Objective

This is a floater policy that covers entire family with one sum insured. It covers maternity expenses, Ayurvedic, Unani, Sidha and Homeopathy treatment as well. It can be bought online.

Suited for

This policy is most suitable for young couples who are planning to go the family way. Individuals looking to insure their spouse and dependent children can also buy this policy.

What does it do?

Apart from hospitalisation benefit, it covers maternity expenses and also offers an optional critical illness cover that requires additional premium. In case of hospitalisation of insured child, it pays a daily cash amount to cover the expenses of accompanying adult member. It also covers organ donor's hospitalisation expenses and ambulance charges for carrying an insured person.

Pros

There is no cover ceasing age. It offers a life long insurance.
It offers a flat discount of 7.5% on advance payment of 2 years premium.
This policy can be purchased online.
It provides for ayurvedic and homeopathic treatment as well.
Premium paid under this policy qualifies for deduction under section 80D of income tax act.

Cons

In case, cumulative bonus has been passed and a claim arises during that year, cumulative bonus would be reduced by 20 per cent in the following year.
Maternity expenses will be covered after stated waiting periods.

Our View

Shopping for insurance should be based only on your needs and budget. This policy is recommended if your need matches with the policy offerings. It is important to go through the waiting period for certain benefits to start before buying this policy.

Eligibility

Entry Age (years)

Minimum

18; 3 months for children

Maximum

65

Maximum Policy Renewal Age (years)

No Limit

Coverage Type

Family floater

Policy Term (years)

1 or 2

Sum Insured (Rs)

Maximum

7.5 lakh

Minimum

3 lakh

Tax Benefit

Premium paid is eligible for tax benefit under section 80D of the Income Tax Act

Discount

Premium discount of 7.5% on advance premium payment for 2 year policy term.

No Claim Bonus

10% increase in your annual inpatient benefit sum insured for every claim free year, till it reaches 50% of the Sum insured. In case a claim is made during a policy year, the cumulative bonus would reduce by 20% in the following year

Grace Period for Policy Renewal

15 days grace period is allowed to policyholder for payment of premium at the insurers discretion.

Policy Termination

Insurance company may terminate the policy by giving a written notice of 30 days. Policyholder is allowed to terminate the policy at anytime by giving a written notice. In case no claim has been made under the policy, percentage of premium will be refunded

Customer Service

Address

Apollo Munich Health Insurance Company Limited
Corporate Office: 10th floor, Tower B, Building No. 10, DLF Cyber City, Phase -II, Gurgaon, Haryana-122002
Registered Office: Apollo Hospital Complex, Jubilee Hills, Hyderabad - 500033

Mail to

customerservice@apollomunichinsurance.com

Call to

1800-102-0333

SMS

'easyhealth' to 56767333

Network Hospitals

Http://www.apollomunichinsurance.com/our-hospital-network.aspx

Scope of Cover

Sum Insured (in Rs)

3 lakh, Rs 4 lakh and Rs 5 lakh

7.50 lakh

Cashless facility

available at empanelled hospitals

Re-imbursement

available at non-network hospitals

Pre-post hospitalisation

Relevant medical expenses covered upto 60 days prior and upto 90 days post hospitalisation

In-patient Treatment

Covered

Day-Care Procedures

140 in number are covered

Domiciliary Treatment

Covered

Daily cash for choosing shared accommodation

Rs 500 per day, Maximum Rs 3,000

Rs 800 per day, maximum Rs 4800

Expenses for organ donor of transplant

Covered

Ayush Benefit

Covered upto Rs 25000

Emergency Ambulance

Up to Rs 2,000 per hospitalisation

Daily Cash for 1 adult accompanying an insured child

Rs 300 per day, maximum Rs 9000

Rs 500 per day, maximum Rs 15000

Maternity Expenses

Normal Delivery Rs 15000Caesarean Delivery Rs 25000 (Sums are including pre/post natal limit of Rs 1500 and new born limit of Rs 2000)

Normal Delivery Rs 25000Caesarean Delivery Rs 40000 (Sums are including pre/post natal limit of Rs 2500 and new born limit of Rs 3500)

Newborn baby cover

Optional

Additional cover for critical illness

Optional 50% or 100% of in-patient Sum Insured

Health Check-up

Upto 1% of Sum insured subject to a maximum of Rs 5000 per insured person, only at the end of a block of every continuous 3 claim free years

Exclusions and Waiting Period

Pre-existing disease

Pre-existing Diseases will be covered after a waiting period of 36 months

No claim period

30 days from policy start date

Waiting Period

Certain diseases or treatment will be covered after 2 years of continuous renewal.Maternity benefit will be made available after first 4 policy years.

General Exclusions

AIDS or HIV and related treatment.Treatment of mental disorder or insanity.