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Activ One NXT vs Health Unlimited

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Aditya Birla Health

Activ One NXT

Premium depends on your profile

Specifications side by side

Spec
Activ One NXT
Health Unlimited
Cover
Plan type
Individual and family floater
Individual and family floater
Sum insured options
5 lakh, 7 lakh, 10 lakh, 15 lakh, 20 lakh, 25 lakh, 50 lakh, 75 lakh, 1 crore, 2 crore
7.5 lakh, 10 lakh, 15 lakh, 25 lakh, 50 lakh, 1 crore, 2 crore
Highest sum insured
200 lakh
200 lakh
Entry age
From 18 years (adult); 91 days (dependent child, floater/multi-individual); 5 years (individual policy) (no maximum stated)
91 days to 65 years
Room rent
No capping - actuals up to base sum insured
Single Pvt. Room for SI 7.5-15 lakh; up to SI for 25 lakh and above
Co-payment
Nil
20% for insured persons aged 61+ at first policy; 15% if Zone 2 premium and treated in Zone 1
Waiting periods
Initial waiting period
30 days
30 days
Pre-existing disease waiting
36 months
36 months
Specific illness waiting
24 months
24 months
Benefits
Pre-hospitalisation
—
60 days
Post-hospitalisation
—
90 days
Day-care treatment
Yes
Yes
AYUSH treatment
Yes
Yes
Restore benefit
Super Reload: 2X Sum Insured from Day 1 and unlimited refills up to 100% of base Sum Insured from 2nd claim in a policy year
Unlimited Restoration of 100% of base SI from the 2nd claim onwards, for same and different illnesses
No-claim bonus
Not in base NXT; optional Super Credit: 100% of SI per year up to 500% of Base SI (max Rs 3 crore), irrespective of claims
50% per claim-free policy year, max 100%; reduced by 50% in case of claims
Maternity
Not covered
Not covered for SI 7.5/10 lakh (covered from SI 15 lakh after 36 months)
OPD
—
Covered up to Rs 5,000 (SI 7.5-15 lakh), consultations/diagnostics, 30% co-pay
Premium
Sample annual premium
—
₹13,006
Sample premium is for
—
Age band 26-30, Sum Insured Rs 10,00,000, Zone 1 (highest; Zone 2 = 5% discount), base premium table in brochure, 'Premiums exclusive of Goods & Services Tax'; table not labelled individual/floater (per-member age-band rate); annual
Insurer
Health incurred claim ratio (insurer)
71.5%
95.29%
Claims figures for
FY 2024-25: health incurred claim ratio including personal accident, IRDAI Annual Report (Statement 10)
FY 2024-25: health incurred claim ratio including personal accident, IRDAI Annual Report (Statement 10)
Network hospitals (insurer)
—
5000+
IRDAI UIN
ADIHLIP27048V022627
GCIHLIP26041V012526

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Pros and cons

Activ One NXT

  • Pro: No co-payment on claims
  • Pro: No room-rent cap

Health Unlimited

  • Con: Co-payment: 20% for insured persons aged 61+ at first policy; 15% if Zone 2 premium and treated in Zone 1
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