Compare Apollo Munich Easy Health Exclusive Plan

Apollo-Munich-Health-Insurance

Apollo Munich Easy Health Exclusive Plan

Apollo Munich’s Easy Health Exclusive gives a comprehensive coverage at very affordable premium rates. The plan allows individual as well as family floater cover for Sum Insured levels going up to Rs.50 lakhs. There is also a premium discount for maintaining a healthy lifestyle in the Stay Active benefit of the plan.

Key features of the plan

  • The plan has a Stay Active Benefit which motivates the insured to develop a walking habit as the benefit allows a premium discount depending on the number of steps taken in a policy year.
  • A critical illness rider is available under the plan. The rider pays an additional lump sum benefit in case of being diagnosed with any critical illness. This benefit is 50% or 100% of the Sum Insured subject to a maximum of Rs.10 lakhs.
  • Another Critical Advantage Rider is available if the Sum Insured is Rs.10 lakhs and above.
  • Cover for new born baby can also be chosen by paying an additional premium.

How does the plan work?

Step 1 – the policyholder chooses the Sum Assured, the term of the plan and the members covered.

Step 2- If the covered member (s) face any medical contingency and the related expenses are covered by the plan the expenses incurred are paid by the plan.

Step 3 – if the plan matures and no medical contingencies occur, no benefit is paid.

Example

Chintan buys the plan for a Sum Insured of Rs.7.5 lakhs. He gets married and adds his wife to the plan and converts it into a family floater plan.

Option 1 – To cover maternity related expenses, Chintan would have to wait for four years. Other hospitalization expenses would be paid as incurred.

Option 2 – if the plan matures and Chintan or his wife doesn’t suffer any medical emergency, no benefit is paid.

Plan benefits

  • Medical benefits – the list of medical expenses covered by the plan and their extent is as follows:
    Coverages Sum Insured Rs.3,4,5 lakhs Sum Insured Rs.7.5,10 lakhs Sum Insured Rs.15,20,25 or 50 lakhs
    In-patient hospitalization Covered Covered Covered
    Day care treatments Covered Covered Covered
    Pre-hospitalization 60 days 60 days 60 days
    Post hospitalization 90 days 90 days 90 days
    Domiciliary hospitalization Covered Covered Covered
    Organ Donor expenses Covered Covered Covered
    Daily Cash for Shared Accommodation Rs.500/day up to Rs.3000 Rs.800/day up to Rs.4800 Rs.1000/day up to Rs.6000
    Daily cash for accompanying insured child Rs.300/day up to Rs.9000 Rs.500/day up to Rs.15,000 Rs.800/day up to Rs.24,000
    AYUSH Coverage Up to Rs.25,000 Up to Rs.25,000 Up to Rs.50,000
    Recovery benefit Not available Not available Rs.10,000 if hospitalization exceeds 10 days
    Maternity benefit Normal delivery – Rs.15,000
    Cesarean – Rs.25,000
    Normal delivery – Rs.25,000
    Cesarean – Rs.40,000
    Normal delivery – Rs.30,000
    Cesarean – Rs.50,000
    Pre and post-natal expenses Rs.1500 included in maternity benefit Rs.2500 included in maternity benefit Rs.5000 included in maternity benefit
    New born baby cover (at an additional premium) Rs.2000 included in maternity benefit Rs.3500 included in maternity benefit Rs.5000 included in maternity benefit
    Ambulance cover Up to Rs.2000 Up to Rs.2000 Up to Rs.2000
    Air Ambulance Cover Not covered Not covered Rs.2.5 lakhs per hospitalization up to a maximum of Sum Insured
    Health check-ups Up to 1% of Sum Insured to a maximum of Rs.5000 once every 3 years Up to 1% of Sum Insured to a maximum of Rs.5000 once every 3 years Up to 1% of Sum Insured to a maximum of Rs.5000 once every 3 years
  • No Claim Bonus – if the policyholder does not make a claim in any policy year he earns a cumulative bonus of 10% increase in the Sun Insured subject to a maximum of 100%.
  • Premium discounts – premium is discounted by 7.5% if a 2-year policy term is chosen. A family discount is also available which is 5% for 2 members and 10% for 3 or more members
  • Stay Active Benefit – this benefit also discounts the premium if the insured takes a specified number of steps during a policy year. If the insured has walked 5001 to 8000 steps, the discount is 2%, for 8001 to 10, 000 steps, the discount is 5% and for steps above 10, 001, the discount is 8%.
  • Riders – two riders are available with the plan. One is the Critical Illness Rider which covers 11 illnesses and the other is the Critical Advantage Rider which covers 8 illnesses.
  • Value Added Services – the plan has three types of Value Added Services which include:
  • Healthline which allows policyholders to seek medical consultation and advise for their illnesses.
  • Cashless Hospitalization which allows the facility of cashless claim settlement across 4000+ hospitals in India.
  • Health Risk Assessment which is a tool to assess the health of the policyholder.

Eligibility Criteria

  Minimum Maximum
Age at entry (in completed years) 5 years
Dependent Children - 3 months
Adults - 65 years
Plan tenure 1 year 2 years
Premium paying options Single pay  
Sum Assured Rs.3 lakhs Rs.50 lakhs

What is not covered by the plan?

Illnesses suffered during the first 30 days of the plan commencement are not covered.
Critical Illnesses suffered during the first 90 days of the plan commencement are not covered.
Pre-existing illnesses or conditions are not covered by the plan in the first 3 years of the policy
Maternity related benefits have a waiting period of 6 years. If the Sum Insured is Rs.15 lakhs and above the waiting period is 4 years. For family floater plans, the waiting period is 4 years for Sum Insured up to Rs.15 lakhs and 3 years if Sum Insured is Rs.15 lakhs and above.
Specific illnesses are not covered in the first two years of the plan.
Illnesses or accidents caused due to genetic disorder or stem cell surgery, substance abuse, participation in adventure sports or hazardous activities, criminal acts, attempted suicide, war and hazardous substances, etc. are not covered.
Treatments like cosmetic treatments, artificial life support, weight loss treatments, non-allopathic treatments or due to HIV/AIDS, etc. are not covered.

Premium Illustration

Below are the sample rates of premium payable by a non-smoking male living in Mumbai for different combinations of age and members covered. The Sum Insured is Rs.10 lakhs and the policy is taken for 1 year.

Apollo-Munich-Health-Insurance

FAQs

Q. Does the plan premium depend on location?

Yes, the plan has a different premium rate for the National Capital Region and Mumbai compared to the Rest of India.

Q. Can the Critical Illness rider be taken on a family floater basis?

No, Critical Illness Rider can only be taken on an individual basis

Q. What Sum Insured is available for Critical Illness rider?

The minimum Sum Insured is Rs.1 lakh and the maximum is Rs.10 lakhs

Q. What is the grace period for renewing the policy?

A 30-day grace period is allowed for policy renewal

Q. What does maternity benefit cover?

Maternity cover feature of the plan covers the cost of normal or cesarean delivery, pre and post-natal expenses and expenses incurred on the new-born baby. However, all these covers have a sub-limit depending on the amount of cover taken.


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