Apollo Munich Optima Senior Plan

Entry Age

61 years and above

Basis

Individual

Policy Period

1 year or 2 years with a grace period of 30 days

Renewability

Lifelong

Sum Insured

The sum insured can be Rs. 2 lakhs, Rs. 3 lakhs or Rs. 5 lakhs

Premium

The premium will depend on the sum insured and the age of the policyholders. It can range from Rs. 12,000 to Rs. 90,000

Discounts

5% discount is offered if your spouse is also covered under the plan7.5% discount is offered if the policy is taken for 2 yearsIt also offers a 5% cumulative discount for claim-free years

Co-Payments

15% in case the accommodation is a twin sharing room or lower30% co-pay will apply for single occupancy or higher category rooms30% co-pay will apply for specified Illness or surgeries like cataract, hysterectomy, arthroscopyFor day care procedures the co-pay amount will be 15%

Coverage

The plan can be used toThe plan will cover a second opinion by one of their doctors if a diagnosis of a critical illness is receivedPre-hospitalisation expenses of up to 30 days before hospitalisation are coveredPost-hospitalisation expenses of up to 60 days after hospitalisation will also be coveredCover is provided for up to 140 day-care proceduresDomiciliary treatment will also be coveredTreatment for organ donors for the harvesting of organs will also be coveredAmbulance charges of up to Rs. 2,000 will be covered for each hospitalisationPre-existing conditions will be covered after a waiting period of 3 yearsThe waiting period for certain diseases like cataract, hernia, joint replacements etc. will be 2 yearsOnly accidental injuries will be covered for the first 30 days of the policy

Benefits

The network for this policy is spread across 800 cities and more than 4,000 hospitalsThe company offers portability options which means that you can shift to Apollo Munich upon renewal of policyPremiums paid towards this policy are eligible for tax benefits under section 80D of the IT Act

Exclusions

HIV/AIDS expenses will be excludedTreatment for congenital diseases, mental disorders or cosmetic surgeries will be excludedAny item meant for personal comfort will not be coveredPregnancy and dental treatments will also not be coveredAbuse of intoxicating substances will also be excluded from cover