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Apollo Munich Easy Health Premium- Family Floater

Objective

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.


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?

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.


Pros

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.


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.
There is a waiting period before maternity expenses and out-patient dental treatment become eligible.


Our View

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.

Eligibility
Entry Age (years) 
Minimum18; 3 months for children
Maximum65
Maximum Policy Renewal Age (years)No Limit
Sum Insured (Rs) 
Maximum10 lakh
Minimum4 lakh
Policy Term (years)1 or 2
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
Policy TerminationInsurance 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
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)
4 lakh and 5 lakh 7.50 lakh and 10 lakh
Cashless facilityAvailable if treatment taken in a network hospital
Re-imbursement FacilityAvailable if treatment taken in a non network hospital
Pre-hospitalisationCovered for 30 days. 30 days extend to 60 days if informed 5 days in advance of hospitalisation
Post-hospitalisationCovered from 60 days. 60 days extend upto 90 days if informed 5 days in advance of hospitalisation
In-patient TreatmentCovered
Day-Care Procedures140 in number are covered
Domiciliary TreatmentCovered if the illness continues for atleast 3 consecutive days
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
Emergency AmbulanceUp to Rs 2,000 per hospitalisation
Ayush Benefitcovered upto Rs 25000
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 babyOptional
Out-patient Dental Treatment50% of reasonable cost, Upto 1% of Sum insured subject to a maximum of Rs 5000
Spectacles, Contact Lenses, Hearing Aid every third year50% of the admissible expenses, maximum upto Rs 5000
E-Opinion in respect of a Critical IllnessCovered, 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 IllnessOptional 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 diseasecovered after 36 months of continuous policy renewal
No claim period30 days from policy start date
Waiting Period4 years for maternity benefit24 months for treatment of certain illnesses as stated in the policy document.3 years for outpatient dental treatment
General exclusionAIDS/ HIV or any related conditionTreatment of any mental disorder
Annual Premium
Age (in Years)Sum Insured (in Rs)
4 lakh5 lakh7.50 lakh^10 lakh^
1 Adult + 1 Child
18-35757295531193613517
36-458399105391298014963
46-50*11549143831734021131
51-55*13974170342167425877
56-60*16524198902829333997
61-65*27003317293842947463
1 Adult + 2 Children
18-359870110551359415148
36-4510499121391477816705
46-50*14257196752430028334
51-55*16484207132589330561
56-60*18479238102976335411
61-65*31640371704450454890
1 Adult + 3 Children
18-3512074157431917621159
36-4512599172282082623257
46-50*17646236902912633581
51-55*19529271643388239642
56-60*21337305743839245344
61-65*35592417694956260975
2 Adults
18-359082105231357515874
36-459980127541718119222
46-50*18110235712949035635
51-55*19907248733106837705
56-60*24527300533754145755
61-65*34144399604898560276
2 Adults + 1 Child
18-3511287134341699519492
36-4512075150931881721944
46-50*20648247683086236743
51-55*22641271683397240788
56-60*26980316973969347930
61-65*42526502966044473354
2 Adults + 2 Children
18-3513230150931885221344
36-4514490172642131824496
46-50*22641267163315639032
51-55*25277294313678843797
56-60*29811347164351752171
61-65*46105544836503478994
2 Adults + 3 Children
18-3515031171672122323861
36-4516291193392368927013
46-50*24442287913552741549
51-55*27078315063915946313
56-60*31611367914588854688
61-65*47906565586750481511
2 Adults + 4 Children
18-3516831192422359326378
36-4518091214142606029530
46-50*26243308663789844065
51-55*28879335814153048830
56-60*33412388664852957205
61-65*49707586326977584028
^Sum Insured of Rs 7.50 lakh and 10 lakh cannot be bought online.
*Age 46 years and above cannot buy this policy online.