Apollo Munich Easy Health Optima Cash Insurance

Apollo Munich Easy Health Overview

Optima cash plan gives support at the time of hospitalization. It pays lump sum amount which can be further utilized towards hospitalisation expenses. This policy covers additional expenses which otherwise remain uninsured in case of regular insurance plans.

Key Features

• No pre policy medical check-up.
• Discount of 25% on online purchase.
• Covers incidental expenses during hospitalization.
• Less paperwork
• No medical bills required for claim.
• Option to choose your policy period for 1 or 2 years.
• This policy can be issued to an individual and/or family.
• Family members including spouse, dependent children.
• A family discount of 10% is offered if 2 or more family members are covered under the same policy.
• Coverage for additional expenses like attendant’s food, travel and accommodation.
  
  

Benefits

Gold Plan- 90 Days

Daily Cash Amount (INR)	1,000	2,000	3,000
Sickness Hospital Cash (up to 90 days)	1,000	2,000	3,000
Sickness ICU Cash (maximum up to 15 days)	2,000	4,000	6,000
Accidental Hospital Cash ( up to 90 Days)	1,000	2,000	3,000
Accidental ICU Cash (Maximum up to 15 Days)	2,000	4,000	6,000
Day Care Procedure Cash ( Maximum up to 6 Procedures)	500	1,000	1,500
Joint Hospitalization due to an Accident (Maximum up to 10 days)	2,000	4,000	6,000
Convalescence Cash (once in policy year)	1,000	2,000	3,000

 

Gold Plan- 180 Days

Daily Cash Amount (INR)	1,000	2,000	3,000
Sickness Hospital Cash (up to 180 days)	1,000	2,000	3,000
Sickness ICU Cash (maximum up to 15 days)	2,000	4,000	6,000
Accidental Hospital Cash ( up to 180 Days)	1,000	2,000	3,000
Accidental ICU Cash (Maximum up to 15 Days)	2,000	4,000	6,000
Day Care Procedure Cash ( Maximum up to 6 Procedures)	500	1,000	1,500
Joint Hospitalization due to an Accident (Maximum up to 10 days)	2,000	4,000	6,000
Convalescence Cash (once in policy year)	1,000	2,000	3,000

 

Details about Premium

Annual premium in Rupees

Gold- Annual Premium
	90 Days			180 Days
Age(Years)	1,000	2,000	3,000	1,000	2,000	3,000
91st day-45	1,183	2,365	3,548	1,314	2,628	3,942
46-50	1,976	3,953	5,929	2,081	4,161	6,242
>61	4,161	8,322	12,483	4,380	8,760	13,140

 

 

Gold- 2 Year Premium
	90 Days			180 Days
Age(Years)	1,000	2,000	3,000	1,000	2,000	3,000
91st day-45	2,129	4,257	6,386	2,365	4,730	7,096
46-50	3,854	7,708	11,562	4,057	8,114	12,171
>61	8,114	16,228	24,342	8,541	17,082	25,623

*The above details may vary. Please check the policy wordings for more information.

Policy Details

Sum Insured: Daily Cash amount of Rs.1000, 2000 and Rs.3000.

Coverage type: Individual/ family

Grace period: Grace Period of 30 days for renewing the policy is provided under this policy.

Renewal Policies: Lifelong renewal.

Policy termination: The policy holder can terminate the policy by giving the company a written notice. The company is liable to refund premium only if no claim has been made. Moreover, it will be done on the basis of following table-

 

1 Year Policy		2 Year Policy
Length of Time Policy in force	Refund of premium	Length of Time Policy in force	Refund of premium
Up to 1 month	75%	Up to 1 month	87.5%
Up to 3 months	50%	Up to 3 months	75%
Up to 6 months	25%	Up to 6 months	62.5%
Exceeding 6 months	Nil	Up to 12 months	50%
		Up to 15 months	37.5%
		Up to 18 months	25%
		Exceeding 18 months	Nil

 

*The above rates may vary. Please check the policy wordings for more details.

Free look period: 15 days

Additional Features or Riders

• Discounts
• With Optima cash you can now avail a discount of 5% for purchasing the policy online.
• Add two or more people to your policy and get an additional 10% family discount.
• Get a further 10% discount by opting for two years policy.
  

Exclusions

• All treatments within the first 30 days of cover except incase of accidental injury.
• A waiting period of 2 years for specific diseases like cataract, hernia, joint replacement surgeries, surgery of hydrocele etc.
• Expenses arising from HIV or AIDS
• Congenital diseases, mental disorder or insanity, cosmetic surgery and weight control treatments.
• Abuse of intoxicant or hallucinogenic substances
• Pregnancy, dental treatment, external aids and appliances unless covered under the Plan.
• Any item which is related to personal comfort and convenience.

• Experimental, investigative and unproven medical treatment

Documents Required

• Company’s claim form duly completed and signed for on behalf of the Insured Person.
• All reports, including but not limited to all medical reports, case histories, investigation reports, treatment papers, discharge summaries.
• A precise diagnosis of the treatment for which a claim is made.

Eligibility

• Minimum Age- 5 years
• Maximum Age- 65 years
• A dependent child can be covered from the 91st day (if either parent is covered under this policy).