Apollo Munich Easy Health Premium- Individual

Objective

Easy Health Premium is the third variant of Apollo Munich Easy Health Policy. The objective of this policy is to provide protection against financial loss arising due to illness or accident. It also covers maternity expenses, out-patient dental cover, cost of spectacles and hearing aids. There is an add-on cover for critical illness and provision of taking second opinion from doctors on Insurer’s panel, in case of critical illness.

Our View

Buy this policy only if you need a big health insurance covering all such benefits as under this policy. Else, choose among the 'Standard' or 'Exclusive' variants that offer lower benefits at less price. Your insurance purchase should be purely based on your requirements and budget.

Suited for

This policy is suitable for any person seeking a wide coverage for medical uncertainties. It can be taken by any person up to 60 years of age and it is renewable lifelong.

What does it do?

It covers maternity expenses. On acceptance of maternity claim, this policy offers to include the new born under same policy. Other benefits include daily cash amount to compensate the expenses for one adult accompanying insured child to the hospital, day care procedure which do not require a 24-hour stay in hospital due to technological upgradation, treatment taken at home on doctor's advice and daily cash for choosing shared accommodation in a network hospital. Expenses incurred towards inpatient hospitalisation including diagnostic procedures, boarding and lodging, ICU, operation theatre, anesthesia, blood, oxygen, medicines, drugs, nursing and medical practitioner charges are covered. Relevant medical expenses incurred prior to and post hospitalisation and emergency ambulance also fall under the ambit. Free health check up at end of two consecutive claim free years is allowed.
To widen the scope of cover, you can take an additional cover for eight critical illnesses upon payment of extra premium. This add on cover is available till 70 years of age and not beyond that.
Other benefits such as out-patient dental treatment, cost of external instruments to support vision and hearing are capped to sum insured. Moreover, these benefits become active only after their respective waiting periods have elapsed. This policy also arranges for a second opinion from any doctor of policyholder's choice from the insurance company's panel, in case of critical illness.

Pros

There is no cover ceasing age. It offers a life long insurance.

It provides a flat discount of 7.5 per cent on advance payment of 2-year premium.

Family discount of 10 per cent is applicable on including 3 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 two continuous claim free years.

This policy can be purchased online.

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 benefit can be availed only after a waiting period of six years.

Waiting period of three years applies to out-patient dental treatment.

Sub-limits in one way or the other are imposed on each expense.


Eligibility

Entry Age (years)

18; 3 months for children
60
No Limit

Sum Insured (Rs)

10 lakh
4 lakh
1 or 2
Premium paid is eligible for tax benefit under section 80D of the Income Tax Act
Premium discount of 7.5% on advance premium payment for 2 year policy term.
Family discount of 10% is applicable if 3 or more family members included.
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
15 days
Insurance 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

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
1800-102-0333
'easyhealth' to 56767333
Http://www.apollomunichinsurance.com/our-hospital-network.aspx

Additions to the Plan

Cost Details