Objective

Out of three variants of Easy Health Policy, 'Easy Health-Standard' is first variant. This is an online health insurance policy which aims at providing cover against financial loss due to inpatient hospitalisation of insured person. Apart from hospitalisation bills it covers other complementary expenses as well.

Suited for

This policy is suitable for any individual to insure against hospitalisation expenses and other corresponding expenses such as treatment taken at home, day care procedures, ambulance costs and other daily expenses.

What does it do?

This policy covers hospitalisation expenses including diagnostic procedures, boarding and lodging, ICU, operation theatre, anesthesia, blood, oxygen, medicines, drugs, nursing and medical practitioner charges if treatment is taken as an inpatient. Relevant expenses related to the illness that causes admission to hospital, incurred before hospitalisation and post discharge from hospital are covered too. It covers day care procedures, domiciliary treatment and expenses for treatment of organ donor during transplant. Day care procedures are those treatments which do not require a stay in hospital for more than 24 hours due to technological advancement like chemotherapy, Hemodialysis etc. Domiciliary treatment means treatment taken at home on advice of doctor which would have otherwise required hospitalisation.
It also pays a minimum of Rs 500 and maximum up to Rs 3,000 as daily cash allowance if hospital accommodation is taken on a shared basis in a network hospital. Emergency ambulance charges up to Rs 2,000 per hospitalisation are admissible.

Pros

There is no cover ceasing age. It offers a lifelong insurance.
The policy provides a discount of 7.5 per cent on advance payment of 2-year premium.
Family discount of 10 per cent is applicable on including three or more family members under the same policy.
It gives a cumulative bonus of 10 per cent for every claim-free year up to a maximum of 50 per cent.
It provides for a free health check up at the end of four continuous claim-free years.
Premium paid under this policy qualifies for deduction under section 80D of income tax act.
This policy can be purchased online.

Cons

In case, no-claim bonus has been passed and a claim arises during that year, cumulative bonus would be reduced by 20 per cent in the following year.

Our View

The major advantage of this policy is that it covers a policyholder during golden years. There is no ceiling on policy renewal age. So, the policy actually stands by the individual when health insurance is utterly required. Policy benefits coincide with the cost of purchasing this policy. Hence, if your budget matches the premiums, you may go for this policy. More comprehensive versions of Apollo Munich Easy Health are also available. If your pocket allows to shell out more, consider 'Premium' and 'Exclusive' versions of Easy Health for wider coverage.

Eligibility

Entry Age (years)

Minimum

18; 3 months for children

Maximum

65 for Sum Insured upto Rs 2 lakh
60 for higher Sum Insureds

Maximum Policy Renewal Age (years)

No Limit

Policy Term (years)

1 or 2

Sum Insured (Rs)

Maximum

5 lakh

Minimum

1 lakh

Tax Benefit

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

Discount

Renewal discount of 7.5% on advance premium payment for 2 year policy terms
Family discount of 10% is applicable if 3 or more family members included

No Claim Bonus

10% increase in your annual inpatient benefit sum insured for every claim free year, subject to a maximum of 50%. 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

Policyholder is allowed to terminate the policy at anytime by giving a 15 day written notice. In case no claim has been made under the policy, prorata percentage of premium will be refunded

Customer Service

Address

10th Floor, Building No. 10, Tower-B, DLF Cyber City, DLF Phase-II, Gurgaon-122002

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

Cashless facility

Available at empanelled hospitals in India

Re-imbursement

In case policyholder opts for non empanelled hospital , expenses are re-imbursed within 14 working days from date of submission of all records

Pre-post hospitalisation

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

In-patient Treatment

Covered

Day-Care Procedures

140 day care procedures are covered

Domiciliary Treatment

Covered. Post hospitalisation expenses are restricted but, Pre hospitalisation expenses are covered upto 60 days

Daily cash for choosing shared accommodation

Rs 500 per day, Maximum Rs 3,000

Expenses for organ donor of transplant

Covered

Emergency Ambulance

Up to Rs 2,000 per hospitalisation

Health Check-up

Upto 1% of Sum Insured per Insured Person, only once at the end of a block of every continuous 4 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

Any disease contracted during the first 30 days of commencement of the policy

Waiting Period

Certain diseases such as hernia, piles, cataract , sinusitis shall be covered after a waiting period of 2 years.Expenses for Domiciliary treatment will be covered only if the illness continues for atleast 3 days consecutive days.

General exclusions

AIDS or any related illness will not be covered.Treatment of any mental or related disease.