Apollo Munich Easy Health Premium Plan

Standalone health insurance service provider Apollo Munich offers many comprehensive insurance products in its lineup. Easy Health Premium is one such policy designed with the aim of providing coverage against unforeseen medical expenses incurred by the policyholder. This helth insurance policy provides protection against various illnesses, and it also comes with an add-on cover for critical illness. One of the distinguishing factors of this cover is that it offers coverage for the maternity expenses incurred by the insured. Moreover, it also compensates the insured against the expenses of medical accessories like spectacles and hearing aids.

• Premiums as low as Rs12/day for coverage of Rs.4 Lakhs*
• 10,000+ hospitals for cashless treatment
• Claim up to Rs. 55,000 deduction under section 80D**

Eligibility for Apollo Munich Easy Health Premium

Potential policyholders who wish to take Apollo Munich Easy Health Premium must meet the following eligibility criteria:

• Anyone over the age of 5 years can enter this cover.
• The maximum entry age is capped at 65 years.
• Dependent children can be covered from the 91st day of birth provided at least one parent is enrolled alongside.
• The family floater cover can be taken for self, spouse, dependent children, dependent parents, dependent parents-in-law, grandparents, and grandchildren.
• A maximum of 6 family members can be enrolled in a single policy.

Features of Apollo Munich Easy Health Premium

The key features of Apollo Munich Easy Health Premium can be listed as follows:

• This policy is available in multiple sum insured options ranging from Rs.4 lakh to Rs.50 lakh.
• This policy can be availed in 1 or 2-year policy terms.
• There is a premium discount of 7.5% if the policy term is chosen for 2 years.
• There is a family discount of 5% if 2 family members are enrolled in the same cover and 10% if 3 or more family members are enrolled in the same cover.
• An initial waiting period of 30 days is applicable for all illnesses in this policy cover.
• All pre-existing diseases can be covered after a period of 3 years.
• For conditions like joint replacement surgeries, cataract, hernia, and hydrocele, there is a waiting period of 2 years.
• For maternity benefits, there is a 6-year waiting period for sum insured up to Rs.10 lakh and a 4-year waiting period for sum insured Rs.15 lakh and above.
• Pre and post hospitalisation expenses are covered for up to 60 days and 90 days respectively.
• There is a grace period of 30 days from the date of expiry for renewing this policy.
• This policy can be renewed throughout one’s lifetime.
• Free medical checkup is available under this policy once every 3 years of continuous policy coverage.
• The sum insured amount initially chosen by the policyholder can be enhanced only at the time of renewal.
• Premium discount is available for maintaining a healthy lifestyle. The ‘Stay Active’ benefit provides premium discount up to 8% for policyholders who maintain a healthy lifestyle.
• Portability benefit is available under this policy, and it can be transferred to another insurance service provider at the time of renewal.
• Tax benefits under Section 80D of the Income Tax Act are available for the premiums paid for this policy.

Benefits of Apollo Munich Easy Health Premium

Exclusions of Apollo Munich Easy Health Premium

The following exclusions are applicable to Apollo Munich Easy Health Premium:

• Treatment for congenital diseases, birth defects, or anomalies
• Treatment for AIDS, HIV, and sexually transmitted diseases
• Expenses related to the treatment of mental disorders and insanity
• Any kinds of weight management or obesity treatments
• Cosmetic or aesthetic treatments of all kinds
• Injuries or illnesses caused by nuclear weapons, radiation, chemical weapons, biological weapons, etc.
• Expenses arising out of alcohol or substance abuse
• Expenses related to items of personal comfort during hospital stay
• Any kinds of unproven or experimental treatments

Claim Procedure

The company must be intimated as soon as the occurrence of an event that may give rise to a claim. Cashless treatment facility is available in over 4,000 network hospitals located across the country. Pre-authorisation must be obtained from the company in case of cashless treatment. The insured must obtain authorisation at least 2 days before planned hospitalisation and within 24 hours in case of emergency hospitalisation.

For reimbursement claims, the insured must submit all the required documents soon after discharge from the hospital. Once the documents are submitted, the company will verify the claim and provide the settlement amount.