Health Insurance

Activ One MAX

Premium Excluding GST - Zone 3

Individual

Age Band/
Sum Insured 5,00,000 7,00,000 10,00,000 15,00,000 20,00,000 25,00,000
91D - 17 4,713 5,267 5,578 6,888 7,362 7,676
18 - 25 5,576 6,184 6,531 8,322 8,848 9,195
26 - 35 6,159 6,850 7,239 9,228 9,819 10,212
36 - 40 7,822 8,738 9,254 11,792 12,579 13,102
41 - 45 9,169 10,271 10,884 13,869 14,809 15,436
46 - 50 11,467 12,882 13,669 17,417 18,624 19,427
51 - 55 15,505 17,467 18,558 23,640 25,314 26,427
56 - 60 19,151 21,606 22,972 29,255 31,350 32,747
61 - 65 26,875 30,370 32,310 41,135 44,116 46,099
66 - 70 34,598 39,134 41,650 53,019 56,885 59,460
71 - 75 44,215 50,045 53,269 67,792 72,756 76,060
75+ 54,432 61,621 65,591 83,457 89,575 93,645

Age Band/
Sum Insured 50,00,000 75,00,000 1,00,00,000 2,00,00,000
91D - 17 9,264 10,660 11,857 13,421
18 - 25 10,961 12,513 13,844 15,579
26 - 35 12,208 13,962 15,467 17,428
36 - 40 15,754 18,084 20,082 22,688
41 - 45 18,617 21,415 23,812 26,935
46 - 50 23,515 27,111 30,185 34,197
51 - 55 32,102 37,097 41,362 46,932
56 - 60 39,851 46,105 51,446 58,413
61 - 65 56,234 65,156 72,754 82,679
66 - 70 72,621 84,209 94,070 1,06,957
71 - 75 92,975 1,07,876 1,20,533 1,37,092
75+ 1,14,535 1,32,948 1,48,561 1,68,993

1 Adult + 1 Child
Age Band/
Sum Insured 5,00,000 7,00,000 10,00,000 15,00,000 20,00,000 25,00,000
18 - 25 8,063 8,924 9,425 12,293 13,282 13,816
26 - 35 8,489 9,435 9,970 12,973 14,007 14,580
36 - 40 10,234 11,415 12,089 15,831 17,666 18,414
41 - 45 11,397 12,765 13,528 17,649 19,143 19,927
46 - 50 13,058 14,673 15,571 20,336 22,208 23,126
51 - 55 16,798 18,955 20,139 26,356 28,816 30,024
56 - 60 19,835 22,433 23,852 31,018 33,876 35,323
61 - 65 27,879 31,486 33,497 44,033 48,434 50,509
66 - 70 35,892 40,571 43,179 56,755 62,452 65,148
71 - 75 45,868 51,884 55,225 72,570 79,068 82,609
75+ 56,467 63,884 68,000 88,758 95,247 99,520

Product Name: Activ One, Product UIN: ADIHLIP24097V012324

 Age Band/
Sum Insured 50,00,000 75,00,000 1,00,00,000 2,00,00,000
18 - 25 16,401 18,676 20,664 23,253
26 - 35 17,349 19,785 21,917 24,696
36 - 40 22,036 25,222 28,008 31,643
41 - 45 23,887 27,400 30,468 34,463
46 - 50 27,772 31,873 35,486 40,203
51 - 55 36,182 41,616 46,401 52,649
56 - 60 42,638 49,094 54,781 62,200
61 - 65 61,025 70,136 78,315 88,999
66 - 70 78,806 90,646 1,01,260 1,15,132
71 - 75 1,00,895 1,16,121 1,29,746 1,47,571
75+ 1,21,675 1,41,153 1,57,730 1,79,423

1 Adult + 2 Children

Age Band/
Sum Insured 5,00,000 7,00,000 10,00,000 15,00,000 20,00,000 25,00,000
18 - 25 10,698 11,815 12,478 16,233 17,477 18,205
26 - 35 10,973 12,244 12,938 16,794 18,075 18,836
36 - 40 12,980 14,445 15,297 20,039 22,651 23,639
41 - 45 14,090 15,759 16,700 21,802 23,532 24,505
46 - 50 15,368 17,242 18,297 23,847 26,000 27,085
51 - 55 19,160 21,599 22,949 29,974 32,685 34,067
56 - 60 21,961 24,837 26,407 34,270 37,394 38,998
61 - 65 30,841 34,731 36,950 48,510 53,254 55,552
66 - 70 39,703 44,754 47,630 62,525 68,667 71,652
71 - 75 50,740 57,232 60,918 79,948 86,935 90,856
75+ 62,464 70,469 75,009 97,780 1,04,724 1,09,455

Age Band/
Sum Insured 50,00,000 75,00,000 1,00,00,000 2,00,00,000
18 - 25 21,672 24,745 27,379 30,810
26 - 35 22,466 25,680 28,447 32,054
36 - 40 28,350 32,519 36,112 40,798
41 - 45 29,432 33,847 37,635 42,571
46 - 50 32,582 37,478 41,727 47,273
51 - 55 41,137 47,440 52,894 60,016
56 - 60 47,109 54,331 60,625 68,835
61 - 65 67,260 77,421 86,450 98,244
66 - 70 86,859 1,00,062 1,11,778 1,27,091
71 - 75 1,11,205 1,28,184 1,43,224 1,62,900
75+ 1,34,108 1,55,816 1,74,114 1,98,061

1 Adult + 3 Children

Age Band/
Sum Insured 5,00,000 7,00,000 10,00,000 15,00,000 20,00,000 25,00,000
18 - 25 12,970 14,306 15,109 19,620 21,082 21,973
26 - 35 13,223 14,658 15,490 20,070 21,560 22,484
36 - 40 15,672 17,230 18,246 23,860 26,477 27,554
41 - 45 16,392 18,315 19,409 25,263 27,267 28,400
46 - 50 17,322 19,411 20,598 26,805 29,193 30,417
51 - 55 21,135 23,809 25,296 32,988 35,906 37,429
56 - 60 23,706 26,809 28,505 36,930 40,268 41,999
61 - 65 33,265 37,386 39,774 52,162 57,182 59,661
66 - 70 42,825 48,174 51,271 67,232 73,733 76,953
71 - 75 54,728 61,606 65,574 85,967 93,349 97,576
75+ 67,374 75,855 80,741 1,05,142 1,12,450 1,17,552

Product Name: Activ One, Product UIN: ADIHLIP24097V012324

 Age Band/
Sum Insured 50,00,000 75,00,000 1,00,00,000 2,00,00,000
18 - 25 26,193 29,946 33,133 37,284
26 - 35 26,845 30,718 34,029 38,343
36 - 40 33,108 38,159 42,375 47,874
41 - 45 34,143 39,319 43,720 49,454
46 - 50 36,623 42,182 46,964 53,206
51 - 55 45,253 52,272 58,282 66,130
56 - 60 50,753 58,594 65,382 74,237
61 - 65 72,336 83,345 93,064 1,05,760
66 - 70 93,414 1,07,717 1,20,330 1,36,815
71 - 75 1,19,596 1,37,990 1,54,181 1,75,362
75+ 1,44,228 1,67,737 1,87,435 2,13,214

1 Adult + 4 Children

Age Band/
Sum Insured 5,00,000 7,00,000 10,00,000 15,00,000 20,00,000 25,00,000
18 - 25 15,860 17,472 18,453 23,942 25,686 26,787
26 - 35 16,052 17,776 18,785 24,317 26,085 27,217
36 - 40 18,980 20,846 22,075 28,841 31,958 33,277
41 - 45 19,514 21,777 23,077 30,047 33,292 34,673
46 - 50 20,170 22,568 23,948 31,128 33,859 35,289
51 - 55 24,226 27,248 28,951 37,707 40,960 42,712
56 - 60 26,744 30,217 32,128 41,564 45,275 47,231
61 - 65 37,472 41,992 44,674 58,527 64,043 66,843
66 - 70 48,241 54,109 57,587 75,436 82,579 86,215
71 - 75 61,650 69,195 73,652 96,457 1,04,549 1,09,322
75+ 75,896 85,200 90,688 1,17,179 1,25,697 1,31,189

Age Band/
Sum Insured 50,00,000 75,00,000 1,00,00,000 2,00,00,000
18 - 25 31,979 36,610 40,506 45,582
26 - 35 32,540 37,281 41,298 46,534
36 - 40 40,036 46,197 51,301 57,959
41 - 45 41,758 48,206 53,602 60,631
46 - 50 42,551 49,089 54,654 61,918
51 - 55 51,734 59,876 66,760 75,749
56 - 60 57,139 66,063 73,715 83,699
61 - 65 81,219 93,733 1,04,663 1,18,942
66 - 70 1,04,885 1,21,143 1,35,328 1,53,867
71 - 75 1,34,283 1,55,190 1,73,398 1,97,220
75+ 1,60,274 1,85,711 2,07,520 2,36,062

2 Adults

Age Band/
Sum Insured 5,00,000 7,00,000 10,00,000 15,00,000 20,00,000 25,00,000
18 - 25 8,300 9,102 9,612 12,538 13,557 14,078
26 - 35 8,821 9,719 10,271 13,365 14,439 15,006
36 - 40 11,093 12,262 12,986 17,023 18,484 19,195
41 - 45 12,660 14,061 14,901 19,386 21,024 21,893
46 - 50 14,812 16,511 17,521 22,808 24,921 25,964
51 - 55 20,807 23,277 24,731 32,306 35,110 36,613
56 - 60 25,515 28,586 30,394 39,416 43,043 44,919
61 - 65 34,863 39,083 41,580 54,534 59,539 62,242
66 - 70 45,973 51,404 54,708 72,000 79,184 82,496
71 - 75 58,093 65,180 69,378 90,623 99,167 1,03,541
75+ 80,921 90,800 96,649 1,25,411 1,36,486 1,42,597

Product Name: Activ One, Product UIN: ADIHLIP24097V012324

 Age Band/
Sum Insured 50,00,000 75,00,000 1,00,00,000 2,00,00,000
18 - 25 16,717 19,025 21,050 23,687
26 - 35 17,864 20,364 22,559 25,419
36 - 40 22,974 26,327 29,236 33,030
41 - 45 26,287 30,134 33,507 37,901
46 - 50 31,250 35,870 39,937 45,245
51 - 55 44,335 51,132 57,011 64,687
56 - 60 54,327 62,583 69,832 79,290
61 - 65 75,547 86,893 97,026 1,10,263
66 - 70 1,00,063 1,15,383 1,28,894 1,46,551
71 - 75 1,25,608 1,45,074 1,62,096 1,84,365
75+ 1,73,900 2,01,387 2,25,037 2,55,987

2 Adults + 1 Child

Age Band/
Sum Insured 5,00,000 7,00,000 10,00,000 15,00,000 20,00,000 25,00,000
18 - 25 11,190 12,268 12,957 16,859 18,161 18,892
26 - 35 11,650 12,838 13,566 17,612 18,963 19,739
36 - 40 14,200 15,685 16,610 21,738 24,047 25,010
41 - 45 15,782 17,523 18,570 24,143 26,107 27,196
46 - 50 17,660 19,667 20,870 27,132 29,587 30,836
51 - 55 23,898 26,717 28,386 37,025 40,165 41,896
56 - 60 28,553 31,993 34,016 44,051 48,049 50,152
61 - 65 39,070 43,689 46,480 60,899 66,400 69,423
66 - 70 50,211 56,014 59,614 78,388 86,076 89,685
71 - 75 62,289 69,791 74,286 96,974 1,06,009 1,10,673
75+ 84,881 95,185 1,01,316 1,31,419 1,42,950 1,49,330

Age Band/
Sum Insured 50,00,000 75,00,000 1,00,00,000 2,00,00,000
18 - 25 22,503 25,688 28,422 31,984
26 - 35 23,559 26,926 29,828 33,610
36 - 40 30,004 34,466 38,274 43,241
41 - 45 32,718 37,608 41,817 47,301
46 - 50 37,178 42,776 47,626 53,956
51 - 55 50,816 58,736 65,490 74,307
56 - 60 60,713 70,051 78,166 88,752
61 - 65 84,429 97,281 1,08,625 1,23,444
66 - 70 1,08,977 1,25,828 1,40,562 1,59,818
71 - 75 1,34,390 1,55,339 1,73,565 1,97,409
75+ 1,82,170 2,10,993 2,35,771 2,68,198

2 Adults + 2 Children

Age Band/
Sum Insured 5,00,000 7,00,000 10,00,000 15,00,000 20,00,000 25,00,000
18 - 25 13,207 14,483 15,296 19,866 21,356 22,235
26 - 35 13,491 14,804 15,643 20,105 21,495 22,418
36 - 40 16,230 17,927 18,985 24,813 26,797 27,868
41 - 45 17,721 19,681 20,857 27,099 29,254 30,477
46 - 50 19,222 21,410 22,719 29,503 32,142 33,502
51 - 55 25,289 28,286 30,053 39,153 42,439 44,269
56 - 60 29,582 33,177 35,275 45,629 49,750 51,924
61 - 65 40,582 45,343 48,240 63,157 68,835 71,960
66 - 70 51,053 56,937 60,597 79,640 87,412 91,060
71 - 75 63,334 70,941 75,511 98,523 1,07,655 1,12,369
75+ 86,305 96,753 1,02,986 1,33,519 1,45,168 1,51,618
Product Name: Activ One, Product UIN: ADIHLIP24097V012324
 Age Band/
Sum Insured 50,00,000 75,00,000 1,00,00,000 2,00,00,000
18 - 25 26,510 30,294 33,518 37,719
26 - 35 27,077 31,066 34,414 38,778
36 - 40 33,464 38,509 42,764 48,313
41 - 45 36,678 42,208 46,933 53,088
46 - 50 40,403 46,531 51,806 58,692
51 - 55 53,709 62,136 69,280 78,608
56 - 60 62,853 72,566 80,972 91,938
61 - 65 87,550 1,00,924 1,12,693 1,28,067
66 - 70 1,10,673 1,27,793 1,42,757 1,62,314
71 - 75 1,36,480 1,57,765 1,76,275 2,00,492
75+ 1,85,003 2,14,288 2,39,453 2,72,386

2 Adults + 3 Children

Age Band/
Sum Insured 5,00,000 7,00,000 10,00,000 15,00,000 20,00,000 25,00,000
18 - 25 15,916 17,450 18,429 23,910 25,665 26,739
26 - 35 16,113 17,889 18,904 24,473 26,264 27,377
36 - 40 19,141 21,133 22,379 29,226 33,155 34,449
41 - 45 20,647 22,925 24,294 31,552 34,010 35,439
46 - 50 21,892 24,366 25,856 33,549 36,508 38,060
51 - 55 28,186 31,508 33,477 43,569 47,170 49,212
56 - 60 32,430 36,369 38,669 49,967 54,434 56,820
61 - 65 44,521 49,653 52,825 69,110 75,251 78,675
66 - 70 55,019 61,251 65,188 85,614 93,857 97,781
71 - 75 66,215 74,114 78,887 1,02,891 1,12,364 1,17,258
75+ 90,231 1,01,079 1,07,591 1,39,437 1,51,518 1,58,215

Age Band/
Sum Insured 50,00,000 75,00,000 1,00,00,000 2,00,00,000
18 - 25 31,921 36,524 40,411 45,475
26 - 35 32,735 37,487 41,527 46,792
36 - 40 41,092 47,051 52,250 59,030
41 - 45 42,692 49,196 54,703 61,876
46 - 50 45,946 52,987 58,994 66,835
51 - 55 59,770 69,244 77,205 87,600
56 - 60 68,825 79,548 88,763 1,00,784
61 - 65 95,852 1,10,631 1,23,532 1,40,385
66 - 70 1,19,005 1,37,553 1,53,659 1,74,710
71 - 75 1,42,465 1,64,749 1,84,079 2,09,368
75+ 1,93,116 2,23,775 2,50,054 2,84,445

2 Adults + 4 Children

Age Band/
Sum Insured 5,00,000 7,00,000 10,00,000 15,00,000 20,00,000 25,00,000
18 - 25 18,624 20,416 21,561 27,954 29,973 31,243
26 - 35 18,740 20,667 21,840 28,448 30,497 31,806
36 - 40 22,053 24,338 25,774 33,875 37,629 39,174
41 - 45 23,574 26,168 27,731 36,005 38,765 40,401
46 - 50 24,562 27,323 28,994 37,595 40,874 42,619
51 - 55 31,083 34,731 36,901 47,986 51,900 54,156
56 - 60 35,277 39,560 42,062 54,305 59,119 61,715
61 - 65 48,461 53,964 57,411 75,063 81,666 85,390
66 - 70 58,986 65,565 69,780 91,587 1,00,303 1,04,503
71 - 75 70,144 78,429 83,481 1,08,831 1,18,762 1,23,927
75+ 95,585 1,06,966 1,13,856 1,47,487 1,60,146 1,67,213

Product Name: Activ One, Product UIN: ADIHLIP24097V012324

 Age Band/
Sum Insured 50,00,000 75,00,000 1,00,00,000 2,00,00,000
18 - 25 37,332 42,753 47,303 53,231
26 - 35 38,061 43,622 48,322 54,449
36 - 40 47,638 54,589 60,620 68,487
41 - 45 48,705 56,183 62,472 70,665
46 - 50 51,490 59,444 66,183 74,979
51 - 55 65,831 76,352 85,130 96,592
56 - 60 74,798 86,530 96,554 1,09,630
61 - 65 1,04,155 1,20,338 1,34,371 1,52,702
66 - 70 1,27,337 1,47,313 1,64,562 1,87,106
71 - 75 1,50,672 1,74,340 1,94,796 2,21,557
75+ 2,04,241 2,36,803 2,64,612 3,01,005

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