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Apollo Munich’s Easy Health Standard is a simple health insurance plan which provides all the essential coverage features. The policy can be taken either on an individual basis or on a family floater basis. There are two additional Critical Illness riders with the plan which pay a lump sum benefit in case of being diagnosed with any critical illness.
Step 1 – the policyholder chooses the Sum Assured, the term of the plan and the members covered.
Step 2 – the policyholder might also choose additional riders or optional coverage features.
Step 3 – 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 4 – if the plan matures and no medical contingencies occur, no benefit is paid.
Rohit and his wife buy Apollo Munich Easy Health Premium for a Sum Insured of Rs.10 lakhs. The plan duration is 2 years.
Option 1 – Ravi’s wife faces a covered critical illness. The plan pays Rs.5 lakhs in lump sum when his wife is diagnosed with the illness.
Option 2 – Ravi is also hospitalized for an accident the medical bills of which come to Rs.2.5 lakhs. The plan pays the claim of Rs.2.5 lakhs fully.
Option 3 – The tenure of the plan comes to an end but Ravi does not make any claim. He gets a cumulative bonus of 10% increase in Sum Insured which becomes Rs.5.5 lakhs.
|Coverages||Sum Insured Rs.1-5 lakhs. Rs.7.5,10,15 lakhs|
|Day care treatments||Covered|
|Post hospitalization||90 days|
|Organ Donor expenses||Covered|
|Daily Cash for Shared Accommodation||Rs.500/day up to Rs.3000|
|AYUSH Coverage||Up to Rs.20,000|
|Ambulance cover||Up to Rs.2000|
|Health check-ups||Up to 1% of Sum once every 4 years|
|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.1 lakh||Rs.15 lakhs|
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
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.
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.