Apollo Munich Insure Health Plan

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Apollo Munich Insure Health

Objective		This is a low cost and instant policy wherein, the time lag between submission of proposal form and policy activation is minimal. It aims at relieving proposer of any tedious procedures involved in buying insurance.
Suited for		This policy is suitable for young and single individuals as a starter policy only, if their budget does not allow to buy a more comprehensive one. Self, spouse, dependent children and dependent parents can be covered under this policy on an individual sum insured basis.
What does it do?		This is an instant policy wherein the Proposer can fill and submit the proposal form at any of Apollo Munich sales counters. Unlike other policies, there is no time lag between submission of form and policy activation. The policy gets authorized at the point of sale itself. It covers medical expenses incurred as an inpatient in a hospital. Pre and post hospitalisation expenses are covered with a ceiling imposed on maximum claim amount. It also covers Ayurveda, Unani, Sidha and Homeopathy treatments. Hospitalisation expenses of organ donor and day care procedures which do not require a 24-hour stay in a hospital due to technological advancement are also covered. It must be noted however that co-payment clause applies to all the covered expenses, according to which a policyholder has to pay 15 per cent of each admissible claim and insurance company will pay the remaining.
Pros		It covers pre and post hospitalisation expenses as well. In addition to allopathic treatment, it covers traditional forms of treatments such as Ayurveda, Unani, Sidha and Homeopathy, jointly known as 'Ayush'. Policyholder enjoys a loyalty discount of 5 per cent at the time of renewal. Family discount of 10 per cent is applicable if two or more members are insured simultaneously. Sum Insured enhancement is permitted at subsequent renewal. Premium paid under this policy qualifies for deduction under section 80D of Income Tax Act.
Cons		It does not provide for emergency ambulance. There is a capping on room rent for each sum insured level. Pre and post hospitalisation cover is capped too. Cover for 'Ayush' treatment is capped at certain percentage of sum insured. There is a co-payment clause where policyholder has to bear a certain percentage of every single claim under the policy.
Our View		A low cost policy offering narrow coverage. Most of the benefits are capped to certain percentage of sum insured. It may act as a starter policy for young individuals only if budget restrains to buy a more inclusive policy. Once policyholder feels the need of an enhanced cover, the option to shift to another more comprehensive policy may be exercised. Do not get swayed by low policy premiums as the policy offers lesser features as compared to other health policies. Above all, a co-payment clause of 15 per cent on each claim acts as an impingement.
Eligibility
Entry Age (years)
Minimum	5; 3 months for children
Maximum	50
Maximum Policy Renewal Age (years)	75
Coverage Type	Individual
Policy Term (years)	1
Sum Insured (Rs)
Maximum	2 lakh
Minimum	25000
Tax Benefit	Premium paid is eligible for tax benefit under section 80D of the Income Tax Act
Discount	Loyalty discount of 5% on renewal premium. A cross selling credit to buy any other apollo munich health product within 365 days from renewal date. Family discount of 10% is applicable if 2 or more family members included.
Pre Policy Medical Check Up	Not required
Grace Period for Policy Renewal	15 days grace period is allowed to policyholder for payment of premium at the insurers discretion.
Co Payment Clause	15% of medical expense will have to be borne by policyholder for each claim.
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	Health' to 56767333
Network Hospitals	Http://www.apollomunichinsurance.com/our-hospital-network.aspx

 

Scope of Cover
Cashless facility	Available at empanelled hospitals in India.
Re-imbursement	In case policyholder opts for non empanelled hospital
Pre-post hospitalisation	pays a lumpsum of 1% of admissible claim amount towards each of pre and post hospitalisation expenses
In-patient Treatment	Covered and includes all hospitalisation expenses
Day-Care Procedures	140 in number are covered
Ayurveda, Unani, Sidha and Homeopathy Treatment	Covered, upto maximum of 10% of Sum Insured
Expenses for organ donor of transplant	Covered
Room rent Limit
Sum Insured (Rs) per person per policy	Room Rent per day (Rs)	ICU Rent per day (Rs)
25000	500	1000
50000	500	1000
75000	750	1500
100000	1000	2000
200000	2000	2000

 

Exclusions and Waiting Period
Pre-existing disease	covered after 48 months
No claim period	Any disease contracted during the first 30 days of commencement of the policy
Waiting Period	24 months for certain diseases such as hernia, surgery of sinusitis etc mentioned in policy document
General Exclusions	AIDS or any related illness will not be covered.Treatment of any mental or related disease is also excluded.

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