Apollo Munich Easy Health Exclusive - Individual Plan

Invest In Tax Saving Mutual Funds Online

Download Tax Saving Mutual Fund Application Forms

Buy Gold Mutual Funds

Call 0 94 8300 8300 (India)

 

Apollo Munich Easy Health Exclusive- Individual

	Objective			This policy has three variants, of which 'Easy Health-Exclusive' is the second one. It is a basic health insurance policy that provides maternity cover and an optional cover for newly born child along with cover for inpatient hospitalisation. This policy can be purchased online. An add-on critical illness benefit to insure against eight chronic diseases is available as an optional benefit on payment of extra premium.
Suited for			This policy is most suitable for young females as the policy covers maternity related expenses after a 6-year waiting period. The policy allows life long renewals which makes it preferable over others.
What does it do?			It provides Maternity cover up to a specified amount. On acceptance of maternity claim, this policy offers to include the new born under same policy. Other allowances include daily compensation of expenses incurred by one adult in accompanying the insured child to the hospital, day care procedures which do not require a 24-hour stay in hospital due to technological upgradation, domiciliary treatment (treatment taken at home on doctor's advice) and specified daily compensation of shared accommodation in a network hospital. Expenses incurred towards inpatient hospitalisation including diagnostic procedures, boarding and lodging, ICU, Operation theatre, Anesthesia, blood, oxygen, medicines, drugs, nursing and medical practitioner charges are covered. Relevant medical expenses incurred prior to and post hospitalisation and emergency ambulance also fall under the policy ambit. Free health check up is allowed at the end of 3 years that have been claim free consecutively. To widen the scope of insurance cover, a policyholder can take an additional cover for 8 critical illnesses upon payment of extra premium. This add on cover is available till 70 years of age and not beyond that.
Pros			There is no cover ceasing age. It offers life long insurance. The policy provides a flat discount of 7.5 percent on advance payment of 2-year premium. Family discount of 10 per cent is available on including 3 or more family members under the same policy. It gives a cumulative bonus of 10 per cent for every claim-free year up to a maximum of 50 per cent. It provides for a free health check up at the end of 3 continuous claim free years. This policy can be purchased online. Premium paid towards the policy qualifies for deduction under section 80D of Income Tax Act.
Cons			In case, cumulative bonus has been passed and a claim arises during that year, cumulative bonus would be reduced by 20 per cent in the following year. Maternity benefit can be availed only after a waiting period of 6 years which is the longest waiting period in industry.
Our View			The major advantage of this policy is that it covers a policyholder during golden years when healthcare costs are expected to be relatively higher. There is no ceiling on policy renewal age. So, the policy actually stands by the individual in later years when health cover is direly needed. If planned well in advance, it takes care of maternity expenses as well. This policy is recommended as it passes the benefit-to-cost test. Optional Critical Illness Cover is an another worthwhile feature and can be chosen for a wider coverage.
Eligibility
Entry Age (years)
Minimum		18; 3 months for children
Maximum		60
Maximum Policy Renewal Age (years)		No Limit
Coverage Type		Individual
Policy Term (years)		1 or 2
Sum Insured (Rs)
Maximum		7.5 lakh
Minimum		3 lakh
Tax Benefit		Premium paid is eligible for tax benefit under section 80D of the Income Tax Act
Discount		Premium discount of 7.5% on advance premium payment for 2 year policy term. Family discount of 10% is applicable if 3 or more family members included.
No Claim Bonus		10% increase in your annual inpatient benefit sum insured for every claim free year, till it reaches 50% of the Sum insured. In case of a claim, the cumulative bonus reduces by 20% in the following year
Grace Period for Policy Renewal		15 days
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		'easyhealth' to 56767333

 

	Scope of Cover
		Sum Insured (in Rs)
		3 lakh, Rs 4 lakh and Rs 5 lakh		7.50 lakh
Cashless facility		Available at empanelled hospitals in India. The policyholder must inform and obtain pre-authorization in case of planned hospitalisation atleast 48 hours prior to actual admission or 24 hours after hospitalisation in case of an emergency admission
Re-imbursement		In case policyholder opts for non empanelled hospital , expenses are re-imbursed within 14 working days from date of submission of all records
Pre-post hospitalisation		Relevant medical expenses covered from 60 days prior and 90 days post hospitalisation
In-patient Treatment		Covered
Pre-hospitalisation
Post-hospitalisation
Day-Care Procedures		140 in number are covered
Domiciliary Treatment		Covered
Daily cash for choosing shared accommodation		Rs 500 per day, Maximum Rs 3,000		Rs 800 per day, maximum Rs 4800
Expenses for organ donor of transplant		Covered
Emergency Ambulance		Up to Rs 2,000 per hospitalisation
Daily Cash for 1 adult accompanying an insured child upto 12 years of age		Rs 300 per day, maximum Rs 9000		Rs 500 per day, maximum Rs 15000
Newborn baby cover		Optional if policyholder proposes the same to insurance company within 90 days of child birth
Maternity Expenses with waiting period of 6 years		Normal Delivery Rs 15000Caesarean Delivery Rs 25000 (Sums are including pre/post natal limit of Rs 1500 and new born limit of Rs 2000)		Normal Delivery Rs 25000Caesarean Delivery Rs 40000 (Sums are including pre/post natal limit of Rs 2500 and new born limit of Rs 3500)
Additional Cover for Critical Illness		Optional, 50% or 100% of in patient Sum insured. It covers 8 critical illnesses namely: cancer, coronary artery (bypass) surgery, first heart attack (myocardial infarction), kidney failure (end stage renal disease), major organ transplantation, multiple sclerosis, paralysis and stroke after a waiting period of 30 days. Maximum cover ceasing age is 70 years.
Health Check-up		Upto 1% of Sum insured subject to a maximum of Rs 5000 per insured person, only at the end of a block of every continuous 3 claim free years

 

	Exclusions and Waiting Period
Pre-existing disease		covered after a waiting period of three years
No claim period		30 days from start date of the policy except any accidental injury
Waiting Period		2 years for specific diseases such as cataract, hernia, joint replacement surgery etc.6 years for maternity benefits.Domiciliary Treatment will be covered only if illness continues for atleast 3 days consecutive days.
General Exclusions		Naturopathy treatment and non allopathic treatmentCosmetic, beauty or slimming treatment.AIDS or any related illnessTreatment of any mental or related disease

Happy Investing!!

We can help. Call 0 94 8300 8300 (India)

Leave your comment with mail ID and we will answer them

OR

You can write back to us at PrajnaCapital [at] Gmail [dot] Com

---------------------------------------------

Invest in Tax Saving Mutual Funds ( ELSS Mutual Funds ) to upto Rs 1 lakh and Save tax under Section 80C.

Invest Tax Saving Mutual Funds Online

Tax Saving Mutual Funds Online

These links can be used to Purchase Mutual Funds Online that are regular also (Investment, non-tax saving)

Download Tax Saving Mutual Fund Application Forms from all AMCs

Download Tax Saving Mutual Fund Applications

These Application Forms can be used for buying regular mutual funds also

Some of the best Tax Saving Mutual Funds available ( ELSS Mutual Funds )

1. ICICI Prudential Tax Plan Invest Online
2. HDFC TaxSaver Invest Online
3. DSP BlackRock Tax Saver Fund Invest Online
4. Reliance Tax Saver (ELSS) Fund Invest Online
5. Birla Sun Life Tax Relief '96 Invest Online
6. IDFC Tax Advantage (ELSS) Fund Invest Online
7. SBI Magnum Tax Gain Scheme 1993 Invest Online
8. Sundaram Tax Saver Invest Online
9. Edelweiss ELSS Invest Online

------------------

Best Performing Mutual Funds

1. Largecap Funds Invest Online
1. DSP BlackRock Top 100 Fund
2. ICICI Prudential Focused Blue Chip Fund
3. Birla Sun Life Front Line Equity Fund
2. Large and Midcap Funds Invest Online

1. ICICI Prudential Dynamic Plan
2. HDFC Top 200 Fund
3. UTI Dividend Yield Fund
2. Mid and SmallCap Funds Invest Online

1. Reliance Equity Opportunities Fund
2. DSP BlackRock Small & Midcap Fund
3. Sundaram Select Midcap
4. IDFC Premier Equity Fund
3. Small and MicroCap Funds Invest Online

1. DSP BlackRock MicroCap Fund
4. Sector Funds Invest Online

1. Reliance Banking Fund
2. Reliance Banking Fund
5. Tax Saver MutualFunds Invest Online
1. ICICI Prudential Tax Plan
2. HDFC Taxsaver
3. DSP BlackRock Tax Saver Fund
4. Reliance Tax Saver (ELSS) Fund
6. Gold Mutual Funds Invest Online

1. Relaince Gold Savings Fund
2. ICICI Prudential Regular Gold Savings Fund
3. HDFC Gold Fund