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Apollo Munich Health Insurance

Apollo hospitals in India have always been known for their superior infrastructure and advanced medical practices. In August 2007, Apollo went into a joint venture with Munich Health insurance, an internationally-acclaimed German insurance company, to create a new brand – Apollo Munich Health Insurance Company Ltd.

Before Apollo Munich entered the Indian insurance market, this domain was single-handedly led by public sector companies. In fact, after the liberalisation of Indian insurance market, Apollo Munich Health Insurance was one of the first standalone health insurance companies to step into the domain.

Over the decade, the company has transpired into one of the most trusted and reputed brands in the country. As of now, Apollo Munich has over 50 branches/offices across India. 15 days is the average claim settlement period. Furthermore, the company is known to provide informatory services within 2 hours of claim intimation.

Advantages of Apollo Munich Health Insurance Policies:

These enlisted advantages will give you a better idea of why to buy health insurance plans from Apollo Munich:

  • As a policyholder, you get to choose from a wide range of sum insured options that are available at very economical prices. The minimum sum assured starts from Rs 1 lakh whereas the maximum can go up to Rs. 15 lakhs.
  • You get to save on your taxes as the premiums paid towards any health policy are tax exempted under Section 80D of Income Tax Act, 1961.
  • Both pre and post-hospitalization charges are taken care of.
  • The customers get an access to lifelong renewability benefit.
  • In case of a no-claim year, Apollo Munich will increase the basic sum insured by 50%. In case of 2 consecutive no-claim years, the company will increase your basic sum insured by 100%.
  • The company also offers portability option to the customers through which they can switch their insurance provider or plan any time before renewal
  • Restore Benefit is another feature in its plans. In case you or your family member has exhausted the basic sum insured, Apollo Munich will restore the insured amount for the treatment of any other illness/injury in the same policy year.

Comparison Table for Apollo Munich Health Insurance Plans:

Apollo Munich Health Insurance Plans Minimum Entry Age Maximum Entry Age Minimum Sum Assured Maximum Sum Assured Renewability Waiting Period Hospitalisation Expenses
Apollo Munich Easy Health 5 years (newborn child: 91 days, subject to insured parent) 65 years Rs. 1 Lakh Rs. 50 Lakh Lifelong 24 months: surgical treatments. 36 months: pre-existing diseases Pre-hospitalisation: up to 60 days; Post-hospitalisation: up to 90 days
Apollo Munich Easy Health 5 years (newborn child: 91 days, subject to insured parent) 65 years Rs. 1 Lakh Rs. 50 Lakh Lifelong 24 months: surgical treatments

36 months: pre-existing diseases

Pre-hospitalisation: up to 60 days; Post-hospitalisation: up to 90 days
Apollo Munich Optima Restore 5 years (newborn child: 91 days subject to insured parent) 65 years Rs. 3 Lakh Rs. 15 Lakh Lifelong 3 years (can be reduced to 1 year on continues renewals) Pre-hospitalisation: up to 60 days; Post-hospitalisation: up to 180 days
Apollo Munich Optima Cash – Daily Hospital Cash Plan 5 years (newborn child: 91 days subject to insured parent) 65 years N/A N/A Lifelong 48 months: pre-existing diseases (The insurer can reduce it to 1 year if regular renewals are done) You have pay cash on completion of 24 hours
Apollo Munich Optima Vital – Critical illness plan 18 years 65 years Rs. 1 Lakh Rs. 50 Lakh

(Rs. 20 Lakh, if age is more than 55 years)

Lifelong 48 months: pre-existing diseases (The insurer can reduce it to 1 year in case of  regular renewals) N/A
Apollo Munich Energy 18 years 65 years Rs. 2 Lakh Rs. 10 Lakh Lifetime N/A Pre-hospitalisation: up to 30 days; Post-hospitalisation: up to 60 days
Apollo Munich Optima Cash – A Top-up plan 5 years (newborn child: 91 days subject to insured parent) 65 years Rs. 5 Lakh Rs. 5 Lakh Lifetime 48 months: pre-existing diseases (The insurer can reduce it to 1 year on regular renewals). 12 months: diseases such as  joint replacement, hernia, cataract etc. Pre-hospitalisation: up to 60 days; Post-hospitalisation: up to 90 days
Apollo Munich Optima Super – Aggregate Top-up plan 5 years (newborn child: 91 days subject to insured parent 65 years Rs. 5 Lakh Rs. 10 Lakh Lifelong 48 months: pre-existing diseases (The insurer can reduce it to 1 year on regular renewals) Pre-hospitalisation: up to 60 days; Post-hospitalisation: up to 90 days
Apollo Munich Easy Health 5 years (newborn child: 91 days subject to insured parent) 65 years Rs. 1 Lakh Rs. 50 Lakh Lifelong 24 months: surgical treatments and 36 months for pre-existing diseases Pre-hospitalisation: up to 60 days; Post-hospitalisation: up to 90 days
Apollo Munich Maxima 5 years (newborn child: 91 days subject to insured parent) 65 years Rs. 3 Lakh Rs. 3 Lakh Lifelong 48 months: pre-existing diseases (The insurer can reduce it to 1 year on regular renewals) Pre-hospitalisation: up to 30 days; Post-hospitalisation: up to 60 days

(It can be extended up to 60 and 90 days respectively)

*There isn’t no Sum Insured but daily hospital cash.

List of Different Plans from Apollo Munich Health Insurance:

  • Easy Health

    Easy Health is a fundamental insurance policy, which covers medical bills incurred due to hospitalization with sum assured up to Rs. 50 Lakh.

  • Optima Restore

    This plan is specifically designed to restore the benefits of your policy up to 100 per cent, in case you have already exhausted your entire sum insured.

  • Optima Vital

    This plan is specifically a critical illness benefit plan, which will provide the policyholder with an amount that will be equal to the sum insured.

  • Optima Plus

    Optima Plus is a top-up plan that will enable to you get a deductible amount (agreed by you at the time of buying) paid to the policyholder when s/he makes the claim.

  • Optima Super

    This is a cumulative top-up plan that provides the policyholders with an option to choose the deductibles & coverage amount.

  • Optima Cash- (Daily Hospital Cash Plan)

    This is yet another top-up policy offered by Apollo Munich for individuals belonging to the age group of 5 years to 65 years.

  • Senior Citizen

    This is a limited version of health insurance plan, specifically designed to take care of senior citizens. Individuals, as well as their spouses, can enrol for this policy.

  • Dengue Care

    This is a special care plan, which offers services for inpatient as well as outpatient medical care for dengue.

Apollo Munich Health Insurance Plans Explained

1. Easy Health

Easy Health is a fundamental insurance policy offered by Apollo Munich Health Insurance Company which covers medical bills incurred due to hospitalization. This plan is available in 3 variants, viz., Standard, Exclusive and Premium.

Standard variant is the most basic of all three of them, while Premium plan is the deluxe variant of them all. The details of these variants are as follows:

I) Easy Health Standard

Individual Cover
  • The age limit is from 5 years to 65 years and the sum assured is between Rs. 1 lakh to Rs. 5 lakhs.
  • This basic plan covers hospitalizations costs as well as pre and post hospitalization charges of the policyholder.
Family Floater Coverage
  • This plan provides a family with a cover for medical-care costs where the sum insured will range from Rs 2 lakhs to Rs 5 lakhs.
  • The minimum age limit is 5 years and the maximum age limit is 65 years.
  • You can get 2 adults & 5 children covered under the family floater plan.

II) Easy Health Exclusive

Individual Cover
  • In this plan, the minimum sum insured is of Rs. 3 lakhs and the maximum sum insured is of Rs. 50 lakhs.
  • The minimum entry age is 5 years whereas the maximum entry age is of 65 years.
  • Unlike Easy Health Standard variant, you have some additional benefits associated with this plan such as maternity benefits and health check-ups every four years.
Family Floater Coverage
  • Again, the sum insured ranges from Rs. 3 lakhs to Rs. 50 lakhs and is meant to cover the entire family.
  • The minimum entry age is 5 years and the maximum entry age is 65 years.
  • You can get a total of 2 adults & 5 children covered under this plan.
  • Apart from the additional benefits maternity benefits and a health check-up after every four years, you also get to opt for critical illness and recovery benefit.

III) Easy Health Premium

Individual Cover
  • This plan is a modified version of the Easy Health Plan and offers the cover in a range of Rs. 4 lakhs to Rs. 50 lakhs.
  • The minimum entry age for the plan is 5 years, while the maximum age limit is of 65 years.
  • Besides the normal coverage provided in other variants, Easy Health Premium plan also provides coverage for spectacles & contact lens, dental treatments, etc. Additionally, you can use the e-opinion service in case of any critical illness.
Family Floater Coverage
  • This plan is designed to cover the insurance needs of the entire family and the sum insured ranges between Rs 4 lakhs to Rs 50 lakhs.
  • The minimum entry age and the maximum entry age are same as in other variants – 5 years and 65 years, respectively.
  • You can get maximum 2 adults and 5 children covered under this variant.
  • Besides the coverage offered in other plans, you also get the additional cover of dental treatments, coverage for contact lens & spectacles, etc. One can also avail e-opinion service in case of critical illness.

2. Optima Restore

This plan is known to restore the benefits provided by Apollo Munich. These enlisted details will give you a better understanding of the Optima Restore plan:

Individual Coverage

  • The premium amount ranges between Rs 3 lakh to Rs. 50 lakhs. The entry age limit is from 5 years to 65 years.
  • You’ll be able to get coverage for your hospitalization expenses, day-care treatment expenses, no-claim bonus, which would be 10 percent of the sum insured (can go up to 50 percent), etc. as additional benefits under the plan.
  • This plan is specifically designed to restore the benefits of your policy up to 100 percent, in case you have already exhausted your entire sum insured. In addition to that, E-opinion is also available in critical illnesses scenarios.

Family Floater Coverage

This plan covers the entire family with a sum insured between Rs 3 lakhs and Rs 50 lakhs. The age limit for adults is up to 65 years, and for dependent children, the age range is from 3 months to 25 years.

  • With this family floater, you can get coverage for 2 adults and 5 children.
  • You’ll be able to get coverage for your hospitalization expenses, day-care treatment expenses, and the benefit of no-claim bonus, which would be 10 percent of the sum insured (and can go up to 50 percent), etc. as additional benefits under the plan.
        I) Maxima
  • This health insurance plan offers coverage for regular illnesses treatment as well as hospitalization and outpatient (a patient who attends a hospital or clinic for the purpose of treatment/diagnosis but doesn’t stay overnight) expenses.
  • The age limit is between 91 days and 65 years.
       II) Energy

This plan is specifically created to take care of individuals suffering from hypertension and type II diabetes. As a policyholder, you’ll be able to get coverage for these 2 diseases starting from the day you sign up for the policy.

The details of this policy are:

  • The sum insured is in between the range of Rs. 2 lakhs and Rs. 10 lakhs for the individuals who fall under the age limit of 18 years to 65 years.
  • This plan comes in two different variants, viz. Gold and Silver. The only difference between the two variants is that the gold variant includes wellness test whereas the silver variant doesn’t.

3. Optima Vital

This plan is specifically a critical illness benefit plan which will provide the policyholder with an amount that will be equal to the sum insured (as specified in the terms & conditions of the policy).

  • The plan offers coverage for critical illnesses with a sum insured ranging from Rs. 1 lakh to Rs. 50 lakhs.
  • The age limit is from 18 years to 65 years.
  • Some other benefits associated with the plan are e-opinion and sum insured enhancement.

4. Optima Plus

Optima Plus is a top-up plan offered by Apollo Munich that will enable to you get a deductible amount (agreed by you at the time of purchasing the plan) paid to the policyholder when s/he makes the claim.

The details of the plan are as follows:

  • The minimum entry age for the plan is 5 years and the maximum entry age is 65 years. One can also get a dependent child whose age is above 91 days, included in the plan.
  • It offers coverage of Rs. 5 lakhs along with a deductible within the range of Rs. 1 lakh to Rs. 5 lakhs.

5. Optima Super

This is a cumulative top-up plan that provides the policyholders with an option to choose the deductibles & coverage amount.

The key features associated with Optima Super policy are as follows:

Individual Coverage

  • This top-up plan covers the individuals between the age range of 5 years and 65 years. Under this plan, you can also get a dependent child covered who is 91 days old or above.
  • This plan comes with coverage of Rs. 5 lakhs to Rs. 10 lakhs and the deductibles are in the range of Rs. 1 lakh and Rs. 10 lakhs.
  • With this plan, you get the flexibility to use a combination of deductible amount and the coverage amount as per your requirements.
  • This plan offers the policyholders with a choice to switch to zero deductible option after retirement.

Family Floater Coverage

  • This plan comes with a top-up cover option for the entire family where you can get your family members between the age group of 5 years to 65 years enrolled along with any dependent child of 91 days and above.
  • You can get 2 adults and 2 children covered under this plan.
  • You will get coverage of Rs. 5 lakhs to Rs. 10 lakhs with the family floater coverage plan. Besides the zero deductible option, this plan also provides the policyholders an option to select their own perfect blend of coverage and deductibles.

6. Optima Cash- (Daily Hospital Cash Plan)

  • This is yet another top-up policy offered by Apollo Munich for individuals belonging to the age group of 5 years to 65 years. It can also be availed of for infants after 91 days.
  • With this plan, you also get benefits of daily cash allowance for hospitalizations and for certain policy-specified day-care procedures.
  • Besides all these benefits, you also get convalescent cash benefit (insured’s recovery expenses) with this plan.

7. Senior Citizen

  • This is a limited version of health insurance plan, specifically designed to take care of senior citizens. Individuals, as well as their spouses, can enrol for this policy. The entry age for this plan is 61 years and onwards.
  • This plan offers several benefits such as cumulative bonus, e-opinion, domiciliary treatment (patient is offered medical services at her/his home), etc. for the policyholders.

8. Dengue Care

  • This is a special care plan exclusively offered by Apollo Munich and offers services for inpatient as well as outpatient medical care for dengue.
  • There are several benefits associated with this plan such as one premium for all (irrespective of age, gender, etc.), all-inclusive inpatient coverage without any co-payment/sub-limits, OPD fees coverage up to Rs. 10,000/- and a waiting period of only fifteen days.
  • This plan also offers lifelong renewability facility to the policyholders.

Conclusion:

In short, with such impressive statistics, there is no doubt that Apollo Munich Health Insurance is one of the most favoured insurers across the country.

The plans so offered are equally beneficial for customers as they have unique and new features. You can sift through our site to know more about these plans. Above all, before buying a plan, measure it to your needs and requirements and always compare health