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  1. NPS Swasthya: Aditya Birla Health Insurance offers health top-up cover with premiums starting at ₹1,732

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NPS Swasthya: Aditya Birla Health Insurance offers health top-up cover with premiums starting at ₹1,732

image Sangeeta Ojha

6 min read | Updated on October 08, 2026, 13:56 IST

SUMMARY

ABHI’s Group Activ Health Top-Up for NPS Swasthya account holders: check eligibility, cover options, deductibles, waiting periods and annual premiums.

Aditya Birla Health Insurance offers health top-up cover

The policy is applicable to Indian citizens and to those associated with NPS Swasthya account holders.

Aditya Birla Health Insurance (ABHI) has introduced a Group Activ Health Top-Up benefit for NPS Swasthya account holders. The cover is available for the subscriber, their legally married spouse and up to two financially dependent children.

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The development comes as NPS Swasthya, the healthcare-focused initiative under the National Pension System, moves ahead with its operational framework. PFRDA has issued guidelines covering areas including eligibility, contributions, withdrawals and insurance. Read more about the NPS Swasthya guidelines.

For the ABHI health cover, the subscriber and spouse can be between 18 and 70 years of age. Children can be covered from 91 days to 25 years. The available family combinations are 1A, 2A, 1A+1C, 1A+2C, 2A+1C and 2A+2C.

There are four sum insured options:
Sum InsuredAggregate Deductible
₹1 lakh₹10,000
₹5 lakh₹50,000
₹10 lakh₹1 lakh
₹30 lakh₹3 lakh

The annual premium depends on the age of the adult member, family combination and the cover selected.

Premium for 1 Adult

For 1 Adult, the annual premium is ₹4,123, ₹6,004 and ₹11,787 for the ₹1 lakh cover across the 18–40, 41–60 and 61–70 age bands. For the ₹5 lakh cover, it is ₹4,503, ₹6,558 and ₹12,876. The ₹10 lakh option costs ₹3,897, ₹5,675 and ₹11,142, while the ₹30 lakh cover costs ₹1,732, ₹2,523 and ₹4,953.

Cover18–40 years41–60 years61–70 years
₹1 lakh₹4,123₹6,004₹11,787
₹5 lakh₹4,503₹6,558₹12,876
₹10 lakh₹3,897₹5,675₹11,142
₹30 lakh₹1,732₹2,523₹4,953
Premium for 2 Adults

For 2 Adults, the annual premium is ₹7,256, ₹10,566 and ₹20,745 for the ₹1 lakh cover across the three age bands. For ₹5 lakh, it is ₹7,926, ₹11,543 and ₹22,662. The ₹10 lakh option costs ₹6,859, ₹9,988 and ₹19,610, while the ₹30 lakh cover costs ₹3,049, ₹4,440 and ₹8,717.

Cover18–40 years41–60 years61–70 years
₹1 lakh₹7,256₹10,566₹20,745
₹5 lakh₹7,926₹11,543₹22,662
₹10 lakh₹6,859₹9,988₹19,610
₹30 lakh₹3,049₹4,440₹8,717
Premium for 1 Adult + 1 Child

For 1 Adult + 1 Child, the annual premium is ₹6,596, ₹9,606 and ₹18,859 for the three age bands for the ₹1 lakh cover. For the ₹5 lakh cover, it is ₹7,205, ₹10,493 and ₹20,601. The corresponding premiums for ₹10 lakh are ₹6,235, ₹9,080 and ₹17,828, while the ₹30 lakh cover costs ₹2,772, ₹4,036 and ₹7,925.

Sum InsuredDeductible18–40 years41–60 years61–70 years
₹1 lakh₹10,000₹6,596₹9,606₹18,859
₹5 lakh₹50,000₹7,205₹10,493₹20,601
₹10 lakh₹1 lakh₹6,235₹9,080₹17,828
₹30 lakh₹3 lakh₹2,772₹4,036₹7,925
Premium for 1 Adult + 2 Children

For 1 Adult + 2 Children, the premiums are ₹8,389, ₹12,217 and ₹23,987 for the ₹1 lakh cover across the three age bands. For ₹5 lakh, they are ₹9,164, ₹13,346 and ₹26,202. The ₹10 lakh option costs ₹7,930, ₹11,549 and ₹22,675, while the ₹30 lakh option costs ₹3,525, ₹5,134 and ₹10,079.

Sum InsuredDeductible18–40 years41–60 years61–70 years
₹1 lakh₹10,000₹8,389₹12,217₹23,987
₹5 lakh₹50,000₹9,164₹13,346₹26,202
₹10 lakh₹1 lakh₹7,930₹11,549₹22,675
₹30 lakh₹3 lakh₹3,525₹5,134₹10,079
Premium for 2 Adults + 1 Child

For 2 Adults + 1 Child, the premiums are ₹9,523, ₹13,868 and ₹27,228 for ₹1 lakh; ₹11,989, ₹15,150 and ₹29,743 for ₹5 lakh; ₹9,002, ₹13,110 and ₹25,739 for ₹10 lakh; and ₹4,002, ₹5,828 and ₹11,441 for ₹30 lakh.

Sum InsuredDeductible18–40 years41–60 years61–70 years
₹1 lakh₹10,000₹9,523₹13,868₹27,228
₹5 lakh₹50,000₹11,989₹15,150₹29,743
₹10 lakh₹1 lakh₹9,002₹13,110₹25,739
₹30 lakh₹3 lakh₹4,002₹5,828₹11,441

**Premium for 2 Adults + 2 Children **

For 2 Adults + 2 Children, the annual premium is ₹9,523, ₹13,868 and ₹27,228 for the ₹1 lakh cover across the three age bands. For ₹5 lakh, it is ₹11,989, ₹15,150 and ₹29,743. The ₹10 lakh option costs ₹9,002, ₹13,110 and ₹25,739, while the ₹30 lakh cover costs ₹4,002, ₹5,828 and ₹11,441.

Cover18–40 years41–60 years61–70 years
₹1 lakh₹9,523₹13,868₹27,228
₹5 lakh₹11,989₹15,150₹29,743
₹10 lakh₹9,002₹13,110₹25,739
₹30 lakh₹4,002₹5,828₹11,441

Pre-existing diseases are covered after a 12-month waiting period with a Good Health Declaration. There is also a 30-day initial waiting period and a one-year waiting period for specified diseases and procedures.

The policy covers a Single Private Room for normal hospitalisation and ICU as per actuals. It also covers AYUSH treatment, mental illness, modern treatments, HIV, day-care procedures and domiciliary hospitalisation. Road ambulance cover is available up to ₹2,500 per emergency incident. Pre- and post-hospitalisation cover is 30 and 60 days respectively.

A Good Health Declaration is mandatory for all members who are being covered. The policy has a 30-day free-look period, and renewability is mentioned as being available up to lifetime.

The policy is applicable to Indian citizens and to those associated with NPS Swasthya account holders.

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Disclaimer: This article is written purely for informational purposes and should not be considered investment advice from Upstox. Securities mentioned are illustrative and not recommendations. Investors should do their own research or consult a registered financial advisor before making investment decisions.

About The Author

image Sangeeta Ojha
Sangeeta Ojha is a business and finance journalist with experience across leading media platforms like Mint and India Today. She has built a reputation for covering a wide range of personal finance topics, including income tax, mutual funds, insurance, savings and investing.

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