals with moderate to severe pre-existing conditions. To be eligible, you must have at least one of the specified conditions, all of which are covered from Day 1. These include asthma, hypertension, hyperlipidemia, diabetes mellitus, chronic obstructive pulmonary disease (COPD), obesity, and coronary artery disease, provided PTC angioplasty was done more than one year ago. We recommend considering it only if you were rejected for Activ One Max, since it is fairly expensive. 

Activ Fit Preferred

This is a plan we at Ditto recommend for couples looking for maternity benefits. After a waiting period of three years, it offers maternity coverage of ₹40,000 for normal deliveries and ₹60,000 for C section deliveries. With an entry age limit of 45 years, it is aimed at younger, fitness driven individuals. It also rewards healthy living by allowing policyholders to earn back up to 50% of their premium by staying active.

Activ Fit Plus

This Aditya Birla health insurance plan is Activ Fit Preferred, just without the maternity benefit.

Super Health Plus Super Top-up

This Super Top-up plan is a supplemental health insurance option meant to extend coverage beyond your base policy limits. It offers sum insured options from ₹3 lakhs to ₹95 lakhs, with deductibles ranging from ₹1 lakh to ₹15 lakhs. The plan covers inpatient hospitalization up to the sum insured, pre and post hospitalization expenses for 30 and 60 days respectively, daycare procedures, domiciliary care, and road ambulance services.

Aditya Birla Health Insurance Plans Comparison

Plan NamePED Waiting Period Specific Illness Waiting PeriodRestorationRenewal BonusPlan Highlights
Aditya Birla Activ One Max3 years (Can be reduced with an add-on)2 years100% of base SI, unlimited times/year, from second claim onwards100% pa, up to 500% (irrespective of claims)100% pa, up to 500%  loyalty bonus. Up to 100% discount on renewals with HealthReturns.
Aditya Birla Activ One Nxt3 years (Can be reduced with an add-on)2 years100% of base SI, unlimited times/year100% pa, up to 500%, irrespective of claims (with an add-on)Can claim up to 2x of cover amount from Day 1 
Aditya Birla Activ One Vytl3 years (Day 1 coverage for a list of chronic conditions)2 years100% of base SI, unlimited times/year, from second claim onwards50% pa, up to 100%, (irrespective of claims)Covers 7 chronic pre-existing conditions from Day 1
Aditya Birla Activ Fit Preferred3 years2 years100% of base SI, unlimited times/year10% pa, up to 100%, on no claims (can be increased by 50% per year up to 100% with an add-on)Maternity benefit up to ₹60,000 for C-section
Aditya Birla Activ Fit Plus3 years2 years100% of base SI, unlimited times/year10% pa, up to 100%, on no claims (can be increased by 50% per year up to 100% with an add-on)Up to 50% discount on renewals with HealthReturns
Aditya Birla Super Health Plus Super Top-up3 years2 yearsNilNilUp to ₹95 lakh of cover in an affordable premium
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Sample Premiums of Aditya Birla Health Insurance Plans

ProfilesActiv One MaxActiv One NxtActiv Fit PreferredActiv Fit Plus
(Individual Plan): Age 25₹10,149₹10,877Not applicable₹8,211
(Family Floater, 2A): Ages (31, 32)₹16,299₹17,718₹18,232₹14,349
(Family Floater, 2A 1C): Ages (35, 34, 5)₹21,478₹23,571₹23,471₹19,588
(Family Floater, 2A): Ages (62, 63)₹66,505₹73,544Not applicableNot applicable

These are indicative premiums for individuals based in Delhi, assuming a ₹15 lakh sum insured with broadly similar benefits included. 

Why Choose Ditto for Health Insurance?

At Ditto, we’ve assisted over 8,00,000 customers with choosing the right insurance policy. Why customers like Pallavi below love us:

Aditya Birla Health Insurance Plans
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    • Dedicated Claim Support Team
    • 100% Free Consultation

Confused about the right insurance? Speak to Ditto’s certified advisors for free, unbiased guidance. Book your call now or chat over WhatsApp, slots fill up fast!

Ditto’s Take on Aditya Birla Health Insurance plans

Aditya Birla health insurance plans are comprehensive and stand out for innovative features like HealthReturns. The insurer has also shown strong and consistent performance in recent years. However, compared to other insurers with similar metrics, its track record is relatively shorter, with claims and operational processes still evolving. If you are considering an Aditya Birla plan, it’s wise to compare options across multiple insurers and read the policy terms carefully to avoid surprises later.

Note: Aditya Birla is a partner insurer of Ditto. The information presented in the article is taken from publicly available sources like the insurer’s website. To know the methodology behind why these plans are recommended, refer to Ditto’s Cut and Framework.

Frequently Asked Questions

Can the waiting period for Aditya Birla Health Insurance plans be reduced??

Yes. Some plans allow you to reduce the waiting period for pre-existing diseases with a paid add on. Activ One Vytl covers a defined list of seven conditions from Day 1 by default. The specific illness waiting period of 2 years for a list of slow growing conditions and 30 day initial waiting period for everything except accidents are usually mandatory to serve. 

Does my Aditya Birla health insurance policy cover accident claims immediately?

Accidental claims are covered from Day 1, based on underwriting by the insurer.

What if I don’t disclose a pre-existing condition in my Aditya Birla health insurance plan?

Failing to disclose may lead to claim denial or cancellation of the policy in certain cases, based on the policy terms. In some cases, this can be done even for conditions unrelated to the claim. Hence, we always recommend a thorough declaration of your entire medical history.

How can I contact the insurer for support regarding Aditya Birla health insurance plans?

Aditya Birla Health Insurance offers simple support options, including a 24×7 toll free helpline at 1800 270 7000, email support at care.healthinsurance@adityabirlacapital.com for general queries and seniorcitizen.healthinsurance@adityabirlacapital.com for senior citizen support, and WhatsApp assistance at +91 88288 00035 for quick responses.

What is HealthReturns in Aditya Birla health insurance plans?

HealthReturns from Aditya Birla Health Insurance plans is a wellness reward program that lets you earn back a part of your premium by staying active and maintaining good health. By completing Active Dayz and improving your heart health score through fitness activities, you accumulate rewards that can be used to pay future premiums or medical expenses.

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