Activ Health - Platinum Essential vs Senior Citizen Plan Health Insurance Plan
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| PLAN DETAILS |
 Activ Health - Platinum Essential |
 Senior Citizen Plan |
| Premium Including GST | ||
| Sum Assured | 5L, 6L, 7L, 8L, 9L, 10L, 15L, 20L, 25L, 30L, 40L, 50L, 1Cr, 1.5Cr & 2Cr | 3L, 4L, 5L, 7.5L, 10L, 15L, 20L & 25L |
| Product Type | Reimbursement Hospitalization and Cashless | Reimbursement Hospitalization and Cashless |
| Key Features (Key features of the plan) |
Health Return upto 50% Covers Mental illness Obesity Treatment Chronic Management |
No Pre medical test required Pre Existing disease coverd after 12 month Renewal gauranteed for lifetime |
| OPD Details (In some policies, OPD (Out patient department) expenses are also covered.) |
Available for chronic plans only | Rs 200 per consultation upto Rs 1400 |
| EMI Option | no | no |
| Pre-acceptance Medical Check Up (Whether a pre-acceptance check up is required or not to buy the policy) |
Required | no |
|
Room Rent (A limit of room rent cover during hospitalization if any) |
Single Private Ac Room | Upto Rs 6000 |
| Domicillary Hospitalization (It is the expenses incurred on treatment of the patient at home) |
Covered up to 10L | Not Applicable |
| Pre-hospitalization (Expenses before the insured is hospitalized) |
30 Days | Pre hospitalization medical expenses incurred for a period not exceeding 30 days prior to the date of hospitalisation as per the policy |
| Post-hospitalization (Expenses after discharge from the hospital) |
60 Days | Post-Hosp. - 7% of the hospitalization expenses comprising of Nursing Charges, Surgeon / Consultant fees, Diagnostic charges,Medicines and drugs expenses, subject to a max of Rs.7000/- per occurrence |
| Non-allopathic (Expenses incurred on non-allopathic treatment) |
Upto 10L | Not Covered |
| Day Care Treatment Covered (Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.) |
Upto 10L | Upto 10L & All Day Care Treatment Covered |
| Hospital_network (Number of Hospital Network in city) |
||
| Organ Donor Expenses (Expenses incurred on organ donor in case of organ transplants) |
Not Available | Not Applicable |
|
Hospital Daily Allowance (Some plans offer daily allowance to take care of expenses like food, etc) |
Optional (Rs. 500 to Rs. 5000 in multiples of Rs. 500) | Not Applicable |
| Pre-existing Coverage (If the insured is having some existing diseases, that would be covered after particular time period) |
After 4 Years | After 1 year |
| Cumulative Bonus (The amount by which your sum assured gets increased, if there is no claim.) |
Rs 1L per year upto Rs 10L | Not Applicable |
| Restoration Details (Increase of Sum Insured for non-related illness if the original sum insured is exhausted) |
Not Applicable | Not Applicable |
| Ambulance Charges (Expenses incurred on ambulance charges) |
No limits in network (Else up to Rs 3K/event) | Rs 1000/- per hospitalization up to max of 2000/- ppp |
| Worldwide Emergency (The emergency medical assistance and cover against medical expenses while the customer is abroad) |
Not Available | Not Applicable |
|
Maternity Benefits (All Hospitalization cost covered at the time of pregnancy.) |
Not Applicable | Not Covered |
| New Born Baby Covered (Newborn babies can be covered under the insurance plan after a certain period) |
No | No |
| Health Checkup (An added benefit of one time full health checkup of policy holder.) |
Every year irrespective of claim | Rs 2000/- per person |
| Non-allopathic Details (Expenses incurred on non-allopathic treatment) |
no | no |
| Vaccination (Cover againts any medical expenses occurred in Vaccinations for certain diseases) |
Yes | Not Applicable |
| Animal Bite (Cover againts any medical expenses occurred due to any Animal Bite) |
Not Applicable | Not Applicable |
|
Sub Limit (Sub-limit is a monetary capping that applies on specific diseases like cataract) |
Not Applicable | Applicable |
| Co-pay (Mentioned %, if any is to be borne by Insured and rest will be borne by insurer) |
You pay 20% of claim | 30% For any Claims |
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