Apollo Munich Easy Health Exclusive - Family Floater Plan

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Apollo Munich Easy Health Exclusive- Family Floater

	Objective			This is a floater policy that covers entire family with one sum insured. It covers maternity expenses, Ayurvedic, Unani, Sidha and Homeopathy treatment as well. It can be bought online.
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?			Apart from hospitalisation benefit, it covers maternity expenses and also offers an optional critical illness cover that requires additional premium. In case of hospitalisation of insured child, it pays a daily cash amount to cover the expenses of accompanying adult member. It also covers organ donor's hospitalisation expenses and ambulance charges for carrying an insured person.
Pros			There is no cover ceasing age. It offers a life long insurance. It offers a flat discount of 7.5% on advance payment of 2 years premium. This policy can be purchased online. It provides for ayurvedic and homeopathic treatment as well. 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 expenses will be covered after stated waiting periods.
Our View			Shopping for insurance should be based only on your needs and budget. This policy is recommended if your need matches with the policy offerings. It is important to go through the waiting period for certain benefits to start before buying this policy.
Eligibility
Entry Age (years)
Minimum		18; 3 months for children
Maximum		65
Maximum Policy Renewal Age (years)		No Limit
Coverage Type		Family floater
Policy Term (years)		1 or 2
Sum Insured (Rs)
Maximum		7.5 lakh
Minimum		3 lakh
Tax Benefit		Premium paid is eligible for tax benefit under section 80D of the Income Tax Act
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 grace period is allowed to policyholder for payment of premium at the insurers discretion.
Policy Termination		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
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		customerservice@apollomunichinsurance.com
Call to		1800-102-0333
SMS		'easyhealth' to 56767333
Network Hospitals		Http://www.apollomunichinsurance.com/our-hospital-network.aspx

 

	Scope of Cover
		Sum Insured (in Rs)
		3 lakh, Rs 4 lakh and Rs 5 lakh		7.50 lakh
Cashless facility		available at empanelled hospitals
Re-imbursement		available at non-network hospitals
Pre-post hospitalisation		Relevant medical expenses covered upto 60 days prior and upto 90 days post hospitalisation
In-patient Treatment		Covered
Day-Care Procedures		140 in number are covered
Domiciliary Treatment		Covered
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
Ayush Benefit		Covered upto Rs 25000
Emergency Ambulance		Up to Rs 2,000 per hospitalisation
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)
Newborn baby cover		Optional
Additional cover for critical illness		Optional 50% or 100% of in-patient Sum Insured
Health Check-up		Upto 1% of Sum insured subject to a maximum of Rs 5000 per insured person, only at the end of a block of every continuous 3 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		30 days from policy start date
Waiting Period		Certain diseases or treatment will be covered after 2 years of continuous renewal.Maternity benefit will be made available after first 4 policy years.
General Exclusions		AIDS or HIV and related treatment.Treatment of mental disorder or insanity.

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