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    Apollo Munich Standard

    Uploaded by

    nitinmisra77
    The document outlines the benefits provided by three variants of the Easy Health insurance product: Standard, Exclusive, and Premium. Key benefits include: 1) Inpatient treatment, pre/post-hospitalization coverage, day care procedures, and domiciliary hospitalization covered under all variants. 2) Higher daily cash benefits for room rent in Exclusive and Premium variants. Organ donor expenses, ambulance coverage also covered. 3) Maternity benefits after 6 year waiting period in Exclusive and Premium only, with higher claim limits. Dental coverage after 3 years, spectacles and health checkups also included in Premium only. 4) Critical illness extension optional in Exclusive and Premium.

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    Apollo Munich Standard

    Uploaded by

    nitinmisra77
    21 views2 pages
    The document outlines the benefits provided by three variants of the Easy Health insurance product: Standard, Exclusive, and Premium. Key benefits include: 1) Inpatient treatment, pre/post-hospitalization coverage, day care procedures, and domiciliary hospitalization covered under all variants. 2) Higher daily cash benefits for room rent in Exclusive and Premium variants. Organ donor expenses, ambulance coverage also covered. 3) Maternity benefits after 6 year waiting period in Exclusive and Premium only, with higher claim limits. Dental coverage after 3 years, spectacles and health checkups also included in Premium only. 4) Critical illness extension optional in Exclusive and Premium.

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    ApolloMunichStandard

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    The document outlines the benefits provided by three variants of the Easy Health insurance product: Standard, Exclusive, and Premium. Key benefits include: 1) Inpatient treatment, pre/post-hospitalization coverage, day care procedures, and domiciliary hospitalization covered under all variants. 2) Higher daily cash benefits for room rent in Exclusive and Premium variants. Organ donor expenses, ambulance coverage also covered. 3) Maternity benefits after 6 year waiting period in Exclusive and Premium only, with higher claim limits. Dental coverage after 3 years, spectacles and health checkups also included in Premium only. 4) Critical illness extension optional in Exclusive and Premium.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    21 views2 pages

    Apollo Munich Standard

    Uploaded by

    nitinmisra77
    The document outlines the benefits provided by three variants of the Easy Health insurance product: Standard, Exclusive, and Premium. Key benefits include: 1) Inpatient treatment, pre/post-hospitalization coverage, day care procedures, and domiciliary hospitalization covered under all variants. 2) Higher daily cash benefits for room rent in Exclusive and Premium variants. Organ donor expenses, ambulance coverage also covered. 3) Maternity benefits after 6 year waiting period in Exclusive and Premium only, with higher claim limits. Dental coverage after 3 years, spectacles and health checkups also included in Premium only. 4) Critical illness extension optional in Exclusive and Premium.

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    Attribution Non-Commercial (BY-NC)
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    Download as pdf or txt
    of 2

    AMHI/EH/0110

    Schedule of benefits of Easy Health product variants are depicted in the chart below:

    Benefits Easy Health Easy Health Exclusive Easy Health Premium


    Standard
    Sum Insured per Insured Person 1.00, 2.00, 3.00, 3.00, 4.00, 5.00 7.50 4.00, 5.00 7.50, 10.00
    per Policy Year (Rs. In Lakh) 4.00, 5.00

    1 a) In-patient Treatment Covered Covered Covered

    1 b) Pre-hospitalisation Covered Covered Covered

    1 c) Post-hospitalisation Covered Covered Covered

    1 d) Day-Care Procedures Covered Covered Covered

    1 e) Domiciliary Treatment Covered Covered Covered

    2 a) Daily cash for choosing Rs. 500 per Rs.500 per Rs.800 per day, Rs.500 per Rs.800 per
    shared accommodation day, Maximum day, Maximum Maximum Rs.4,800 day, Maximum day, Maximum
    Rs.3,000 Rs.3,000 Rs.3,000 Rs.4,800

    2 b) Expenses for organ donor Covered Covered Covered


    of transplant

    2 c) Emergency Ambulance Upto Rs.2,000 Upto Rs.2,000 Upto Rs.2,000

    2 d) Daily Cash for accompany- Not Covered Rs.300 per Rs.500 per Rs.300 per Rs.500 per
    ing an insured child day, Maximum day, Maximum day, Maximum day, Maximum
    Rs.9,000 Rs.15,000 Rs.9,000 Rs.15,000

    2 e) Newborn baby Not Covered Optional Optional

    3 a) Maternity Expenses with Not Covered Normal Delivery Normal Delivery Normal Delivery Normal Delivery
    waiting period of 6 years Rs. 15,000* Rs. 25,000* Rs. 15,000* Rs. 25,000*
    Caesarean Caesarean Caesarean Caesarean
    Delivery Delivery Delivery Delivery
    Rs. 25,000* Rs. 40,000* Rs. 25,000* Rs. 40,000*
    (*Including Pre/ (*Including Pre/ (*Including Pre/ (*Including Pre/
    Post Natal limit of Post Natal limit of Post Natal limit of Post Natal limit of
    Rs. 1,500 and Rs. 2,500 and Rs. 1,500 and Rs. 2,500 and
    New Born limit of New Born limit of New Born limit of New Born limit of
    Rs.2,000) Rs.3,500) Rs.2,000) Rs.3,500)

    3 b) Out-patient Dental Not Covered Not Covered Upto 1 % of Sum insured subject to a
    Treatment with waiting period Maximum of Rs. 5,000
    of 3 years

    3 c) Spectacles, Contact Lenses, Not Covered Not Covered Upto Rs.5,000


    Hearing Aid every third year

    3 d) E-Opinion in respect of a Not Covered Not Covered Covered, One opinion per policy year
    Critical Illness

    4 Additional Cover for Critical Not Covered Optional, 50% or 100% of basic Sum Optional, 50% or 100% of basic Sum
    Illness Insured Insured

    5 Health Check-up Upto1% of Sum Upto 1% of Sum Insured subject to a Upto 1% of Sum Insured subject to a
    Insured per In- Maximum of Rs.5,000 per Insured Person, Maximum of Rs.5,000 per Insured Person,
    sured Person, only only once at the end of a block of every only once at the end of a block of every
    once at the end of continuous 3 claim free years continuous 2 claim free years.
    a block of every
    continuous 4 claim
    free years

    Benefits under 3b), 3c), 3d) and 5) are subject to pre-authorisation by the TPA

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