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The cover-compounder - cover that grows every year, claim or no claim, up to five times your base, with refills that can even pay the same bill that drained it.
Where this plan is strong, where to watch - and how it performs on what matters most.
You’ve read the shape of this cover. Now put a real bill through it.
Filter by the worry on your mind to see how this plan handles each concern - its sub-limits, waiting periods and the catches.
If you opt into a Room Rent Type Option to save premium, you accept a room ceiling for the whole policy year. The policy does not state what it pays if you then take a room above that category, so get that answer in writing before you opt in.
Cover after the 3 years applies only to a condition you declared at the time of application and the insurer accepted. A condition you did not declare can stay excluded even after the wait, so a claim for it can be turned down.
ICU charges here take in the ICU bed, the monitoring devices, critical care nursing and the intensivist's fee, so those are settled as part of the ICU charge rather than billed to you separately.
On every plan except NXT, the very first claim in the life of the policy gets no reload. If that first claim is a large one, you pay everything above your base sum insured and accumulated Super Credit from your own pocket.
Super Credit is added only if you renew or pay the premium within the grace period. If you reduce your base sum insured at renewal, the accumulated Super Credit is cut in the same proportion.
Unlike a pool that is funded from day one, this extra room is not there for the first claim in the life of the policy on any plan except NXT. A single large first claim is paid only up to your base cover plus accumulated Super Credit.
These conditions are covered after a waiting period - not excluded. Once the wait is over, they're treated like any other illness. Select a body region, or view the entire body, to see which ones this plan names.
How long you wait, for what
Covered from the first day, with no waiting at all.
After the first month, ordinary illness is covered.
Each one is then covered, like any other illness.
Conditions you declared when you bought the plan.
After this, only proven fraud can be held against a claim.
Already diagnosed with one of these? A different rule applies - conditions you already have follow the pre-existing waiting period. See how that works
Tonsil and throat swelling
Head & Face
Swollen throat glands that cause pain and trouble swallowing.
“Tonsillitis & Adenitis — Medical & Surgical Treatment”
“Adenoiditis — Medical & Surgical Treatment”
Section D.1.2 · pages 10–11
High eye pressure (Glaucoma)
Head & Face
Increased pressure inside the eye that can harm vision.
“Glaucoma — Glaucoma Surgery”
Section D.1.2 · pages 10–11
Eyesight power issue
Head & Face
Common vision problems requiring glasses or contact lenses.
“Refractive Error Correction — Correction Surgery”
Section D.1.2 · pages 10–11
Eye lens clouding (Cataract)
Head & Face
A clouding of the eye lens that makes vision blurry.
“Cataract — Cataract Surgery”
Section D.1.2 · pages 10–11
Ear skin cyst
Head & Face
A harmful, growing cyst inside the ear that needs to be removed.
“Cholesteatoma — Medical & Surgical Treatment”
Section D.1.2 · pages 10–11
We read all 39 exclusion clauses in this policy. 21 clauses change what you’d actually claim.
No waiting period reaches these - the plan does not cover them at all.
Written as exclusions, but the policy states a way in. The condition is the whole point.
Every discount printed in this policy’s own documents - what it’s worth, who qualifies, and what it asks in return.
Nothing is given up in return - you either meet the condition or you don't.

About the provider
Activ One beside each of the other plans on the shelf: every clause that differs, read from the policy wording.
Sources
Everything on this page is read from the insurer’s own filings. It is an educational summary - not advice, not a recommendation to buy, and we sell nothing.
Plan facts last updated 17 Aug 2026.
IRDAI UIN: ADIHLIP24097V012324
5% with two or three members on the policy; 10% with four or more.
7.5% for a 2-year policy term; 10% for a 3-year term.
For Aditya Birla Group customers or employees, or when you buy directly from the insurer.
Only one of the three applies - they cannot be combined.
If you hold a corporate group medical cover policy.
When premium is paid by standing instruction - direct debit of your bank account or credit card.
Where no agent commission is payable, the insurer may pass up to 15% back to you - the exact figure is at their discretion.
Earned through the policy year by meeting the plan’s own health and activity targets - not given at purchase.
The premium comes down, but the policy asks for something back.
An optional cover - choose it and the premium drops by 10%.
Every claim at a hospital outside their preferred network carries a 10% co-payment from your pocket - no emergency exception is stated.
An optional cover with a deductible of ₹15,000 or ₹25,000 per claim; the premium drops in exchange, but the policy doesn't publish by how much.
You pay the first ₹15,000 or ₹25,000 of every single claim yourself.
An optional cover that lowers the premium by capping which room you can take.
Your room cover narrows from any room to a single private room, or to shared accommodation.
Not discounts, but printed with them because they move the premium too.
Premium depends on your city - the policy prices three zones - but the rate difference between zones is not published in the policy documents.
Aditya Birla Health Insurance is a standalone health insurer (SAHI) that began operations in 2016 as a joint venture between Aditya Birla Capital and South Africa's Momentum (MMI) Group. Headquartered in Mumbai and registered with IRDAI under number 153, it is known for a wellness-linked model that ties premium rewards to healthy behaviour. It writes only health and allied cover, not the broader property and motor lines of a general insurer.
95.53%
of claims settled, counted by number of claims
68.16%
share of premium paid back out as claims
1.73
capital cushion held - IRDAI floor is 1.5
16,500+
where claims can be settled without you paying first
Every insurer sits inside the same regulated safety net. You are never left with only the insurer's answer.
Raise it with Aditya Birla
Escalate to IRDAI - Bima Bharosa
Insurance Ombudsman