Apollo Munich Optima Super Health Insurance Plan

*Please note that the quotes shown will be from our partners

Apollo Munich Optima Super Health Insurance Plan Overview:

Apollo Munich Optima Super plan offers a sum insured as per need at a lower cost. There is no need to cross the deductible limits but can be aggregated during a policy period over multiple hospitalizations.

It is a convertible top up plan without deductible amount. It isr best suited for individuals with group cover and low sum insured policies.

Apollo Munich Optima Super Health Insurance Plan Eligibility Criteria:

  • This policy covers persons in the age group- 91 days to 65 years.
  • Dependent children between 91 days to 5 years can be covered if either parent is covered under the same policy.

Apollo Munich Optima Super Health Insurance Policy Details:

  • No maximum cover ceasing age on renewals.
  • This policy can be issued to an individual and/or family (includes self, spouse, dependent children and dependent parents).Family discount of 10% if 2 or more family members are covered under the same policy.
  • In a family floater policy, a maximum of 2 adults and a maximum of 2 children can be included in a single policy.
  • In an individual policy, a maximum of 6 members can be added in a single policy, a maximum of 4 adults (Self, Spouse, Father or Mother) and a maximum of 5 children can be included in a single policy.
  • The policy period is of 1 or 2 years and a discount of 7.5% offered if policy is for two years.

Benefits of Apollo Munich Optima Super Health Insurance Plan:

  • In-Patient Hospitalisation –It covers you if hospitalised for more than 24 hours.
  • Post-Hospitalisation - It covers expenses incurred in the 90 days immediately after release from the hospital
  • Day-Care Procedures - It covers you even when you are not in the hospital but at the ease of your home (144 day-care procedures) and domiciliary treatment.
  • Organ Donor - It covers you and your donor.
  • Emergency Ambulance – If ambulance is used, expenses incurred up to Rs. 2000 is reimbursed.

Additional Benefits:

Waiver of Deductible benefit - The option to convert the plan to a full-fledged Indemnity Health Insurance plan with no underwriting or medicals is available only at renewal between 55-60 years provided insured enrolled with this policy before the age of 50 years and have renewed continuously without a break.

Cashless Service - You need to obtain a pre-authorization for all planned admissions at least 48 hours prior to actual admission or regularize any ‘emergency’ admission within 24 hours post the admission.

Portability – Shifting to the policy from another company is hassle free and due allowances are provided for delay and transfer of most of the accrued benefits.

Tax Benefits - Avail tax benefits for the premium amount under Section 80D of the Income Tax Act.

Fringe benefits:

These services intend to make our life easier and stress free.

Health line: Expert consultation, individual referrals, health information, nutrition and diet charts on calling our customer service and quoting a unique ID.

Health Risk Assessment – Personalised services through online proofing and monitoring of patients.

Apollo Munich Optima Super Health Insurance Policy Details:

Renewal Benefits

Lifelong renewability: no maximum cover ceasing age in this policy

Grace Period of 30 days for renewing the policy.

The waiting period gets reduced by 1 year on every continuous renewal.

Renewal premium are subject to change with prior approval from IRDA. Any change in benefits or premium (other than due to change in age) will be done with the approval of the IRDA and will be informed at least 3 months in advance

Requirement:

Completed proposal form

Pre- Acceptance Medical Test:

• Pre-Policy Check-up based upon sum insured & deductible at our network may be required. The cost of such medicals would be borne by the Insured and upon acceptance, we shall refund 100% of the expenses incurred on medical tests. The medical reports are valid for a period of 30 days from the date of Pre-Policy Check-up.

Discounts:

• 7.5% discount in case the Insured Person is paying 2 years premium in advance as single premium

• Family Discount of 10% if 2 family members are covered under Optima Super policy.

Apollo Munich Optima Super Health Insurance Policy Termination:

Policy can be terminated at any time by providing a written notice. The cancellation shall be from the date of receipt of such written notice.

Refund rules:

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

75.00%

Up to 1 month

87.50%

Up to 3 months

50.00%

Up to 3 months

75.00%

Up to 6 months

25.00%

Up to 6 months

62.50%

Exceeding 6 months

Nil

Up to 12 months

48.00%

 

 

Up to 15 months

25.00%

 

 

Up to 18 months

12.00%

 

 

Exceeding 18 months

Nil

 

Apollo Munich Optima Super Health Insurance Premium Details:

Sum Insured

 

 

 

 

500000

 

 

 

Deductible

100000

200000

300000

400000

500000

600000

700000

1000000

Age Group

 

 

 

 

 

 

 

 

0-17

2,315

1,850

1,690

1,580

1,455

1,350

1,190

1,000

18-35

2,570

2,055

1,880

1,755

1,620

1,500

1,320

1,115

36-45

3,475

3,055

2,715

2,505

2,235

1,940

1,635

1,380

46-50

5,765

5,120

4,500

3,985

3,690

3,220

2,910

2,495

51-55

8,780

7,805

6,855

6,075

5,450

4,905

4,435

3,805

56-60

11,470

10,270

8,845

7,885

6,900

6,025

5,445

4,670

61-65

16,720

14,860

12,740

10,975

9,255

8,005

7,160

6,035

66-70

21,040

19,125

16,030

13,465

11,340

10,075

9,295

7,595

>70

25,955

24,145

21,295

17,485

13,985

12,425

11,465

9,365

Sum Insured

 

 

 

 

700000

 

 

 

Deductible

100000

200000

300000

400000

500000

600000

700000

1000000

Age Group

 

 

 

 

 

 

 

 

0-17

2,720

2,175

1,990

1,880

1,785

1,700

1,540

1,380

18-35

3,020

2,415

2,210

2,090

1,985

1,890

1,710

1,530

36-45

4,080

3,590

3,195

2,985

2,740

2,450

2,120

1,895

46-50

6,775

6,020

5,285

4,745

4,520

4,065

3,770

3,435

51-55

10,320

9,175

8,055

7,230

6,680

6,190

5,740

5,230

56-60

13,485

12,070

10,400

9,385

8,460

7,600

7,050

6,425

61-65

19,650

17,470

14,975

13,060

11,345

10,105

9,275

8,300

66-70

24,730

22,485

18,845

16,025

13,900

12,715

12,040

10,445

>70

30,505

28,380

25,030

20,810

17,145

15,685

14,850

12,885

Sum Insured

 

 

 

 

1000000

 

 

 

Deductible

100000

200000

300000

400000

500000

600000

700000

1000000

Age Group

 

 

 

 

 

 

 

 

0-17

3,090

2,505

2,345

2,275

2,230

2,190

2,055

1,940

18-35

3,430

2,780

2,605

2,530

2,475

2,435

2,280

2,160

36-45

4,635

4,135

3,765

3,615

3,415

3,155

2,825

2,675

46-50

7,695

6,935

6,235

5,745

5,640

5,235

5,025

4,840

51-55

11,725

10,565

9,505

8,755

8,330

7,975

7,655

7,375

56-60

15,315

13,900

12,270

11,365

10,550

9,795

9,400

9,055

61-65

22,320

20,115

17,665

15,815

14,145

13,015

12,365

11,695

66-70

28,090

25,885

22,230

19,405

17,335

16,380

16,045

14,720

>70

34,650

32,675

29,530

25,195

21,380

20,205

19,795

18,160

 

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