coverlyhealth.partnerxindia.com

Activ Health Platinum Enhanced Plan

Presenting Activ Health

                  Comprehensive Health Cover 

  •  Listed Modern Treatment methods covered
  •   Avail Cashless Home Treatment 
  • Get Premium Waiver in case of detection of a listed illness

    Chronic Management Program (OPD)

  • Day 1 cover for listed chronic illnesses
  •  Medical Practitioner’s consultations
  •  Diagnostic test

                             Health Benefits

  • Stay active and earn up to 100% of premium as Health Returns 
  • Double your Sum Insured in 2 claim free years (Upto maximum of 1 Cr)

          Access to Expert Health Coaches

  • Coaching on medical, nutritional, mental & fitness
  • Mental counselling session, homeopathy tele-consultation

Key Benefits of the Plan

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Earn up to 100% Health Returns

Stay healthy and earn up to 100% of your premium as HealthReturns

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Access to Expert Health Coach

Coaching on medical, nutritional, mental & fitness Mental counselling session, homeopathy tele-consultation

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Double your Sum Insured in just 2 years

Earn 50% No Claim Bonus for every claim free year up to a maximum of 100% of Sum Insured (Upto maximum of 1 Cr)

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Health Assessment and Health Check-up Program

Evaluate your health with a Healthy Heart Score

Get Back to Good Health

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Covers Modern Treatment Methods and Advancement in Technologies

like robotic surgeries, oral chemotherapy, etc.

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Covers Pre and Post Hospitalization Expenses

60 days of pre and 180 days of post

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Cashless Home Treatment

up to Sum Insured for specific illnesses like chemotherapy, dengue, gastroenteritis, hepatitis, peritoneal dialysis

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Covers Hospitalisation Expenses

for illnesses (including mental illnesses) and accidents

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Covers Treatment Expenses

for Obesity and AYUSH related treatments

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Upto 100% Reload of Sum Insured

In case of an unrelated illness in the same policy year

Access to Chronic Management Program

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Day 1 Cover for Chronic Illnesses

like asthma, high blood pressure, high cholesterol, and diabetes

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Automatic Upgrade at No Extra Cost

Get upgraded to the Chronic Management Program automatically, if you develop a chronic condition after buying the policy

Program Benefits

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Covers Diagnostic Test

medium shot doctor holding tablet

Medical Practitioner’s consultations

To get up to 100% of your Premium as Health Returns , start your Health Journey,

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1 Activ Dayz = 10,000 steps or 300 calories burned or a 30 minute gym session per day or participation in a recognized marathon/ walkathon/ cyclothon or a similar activity which offers a completion certificate with timing 

To gain up to 100% Health Return ,13 Activ Dayz  every month is essential.

Want to start your Health Journey now?

  1. Download the  Activ Health App
  2. Schedule your ment
    and get your Healthy Heart Score
  3. Get active and start
    earning Active Dayz
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Earn HealthReturns™ as % of your premium
No. of Activ Dayz™ in a calendar year Healthy Heart Score™
Green Amber Red
325+ 50% 20% 10%
275+ 20% 8% 4%
No. of Activ Dayz™ in a calendar year Healthy Heart Score™
Green Amber Red
13 or more 30% 12% 6%
10 – 12 18% 7.2% 3.6%
7 – 9 12% 4.8% 2.4%
4 – 6 6% 2.4% 1.2%
0 – 3 0% 0% 0%

Activ Health: Platinum Enhanced Plan – Product Features

Platinum Enhanced – Product Features
Product Features Platinum Enhanced
Sum Insured (₹) ₹2 lakhs, ₹3 lakhs, ₹4 lakhs, ₹5 lakhs, ₹6 lakhs, ₹7 lakhs, ₹8 lakhs, ₹9 lakhs,
₹10 lakhs, ₹15 lakhs, ₹20 lakhs, ₹25 lakhs, ₹30 lakhs, ₹40 lakhs, ₹50 lakhs,
₹100 lakhs, ₹150 lakhs, ₹200 lakhs
I. Basic Covers
In-patient Hospitalisation Room Options up to Sum Insured – ₹3 lakhs
1. Shared Room 2. Single Private A/C Room

Room Options (Sum Insured ₹4 lakhs and above)
1. Shared Room 2. Single Private A/C Room 3. Any Room

ICU charges covered up to Sum Insured
Pre-hospitalisation Medical Expenses 60 days
Post-hospitalisation Medical Expenses 180 days
Day Care Treatment Covered up to Sum Insured
Domiciliary Hospitalisation Covered up to Sum Insured
Road Ambulance Cover Covered up to actual expenses per event in case of network providers
Organ Donor Expenses Covered up to Sum Insured
Reload of Sum Insured Available (up to 100% of Sum Insured)
AYUSH Cover Covered up to Sum Insured
Mental Illness Hospitalisation Covered up to Sum Insured
Obesity Treatment Covered up to Sum Insured
Home Treatment Covered up to Sum Insured
Modern Treatment Methods and Advancement in Technologies Up to Sum Insured for listed procedures
Domestic Emergency Assistance Services (including Air Ambulance) Available
International Emergency Assistance Services (including Air Ambulance) Available
OPD Cover ₹1000 available for Sum Insured ₹15 lakhs and above
Premium Waiver 1 policy year premium waiver in case of detection of listed illnesses for adults 18 years & above
Co-payment for treatment in higher zone For Sum Insured ₹3 lakhs and below –
Zone II to Zone I: 10% | Zone III to Zone II: 15% | Zone III to Zone I: 25%

For Sum Insured ₹4 lakhs and above – Not Applicable
II. Additional Benefits
Cumulative Bonus / No Claim Discount Applicable on Sum Insured 50% increase, max up to 100% (up to ₹1 Cr).
No Claim Discount applicable on premium of expiring policy year provided no claim under the policy.
Health Check-up Program Available, once in a policy year
Second E-Opinion for Major Illnesses Available
Dental Consultation & Investigations Available for Sum Insured ₹15 lakhs and above
Recovery Benefit 1% of Sum Insured, max ₹10,000 (for consecutive 10 days of hospitalisation due to accident)
III. Value Added Benefits
Chronic Management Program (OPD) Available
Health Assessment™ Available
HealthReturns™ Available, up to 100% of Premium
Expert Health Coach For Sum Insured up to ₹3 lakhs – Medical, Nutritional, Mental & Fitness
For Sum Insured ₹4 lakhs and above – Medical, Nutritional, Mental & Fitness, Mental counselling session, homeopathy tele-consultation

                      Want to enhance your protection?   

                   Pick from our optional offerings:

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Personal Accident Cover (AD, PTD)

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International Cover for major illnesses on cashless basis

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Critical Illness Cover

Eligibility & Waiting Periods
Eligibility and Coverage Minimum Age at Entry Maximum Age
Family Floater Policy 91 days – Dependent child

18 years – Adult
No Maximum age at entry
Individual Policy 5 years No Maximum age at entry
Waiting Period(s)
A. Initial Waiting Period 30 Days (not applicable in case of accident and subsequent renewal)
B. For Pre-Existing Disease 36 months
C. Listed Disease / Procedure Waiting Period 24 months

You can avail of a long term discount of 7.5% and 10% upon selecting a 2 and 3 year policy respectively