Apollo Munich Optima Super Plan

Entry Age

5 years to 65 years (Children of the age of 91 days can also be covered if one of the parents are covered by this policy)

Basis

Individual / Family

Policy Period

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

Renewability

Lifelong

Sum Assured

Three options for sum assured are offered; Rs. 5 lakhs, Rs. 7 lakhs or Rs. 10 lakhs

Premium

Rs. 2500 and above based on options selected, number of members and the tenure of the policy

Discount

1. 10% discount if 2 or more family members are covered
2. 7.5% discount if policy is renewed for 2 years

Co-Payments

Policyholders can choose deductible amounts ranging from Rs. 1 lakh to Rs. 10 lakhs

Coverage

1. Cover available for a maximum of 4 adults and 5 children (Self, spouse, dependent parents and dependent children)
2. Waiting period for pre-existing conditions is 4 years
3. The waiting period for certain pre-existing conditions is 2 years
4. Expenses incurred for in-patient hospitalisation for more than 24 hours
5. Pre-hospitalisation expenses cover for up to 60 days prior to hospitalisation
6. Post-hospitalisation expense like consultation, investigations and medication for up to 90 days following hospitalisation
7. Cover for 144 day-care procedures
8. Expense of harvesting organs meant for the policyholders
9. Ambulance charges up to Rs. 2,000
10. Cover for domiciliary treatment

Benefits

1. No maximum age for the cover to cease
2. Options to shift from co-pay to full indemnity health insurance
3. Comes with top-up options for nominal premiums paid
4. Policyholders can choose individual cover amounts for each member cover by the policy
5. Deductible can be waived for ages between 55-60 years
6. Offers services like consulting on nutrition, diet, and individual referrals at no extra cost
7. Premiums paid towards the policy are eligible for tax benefits under section 80D of the IT Act
8. It also offers portability options to shift from other insurers to Apollo Munich on renewal
9. Provides online health risk assessment tools to provide lifestyle and nutrition guidance for a healthy lifestyle

Exclusions

1. Congenital diseases, cosmetic procedures, mental conditions and weight loss treatments
2. Abuse of intoxicating substances will not be covered
3. Expenses resulting from HIV or AIDS
4. Hospitalisation resulting from war, exposure to chemical nuclear or biological contaminants and radiation
5. Pregnancy and dental treatments will not be covered
6. Experimental treatment or using unproven treatment will not be covered