Outpatient Care vs Aditya Birla Activ One Max Plan Health Insurance Plan 2026 | PolicyX

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Most often health insurance plans inadequately cover OPD (out-patient department) expenses for an insurance holder, however, Star Outpatient Care is a unique plan to help insurance holders with these expenses. The Star Outpatient Care Insurance Policy is designed to provide financial support for outpatient medical expenses such as doctor consultations, diagnostics, and pharmacy bills.

Health Insurance plans at large offer hospitalization expenses, however, are unable to provide satisfactory OPD coverage to the insured individuals. OPD expenses comprises doctor visits, a visit to any clinic or a hospital or any such medical facility for diagnosis as advised by your doctor. Such expenses when not covered by health insurance plans can cause financial stress on your hard earned savings. Over 50% of OPD expenses done by policyholders in India are OPD expenses. Star Outpatient Care is a unique health insurance plan that keeps all such expenses in mind and takes care of all OPD expenses for an insured individual when needed.

 

Star Outpatient Care launched in 3 different variants namely, Silver, Gold and Platinum offers different sum insured options ranging from INR 25,000 to 1 Lakh along with variants in benefits. Star Outpatient Care Insurance Policy covers individuals for a tenure of one year and can be availed by individuals between 18-50 years.

PLAN DETAILS

Outpatient Care

Aditya Birla Activ One Max Plan

Product Type Individual and Family Health Insurance Individual and Family Health Insurance
Key Features
(Key features of the plan)
  • Plan Variants Available
  • Dental & Ophthalmic treatment
  • Lifelong Renewal Benefit
  • Covers extended family
  • HealthReturn benefits
  • 6X benefits by 6th year
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)
Not 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)
Not Covered Covered
Post-hospitalization
(Expenses after discharge from the hospital)
Not Covered Covered
Day Care Treatment Covered
(Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.)
Not Covered Covered
Hospital_network
(Number of Hospital Network in city)
14000 12900
Organ Donor Expenses
(Expenses incurred on organ donor in case of organ transplants)
Not 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)
Not 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.)
Not Covered Covered
Sub Limit
(Sub-limit is a monetary capping that applies on specific diseases like cataract)
Not Applicable Not Covered
Co-pay
(Mentioned %, if any is to be borne by Insured and rest will be borne by insurer)
Not Applicable Covered
Plan Entry Age 31 Days to 50 years 18 years to no limit
Plan Premium Entry Age and S/A 7865 8,828
Plan Waiting Period 30 30
Plan Coverage - In-patient hospitalization, pre & post hospitalization, daycare procedures, modern treatments (robotic surgery, etc.), AYUSH treatments, home healthcare & domiciliary treatment
Plan Sample Premium - ₹6,177
Plan Brochure Brochure URL Brochure URL
Policy Term upto 3 years 1, 2, 3 years
ICU Charges Not Covered Covered
Covid-19 Treatment Not Covered Covered
Cataract Not Covered Covered
Automatic Restoration Not Covered Covered
Ayush Treatment Covered Covered
Modern Treatment Not Covered Covered
E Consultation Not Covered Covered
Air Ambulance Not Covered Not Covered
Global Coverage Not Covered Not Covered
Claim Ratio 99.06 96
Solvency Ratio 2.21 1.88
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