Apollo Munich Easy Health Premium - Individual Plan

Invest In Tax Saving Mutual Funds Online

Download Tax Saving Mutual Fund Application Forms

Buy Gold Mutual Funds

Call 0 94 8300 8300 (India)

 

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.
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.
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.
Eligibility
Entry Age (years)
Minimum		18; 3 months for children
Maximum		60
Maximum Policy Renewal Age (years)		No Limit
Policy Term (years)		1 or 2
Sum Insured (Rs)
Maximum		10 lakh
Minimum		4 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. 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, 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
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 (Rs)
		4 lakh and Rs 5 lakh		7.50 lakh and 10 lakh
Cashless facility		Available
Re-imbursement Facility
In-patient Treatment		Covered
Pre-hospitalisation		Covered for 30 days. 30 days extend to 60 days if informed 5 days in advance of hospitalisation
Post-hospitalisation		Covered from 60 days. 60 days extend upto 90 days if informed 5 days in advance of hospitalisation
Day-Care Procedures		140 in number are covered
Domiciliary Treatment		Covered
Daily cash for chossing shared accomodation		Rs 500 per day, Maximum Rs 3,000		Rs 800 per day, maximum Rs 4800
Expenses for organ donor of transplant		Covered
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
Newborn baby		Optional
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)
Out-patient Treatment		Out-patient dental treatment is covered at 50% of the admissible expenses Upto 1% of Sum insured subject to a maximum of Rs 5000, after a waiting period of 3 years.
Spectacles, Contact Lenses, Hearing Aid every third year		50% of the admissible expenses, maximum upto Rs 5000, only once after every three years.
E-Opinion in respect of a Critical Illness		Covered, 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 Illness		Optional, 50% or 100% of in patient Sum insured. It covers 8 critical illnesse namely: namely cancer, coronary artery (bypass) surgery, first heart attack (myocardial infarction), kidney failure (end stage renal disease), major organ transplantation, multiple sclerosis, paralysis and stroke after a waiting period of 30 days. Maximum cover ceasing age is 70 years.
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 2 claim free years

 

	Exclusions and Waiting period
Pre-existing disease		covered after 36 months of continuous policy renewal
No claim period		30 days from policy start date
Waiting Period		Certain diseases such as hernia, piles, cataract , sinusitis shall be covered after a waiting period of 2 years.Maternity cover will be available after a waiting period of 6 policy years.Expenses for Domiciliary treatment will be covered only if the illness continues for atleast 3 consecutive days.Out Patient dental treatment will be covered after a waiting period of three years.
General Exclusions		AIDS/ HIV or related treatmentTreatment of any mental or related disease.

Happy Investing!!

We can help. Call 0 94 8300 8300 (India)

Leave your comment with mail ID and we will answer them

OR

You can write back to us at PrajnaCapital [at] Gmail [dot] Com

---------------------------------------------

Invest in Tax Saving Mutual Funds ( ELSS Mutual Funds ) to upto Rs 1 lakh and Save tax under Section 80C.

Invest Tax Saving Mutual Funds Online

Tax Saving Mutual Funds Online

These links can be used to Purchase Mutual Funds Online that are regular also (Investment, non-tax saving)

Download Tax Saving Mutual Fund Application Forms from all AMCs

Download Tax Saving Mutual Fund Applications

These Application Forms can be used for buying regular mutual funds also

Some of the best Tax Saving Mutual Funds available ( ELSS Mutual Funds )

1. ICICI Prudential Tax Plan Invest Online
2. HDFC TaxSaver Invest Online
3. DSP BlackRock Tax Saver Fund Invest Online
4. Reliance Tax Saver (ELSS) Fund Invest Online
5. Birla Sun Life Tax Relief '96 Invest Online
6. IDFC Tax Advantage (ELSS) Fund Invest Online
7. SBI Magnum Tax Gain Scheme 1993 Invest Online
8. Sundaram Tax Saver Invest Online
9. Edelweiss ELSS Invest Online

------------------

Best Performing Mutual Funds

1. Largecap Funds Invest Online
1. DSP BlackRock Top 100 Fund
2. ICICI Prudential Focused Blue Chip Fund
3. Birla Sun Life Front Line Equity Fund
2. Large and Midcap Funds Invest Online

1. ICICI Prudential Dynamic Plan
2. HDFC Top 200 Fund
3. UTI Dividend Yield Fund
2. Mid and SmallCap Funds Invest Online

1. Reliance Equity Opportunities Fund
2. DSP BlackRock Small & Midcap Fund
3. Sundaram Select Midcap
4. IDFC Premier Equity Fund
3. Small and MicroCap Funds Invest Online

1. DSP BlackRock MicroCap Fund
4. Sector Funds Invest Online

1. Reliance Banking Fund
2. Reliance Banking Fund
5. Tax Saver MutualFunds Invest Online
1. ICICI Prudential Tax Plan
2. HDFC Taxsaver
3. DSP BlackRock Tax Saver Fund
4. Reliance Tax Saver (ELSS) Fund
6. Gold Mutual Funds Invest Online

1. Relaince Gold Savings Fund
2. ICICI Prudential Regular Gold Savings Fund
3. HDFC Gold Fund