Apollo Munich Easy Health Standard- Individual
Out of three variants of Easy Health Policy, 'Easy Health-Standard' is first variant. This is an online health insurance policy which aims at providing cover against financial loss due to inpatient hospitalisation of insured person. Apart from hospitalisation bills it covers other complementary expenses as well.
This policy is suitable for any individual to insure against hospitalisation expenses and other corresponding expenses such as treatment taken at home, day care procedures, ambulance costs and other daily expenses.
What does it do?
This policy covers hospitalisation expenses including diagnostic procedures, boarding and lodging, ICU, operation theatre, anesthesia, blood, oxygen, medicines, drugs, nursing and medical practitioner charges if treatment is taken as an inpatient. Relevant expenses related to the illness that causes admission to hospital, incurred before hospitalisation and post discharge from hospital are covered too. It covers day care procedures, domiciliary treatment and expenses for treatment of organ donor during transplant. Day care procedures are those treatments which do not require a stay in hospital for more than 24 hours due to technological advancement like chemotherapy, Hemodialysis etc. Domiciliary treatment means treatment taken at home on advice of doctor which would have otherwise required hospitalisation.
It also pays a minimum of Rs 500 and maximum up to Rs 3,000 as daily cash allowance if hospital accommodation is taken on a shared basis in a network hospital. Emergency ambulance charges up to Rs 2,000 per hospitalisation are admissible.
There is no cover ceasing age. It offers a lifelong insurance.
The policy provides a discount of 7.5 per cent on advance payment of 2-year premium.
Family discount of 10 per cent is applicable on including three or more family members under the same policy.
It gives a cumulative bonus of 10 per cent for every claim-free year up to a maximum of 50 per cent.
It provides for a free health check up at the end of four continuous claim-free years.
Premium paid under this policy qualifies for deduction under section 80D of income tax act.
This policy can be purchased online.
In case, no-claim bonus has been passed and a claim arises during that year, cumulative bonus would be reduced by 20 per cent in the following year.
The major advantage of this policy is that it covers a policyholder during golden years. There is no ceiling on policy renewal age. So, the policy actually stands by the individual when health insurance is utterly required. Policy benefits coincide with the cost of purchasing this policy. Hence, if your budget matches the premiums, you may go for this policy. More comprehensive versions of Apollo Munich Easy Health are also available. If your pocket allows to shell out more, consider 'Premium' and 'Exclusive' versions of Easy Health for wider coverage.
|Entry Age (years)|
|Minimum||18; 3 months for children|
|Maximum||65 for Sum Insured upto Rs 2 lakh |
60 for higher Sum Insureds
|Maximum Policy Renewal Age (years)||No Limit|
|Sum Insured (Rs)|
|Policy Term (years)||1 or 2|
|Tax Benefit||Premium paid is eligible for tax benefit under section 80D of the Income Tax Act|
|Discount||Renewal discount of 7.5% on advance premium payment for 2 year policy terms|
Family discount of 10% is applicable if 3 or more family members included
|No Claim Bonus||10% increase in your annual inpatient benefit sum insured for every claim free year, subject to a maximum of 50%. 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 grace period is allowed to policyholder for payment of premium at the insurers discretion.|
|Policy Termination||Policyholder is allowed to terminate the policy at anytime by giving a 15 day written notice. In case no claim has been made under the policy, prorata percentage of premium will be refunded|
|Address||10th Floor, Building No. 10, Tower-B, DLF Cyber City, DLF Phase-II, Gurgaon-122002|
|Mail to||[email protected]|
|SMS||Easyhealth' to 56767333|
Additions to the Plan
|Scope of Cover|
|Cashless facility||Available at empanelled hospitals in India|
|Re-imbursement||In case policyholder opts for non empanelled hospital , expenses are re-imbursed within 14 working days from date of submission of all records|
|Pre-post hospitalisation||Relevant medical expenses covered for upto 60 days prior and upto 90 days post hospitalisation|
|Day-Care Procedures||140 day care procedures are covered|
|Domiciliary Treatment||Covered. Post hospitalisation expenses are restricted but, Pre hospitalisation expenses are covered upto 60 days|
|Daily cash for choosing shared accommodation||Rs 500 per day, Maximum Rs 3,000|
|Expenses for organ donor of transplant||Covered|
|Emergency Ambulance||Up to Rs 2,000 per hospitalisation|
|Health Check-up||Upto 1% of Sum Insured per Insured Person, only once at the end of a block of every continuous 4 claim free years|
|Exclusions and Waiting Period|
|Pre-existing disease||Pre-existing Diseases will be covered after a waiting period of 36 months|
|No claim period||Any disease contracted during the first 30 days of commencement of the policy|
|Waiting Period||Certain diseases such as hernia, piles, cataract , sinusitis shall be covered after a waiting period of 2 years.Expenses for Domiciliary treatment will be covered only if the illness continues for atleast 3 days consecutive days.|
|General exclusions||AIDS or any related illness will not be covered.Treatment of any mental or related disease.|
|Age (in years)||Sum Insured (in Rs )|
|1 lakh||2 lakh||3 lakh||4 lakh||5 lakh|
|Premiums are exclusive of service tax and education cess|
|*Premium rates only for renewal|
|^For Sum Insured options of Rs 1 lakh and Rs 2 lakh the maximum entry age is 65 years whereas for other sum insured options the maximum entry age is 60 years|