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).
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