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Apollo Munich Easy Health Standard- Family Floater
Objective | This is an online health insurance policy which aims at covering hospitalisation expenses and certain other related expenses. |
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What does it do? | Out of the three variants of Easy Health Policy, 'Easy Health Standard' is the first and most basic variant. It covers inpatient hospitalisation, day care procedures i.e, the treatment that does not require an overnight stay in hospital, home hospitalisation, hospitalisation expenses of organ donor and ambulance expenses. In addition, it allows a health check up after four continuous claim-free years. There are no sub-limits in case of inpatient treatment. Cover for Ayurveda, Unani, Sidha and Homeopathy is an added advantage. |
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Pros | There is no cover ceasing age. It offers a life long insurance. |
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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. |
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Our View | Lifelong renewal makes this policy a preferred one. It will cover you at the age when health insurance is utterly required. This policy is recommended, however, if you are looking for a wider coverage, consider higher variants of Apollo Easy Health Plan. |
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Suited for | This policy is suitable for a family that needs a basic coverage and allows to cover up to two adults and four children. |
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Eligibility | |||||||
Entry Age (years) | |||||||
Minimum | 18; 3 months for children | ||||||
Maximum | 65 | ||||||
Maximum Policy Renewal Age (years) | No Limit | ||||||
Coverage Type | Family floater | ||||||
Policy Term (years) | 1 or 2 | ||||||
Sum Insured (Rs) | |||||||
Maximum | 5 lakh | ||||||
Minimum | 2 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 selecting a policy term of 2 years | ||||||
No Claim Bonus | 10% increase in your annual inpatient benefit sum insured for every claim free year, subject to a maximum of 50%. In case a claim is made during a policy year, the cumulative bonus would reduce by 20% in the following year | ||||||
Grace Period for Policy Renewal | 15 days | ||||||
Policy Termination | Policyholder is allowed to terminate the policy at anytime by giving a written notice. In case no claim has been made under the policy, pro-rata percentage of premium will be refunded. Insurer may also terminate the policy by goving a 30 days notice period | ||||||
Customer Service | |||||||
Address | 10th Floor, Building No. 10, Tower-B, DLF Cyber City, DLF Phase-II, Gurgaon-122002 | ||||||
Mail to | |||||||
Call to | 1800-102-0333 | ||||||
SMS | Easyhealth' to 56767333 | ||||||
Network Hospitals | Http://www.apollomunichinsurance.com/our-hospital-network.aspx | ||||||
Scope of Cover | |||
Cashless facility | Available at empanelled hospitals in India | ||
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 for upto 60 days prior and upto 90 days post hospitalisation | ||
In-patient Treatment | Covered | ||
Day-Care Procedures | 140 day care procedures are covered | ||
Domiciliary Treatment | Covered | ||
Daily cash for choosing shared accommodation | Rs 500 per day, Maximum Rs 3,000 | ||
Ayush benefit | covered upto Rs 20000 | ||
Expenses for organ donor of transplant | Covered | ||
Emergency Ambulance | Up to Rs 2,000 per hospitalisation | ||
Health Check-up | Upto 1% of Sum Insured only once at the end of a block of every continuous 4 claim free years | ||
Exclusions and Waiting Period | |||
Pre-existing disease | Pre-existing Diseases will be covered after a waiting period of 36 months | ||
No claim period | 30 days from policy start date | ||
Waiting Period | 24 months for specific illnesses and treatments mentioned in policy document.Domiciliary treatment will be covered if illness continues for 3 consecutive days | ||
General Exclusions | AIDS or related condition.Treatment of mental or related illness | ||
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