Apollo Munich Health Insurance

Why to buy health insurance plans?

Apollo Munich Health Insurance Company Overview Apollo Munich Health Insurance Company is a joint venture between Apollo Hospitals, one of Asia’s largest integrated healthcare providers’ and Munich Health; the health business segment of Germany-based Munich Re. It started operations in India in the year 2007. Apollo Munich is a health insurance company Limited that aims to bring excellent health care services within the reach of the common man. The company offers a range of products designed to meet all the requirements of the individual. 

Health Insurance Plans have become very important in the modern age due to the rising cost of medical expenses and the treatment costs of various ailments. Moreover, the current lifestyle of individuals has made them more prone to diseases and ailments, which require medical attention. Medical costs are spiraling upwards and there is no relative growth in the income of the common man who eventually faces a financial crisis when faced with a medical emergency. Thus, it is prudent to insure oneself against any medical contingencies that may arise so that the financial aspect of the crisis is at least handled by the insurance company and the medical costs do not become a burden on the average middle-class man. 

Advantages and Benefits of availing Apollo Munich health insurance plans Apollo Munich health insurance company limited strives to become a trusted leader in the health insurance industry; it provides simple yet innovative solutions for health insurance. Apollo Munich provides a vast array of health insurance plans that caters to individuals, families, senior citizens and corporate houses as well. The company’s motto is ‘Let’s uncomplicate’, which shows its focus on providing effective yet simple solutions for every healthcare need. It has even been awarded the title of ‘Health Insurance Company of the year’. Given below are the advantages of buying health insurance Policies from Apollo Munich: The customer can choose from a wide range of sum insured options at affordable premiums, from Rs. 1 lakh to Rs. 15 lakhs. The company has a significant presence all over the country with empanelled hospitals all over that offer cashless procedures. The company has in-house specialized team of doctors who oversee claims processes and who process the claims quickly. 98% of the claims received by the company are settled within a span of 15 days. 

The Apollo Munich Insurance company offers the facility of portability if the customer wishes to port their plans from other health insurance companies to Apollo Munich. Accumulated benefits are all integrated and carried forward without any hassles. Customers get a tax benefit on the premiums of the health insurance plans that they pay under section 80D of the Income Tax Act. Pre and post hospitalization cover is provided to customers. 

Customers enjoy a lifelong renewal benefit on the plans availed.

If the customer has a no-claim year, their basic sum insured will be raised by 50% with no extra charge. If the customer has a second, subsequent no-claim year then their basic sum insured is raised by 100%.>

The customer will enjoy a Restore Benefit if the customer or his family member exhausts the sum insured during the year. The company will restore the full amount for any new illnesses without any paperwork or extra charges. List of Apollo Munich health Insurance Plans 

The Apollo Munich Health Insurance company Limited offers a variety of health insurance plans to customers. Apollo Munich Optima Health Restore Insurance Plan

Apollo Munich Easy Health Exclusive Insurance Plans Apollo Munich Easy Health Premium Plan>

Apollo Munich Easy Health Premium Plan

Apollo Munich Optima Super Insurance Plan

Apollo Munich Optima Plus Insurance Plan

Apollo Munich Optima Vital Insurance Plan

Apollo Munich Optima Cash Insurance Plan

Apollo Munich Dengue Care Plan

Apollo Munich Optima Senior Insurance Plan

Let us take a look at each of the plans in detail:

Apollo Munich Optima Health Restore Insurance Plan

A unique health insurance plan that automatically restores the basic sum insured to the customer in case it is exhausted during the course of the year. This plan is available on both individual as well as family floater basis. 

These are the features of the plan: Access to cashless hospitalization facility across empanelled hospitals all over the country Pre and post hospitalization expenses covered for 60 and 90 days respectively Daycare procedures are covered that do not require 24 hours hospitalization Domiciliary treatment is covered where the treatment is undertaken at home Emergency ambulance charges up to Rs. 2000 are covered >

Treatment expenses for the organ donor at the time of organ transplant are covered A lump sum amount is provided if the person opts to stay in a shared accommodation while being hospitalized Automatic restoration of the basic sum insured if the customers’ basic insured is exhausted during the course of the year There is a facility for E-opinion, in which if the insured person requests the company will arrange for a second opinion from a medical practitioner selected by the insured person from the panel of doctors provided. There is a Multiplier Benefit in which for every claim-free year, the customer receives a bonus of 50%, accumulating up to 100%. 

Apollo Munich Optima Restore Eligibility: 

Coverage is provided from the age of 5 to 65 years. A child can be covered from three months onwards if one parent is covered under this plan This Apollo Munich health Insurance plan has coverage of up to for the self, spouse, dependent children and dependent parents or parents-in-law Apollo Munich Easy Health Exclusive Insurance Plans This is a health plan that covers expense relating to hospitalization without any sublimits or copays. 

The features of the plan are as follows: 

Sum insured option provided up to Rs. 5 lakhs Medical expenses in case of hospitalization are covered Access to cashless hospitalization facility across empanelled hospitals all over the country Pre and post hospitalization expenses covered for 60 and 90 days respectively Daycare procedures are covered that do not require 24 hours hospitalization Domiciliary treatment is covered where the treatment is undertaken at home Emergency ambulance charges up to Rs. 2000 are covered Treatment expenses for the organ donor at the time of organ transplant are covered A lump sum amount is provided if the person opts to stay in a shared accommodation while being hospitalized 

There is the Ayush Benefit where medical expenses for in-patient treatment taken under Ayurveda, Unani, Sidha and Homeopathy are covered 

After four-claim free years a free comprehensive health check up is provided There is an option of taking additional cover for critical illness. The sum insured for the critical illness can be 50% to 100% of the basic sum insured, subject to a minimum amount of Rs. 100,000 and a maximum of Rs. 10,00,000. Apollo Munich Easy Health Exclusive Insurance Eligibility: 

Coverage is provided from the age of 5 to 65 years. A child can be covered from three months onwards if one parent is covered under this plan This plan has coverage of up to for the self, spouse, dependent children and dependent parents or parents-in-law Apollo Munich Easy Health Premium Plan This is a health plan that covers expense relating to hospitalization without any sublimits or copays.

The features of the plan are as follows: 

Sum insured option provided up to Rs. 50 lakhs Medical expenses in case of hospitalization are covered Access to cashless hospitalization facility across empanelled hospitals all over the country Pre and post hospitalization expenses covered for 60 and 90 days respectively Daycare procedures are covered that do not require 24 hours hospitalization Domiciliary treatment is covered where the treatment is undertaken at home Emergency ambulance charges up to Rs. 2000 are covered 

Treatment expenses for the organ donor at the time of organ transplant are covered A lump sum amount is provided if the person opts to stay in a shared accommodation while being hospitalized There is the Ayush Benefit where medical expenses for in-patient treatment taken under Ayurveda, Unani, Sidha and Homeopathy are covered 

After four-claim free years a free comprehensive health check up is provided There is an option of taking additional cover for critical illness. The sum insured for the critical illness can be 50% to 100% of the basic sum insured, subject to a minimum amount of Rs. 100,000 and a maximum of Rs. 10,00,000. This plan covers maternity expenses for both before and after childbirth procedures There is an option to cover the new born baby from day one to 90 days If an insured child is hospitalized then a lump sum amount is paid if an adult accompanies the child during the hospitalization A Recovery Benefit of Rs. 10000 is provided if the hospitalization is for greater than 10 days 

Apollo Munich Easy Health Premium Plan Eligibility : 

Coverage is provided from the age of 5 to 65 years. A child can be covered from three months onwards if one parent is covered under this plan This plan has coverage of up to for the self, spouse, dependent children and dependent parents or parents-in-law Apollo Munich Easy Health Premium Plan This is a health plan that covers expense relating to hospitalization without any sublimits or copays. 

The features of the plan are as follows: 

Sum insured option provided from Rs. 4 lakhs up to Rs. 50 lakhs Medical expenses in case of hospitalization are covered Access to cashless hospitalization facility across empanelled hospitals all over the country Pre and post hospitalization expenses covered for 60 and 90 days respectively Daycare procedures are covered that do not require 24 hours hospitalization Domiciliary treatment is covered where the treatment is undertaken at home Emergency ambulance charges up to Rs. 2000 are covered 

Treatment expenses for the organ donor at the time of organ transplant are covered A lump sum amount is provided if the person opts to stay in a shared accommodation while being hospitalized There is the Ayush Benefit where medical expenses for in-patient treatment taken under Ayurveda, Unani, Sidha and Homeopathy are covered 

After four-claim free years a free comprehensive health check up is provided There is an option of taking additional cover for critical illness. The sum insured for the critical illness can be 50% to 100% of the basic sum insured, subject to a minimum amount of Rs. 100,000 and a maximum of Rs. 10,00,000. This plan covers maternity expenses for both before and after childbirth procedures There is an option to cover the new born baby from day one to 90 days 

If an insured child is hospitalized then a lump sum amount is paid if an adult accompanies the child during the hospitalization A Recovery Benefit of Rs. 10000 is provided if the hospitalization is for greater than 10 days There is a facility for E-opinion, in which if the insured person requests the company will arrange for a second opinion from a medical practitioner selected by the insured person from the panel of doctors provided. This plan covers outpatient dental treatment after a waiting period of three year The plan covers up to 50% of the cost of one pair of spectacles, contact lenses or hearing aids 

Eligibility: 

Coverage is provided from the age of 5 to 65 years. A child can be covered from three months onwards if one parent is covered under this plan This plan has coverage of up to for the self, spouse, dependent children and dependent parents or parents-in-law Apollo Munich Optima Super Insurance Plan This is a top up health insurance plan that offers varied sum insured and deductible combinations. 

The features of the plan are as follows: 

Medical expenses in case of hospitalization are covered Access to cashless hospitalization facility across empanelled hospitals all over the country Pre and post hospitalization expenses covered for 60 and 90 days respectively Daycare procedures are covered that do not require 24 hours hospitalization Emergency ambulance charges up to Rs. 2000 are covered Treatment expenses for the organ donor at the time of organ transplant are covered There is a waiver of Deductible Benefit in which the customer has the option to convert the plan to a fully fledged Indemnity Health Insurance Plan with no medicals or underwriting required, only at renewal between 55 to 60 years. This is on the condition that the insured person had enrolled under the policy before the age of 50 years and has renewed the plan continuously without a break 

Apollo Munich Optima Super Insurance Plan Eligibility: 

Coverage is provided from the age of 5 to 65 years. A child can be covered from three months onwards if one parent is covered under this plan This plan has coverage of up to for the self, spouse and two dependent children Apollo Munich Optima Plus Insurance Plan This is a top up health insurance plan that covers hospitalizations that result in high cost treatment. 

The features of the plan are as follows: 

Medical expenses in case of hospitalization are covered Access to cashless hospitalization facility across empanelled hospitals all over the country Pre and post hospitalization expenses covered for 60 and 90 days respectively Daycare procedures are covered that do not require 24 hours hospitalization Domiciliary treatment is covered where the treatment is undertaken at home Emergency ambulance charges up to Rs. 2000 are covered >

Treatment expenses for the organ donor at the time of organ transplant are covered There is a waiver of Deductible Benefit in which the customer has the option to convert the plan to a fully fledged Indemnity Health Insurance Plan with no medicals or underwriting required, only at renewal between 58 to 60 years. This is on the condition that the insured person had enrolled under the policy before the age of 50 years and has renewed the plan continuously without a break 

Apollo Munich Optima Plus Insurance Plan Eligibility: 

Coverage is provided from the age of 5 to 65 years. A child can be covered from three months onwards if one parent is covered under this plan This plan has coverage of up to for the self, spouse, dependent children and dependent parents 

Apollo Munich Optima Vital Insurance Plan 

This is a top up health insurance plan that will pay a lump sum amount for an identified critical illness that is mentioned in the list of 37 critical illnesses, or medical events or surgical procedures.The features of the plan are as follows: Lump sum payment for 37 critical illnesses >

Sum insured amount ranges from Rs. 1 lakh to Rs. 50 lakhs >

There is a facility for E-opinion, in which if the insured person requests the company will arrange for a second opinion from a medical practitioner selected by the insured person from the panel of doctors provided. >

Apollo Munich Optima Vital Insurance Plan Eligibility: 

Coverage is provided from the age of 5 to 65 years. A child can be covered from three months onwards if one parent is covered under this plan This Apollo Munich Health Insurance plan has coverage of up to for the self, spouse, dependent children and dependent parents 

Apollo Munich Optima Cash Insurance Plan 

This Apollo Munich health insurance plan provides for a specified amount every day for which the insured is hospitalized to take care of the family’s financial requirements. The features of the plan are as follows: Sickness Hospital cash is provided in which a daily cash amount is paid for each continuous and completed period of 24 hours if the insured person is hospitalized for more than 24 hours, due to sickness. 

Sickness ICU Cash is provided in which twice the daily amount is paid for each continuous and completed period of 24 hours if the insured person is hospitalized for more than 24 hours due to sickness. 

Accidental Hospital cash is provided in which a daily cash amount is paid for each continuous and completed period of 24 hours if the insured person is hospitalized for more than 24 hours, due to an accident. 

Accidental ICU Cash is provided in which twice the daily amount is paid for each continuous and completed period of 24 hours if the insured person is hospitalized for more than 24 hours, due to an accident.

Daycare procedure cash is provided if the insured undergoes any of the 10 identified daycare procedures that do not require 24 hours hospitalization. The amount is 50% of the daily cash amount.

Twice the daily cash amount is provided for each continuous and completed 24 hours where two or more people are concurrently hospitalized due to an accident.

A convalescence cash is provided in the form of a lump sum amount if the insured person is hospitalized for more than 7 continuous days.

Under the platinum plan, a female who is insured will receive twice the daily sickness cash amount for maternity If a child below 12, who is insured is hospitalized for more than 72 hours a daily cash amount for the parents’ accommodation will be provided.

Apollo Munich Optima Cash Insurance Plan Eligibility: 

Coverage is provided from the age of 5 to 65 year. A child can be covered from three months onwards if one parent is covered under this plan This Apollo Munich Health Insurance Policy has coverage of up to for the self, spouse and dependent children Apollo Munich Dengue Care Plan This Apollo Munich Health Insurance plan is a first of its kind where the medical expenses related to the treatment of dengue are covered. Pre and post hospitalization expenses are covered There is a Shared Accommodation Benefit if the insured person opts for a shared accommodation in a network hospital. Outpatient consultations by a general medical practitioner for the treatment of dengue will be covered Diagnostic tests taken for the detection of dengue will be covered Medicines that are prescribed for the treatment of dengue will be covered If necessary medical treatment is undertaken at home by the empanelled medical practitioner, those medical expenses will be covered 

Apollo Munich Dengue Care Plan Eligibility: 

Coverage is provided from the age of three months to 65 years. A child can be covered from three months onwards if one parent is covered under this plan This plan has coverage of up to for the self, spouse, dependent children and dependent parents Apollo Munich Optima Senior Insurance Plan A health plan designed for senior citizens who frequently require medical attention. The features are as follows: Hospitalization expenses are covered where the hospitalization is for more than 24 hours Pre and post hospitalization expenses are covered Daycare procedures are covered that do not require 24 hours hospitalization Domiciliary treatment is covered where the treatment is undertaken at home Emergency ambulance charges up to Rs. 2000 are covered Treatment expenses for the organ donor at the time of organ transplant are covered There is a facility for E-opinion, in which if the insured person requests the company will arrange for a second opinion from a medical practitioner selected by the insured person from the panel of doctors provided. Cumulative bonus and family discount of 5% Apollo Munich Optima Senior Plan Eligibility : >

Coverage is provided from the age of 61 years onwards The self and spouse may be covered under the plan on an individual sum insured basis. Apollo Munich Insurance Premium Calculator: The Apollo Munich Health Insurance company provides the facility of premium calculation to prospective individuals seeking to buy health insurance plans from the company. Following are some of the instances where the premium has been calculated using the company’s calculator: 

A wants to apply for an Optima Restore Individual policy for himself for a value of Rs.5 lakhs. He is 30 years old and for the stated coverage, the amount of annual premium works out to be Rs. 7404. B wants to buy a plan for himself and his newly married wife. He approaches Apollo Munich with a proposal to cover himself and his spouse for a total of Rs.10 lakhs. B is aged 32 years and his wife is aged 30 years. The premium for their Easy Health Standard health insurance plans comes to Rs.11, 830. 

C a 45 year individual needs a health plan for his family comprising of himself, his wife aged 43 years and his 2 children aged 7 and 12 years respectively. The coverage sought is Rs.5 lakhs each for which the premium charged is Rs.22, 065. The table tabulates the above apollo munich health insurance premium data for an instant reference: Health insurance plans offered by the Apollo Munich health insurance company can be applied to through multiple channels like:How to Apply for Apollo Munich Health Insurance Plans Individuals desirous of availing any of the health insurance plans can simply call the Sales helpline of the company at 1800 103 0555 and speak to the customer service representative. They can provide their name, mobile number and email id on the website of the company and request for a call back Lastly, customers may also visit the company’s branches or get in touch with an agent to buy the plans required. Apollo Munich Health Insurance - FAQs 1. How to pay premium? What are the modes of payment available? Apollo Munich Health Insurance offers three different modes for payment of the premium.

You can get for the auto renewal process through the help of the mandate.

You can deposit cash or cheque at the bank with the policy details

You can also login to the site and make a direct payment.

2. How can I check Apollo Munich Health Insurance policy status?

You can check the policy status online by login into e-Portal with valid User Id and Password.

Alternatively, you can call toll-free 1800-103-0555 to inquire about the policy status.

3. What is the Apollo Munich Health Insurance policy renewal process?

You can renew the policy online. Simply go to the e-portal and follow the steps for renewing the policy. Alternatively, you can use our IVR and use the direct payment link to renew the policy. Please contact us on toll free 1800-102-0333 to complete the process.

Please Note: 3rd party payment is not acceptable through online channel.

Online renewal is not allowed if the policy is in grace period.

4. What is the company’s process to settle Apollo Munich Health Insurance claim?

Apollo Munich Health Insurance offers two types of claims;

Cashless Claim :- Under cashless claim, you need to utilize the hospitals that are on the panel of this insurance company. Verification by TPA will be done and upon authorization, direct payment will be made to the hospital.

Reimbursement Claim :- For reimbursement claim you need pay upfront to the hospital and seek reimbursement from the insurers. You need to submit valid documents with claims forms to proceed. The claims are settled within 7 working days.

For more information Call toll-free: 1800-102-0333.

5. What is the Apollo Munich Health Insurance policy cancellation process?

You can cancel the policy, provided no claims have been made under it. The premium will be refunded as per the policy T&C. You can cancel your policy during the Freelook period of 15 days from receiving your policy kit. In case of Free Look cancellation, the insurer will deduct medical checkup expenses, stamp duty charges and service tax incurred on your policy