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Apollo Munich Easy Health Exclusive- Family Floater

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) 
Minimum18; 3 months for children
Maximum65
Maximum Policy Renewal Age (years)No Limit
Coverage TypeFamily floater
Sum Insured (Rs) 
Maximum7.5 lakh
Minimum3 lakh
Policy Term (years)1 or 2
Tax BenefitPremium paid is eligible for tax benefit under section 80D of the Income Tax Act
DiscountPremium discount of 7.5% on advance premium payment for 2 year policy term.
No Claim Bonus10% 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 Renewal15 days grace period is allowed to policyholder for payment of premium at the insurers discretion.
Policy TerminationInsurance 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 
AddressApollo 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[email protected]
Call to1800-102-0333
SMS'easyhealth' to 56767333
Network HospitalsHttp://www.apollomunichinsurance.com/our-hospital-network.aspx
Additions to the Plan
Scope of Cover
Sum Insured (in Rs)
3 lakh, Rs 4 lakh and Rs 5 lakh7.50 lakh
Cashless facilityavailable at empanelled hospitals
Re-imbursementavailable at non-network hospitals
Pre-post hospitalisationRelevant medical expenses covered upto 60 days prior and upto 90 days post hospitalisation
In-patient TreatmentCovered
Day-Care Procedures140 in number are covered
Domiciliary TreatmentCovered
Daily cash for choosing shared accommodationRs 500 per day, Maximum Rs 3,000Rs 800 per day, maximum Rs 4800
Expenses for organ donor of transplantCovered
Ayush BenefitCovered upto Rs 25000
Emergency AmbulanceUp to Rs 2,000 per hospitalisation
Daily Cash for 1 adult accompanying an insured childRs 300 per day, maximum Rs 9000Rs 500 per day, maximum Rs 15000
Maternity ExpensesNormal 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 coverOptional
Additional cover for critical illnessOptional 50% or 100% of in-patient Sum Insured
Health Check-upUpto 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 diseasePre-existing Diseases will be covered after a waiting period of 36 months
No claim period30 days from policy start date
Waiting PeriodCertain diseases or treatment will be covered after 2 years of continuous renewal.Maternity benefit will be made available after first 4 policy years.
General ExclusionsAIDS or HIV and related treatment.Treatment of mental disorder or insanity.
Annual Premium
Age (in Years)Sum Insured (in Rs)
3 lakh4 lakh5 lakh7.50 lakh^
1 Adult + 1 Child
18-354725567076429548
36-4550826090843110383
46-50*817691571150614729
51-55*8722117301405616308
56-60*11118137701632019046
61-65*18415239991845434987
1 Adult + 2 Children
18-3562997349884510876
36-4566157875971111823
46-50*9124114061573919440
51-55*10395130201657019728
56-60*11760146991904820714
61-65*21325276723274139757
1 Adult + 3 Children
18-35776989251259415341
36-45808595551378316661
46-50*11346141171895223300
51-55*11591147942173127105
56-60*13200170692445930714
61-65*23771307683631843662
2 Adults
18-3555916930841910861
36-45665479841020412912
46-50*12074144891885823592
51-55*12741159251989924855
56-60*15699196222404330032
61-65*23168304013608845113
2 Adults + 1 Child
18-35703585571074713596
36-45772896601207415053
46-50*13765165191981624690
51-55*14490181122137427177
56-60*17267215842535731755
61-65*28845373774435254019
2 Adults + 2 Children
18-358452101431207415081
36-459660115921381217054
46-50*15094181122137331048
51-55*16180202262354540138
56-60*19078238492777247560
61-65*31048401394756057497
2 Adults + 3 Children
18-359622114361262316926
36-4510830128851536018899
46-50*16263194052292228370
51-55*17350215192509431274
56-60*20248251412932136659
61-65*32217414314910959342
2 Adults + 4 Children
18-3510782127281517118770
36-4511999141771690920744
46-50*17433206982447030215
51-55*18520228112664333119
56-60*21418264343087038503
61-65*33387427245065861187
Premiums are exclusive of taxes
^Sum Insured of Rs 7.5 lakh cannot be bought online.
*Age 46 and above cannot buy this policy online

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