Apollo Munich Easy Health Premium- Family Floater
This policy aims to provide complete health insurance for a family by including a comprehensive coverage for hospitalisation, outpatient treatment, maternity expenses, newborn baby cover, and other incidental expenses.
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?
It is the third and most comprehensive variant of Easy Health policy from Apollo Munich. It is an all-inclusive policy that covers maternity expenses, newborn baby, out-patient dental treatment and provides daily cash benefit for an adult accompanying insured child. There is also an optional cover for Critical Illness which will pay a lump sum amount on confirmed diagnosis of any of the listed illnesses. Critical Illness cover will attract additional premium from policyholder. Maternity benefit and out-patient dental treatment will be covered only after the waiting period. Some other benefits such as external aids including spectacles, hearing machine and contact lenses and health check-up benefit will be allowed once after lapse of every certain number of claim free years.
There is no cover ceasing age. It offers a life long insurance.
It offers a discount of 7.5 per cent on advance payment of 2-year premium.
It gives a cumulative bonus of 10 per cent for every claim-free year up to a maximum of 50 per cent.
This policy can be purchased online.
It provides for homeopathic, ayurvedic, Unani and Sidha treatment.
Premium paid under this policy qualifies for deduction under section 80D of Income Tax Act.
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.
There is a waiting period before maternity expenses and out-patient dental treatment become eligible.
Shopping for insurance should be purely based on your needs and budget. Only if you think you require a comprehensive coverage, should you go for it. Or consider lower variants of 'Easy Health' policy which offer a coverage for lesser price. Ensure that you know the waiting period before taking this policy.
|Entry Age (years)|
|Minimum||18; 3 months for children|
|Maximum Policy Renewal Age (years)||No Limit|
|Sum Insured (Rs)|
|Policy Term (years)||1 or 2|
|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|
|Policy Termination||Insurance company may terminate the policy by giving a written notice of 30 days. Policyholder is also 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|
|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||[email protected]|
|SMS||'easyhealth' to 56767333|
Additions to the Plan
|Scope of Cover|
|Sum Insured (in Rs)|
|4 lakh and 5 lakh||7.50 lakh and 10 lakh|
|Cashless facility||Available if treatment taken in a network hospital|
|Re-imbursement Facility||Available if treatment taken in a non network hospital|
|Pre-hospitalisation||Covered for 30 days. 30 days extend to 60 days if informed 5 days in advance of hospitalisation|
|Post-hospitalisation||Covered from 60 days. 60 days extend upto 90 days if informed 5 days in advance of hospitalisation|
|Day-Care Procedures||140 in number are covered|
|Domiciliary Treatment||Covered if the illness continues for atleast 3 consecutive days|
|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|
|Emergency Ambulance||Up to Rs 2,000 per hospitalisation|
|Ayush Benefit||covered upto Rs 25000|
|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)|
|Out-patient Dental Treatment||50% of reasonable cost, Upto 1% of Sum insured subject to a maximum of Rs 5000|
|Spectacles, Contact Lenses, Hearing Aid every third year||50% of the admissible expenses, maximum upto Rs 5000|
|E-Opinion in respect of a Critical Illness||Covered, one opinion per policy year (if no previous claim was made in current policy year) form any member of policyholder's choice from the insurance company's panel|
|Additional Cover for Critical Illness||Optional Optional 50% or 100% of in-patient Sum Insured|
|Health Check-up(after every 2 claim free years)||Upto 1% of Sum insured subject to a maximum of Rs 5000 per insured person|
|Exclusions and Waiting Period|
|Pre-existing disease||covered after 36 months of continuous policy renewal|
|No claim period||30 days from policy start date|
|Waiting Period||4 years for maternity benefit24 months for treatment of certain illnesses as stated in the policy document.3 years for outpatient dental treatment|
|General exclusion||AIDS/ HIV or any related conditionTreatment of any mental disorder|
|Age (in Years)||Sum Insured (in Rs)|
|4 lakh||5 lakh||7.50 lakh^||10 lakh^|
|1 Adult + 1 Child|
|1 Adult + 2 Children|
|1 Adult + 3 Children|
|2 Adults + 1 Child|
|2 Adults + 2 Children|
|2 Adults + 3 Children|
|2 Adults + 4 Children|
|^Sum Insured of Rs 7.50 lakh and 10 lakh cannot be bought online.|
|*Age 46 years and above cannot buy this policy online.|