Policy review · Aditya Birla

Activ One MAX

Wellness-linked cover with serious hospitalization protection — unlimited reload, a strong bonus, and chronic-care extensions. Here's the detail.

Expert rating

4.42

★★★★☆

Editor's pick
Sum insuredUp to ₹6Cr
PremiumsModerate
Entry age18+ yrs
Exit ageNo limit

The verdict

Activ One MAX is a strong all-round choice for people who value wellness-linked benefits alongside serious hospitalization protection. Its reload, bonus, and chronic-care extensions make it especially useful for long-term family coverage planning.

Where it wins

Very strong reload/restoration capability.

Wellness-linked rewards can improve long-term value.

Useful chronic-care focused add-on options.

Comprehensive base benefits with consumables support.Standout

Where it stings

Doctor consultations and maternity need add-ons in most scenarios.

Track record is newer than legacy insurers.

Waiting periods

30 daysInitial wait

No cover except accidental hospitalization.

2 yearsSpecific illness

Applies to listed ailments as per policy wording.

3 yearsPre-existing

Can be reduced with add-ons for broader or disease-specific coverage.

Claims snapshot

Aditya Birla, latest IRDAI disclosure year — how the insurer behind the plan actually performs.

94.09%Claims Settled

Approved by number of claims.

75.97%Incurred Claim Ratio

Claims paid vs premium collected.

99.90%Settled < 30 Days

How quickly claims are paid.

0.16%Complaints

On overall claims — lower is better.

Key features

Unlimited Reload BenefitStandout

Sum insured can reload multiple times after exhaustion during the policy year.

HealthReturns™

Rewards healthy behavior and can return up to 100% of premiums in reward form.

Strong Bonus Structure

Renewal bonus can grow significantly (up to defined policy caps) irrespective of claims.

Comprehensive Hospitalization Cover

Supports modern treatments, day-care procedures, pre/post hospitalization, and consumables.

Wellness & Chronic Care Orientation

Includes optional chronic care support and preventive-care oriented features.

Add-ons

Chronic Care

Reduces PED waiting for listed chronic conditions to day 1.

Reduction in PED

Brings general PED waiting down to 1 or 2 years.

Chronic Care Management Program

OPD support for defined chronic conditions.

Critical Illness

Lump-sum critical illness payout up to selected limits.

Personal Accident Cover

Extra accidental death/disability payout.

Tele-OPD Consultation

Unlimited GP e-consults for insured members.

Common exclusions

Advanced therapies/procedures listed as non-payable in policy wording.

Stem-cell therapy (except permitted hematopoietic use-cases).

Admissions primarily for diagnostics and evaluation purposes.

Diagnostic expenses not related to active treatment.

Admissions primarily for bed rest and not active treatment.

Frequently asked questions

Does Activ One MAX have waiting periods?

Yes — 30-day initial waiting, 2-year specific illness waiting, and 3-year PED waiting in base form.

Does it have room rent restrictions?

No. The plan allows access to available room categories as per policy terms.

Does it offer restoration benefit?

Yes. It offers unlimited restoration/reload events, where each event can restore up to 100% of base sum insured.

See how it stacks up against any plan.

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