Health Insurance

Activ One SAVR

Premium Excluding GST - Zone 3

Individual

Age Band/
Sum Insured 2,00,000 3,00,000 4,00,000 5,00,000 7,00,000 10,00,000
5 - 17 5,199 5,383 5,495 5,574 6,127 6,438
18 - 25 8,657 8,856 8,979 9,067 9,674 10,021
26 - 35 9,776 10,004 10,140 10,237 10,928 11,317
36 - 40 12,273 12,572 12,752 12,882 13,798 14,314
41 - 45 14,269 14,620 14,836 14,993 16,095 16,709
46 - 50 16,641 17,091 17,369 17,568 18,983 19,770
51 - 55 20,327 20,948 21,327 21,606 23,568 24,659
56 - 60 23,660 24,432 24,904 25,252 27,707 29,073
61 - 65 30,737 31,818 32,483 32,976 36,471 38,411
66 - 70 37,806 39,199 40,059 40,699 45,235 47,751
71 - 75 46,635 48,403 49,496 50,316 56,146 59,370
75+ 56,031 58,182 59,518 60,533 67,722 71,692

Age Band/
Sum Insured 15,00,000 20,00,000 25,00,000 50,00,000 75,00,000 1,00,00,000
5 - 17 7,748 8,222 8,537 10,124 11,520 12,718
18 - 25 11,830 12,356 12,703 14,469 16,020 17,352
26 - 35 13,325 13,916 14,310 16,306 18,060 19,564
36 - 40 16,877 17,663 18,187 20,839 23,169 25,167
41 - 45 19,722 20,662 21,288 24,470 27,268 29,665
46 - 50 23,547 24,755 25,558 29,646 33,242 36,315
51 - 55 29,770 31,445 32,558 38,233 43,228 47,493
56 - 60 35,386 37,480 38,877 45,982 52,236 57,577
61 - 65 47,265 50,247 52,230 62,365 71,287 78,885
66 - 70 59,149 63,016 65,590 78,751 90,340 1,00,200
71 - 75 73,923 78,887 82,191 99,105 1,14,007 1,26,664
75+ 89,587 95,706 99,776 1,20,666 1,39,078 1,54,691

Age Band/
Sum Insured 2,00,00,000 3,00,00,000 4,00,00,000 5,00,00,000 6,00,00,000
5 - 17 14,281 16,362 17,101 18,211 18,580
18 - 25 19,087 21,458 22,279 23,512 23,921
26 - 35 21,525 24,208 25,136 26,529 26,992
36 - 40 27,773 31,320 32,555 34,408 35,024
41 - 45 32,788 37,032 38,515 40,742 41,481
46 - 50 40,327 45,749 47,657 50,522 51,474
51 - 55 53,062 60,536 63,191 67,176 68,499
56 - 60 64,544 73,871 77,201 82,203 83,862
61 - 65 88,810 1,02,047 1,06,810 1,13,964 1,16,337
66 - 70 1,13,087 1,30,238 1,36,450 1,45,780 1,48,874
71 - 75 1,43,223 1,65,228 1,73,249 1,85,296 1,89,290
75+ 1,75,124 2,02,268 2,12,188 2,27,090 2,32,028

Product Name: Activ One, Product UIN: ADIHLIP24097V012324

1 Adult + 1 Child
Age Band/
Sum Insured 2,00,000 3,00,000 4,00,000 5,00,000 7,00,000 10,00,000
18 - 25 11,790 12,077 12,256 12,382 13,238 13,739
26 - 35 12,634 12,948 13,136 13,269 14,213 14,749
36 - 40 15,070 15,461 15,697 15,867 17,045 17,718
41 - 45 16,772 17,209 17,478 17,673 19,041 19,803
46 - 50 18,362 18,874 19,190 19,417 21,032 21,930
51 - 55 21,668 22,341 22,751 23,054 25,214 26,398
56 - 60 24,353 25,153 25,642 26,002 28,606 30,024
61 - 65 31,727 32,849 33,538 34,050 37,655 39,666
66 - 70 39,061 40,505 41,398 42,062 46,741 49,348
71 - 75 48,220 50,053 51,187 52,038 58,053 61,395
75+ 57,967 60,198 61,584 62,638 70,054 74,169

Age Band/
Sum Insured 15,00,000 20,00,000 25,00,000 50,00,000 75,00,000 1,00,00,000
18 - 25 16,691 17,724 18,262 20,834 23,103 25,091
26 - 35 17,828 18,901 19,476 22,232 24,661 26,793
36 - 40 21,555 23,505 24,255 27,864 31,043 33,830
41 - 45 24,010 25,542 26,322 30,268 33,775 36,842
46 - 50 26,779 28,697 29,612 34,241 38,331 41,945
51 - 55 32,701 35,204 36,409 42,550 47,974 52,759
56 - 60 37,261 40,157 41,600 48,899 55,345 61,032
61 - 65 50,295 54,748 56,818 67,314 76,409 84,588
66 - 70 63,017 68,766 71,457 85,096 96,919 1,07,533
71 - 75 78,832 85,360 88,900 1,07,185 1,22,395 1,36,019
75+ 95,007 1,01,496 1,05,767 1,27,922 1,47,399 1,63,975

Age Band/
Sum Insured 2,00,00,000 3,00,00,000 4,00,00,000 5,00,00,000 6,00,00,000
18 - 25 27,680 31,205 32,430 34,270 34,881
26 - 35 29,572 33,357 34,672 36,647 37,303
36 - 40 37,465 42,388 44,110 46,695 47,554
41 - 45 40,837 46,248 48,145 50,994 51,940
46 - 50 46,661 53,021 55,265 58,633 59,752
51 - 55 59,006 67,381 70,359 74,830 76,315
56 - 60 68,451 78,378 81,924 87,249 89,017
61 - 65 95,272 1,09,515 1,14,642 1,22,343 1,24,897
66 - 70 1,21,405 1,39,861 1,46,548 1,56,591 1,59,922
71 - 75 1,53,844 1,77,525 1,86,159 1,99,127 2,03,426
75+ 1,85,669 2,14,483 2,25,016 2,40,838 2,46,080

1 Adult + 2 Children

Age Band/
Sum Insured 2,00,000 3,00,000 4,00,000 5,00,000 7,00,000 10,00,000
18 - 25 15,109 15,490 15,727 15,894 16,997 17,660
26 - 35 15,682 16,087 16,330 16,502 17,784 18,478
36 - 40 18,253 18,749 19,049 19,265 20,718 21,570
41 - 45 19,798 20,337 20,670 20,911 22,575 23,517
46 - 50 20,859 21,462 21,834 22,101 23,972 25,026
51 - 55 24,118 24,886 25,354 25,699 28,140 29,489
56 - 60 26,509 27,394 27,936 28,334 31,215 32,786
61 - 65 34,646 35,887 36,649 37,216 41,099 43,317
66 - 70 42,758 44,356 45,344 46,078 51,121 53,998
71 - 75 52,890 54,919 56,173 57,115 63,599 67,286
75+ 63,672 66,141 67,674 68,839 76,837 81,376

Product Name: Activ One, Product UIN: ADIHLIP24097V012324

 Age Band/
Sum Insured 15,00,000 20,00,000 25,00,000 50,00,000 75,00,000 1,00,00,000
18 - 25 21,515 22,805 23,541 27,003 30,077 32,711
26 - 35 22,421 23,741 24,510 28,131 31,343 34,111
36 - 40 26,429 29,230 30,224 34,927 39,093 42,686
41 - 45 28,722 30,483 31,454 36,368 40,783 44,571
46 - 50 30,666 32,870 33,951 39,432 44,322 48,571
51 - 55 36,605 39,359 40,737 47,793 54,091 59,545
56 - 60 40,721 43,884 45,484 53,580 60,794 67,088
61 - 65 54,975 59,771 62,065 73,757 83,903 92,932
66 - 70 68,990 75,184 78,165 93,356 1,06,544 1,18,260
71 - 75 86,413 93,429 97,349 1,17,702 1,34,666 1,49,706
75+ 1,04,231 1,11,170 1,15,901 1,40,557 1,62,267 1,80,566

Age Band/
Sum Insured 2,00,00,000 3,00,00,000 4,00,00,000 5,00,00,000 6,00,00,000
18 - 25 36,142 40,801 42,425 44,863 45,672
26 - 35 37,717 42,617 44,324 46,887 47,738
36 - 40 47,373 53,704 55,924 59,257 60,364
41 - 45 49,507 56,173 58,517 62,036 63,204
46 - 50 54,117 61,582 64,220 68,181 69,496
51 - 55 66,667 76,203 79,597 84,694 86,386
56 - 60 75,299 86,276 90,200 96,094 98,050
61 - 65 1,04,726 1,20,439 1,26,099 1,34,600 1,37,419
66 - 70 1,33,573 1,53,938 1,61,319 1,72,406 1,76,083
71 - 75 1,69,382 1,95,515 2,05,045 2,19,361 2,24,107
75+ 2,04,512 2,36,312 2,47,938 2,65,404 2,71,191

1 Adult + 3 Children

Age Band/
Sum Insured 2,00,000 3,00,000 4,00,000 5,00,000 7,00,000 10,00,000
18 - 25 17,972 18,434 18,721 18,924 20,236 21,039
26 - 35 18,442 18,931 19,224 19,431 20,853 21,685
36 - 40 21,374 21,973 22,335 22,596 24,095 25,111
41 - 45 22,384 23,012 23,399 23,679 25,594 26,687
46 - 50 22,971 23,650 24,070 24,371 26,453 27,640
51 - 55 26,167 27,014 27,530 27,910 30,584 32,072
56 - 60 28,278 29,234 29,819 30,249 33,358 35,053
61 - 65 37,036 38,374 39,196 39,807 43,916 46,304
66 - 70 45,786 47,509 48,575 49,367 54,704 57,801
71 - 75 56,714 58,902 60,255 61,270 68,136 72,104
75+ 68,343 71,006 72,659 73,916 82,385 87,271

Age Band/
Sum Insured 15,00,000 20,00,000 25,00,000 50,00,000 75,00,000 1,00,00,000
18 - 25 25,662 27,169 28,074 32,294 36,053 39,240
26 - 35 26,361 27,890 28,824 33,180 37,056 40,366
36 - 40 30,855 33,624 34,698 40,248 45,315 49,531
41 - 45 32,649 34,690 35,820 41,552 46,732 51,133
46 - 50 33,942 36,383 37,603 43,794 49,350 54,132
51 - 55 39,857 42,817 44,337 52,148 59,166 65,176
56 - 60 43,550 46,930 48,657 57,394 65,230 72,018
61 - 65 58,793 63,866 66,341 79,000 89,996 99,715
66 - 70 73,863 80,416 83,632 1,00,079 1,14,369 1,26,982
71 - 75 92,598 1,00,008 1,04,235 1,26,261 1,44,642 1,60,832
75+ 1,11,758 1,19,057 1,24,159 1,50,842 1,74,356 1,94,054

Product Name: Activ One, Product UIN: ADIHLIP24097V012324

 Age Band/
Sum Insured 2,00,00,000 3,00,00,000 4,00,00,000 5,00,00,000 6,00,00,000
18 - 25 43,392 49,025 50,990 53,940 54,920
26 - 35 44,680 50,534 52,576 55,641 56,660
36 - 40 55,030 62,449 65,054 68,965 70,264
41 - 45 56,867 64,599 67,322 71,409 72,767
46 - 50 60,374 68,766 71,735 76,193 77,673
51 - 55 73,023 83,523 87,263 92,879 94,743
56 - 60 80,873 92,705 96,938 1,03,294 1,05,403
61 - 65 1,12,412 1,29,322 1,35,415 1,44,566 1,47,601
66 - 70 1,43,466 1,65,383 1,73,329 1,85,264 1,89,222
71 - 75 1,82,014 2,10,140 2,20,400 2,35,811 2,40,919
75+ 2,19,833 2,54,059 2,66,575 2,85,376 2,91,607

1 Adult + 4 Children

Age Band/
Sum Insured 2,00,000 3,00,000 4,00,000 5,00,000 7,00,000 10,00,000
18 - 25 21,612 22,177 22,528 22,776 24,353 25,334
26 - 35 21,913 22,506 22,862 23,114 24,816 25,825
36 - 40 25,209 25,934 26,373 26,689 28,479 29,709
41 - 45 25,892 26,639 27,100 27,434 29,681 30,982
46 - 50 26,051 26,841 27,330 27,681 30,065 31,445
51 - 55 29,373 30,344 30,935 31,371 34,389 36,092
56 - 60 31,358 32,437 33,096 33,582 37,058 38,969
61 - 65 41,184 42,691 43,617 44,305 48,803 51,485
66 - 70 51,040 52,982 54,182 55,075 60,920 64,398
71 - 75 63,351 65,816 67,340 68,484 76,006 80,463
75+ 76,451 79,451 81,313 82,729 92,011 97,500

Age Band/
Sum Insured 15,00,000 20,00,000 25,00,000 50,00,000 75,00,000 1,00,00,000
18 - 25 30,952 32,744 33,865 39,065 43,711 47,607
26 - 35 31,466 33,274 34,422 39,745 44,495 48,512
36 - 40 36,624 39,918 41,235 47,997 54,183 59,287
41 - 45 38,076 41,474 42,851 49,930 56,393 61,789
46 - 50 38,728 41,516 42,943 50,192 56,732 62,297
51 - 55 44,948 48,244 49,993 59,005 67,152 74,036
56 - 60 48,480 52,234 54,187 64,079 73,001 80,654
61 - 65 65,447 71,017 73,813 88,179 1,00,682 1,11,612
66 - 70 82,356 89,553 93,186 1,11,845 1,28,092 1,42,277
71 - 75 1,03,376 1,11,495 1,16,269 1,41,243 1,62,139 1,80,347
75+ 1,24,064 1,32,580 1,38,068 1,67,150 1,92,582 2,14,391

Age Band/
Sum Insured 2,00,00,000 3,00,00,000 4,00,00,000 5,00,00,000 6,00,00,000
18 - 25 52,683 59,563 61,965 65,571 66,769
26 - 35 53,749 60,843 63,322 67,042 68,278
36 - 40 65,945 74,914 78,068 82,803 84,376
41 - 45 68,818 78,282 81,620 86,631 88,295
46 - 50 69,562 79,315 82,770 87,958 89,681
51 - 55 83,025 95,040 99,325 1,05,758 1,07,893
56 - 60 90,637 1,03,968 1,08,740 1,15,906 1,18,284
61 - 65 1,25,891 1,44,899 1,51,751 1,62,043 1,65,456
66 - 70 1,60,816 1,85,455 1,94,391 2,07,814 2,12,265
71 - 75 2,04,169 2,35,791 2,47,330 2,64,661 2,70,407
75+ 2,42,933 2,80,818 2,94,675 3,15,492 3,22,390

Product Name: Activ One, Product UIN: ADIHLIP24097V012324

2 Adults

Age Band/
Sum Insured 2,00,000 3,00,000 4,00,000 5,00,000 7,00,000 10,00,000
18 - 25 12,089 12,384 12,568 12,698 13,469 13,979
26 - 35 13,042 13,368 13,564 13,702 14,575 15,126
36 - 40 16,065 16,489 16,745 16,930 18,072 18,795
41 - 45 18,191 18,676 18,974 19,191 20,571 21,411
46 - 50 20,257 20,838 21,196 21,454 23,135 24,145
51 - 55 25,827 26,661 27,169 27,543 29,995 31,450
56 - 60 30,112 31,141 31,770 32,233 35,287 37,094
61 - 65 38,612 40,014 40,876 41,516 45,717 48,214
66 - 70 48,840 50,691 51,834 52,685 58,087 61,391
71 - 75 59,941 62,263 63,699 64,777 71,843 76,041
75+ 81,232 84,431 86,416 87,926 97,780 1,03,630

Age Band/
Sum Insured 15,00,000 20,00,000 25,00,000 50,00,000 75,00,000 1,00,00,000
18 - 25 16,991 18,057 18,576 21,205 23,504 25,529
26 - 35 18,299 19,415 19,980 22,827 25,318 27,512
36 - 40 22,935 24,444 25,147 28,914 32,263 35,172
41 - 45 25,981 27,660 28,526 32,909 36,746 40,119
46 - 50 29,517 31,682 32,722 37,994 42,603 46,670
51 - 55 39,121 41,962 43,462 51,177 57,969 63,848
56 - 60 46,194 49,869 51,743 61,136 69,380 76,630
61 - 65 61,273 66,322 69,026 82,318 93,646 1,03,779
66 - 70 78,799 86,046 89,350 1,06,898 1,22,204 1,35,715
71 - 75 97,382 1,05,975 1,10,346 1,32,394 1,51,848 1,68,870
75+ 1,32,480 1,43,594 1,49,703 1,80,998 2,08,478 2,32,128

Age Band/
Sum Insured 2,00,00,000 3,00,00,000 4,00,00,000 5,00,00,000 6,00,00,000
18 - 25 28,166 31,756 33,004 34,878 35,501
26 - 35 30,372 34,266 35,620 37,652 38,328
36 - 40 38,966 44,103 45,900 48,598 49,495
41 - 45 44,513 50,456 52,543 55,675 56,716
46 - 50 51,978 59,126 61,651 65,442 66,700
51 - 55 71,524 81,796 85,455 90,949 92,772
56 - 60 86,087 98,720 1,03,240 1,10,029 1,12,282
61 - 65 1,17,016 1,34,643 1,40,995 1,50,536 1,53,700
66 - 70 1,53,373 1,76,844 1,85,355 1,98,140 2,02,379
71 - 75 1,91,139 2,20,705 2,31,491 2,47,694 2,53,064
75+ 2,63,078 3,04,155 3,19,182 3,41,755 3,49,236

2 Adults + 1 Child

Age Band/
Sum Insured 2,00,000 3,00,000 4,00,000 5,00,000 7,00,000 10,00,000
18 - 25 15,729 16,128 16,376 16,550 17,586 18,275
26 - 35 16,513 16,944 17,201 17,384 18,539 19,267
36 - 40 19,667 20,210 20,538 20,774 22,221 23,146
41 - 45 21,699 22,303 22,676 22,946 24,659 25,705
46 - 50 23,337 24,029 24,456 24,764 26,746 27,949
51 - 55 29,033 29,991 30,574 31,004 33,801 35,471
56 - 60 33,193 34,344 35,048 35,566 38,986 41,009
61 - 65 42,759 44,331 45,296 46,014 50,605 53,395
66 - 70 52,950 54,971 56,220 57,149 62,916 66,516
71 - 75 63,964 66,454 67,994 69,149 76,625 81,120
75+ 85,000 88,354 90,437 92,021 1,02,297 1,08,429

Product Name: Activ One, Product UIN: ADIHLIP24097V012324

 Age Band/
Sum Insured 15,00,000 20,00,000 25,00,000 50,00,000 75,00,000 1,00,00,000
18 - 25 22,281 23,632 24,367 27,976 31,161 33,895
26 - 35 23,405 24,799 25,577 29,392 32,757 35,659
36 - 40 28,396 30,833 31,791 36,776 41,241 45,049
41 - 45 31,379 33,383 34,470 39,984 44,871 49,081
46 - 50 34,303 36,815 38,063 44,393 49,985 54,835
51 - 55 44,212 47,391 49,119 58,035 65,956 72,709
56 - 60 51,125 55,174 57,274 67,821 77,151 85,266
61 - 65 67,927 73,473 76,498 91,495 1,04,332 1,15,676
66 - 70 85,411 93,165 96,764 1,16,042 1,32,881 1,47,615
71 - 75 1,03,908 1,12,993 1,17,653 1,41,351 1,62,291 1,80,516
75+ 1,38,622 1,50,192 1,56,570 1,89,402 2,18,219 2,42,997

Age Band/
Sum Insured 2,00,00,000 3,00,00,000 4,00,00,000 5,00,00,000 6,00,00,000
18 - 25 37,457 42,293 43,978 46,509 47,349
26 - 35 39,440 44,576 46,366 49,053 49,946
36 - 40 50,016 56,723 59,076 62,608 63,782
41 - 45 54,565 61,964 64,568 68,478 69,776
46 - 50 61,165 69,674 72,685 77,206 78,707
51 - 55 81,526 93,314 97,517 1,03,828 1,05,923
56 - 60 95,852 1,09,982 1,15,042 1,22,641 1,25,163
61 - 65 1,30,495 1,50,220 1,57,331 1,68,013 1,71,555
66 - 70 1,66,871 1,92,459 2,01,742 2,15,683 2,20,307
71 - 75 2,04,361 2,36,014 2,47,563 2,64,912 2,70,663
75+ 2,75,424 3,18,457 3,34,200 3,57,851 3,65,688

2 Adults + 2 Children

Age Band/
Sum Insured 2,00,000 3,00,000 4,00,000 5,00,000 7,00,000 10,00,000
18 - 25 18,270 18,740 19,033 19,239 20,466 21,279
26 - 35 18,771 19,270 19,568 19,780 21,037 21,877
36 - 40 22,021 22,641 23,016 23,286 24,940 25,998
41 - 45 23,877 24,556 24,974 25,277 27,207 28,383
46 - 50 25,026 25,779 26,245 26,579 28,740 30,049
51 - 55 30,475 31,490 32,107 32,562 35,537 37,304
56 - 60 34,236 35,429 36,158 36,695 40,273 42,371
61 - 65 44,250 45,882 46,885 47,630 52,360 55,256
66 - 70 53,767 55,822 57,092 58,037 63,883 67,543
71 - 75 64,966 67,498 69,063 70,238 77,818 82,387
75+ 86,355 89,766 91,884 93,494 1,03,913 1,10,146

Age Band/
Sum Insured 15,00,000 20,00,000 25,00,000 50,00,000 75,00,000 1,00,00,000
18 - 25 25,962 27,502 28,389 32,665 36,454 39,678
26 - 35 26,403 27,811 28,745 33,448 37,450 40,798
36 - 40 31,958 33,991 35,056 40,646 45,701 49,956
41 - 45 34,732 36,926 38,148 44,341 49,873 54,598
46 - 50 36,928 39,627 40,985 47,874 53,998 59,274
51 - 55 46,509 49,832 51,659 61,095 69,526 76,670
56 - 60 52,804 56,976 59,147 70,061 79,768 88,174
61 - 65 70,287 76,011 79,138 94,720 1,08,079 1,19,848
66 - 70 86,707 94,544 98,182 1,17,781 1,34,889 1,49,853
71 - 75 1,05,500 1,14,680 1,19,390 1,43,484 1,64,758 1,83,268
75+ 1,40,769 1,52,457 1,58,904 1,92,282 2,21,560 2,46,725

Product Name: Activ One, Product UIN: ADIHLIP24097V012324

 Age Band/
Sum Insured 2,00,00,000 3,00,00,000 4,00,00,000 5,00,00,000 6,00,00,000
18 - 25 43,878 49,576 51,564 54,548 55,539
26 - 35 45,161 51,080 53,146 56,246 57,276
36 - 40 55,506 62,992 65,621 69,568 70,879
41 - 45 60,752 69,048 71,970 76,358 77,815
46 - 50 66,159 75,408 78,684 83,601 85,234
51 - 55 85,998 98,464 1,02,910 1,09,586 1,11,802
56 - 60 99,140 1,13,775 1,19,017 1,26,889 1,29,501
61 - 65 1,35,222 1,55,682 1,63,061 1,74,142 1,77,817
66 - 70 1,69,410 1,95,397 2,04,824 2,18,984 2,23,679
71 - 75 2,07,485 2,39,631 2,51,361 2,68,980 2,74,821
75+ 2,79,658 3,23,362 3,39,351 3,63,370 3,71,330

2 Adults + 3 Children

Age Band/
Sum Insured 2,00,000 3,00,000 4,00,000 5,00,000 7,00,000 10,00,000
18 - 25 21,682 22,249 22,602 22,851 24,324 25,303
26 - 35 21,988 22,583 22,940 23,193 24,960 25,975
36 - 40 25,397 26,128 26,570 26,889 28,827 30,074
41 - 45 27,165 27,956 28,443 28,796 31,037 32,406
46 - 50 27,912 28,770 29,300 29,681 32,123 33,613
51 - 55 33,480 34,611 35,298 35,806 39,102 41,071
56 - 60 37,123 38,431 39,231 39,819 43,739 46,039
61 - 65 48,133 49,924 51,024 51,842 56,934 60,105
66 - 70 57,615 59,830 61,198 62,216 68,402 72,339
71 - 75 67,728 70,375 72,012 73,240 81,108 85,882
75+ 90,089 93,655 95,870 97,553 1,08,369 1,14,881

Age Band/
Sum Insured 15,00,000 20,00,000 25,00,000 50,00,000 75,00,000 1,00,00,000
18 - 25 30,914 32,719 33,807 38,997 43,612 47,500
26 - 35 31,653 33,487 34,611 39,970 44,729 48,769
36 - 40 37,069 41,292 42,575 49,178 55,125 60,323
41 - 45 39,784 42,282 43,710 50,958 57,469 62,976
46 - 50 41,408 44,431 45,981 53,857 60,899 66,906
51 - 55 51,273 54,911 56,951 67,509 76,991 84,952
56 - 60 57,419 61,939 64,322 76,313 87,032 96,247
61 - 65 76,509 82,698 86,124 1,03,298 1,18,064 1,30,965
66 - 70 92,892 1,01,201 1,05,114 1,26,327 1,44,865 1,60,972
71 - 75 1,09,987 1,19,510 1,24,400 1,49,589 1,71,863 1,91,193
75+ 1,46,819 1,58,939 1,65,632 2,00,526 2,31,180 2,57,459

Age Band/
Sum Insured 2,00,00,000 3,00,00,000 4,00,00,000 5,00,00,000 6,00,00,000
18 - 25 52,563 59,427 61,823 65,421 66,616
26 - 35 54,034 61,168 63,660 67,401 68,644
36 - 40 67,104 76,238 79,450 84,273 85,875
41 - 45 70,150 79,806 83,213 88,327 90,026
46 - 50 74,747 85,268 88,998 94,598 96,458
51 - 55 95,347 1,09,230 1,14,185 1,21,625 1,24,094
56 - 60 1,08,269 1,24,304 1,30,051 1,38,680 1,41,543
61 - 65 1,47,818 1,70,238 1,78,326 1,90,473 1,94,502
66 - 70 1,82,023 2,09,988 2,20,135 2,35,376 2,40,430
71 - 75 2,16,482 2,50,048 2,62,297 2,80,696 2,86,796
75+ 2,91,851 3,37,486 3,54,183 3,79,266 3,87,578

Product Name: Activ One, Product UIN: ADIHLIP24097V012324

 2 Adults + 4 Children

Age Band/
Sum Insured 2,00,000 3,00,000 4,00,000 5,00,000 7,00,000 10,00,000
18 - 25 25,094 25,757 26,170 26,461 28,180 29,326
26 - 35 25,210 25,903 26,318 26,612 28,491 29,663
36 - 40 28,773 29,616 30,125 30,492 32,714 34,150
41 - 45 30,453 31,356 31,912 32,316 34,867 36,430
46 - 50 30,799 31,761 32,356 32,784 35,506 37,177
51 - 55 36,486 37,732 38,491 39,050 42,668 44,838
56 - 60 40,010 41,432 42,302 42,942 47,205 49,706
61 - 65 52,016 53,965 55,163 56,053 61,507 64,955
66 - 70 61,462 63,837 65,304 66,396 72,921 77,135
71 - 75 71,495 74,299 76,033 77,334 85,584 90,635
75+ 95,183 98,961 1,01,306 1,03,090 1,14,433 1,21,324

Age Band/
Sum Insured 15,00,000 20,00,000 25,00,000 50,00,000 75,00,000 1,00,00,000
18 - 25 35,865 37,936 39,225 45,330 50,771 55,321
26 - 35 36,432 38,525 39,849 46,110 51,683 56,384
36 - 40 42,455 46,430 47,972 56,500 63,441 69,472
41 - 45 44,836 47,637 49,272 57,574 65,066 71,355
46 - 50 45,888 49,234 50,977 59,841 67,800 74,539
51 - 55 56,038 59,991 62,244 73,923 84,457 93,235
56 - 60 62,033 66,902 69,497 82,565 94,297 1,04,321
61 - 65 82,733 89,385 93,111 1,11,876 1,28,049 1,42,082
66 - 70 99,076 1,07,858 1,12,047 1,34,874 1,54,841 1,72,091
71 - 75 1,16,091 1,26,072 1,31,232 1,57,961 1,81,621 2,02,076
75+ 1,55,049 1,67,747 1,74,810 2,11,834 2,44,391 2,72,200

Age Band/
Sum Insured 2,00,00,000 3,00,00,000 4,00,00,000 5,00,00,000 6,00,00,000
18 - 25 61,249 69,278 72,083 76,294 77,693
26 - 35 62,511 70,806 73,705 78,059 79,505
36 - 40 77,339 87,926 91,653 97,248 99,107
41 - 45 79,547 90,565 94,455 1,00,296 1,02,236
46 - 50 83,335 95,129 99,314 1,05,596 1,07,682
51 - 55 1,04,698 1,19,998 1,25,461 1,33,664 1,36,387
56 - 60 1,17,397 1,34,834 1,41,084 1,50,471 1,53,586
61 - 65 1,60,413 1,84,794 1,93,592 2,06,805 2,11,187
66 - 70 1,94,635 2,24,579 2,35,446 2,51,769 2,57,181
71 - 75 2,28,837 2,64,352 2,77,315 2,96,785 3,03,240
75+ 3,08,594 3,56,881 3,74,550 4,01,093 4,09,889

Aditya Birla Health Insurance Co. Limited Registered Office:

Product Name: Activ One, Product UIN: ADIHLIP24097V012324 9th Floor, Tower1, One World Centre, Jupiter Mills Compound,
1800 270 7000 | [Link]@[Link] | [Link]
Trademark/Logo Aditya Birla Capital is owned by Aditya Birla Management Corporation Private Limited and 841, Senapati Bapat Marg, Elphinstone Road, Mumbai 400013.
Trademark/logo HealthReturns, Healthy Heart Score and Active Day are owned by Momentum Metropolitan Life Limited CIN:U66000MH2015PLC263677
(Formerly known as MMI Group Limited). These trademark/Logos are being used by Aditya Birla Health Insurance Co. Limited
under licensed user agreement(s). IRDA Registration No. 153