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The Critical Mediclaim Care health insurance policy provides protection against 32 defined critical illnesses based on an indemnity plan. This comprehensive health policy ensures a smooth recovery without financial worries. Coverage includes multiple critical illnesses such as heart-related diseases, kidney failure, liver issues, dialysis, organ transplant or surgery, paralysis, and stroke.
Additionally, psychiatric counseling is available to support mental and emotional healing. Pre and post-hospitalization care is provided for chemotherapy and radiotherapy sessions.
Want to know more about the Care Critical Mediclaim policy? Read further for more information about the plan, benefits, coverage options, and exclusions.
| PLAN DETAILS |
Care Critical Mediclaim Policy |
Aditya Birla Activ One Max Plan |
| Product Type | Critical Illness Health Insurance | Individual and Family Health Insurance |
| Key Features (Key features of the plan) |
|
|
| OPD Details (In some policies, OPD (Out patient department) expenses are also covered.) |
Covered | Covered |
|
Room Rent (A limit of room rent cover during hospitalization if any) |
Covered | Covered |
| Domicillary Hospitalization (It is the expenses incurred on treatment of the patient at home) |
Not Covered | Covered |
| Pre-hospitalization (Expenses before the insured is hospitalized) |
Covered | Covered |
| Post-hospitalization (Expenses after discharge from the hospital) |
Covered | Covered |
| Day Care Treatment Covered (Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.) |
Covered | Covered |
| Hospital_network (Number of Hospital Network in city) |
11400+ | 12900 |
| Organ Donor Expenses (Expenses incurred on organ donor in case of organ transplants) |
Covered | Covered |
|
Hospital Daily Allowance (Some plans offer daily allowance to take care of expenses like food, etc) |
Not Covered | Not Covered |
| Ambulance Charges (Expenses incurred on ambulance charges) |
Covered | Covered |
|
Maternity Benefits (All Hospitalization cost covered at the time of pregnancy.) |
Not Covered | Not Covered |
| New Born Baby Covered (Newborn babies can be covered under the insurance plan after a certain period) |
Not Covered | Not Covered |
| Health Checkup (An added benefit of one time full health checkup of policy holder.) |
Covered | Covered |
|
Sub Limit (Sub-limit is a monetary capping that applies on specific diseases like cataract) |
Not Covered | Not Covered |
| Co-pay (Mentioned %, if any is to be borne by Insured and rest will be borne by insurer) |
Covered | Covered |
| Plan Entry Age | 5 to 50 Years | 18 years to no limit |
| Plan Premium Entry Age and S/A | 2094 | 8,828 |
| Plan Waiting Period | 90 | 30 |
| Plan Coverage | In-patient hospitalization, Pre and post-hospitalization, Chemotherapy and radiotherapy, Dialysis treatment cover | In-patient hospitalization, pre & post hospitalization, daycare procedures, modern treatments (robotic surgery, etc.), AYUSH treatments, home healthcare & domiciliary treatment |
| Plan Sample Premium | 2094 | ₹6,177 |
| Plan Brochure | Brochure URL | Brochure URL |
| Policy Term | 1,2,3 Years | 1, 2, 3 years |
| ICU Charges | Covered | Covered |
| Covid-19 Treatment | Covered | Covered |
| Cataract | Covered | Covered |
| Automatic Restoration | Not Covered | Covered |
| Ayush Treatment | Covered | Covered |
| Modern Treatment | Covered | Covered |
| E Consultation | Covered | Covered |
| Air Ambulance | Covered | Not Covered |
| Global Coverage | Covered | Not Covered |
| Claim Ratio | 97 | 96 |
| Solvency Ratio | 1.74 | 1.88 |
|
Aditya Birla Activ One Max | Unlimited Health Cover & Premium Rewards! |
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