Apollo Munich Individual Easy Health Insurance Plan
The Easy Health Individual Plan protects you not only from unforeseen emergency expenses but also offers a comprehensive cover for medical treatment of illnesses and accidents requiring in-patient hospitalization. The Plan offers coverage on the individual sum insured basis & also offers an add-on optional cover for listed Critical Illnesses.
This plan does not cover maternity expenses, new born baby coverage and recovery benefit.
There is no maximum cover ceasing age on renewals of the subject policy.
The policy will be issued for a period for 1 or 2 years period, the sum insured & benefits will applicable on policy year basis.
This policy can be issued to an individual and/or family.
The policy offers option of covering on individual sum insured basis – Easy Health Individual Health Insurance Plan and on family floater basis – Easy Health Family Floater Insurance Plan.
The family includes spouse, dependent children, dependent parents, parent-in-law, grandparents and grandchildren.
A maximum of 6 members can be added in a single policy, whether on an Individual or Family floater basis.
In a family floater policy, a maximum of 2 adults and a maximum of 5 children can be included in a single policy. The 2 adults can be a combination of Self, Spouse, Father, Father-in-law, Mother or Mother-in-law, Grand Father, Grand Mother.
In an individual policy, a maximum of 4 adults and a maximum of 5 children can be included in a single policy. The 4 adults can be a combination of Self, Spouse,
Father, Father-in-law, Mother or Mother- In-law, Grand Father, Grand Mother.
The Sum Insured of the dependent insured members should be equal to or less than the Sum Insured of the Primary Insured member. In case where two or more
Children are covered, the sum insured for all the children must be same. Sum insured of all Dependent Parents and Dependent Parent in law must be same.
Sum Insured: 1Lakh to 5 Lacs
Coverage type: Individual/ family
Grace period: Grace Period of 30 days for renewing the policy is provided under this policy.
Portability: Easy Health policy offers you transfer the accrued benefits and make due allowances for waiting periods as per guidelines on portability if you are insured continuously and without interruption under an indemnity based health insurance policy of any Indian non-life insurer and you want to shift to us on renewal.
If the Insured person transfers from any other insurer and enhances the sum insured, then the portability benefits will be offered only in respect to the previous sum insured.
Renewal Policies: The Easy Health policy offers lifelong renewability i.e. there is no maximum cover ceasing age in this policy
Policy termination: You may terminate the policy at any time by giving us a written notice. The cancellation shall be from the date of receipt of such written notice. Premium shall be refunded as per table below IF AND ONLY no claim has been made under the Policy
Free look period: You have a period of 15 days from the date of receipt of the policy document to review the terms and conditions of the policy. If you have any objections to any of the terms and conditions, you have the option of cancelling the policy stating the reasons for cancellation and you will be refunded the premium paid by you after adjusting the amounts spent on any medical check-up, stamp duty charges and proportionate risk premium.
Additional Features or Riders
Sum Insured Enhancement -Sum Insured can be enhanced only at the time of renewal subject to no claim have been lodged under the policy. In cases where the sum insured increase is more than one grid up, the case shall be subject to medicals.
Tax Benefits -you can presently avail tax benefits for the premium amount under Section 80D of the Income Tax Act. (Tax benefits are subject to changes in Tax Laws)
Family Discount of 5% if 2 members are covered and 10% if 3 or more family members are covered under Easy Health Individual Health Insurance Plan.
7.5% Discount on premium if Insured Person is paying premium of 2 years in advance as a single premium.
All treatments within the first 30 days of cover except any accidental injury.
Any pre-existing condition will be covered after a waiting period of 3 years
2 years waiting period for specific diseases like cataract, hernia, joint replacement surgeries, surgery of hydrocele etc.
Expenses arising from HIV or AIDS and related diseases.
Congenital diseases, mental disorder or insanity, cosmetic surgery and weight control treatments
Abuse of intoxicant or hallucinogenic substances like intoxicating drugs and alcohol.
Hospitalization due to war or an act of war or due to a nuclear, chemical or biological weapon and radiation of any kind.
Pregnancy, dental treatment, external aids and appliances unless covered under the specific Easy Health Insurance Plan.