Apollo Munich Health Insurance

Apollo Munich Health Insurance Company Ltd Overview:

Apollo Munich Health Insurance Company Ltd is a joint venture between one of the largest integrated healthcare providers across Asia, Apollo Hospitals, and the health business division of Germany-based Munich Re, Munich Health. Apollo Munich began operations in India in 2007, aiming at providing high-class healthcare services to the common man of the country. The company proposes a wide range of insurance products, specifically designed to meet the healthcare requirements of an individual.

Why Buy Apollo Munich Health Insurance Policy?

The increasing cost of medical treatment at the hospital has led to the increasing demand for health insurance plans. The existing lifestyle of an individual makes them more prone to diseases and illnesses, which further results in growing chances of one’s sickness. This is where Apollo Munich Health Insurance company ltd provides you an optimal solution. Fêted as one of the most trusted health insurers in Indian Insurance Sector, Apollo Munich offers a wide gamut of health insurance plans with many advantages and benefits to fit every budget and requirement. The company endeavors to make high-quality healthcare services easily accessible to every member and customer. In addition, the company also offers simple and clear policy wording in order to make the procedure transparent and convenient for policy seekers. It wouldn’t really be an exaggeration to say that Apollo Munich has made health insurance pretty simple for everyone, over the decades of its operations.

Advantages and Benefits of availing Apollo Munich health insurance plans:

Apollo Munich Health Insurance Company Ltd strives to become a trusted leader in the health insurance industry; it provides simple yet innovative solutions for health insurance. Apollo Munich provides a vast array of health insurance plans that caters to individuals, families, senior citizens, and corporate houses as well. The company’s motto is ‘Let’s uncomplicate’, which shows its focus on providing effective yet simple solutions for every healthcare need. It has even been awarded the title of ‘Health Insurance Company of the year’. Given below are the advantages of buying health insurance Policies from Apollo Munich:

• The policyholder can choose from a wide range of sum insured options at affordable premiums, from Rs. 1 Lakh to Rs. 15 Lakh.
• The company has a significant presence all over the country, which offers cashless service to policyholders at a range of multi-specialty hospitals. The company has specialized doctors who handle and efficiently take care of the claims throughout. 98% of the claims received by the company are settled within a span of 15 days.
• The Apollo Munich Insurance company offers the facility of portability if the customer wishes to port their plans from other health insurance companies to Apollo Munich. Accumulated benefits are all integrated and carried forward without any hassles.
• The premiums paid towards a health insurance policy are exempted from tax under section 80D of Income Tax Act, 1961.
• Expenses incurred both before and after hospitalization are provided to customers.
• Lifelong insurance renewal benefit
• If there is a claim-free year, their basic sum insured will be raised by 50% with no extra charge. If the customer has a second, subsequent no-claim year then their basic sum insured is raised by 100%.
• The policyholder will enjoy a Restore Benefit if the customer or his family member exhausts the sum insured during the year. The company will restore the full amount whenever a new illness is diagnosed at no extra paperwork and charges of any sort.

Apollo Munich Health Insurance Plans: Eligibility & Premiums

*There is no Sum Assured but daily hospital cash.

List of Apollo Munich health Insurance Policies:

The Apollo Munich Health Insurance company Ltd proposes a wide range of health insurance plans. Below is the list:

• Apollo Munich Optima Health Restore Insurance Plan
• Apollo Munich Easy Health Premium Plan
• Apollo Munich Optima Vital Insurance Plan
• Apollo Munich Optima Senior Insurance Plan
• Apollo Munich Optima Plus Insurance Plan
• Apollo Munich Optima Cash Insurance Plan
• Apollo Munich Easy Health Exclusive Insurance Plan
• Apollo Munich Optima Super Insurance Plan
• Apollo Munich Dengue Care Plan

Let us take a look at each of the plans in detail:

Apollo Munich Optima Health Restore Insurance Plan

A unique health insurance plan that automatically restores the basic sum insured to the customer in case it is exhausted during the course of the year. The Optima Health restore plan is available for both individual and family floater basis. These are the features of the plan:

• Choice of treatment at any of the network hospitals across the country under cashless facility
• Expenses incurred before and after medication covered for 60 and 90 days, respectively
• Daycare procedures are covered that do not require 24 hours hospitalization
• Domiciliary treatment is covered where the treatment is undertaken at home
• Emergency ambulance charges up to Rs. 2000 are covered
• Expenses incurred for the treatment of the organ donor during transplantation are covered
• A lump sum amount is provided if the person opts to stay in a shared accommodation while being hospitalized
• Automatic restoration of the basic sum insured if the customers’ basic insured is exhausted during the course of the year
• There is a facility for E-opinion, which enables the insured to request for a second opinion from another medical practitioner and the insurer does provide the same.
• There is a Multiplier Benefit in which for every claim-free year, the customer receives a bonus of 50%, accumulating up to 100%.

Apollo Munich Optima Restore Eligibility:

• Insurance coverage is provided from the age of 5 to 65 years.
• Insurance coverage to children is offered right from the fourth month if any of the parents is already covered
• This Apollo Munich health Insurance plan has coverage of up to for the self, spouse, dependent children and dependent parents or parents-in-law

Apollo Munich Easy Health Premium Plan

This health insurance plan covers expense relating to hospitalization without any sub-limits or co-pays. The features of the plan are as follows:

• Sum insured option provided up to Rs. 50 Lakhs
• Medical expenses in case of hospitalisation are covered
• Choice of treatment at any of the network hospitals across the country under cashless facility
• Expenses incurred before and after treatment at hospitals, covered for 60 and 90 days, respectively
• Daycare procedures are covered that do not require 24 hours hospitalization
• Domiciliary treatment is covered where the treatment is undertaken at home
• Emergency ambulance charges up to Rs. 2000 are covered
• Expenses incurred for the treatment of the organ donor during organ transplantation are covered
• A lump sum amount is provided if the person opts to stay in a shared accommodation while being hospitalized
• Expenses incurred for inpatient treatment under Unani, Ayurveda, Homeopathy, and Sidha are covered, as per AYUSH Benefit
• After four claim-free years, a free comprehensive health check up is provided
• There is an option of taking additional cover for critical illness. The sum assured for the critical illness ranges between 50 % and 100% of sum assured, which is subject to minimum 100,000 and a maximum of Rs. 10, 00,000.
• This plan covers maternity expenses for before and after childbirth procedures
• There is an option to cover the newborn baby from day one to 90 days
• If an insured child is hospitalized then a lump sum amount is paid if an adult accompanies the child during the hospitalization
• A Recovery Benefit of Rs. 10, 000 is provided if the hospitalization is for greater than 10 days

Apollo Munich Easy Health Premium Plan Eligibility:

• Coverage is provided from the age of 5 to 65 years.
• Coverage to children is offered right from the fourth month if any of the parents is already covered
• This plan has coverage of up to for the self, spouse, dependent children and dependent parents or parents-in-law

Apollo Munich Optima Vital Insurance Plan

This is a top-up health insurance plan that pays a lump sum amount as the benefit for an identified critical illness that is mentioned in the list of 37 critical illnesses, or surgical procedures or medical events. The features of the plan are as follows:

• Lump sum payment for 37 critical illnesses
• Sum insured amount ranges from Rs. 1 Lakh to Rs. 50 Lakhs

• There is a facility for E-opinion, which enables the insured to request for a second opinion from another medical practitioner and the insurer does provide the same.

Apollo Munich Optima Vital Insurance Plan Eligibility:

• Coverage is provided from the age of 5 to 65 years.
• Coverage to children is offered right from the fourth month if any of the parents is already covered
• This Apollo Munich Health Insurance plan has coverage of up to for the self, spouse, dependent children and dependent parents

Apollo Munich Optima Senior Insurance Plan

A health plan designed for senior citizens who frequently require medical attention. The features are as follows:

• Network Hospitals expenses are covered where the hospitalisation is for more than 24 hours
• Pre and post hospitalisation expenses are included in coverage.
• Daycare procedures are covered that do not require 24 hours hospitalization
• Domiciliary treatment is covered where the treatment is undertaken at home
• Emergency ambulance charges up to Rs. 2000 are covered
• Expenses incurred for the treatment of the organ donor during transplantation are covered

• There is a facility for E-opinion, which enables the insured to request for a second opinion from another medical practitioner and the insurer does provide the same.
• Cumulative bonus and family discount of 5%

Apollo Munich Optima Senior Plan Eligibility:

• Coverage is provided from the age of 61 years onwards
• The self and spouse may be covered under the plan on an individual sum insured basis.

Apollo Munich Optima Plus Insurance Plan

This is a top-up health insurance plan that covers hospitalizations that result in high-cost treatment. The features of the plan are as follows:

• Medical expenses in case of hospitalization are covered
• Choice of treatment at any of the network hospitals across the country under cashless facility
• Expenses incurred before and after treatment at hospitals, covered for 60 and 90 days, respectively
• Daycare procedures are included in coverage that do not require 24 hours hospitalization
• Domiciliary treatment is included in coverage where the treatment is undertaken at home
• Emergency ambulance charges up to Rs. 2000 are covered
• Expenses incurred for the treatment of the organ donor during organ transplantation are covered
• There is a waiver of Deductible Benefit, which enables the customer to convert this plan to a comprehensive Indemnity Health Insurance Plan with no medicals or underwriting required, only at renewal between 58 to 60 years. This is on the condition that the insured person had enrolled under the policy before the age of 50 years and has renewed the plan continuously without a break

Apollo Munich Optima Plus Insurance Plan Eligibility:

• Coverage is provided from the age of 5 to 65 years.
• Coverage to children is offered right from the fourth month if any of the parents is already covered
• This plan has coverage of up to for the self, spouse, dependent children and dependent parents

Apollo Munich Optima Cash Insurance Plan

This Apollo Munich health insurance company Ltd plan provides for a specified amount every day for which the insured is hospitalized to take care of the family’s financial requirements. The features of the plan are as follows:

• Sickness Hospital cash is provided in which a daily cash amount is paid for each continuous and completed period of 24 hours if the insured person is hospitalized for more than 24 hours, due to sickness.
• Sickness ICU Cash is provided in which twice the daily amount is paid for each continuous and completed period of 24 hours if the insured person is hospitalized for more than 24 hours due to sickness.
• Accidental Hospital cash is provided in which a daily cash amount is paid for each continuous and completed period of 24 hours if the insured person is hospitalized for more than 24 hours, due to an accident.
• Accidental ICU Cash is provided in which twice the daily amount is paid for each continuous and completed period of 24 hours if the insured person is hospitalized for more than 24 hours, due to an accident.
• Daycare procedure cash is provided if the insured undergoes any of the 10 identified daycare procedures that do not require 24 hours hospitalisation. The amount is 50% of the daily cash amount.
• Twice the daily cash amount is provided for each continuous and completed 24 hours where two or more people are concurrently hospitalized due to an accident.
• Convalescence cash is provided in the form of a lump sum amount if the insured person is hospitalized for more than 7 continuous days.
• Under the platinum plan, a female who is insured will receive twice the daily sickness cash amount for maternity
• If a child below 12, who is insured is hospitalized for more than 72 hours a daily cash amount for the parents’ accommodation will be provided.

Apollo Munich Optima Cash Insurance Plan Eligibility:

• Coverage is provided from the age of 5 to 65 year.
• Coverage to children is offered right from the fourth month if any of the parents is already covered
• This Apollo Munich Health Insurance Policy has coverage of up to for the self, spouse, and dependent children

Apollo Munich Easy Health Exclusive Insurance Plan

This is a health plan that covers expense relating to hospitalization without any sub-limits or co-pays. The features of the plan are as follows:

• Sum insured option provided up to Rs. 5 Lakhs
• Medical expenses in case of hospitalization are covered
• Choice of hospitalization at any of the network hospitals across the country under cashless facility
• Expenses incurred before and after hospitalization covered for up to 60 and 90 days, respectively
• Daycare procedures are covered that do not require 24 hours hospitalization
• Domiciliary treatment is covered where the treatment is undertaken at home
• Emergency ambulance charges up to Rs. 2000 are covered
• Expenses incurred for the treatment of the organ donor during organ transplantation are covered
• A lump sum amount is provided if the person opts to stay in a shared accommodation while being hospitalized
• Expenses incurred for inpatient treatment under Unani, Ayurveda, Homeopathy, and Sidha are covered, as per AYUSH Benefit
• After four claim-free years, a free comprehensive health check up is provided
• There is an option of taking additional cover for critical illness. The sum insured for the critical illness ranges from 50% to 100% of the sum assured, subject to a minimum amount of Rs. 100,000 and a maximum of Rs. 10, 00,000.

Apollo Munich Easy Health Exclusive Insurance Eligibility:

• Health Insurance coverage is provided from the age of 5 to 65 years.
• Health insurance coverage to children is offered right from the fourth month if any of the parents is already covered
• This plan has coverage of up to for the self, spouse, dependent children and dependent parents or parents-in-law

Apollo Munich Optima Super Insurance Plan

This is a top-up health insurance plan that offers varied sum insured and deductible combinations. The features of the plan are as follows:

• Medical expenses in case of hospitalization are covered
• Choice of hospitalization at any of the network hospitals across the country under cashless facility
• Expenses incurred before and after hospitalization covered for 60 and 90 days, respectively
• Daycare procedures are covered that do not require 24 hours hospitalization
• Emergency ambulance charges up to Rs. 2000 are covered
• Expenses incurred for the treatment of the organ donor during organ transplantation are covered
• There is a waiver of Deductible Benefit in which enables the customer to convert this plan to a fully-fledged Indemnity Health Plan with no medicals or underwriting required, only at renewal between 55 to 60 years. This is on the condition that the insured person had enrolled under the policy before the age of 50 years and has renewed the plan continuously without a break

Apollo Munich Optima Super Insurance Plan Eligibility:

• Coverage is provided from the age of 5 to 65 years.
• Coverage to children is offered right from the fourth month if any of the parents is already covered
• This plan has coverage of up to for the self, spouse, and two dependent children

Apollo Munich Dengue Care Plan

This Apollo Munich Health Insurance plan is a first of its kind where the medical expenses related to the treatment of dengue are covered.

• Pre and post hospitalization expenses are covered
• There is a Shared Accommodation Benefit if the insured person opts for a shared accommodation in a network hospital.
• Outpatient consultations by a general medical practitioner for the treatment of dengue will be covered
• Diagnostic tests taken for the detection of dengue will be covered
• Medicines that are prescribed for the treatment of dengue will be covered
• If necessary medical treatment is undertaken at home by the empanelled medical practitioner, those medical expenses will be covered

Apollo Munich Dengue Care plan Eligibility:

• Coverage is provided from the age of three months to 65 years.
• Coverage to children is offered right from the fourth month if any of the parents is already covered
• This plan has coverage of up to for the self, spouse, dependent children, and dependent parents

Apollo Munich Insurance Premium Calculator:

The Apollo Munich Health Insurance Company enables you to calculate the premium payable for different health insurance plans from the company. Below-mentioned are a few instances where you can calculate the premium by using the health insurance premium calculator provided by the company:

• A wants to apply for an Optima Restore Individual policy for himself for a value of Rs. 5 Lakhs. He is 30 years old and the annual premium comes out to be Rs. 7,404 for the said coverage.
• B wants to buy a plan for himself and his newly married wife. He approaches Apollo Munich willing to cover himself and spouse for a total of Rs. 10 Lakhs. B is 32 years old and his wife is 30 years old. The premium to be paid for their Easy Health Standard health insurance plans comes to Rs.11, 830.
• C a 45-year individual and needs health insurance for his family, including himself, his 43-years-old wife and 2 children - aged 12 and 7 years, respectively. The coverage required is Rs. 5 Lakh each and the premium payable is Rs. 22, 065.

The below table shows the above Apollo Munich health insurance premium for your quick reference:

Apollo Munich Health Insurance Plan Renewability

Plans offered by Apollo Munich Health Insurance company are lifelong renewable. This means that the insurance plans offered by Apollo Munich Health Insurance provide you financial protection and coverage for your whole life.

How to Apply for Apollo Munich Health Insurance Policies?

Health insurance plans offered by the Apollo Munich health insurance company can be applied to through multiple channels like:

• Individuals willing to availing a health insurance plan can directly call the company’s sales helpline at 1800 103 0555 and speak to the customer service representative.
• They can provide their name, mobile number and email id on the website of the company and request for a callback
• Alternatively, a customer may directly visit a branch of the company or get meet and agent personally to buy the plans required.

Apollo Munich Health Insurance FAQ's

Q1: How long is Apollo Munich Health Insurance valid for?

Ans: Apollo Munich offers health insurance policies that are valid for 1 to 2 years, based on your choice. You can renew a policy annually.

Q2: Do I need to undergo pre-policy medical check-up?

Ans: Pre-policy medical check-up is not mandatory in all cases, whereas it is subject to your age. For instance, if you are in your 60s, then you may need to appear for such a check-up at the company’s designated clinics.

Q3: What types of medical expenses are covered by Apollo Munich Health Insurance?

Ans: All reasonable expenses underwent by the policyholder as advised by a medical practitioner during hospitalization subject to the maximum cap of the sum assured by the policy.

Q4: How do I claim or indemnify the medical benefits under Apollo Munich Health Insurance?

Ans: The policy allows you to indemnify or claim policy benefits as cashless hospitalization at any of the network hospitals or expense reimbursement after discharge from the hospital.

Q5: Can I avail cashless hospitalization across all hospitals?

Ans: No. You can avail cashless hospitalization at any of the hospitals mentioned in the list of network hospitals provided by the insurer. You can either plan your hospitalization or directly avail medical treatment in a medical emergency. Your TPA will take care of the formality at the hospitals as well as of the expenses incurred throughout the treatment.

Q6: Who is TPA of Apollo Munich Health Insurance?

Ans: Apollo Munich has an in-house claim settlement team for handling retail policies, whereas Family Health Plan Limited (FHPL) handles the claims of group plans.

Q7: What is a pre-existing disease or condition under Apollo Munich Health Insurance?

Ans: Any ailment, disease, injury or a related medical condition covered by Apollo Munich health insurance, which was detected or diagnosed at least 48 hours prior to purchasing the policy for the first time is considered as a pre-existing disease or illness.

Q8: How do I avail cashless benefit under Apollo Munich health insurance?

Ans: Go to a network hospital and display the health card issued by Apollo Munich to the treating doctor. The hospital will then contact the third-party administrator and fill up the pre-authorization form and send it to TPA for estimation of expenses. If the particular medical condition is listed in the policy documents under the coverage section, then you will get the approval for the treatment.

Q9: Will Apollo Munich bear all my medical expenses or will I have to pay a share of the bill?

Ans: Apollo Munich will bear only the medical bills expenses subject to the policy terms and not more than the sum assured by the policy. Any exceeding amount is to be borne by you, i.e. insured.

Q10: Should the claim and supporting documents submitted to TPA directly or Apollo Munich Health Insurance Company Ltd?

Ans: Apollo Munich health Insurance Claim form along with all supporting documents should be submitted to the TPA and not to the insurer. Your third-party administrator details are mentioned in your Apollo Munich health card as well as in the user guide.

You might be interested following insurance plans provided by Apollo Munich:

• Apollo Munich Travel Insurance
• Apollo Munich Personal Accident
• Apollo Munich Insurance

Apollo Munich Health Insurance - Latest News

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