Apollo Munich Easy Health Exclusive Individual

Product Description:

Easy Health Exclusive is an individual health insurance (indemnity plan) policy offered by Apollo Munich to indemnify the insured against any medical emergency and the ensuing expenses. But, Apollo Munich also offers the flexibility to cover up to 5 people along with the Primary Insured under this plan. The entry age for the Primary Insured is between 18 yrs and 65 yrs while the dependent/secondary members can be between 3 months and 65 years. Those upto the age of 45 yrs can buy this insurance online while those above 45 yrs must consult an advisor offline to take a cover.

Know more about your Insurance

Key features: Availability, Benefits and Exclusions

Minimum Age at Entry : 18 years
Maximum Age at Entry : 65 years
Maximum Age at Renewal : Lifelong
Minimum Sum Assured : Rs 3 lacs
Maximum Sum Assured : 7.5 lacs
 
No claim Bonus – Annual : 10%
No claim Bonus – cumulative : upto 50%
Maternity Benefits : after 6 years
Pre-Existing Disease cover : after 3 years
Waiting Period : 30 Days


Product pricing (Incl. S/Tax)   (Rs)
Age SA 1 lac SA 2 lacs SA 3 lacs SA 4 lacs SA 5 lacs SA 7.5 lacs SA 10 lacs
18 - 34 yrs NA NA 4517 5559 6775 7875 NA
35 – 35 yrs NA NA 4517 5559 6775 7875 NA
36 – 44 yrs NA NA 4864 6486 7946 9728 NA
45 – 45 yrs NA NA 4864 6486 7946 9728 NA
46 – 49 yrs NA NA 6949 8570 12508 15441 NA
50 – 50 yrs NA NA 6949 8570 12508 15441 NA
51 – 54 yrs NA NA 9486 12685 15199 17635 NA
55 – 55 yrs NA NA 9486 12685 15199 17635 NA
56 – 59 yrs NA NA 12023 14891 17648 20596 NA
60 – 60 yrs NA NA 12023 14891 17648 20596 NA
61 – 64 yrs NA NA 18606 24424 29000 36262 NA
65 – 65 yrs NA NA 18606 24424 29000 36262 NA


Claim procedure

  1. Intimation & Assistance - Immediately intimate (with in 24 hrs) Apollo Munich’s TPA ‘Family Health Plan Limited’ about the hospitalization at their helpline no 1800 425 4033 quoting your customer ID. For planned hospitalization, it is advisable to intimate the TPA 7 days in advance of admission.

  2. Reimbursement of medical expenses – Inform the TPA about any claim situation no later than 7 days from the time of completion of such treatment. Follow this up with a duly filled claim forms submission supported with required documents within 15 days. After cross-verification of documents, the TPA will send a cheque in the name of the Proposer within 15 days of receipt of claims form.

  3. Availing the Cashless facility – In case of emergency hospitalization, intimate the TPA no later than 24 hrs of admission to the hospital (network hospitals). For planned hospitalization though, kindly seek cashless authorization from the designated TPA at least 48 hrs before such admission. The TPA will check your coverage and eligibility and send an authorization letter to the provider. In case of non-coverage of an ailment under the policy, a rejection letter will be sent to the provider with in 6 hrs of receipt of your documents.

Some key statistics for Apollo Munich

ITEM   NUMBER
Claims Pending Ratio : To be Announced soon
Complaints Resolved Ratio : To be Announced soon
Provider Network (cashless) : To be Announced soon


General Health Insurance Tips

Understand the cost of healthcare in your city/area before deciding the total cover (Sum Assured)

If your family includes a young bride, it is important to ensure the coverage of maternity benefits

Ask about the coverage of pre-existing diseases

Look at the waiting period

Satisfy yourself about the specific disease’s coverage under the Critical Illness cover

Inquire about the availability of cashless facility at the Network hospitals

Always compare before buying

Disclaimer: This is only an illustrative document to serve as a quick guide for aide in decision making.

Information Source: Apollo Munich website www.apollomunichinsurance.com as on 27th Sep’2011
IRDAI annual report’2010