Apollo Munich Health Insurance

Claim Settlement Ratio

Before taking a step towards buying health insurance, a person must check the company’s claim settlement ratio to get an idea about the credibility of the insurer. Apollo Munich Health insurance with 95% of settlement ratio has maintained a trustworthy image in the health insurance sector.

Brand Strength

Apollo Munich is one legal entity that contains the power of two colossal brands namely Apollo Hospitals and Munich Health, recognized as a global player in the health insurance sector. Consequently, when a person buys their policy they get the benefit of domestic as well as international brand.

Quick Customer Service

While you purchase a health insurance policy, the factor of customer service should be taken into consideration. Apollo Munich customer care team strives to settle each and every claim within 15 to 30 days to keep the customer engaged with current policy and not switch to other health insurers.

Rider Facility

Almost every health insurance plan formulated by Apollo Munich contains the rider benefit whose objective is to provide additional security to family and individuals. Through the inclusion of these riders, you can make your health plan super worthwhile.

Lifelong Renewability

Apollo Munich health insurance plans give you the feature of lifelong renewability where the policyholder can renew the health cover on every policy anniversary. On renewals, all the benefits scored in the previous year will be carried forward to the next year.

Tax Benefits

Insured after buying health insurance can receive huge amount of tax benefits up to Rs 25,000 per year. The tax exemption will be given on the annual Income Tax submitted every year on the annual salary or profit earned from a business.

Cashless Treatment

Cashless service at any network hospitals is like a blessing to policyholder and settlement of same is equally significant. Apollo Munich Health Insurance has statistics of establishing 90% cashless claim authorization within 2 hours if all the information regarding the claim is truly represented by the insured.

Portability

The company also gives complete freedom to port your previous health insurance policy into Apollo Munich health insurance policy, if you are not satisfied. The insured has to submit an application 30 days before the renewal date by filing portability form and submitting previous policy details.

Monetary Bonuses

When you buy Apollo Munich Health Insurance, you get rewards for staying healthy and keeping yourself miles away from consuming tobacco or smoking. The policyholder will get monetary rewards like lower rates of premiums. Also, if the policyholder does not make any claim for one year or more, then a bonus equal to 50% of the sum assured will be added to the basic coverage.

Apollo Munich health insurance company remained very active in streaming innovative health insurance plans by first analyzing ‘what the customers demand from a health cover’. Due to correct information about the target audience, the company is able to gain the honour of “Best Health Insurance Provider in the private sector 2019” and “Insurance Claims Excellence of the Year”.

The company has a diverse number of partners that provide financial support to their health insurance policies like Axis Bank, Indian Overseas Bank, HDFC Life, HDFC Bank, Canara Bank, Citi Bank.

Apollo Munich Optima Senior

A simple health insurance that guarantees coverage for medical expenses occurred over the treatment and hospitalization of senior citizens. Anybody who is above the age of 61 years can buy this plan and can live the rest of life tension free.

What Medical expenses and benefits does it cover?

• Inpatient treatment taken for a specified illness will be covered and a cashless facility is given if treatment is operated at network hospitals.
• Second E-Opinion for receiving expert analysis on a serious illness directly coming from the medical practitioners registered on company’s panel that possess wisdom and years of experience.
• Expenses related to domiciliary treatment, emergency ambulance, and organ donor are fully covered.
• 140 day care procedures that include ailments that require lesser time like cataract, coronary angiography, chemotherapy, fractures, ear operations, etc.
• Pre-hospitalisation up to 30 days before admission to hospital and post-hospitalization up to 60 days after the issue of discharge.
• No increase in premium on renewal and the premium will remain the same throughout the policy tenure.
• 7.5% discount on premium by selecting a two-year health policy instead of one-year.
• No claim discount of 5% on a claim free year. Insured should apply for regular renewals to avail this benefit.

Critical Advantage Rider

By choosing this additional cover, the insured can enjoy never-ending benefits attached. This cover gives you a treatment facility at network hospital present globally. In addition, it also gives coverage transportation expenses of insured and the attending member, accommodation expenses, post-hospitalization, and second opinion expenses.

The illnesses covered under this rider are-

• Neurosurgery
• Pulmonary Artery
• Aorta Graft Surgery
• Bone Marrow Transplant
• Live Donor Organ Transplant
• Cancer
• Coronary Artery bypass Surgery
• Heart Valve Replacement/repair

Benefits Offered:

• Includes In-patient Treatment of the disease for a maximum term of 5 days. This includes the cost of room rent, boarding, nursing, Intensive Care Unit (ICU), Anaesthesia, blood, oxygen, operation theatre charges, surgical appliances, medicines, drugs and consumables, diagnostic reports, air ambulance etc.
• Post-hospitalization Expenses occurring after the treatment of the illness so that the illness get completely erased from the body of insured.
• Travel expenses taking shape solely because of treatment of Insured Person where expenses of traveling companion and the living donor, if accompanying for organ transplant are also covered.
• Second opinion from Our panel of Medical Practitioners, if the Insured get confirmed by the doctor of being affected with any of the listed major illnesses.
• Accommodation Expenses for insured who is taking treatment as well as the person accompanying and the living donor in the case of transplant.

Critical Illness Benefit Rider

If this rider is attached to the base health policy, then the policyholder can get protection from 8 major diseases that can degrade the health of the insured if not treated timely.

What illnesses are covered?

1. Aorta Graft Surgery
2. Heart Valve replacement or repair
3. Neurosurgery
4. Live Donor Organ Transplant
5. Pulmonary artery graft surgery
6. Coronary Artery by-pass surgery
7. Cancer Treatment
8. Bone Marrow Transplant

Benefits Offered:

• In-patient Treatment for any of the above-listed illnesses up to a maximum period of 30 days. This mainly includes expenses like room rent, boarding expenses, nursing, Intensive Care Unit (ICU), Anaesthesia, blood, oxygen, operation theatre charges, surgical appliances, medicines, drugs and consumables, diagnostic reports, cost of prosthetic.
• Post-Hospitalization expenses that enclose doctor consultations fee, medical diagnosis reports, and medicines, etc which are covered until the completion of 30 days after receiving a discharge from the attending hospital authorities.
• Accommodation expenses for the treatment of insured operating in some foreign land far away from Indian borders. It also covers the traveling companion and the living donor accommodation expenses.
• Covers repatriation expenses, if the insured or living donor meets his/ her death outside the peripheries of India. Here, the insured bodily remains will respectfully be transported to the home country.
• Travel expenses of the insured, living donor and the traveling companion if the travel is for the purpose of receiving treatment for a specified illness.
• Second medical opinion in favor of any major illness pointed above. The opinion should be taken from the medical practitioners mentioned in the company’s panel.

• Age of the policyholder: The prime factor that determines the amount of premium and calculate premium according to a certain age group. Usually, Apollo Munich sets lower premiums prices for younger ages for higher coverage. However, in Dengue Care Plan, the premiums are fixed and same for all age groups.
• Smoking or Non-smoker/ Medical History: After knowing the age, the policyholder is requested to reveal the health condition during the purchase of policy. This is usually asked by Apollo Munich to ensure transparency and clarity about the policyholder so that it may not hinder the claim settlement process. Also, non-smokers are given priority in the rate of premium.
• Number of members included in the plan: The quantity of members attached into Apollo Munich Health Insurance plan also changes the premiums values. Apollo Munich appreciates the inclusion of family members in the health policy, that is why they provide 10% discount on involving more than 2 members.
• Sum Assured opted: Apollo Munich offers a wide range of sum assured from minimum Rs 1 lakh to Rs 50 lakhs on individual and family floater basis. As the sum assured increases, the premium also increases. But the increase in gap is very less as compared to the benefits it offers on happening of any medical issue. Choosing higher sum assured can assist you in fighting the soaring medical costs.
• Male or Female: The premium also depends upon the gender of the policyholder whether female or male. The premiums for female policyholder is relatively cheaper than the male counterpart. This step was taken to boost the importance of health insurance among women and encourage them to purchase coverage at a lower rate.
• Type of Apollo Health Plan: Apollo Munich has formulated a myriad of health insurance plans for every category whether it is for individuals, family members, and senior citizens. The premiums are different for different plans. For instance, if Ayush (34 years) purchases Apollo Munich Optima Restore Individual plan where he includes his wife (34 years) and the sum assured opted is Rs 5 lakhs each. The annual premium calculated for covering both the person is Rs 15,176. However, If Ayush purchases Optima Restore Family plan under the same coverage, the premium would be Rs 11,802.

• Diseases caused due to the transmission of AIDS/ HIV infection.
• Congenital diseases, mental disorder or insanity, cosmetic surgery, aesthetic surgery, and weight control management programs.
• Any injuries/ trauma resulted from wars, nuclear bomb explosion, chemical or biological weapon, and radioactivities.
• Any drug or treatment taken without the consultation of the medical practitioner and intake of which resulted in serious side effects.
• Illness formed due to regular consumption of alcohol, tobacco, hallucinogenic substance, sedatives, etc.

All these exclusions are common to all Apollo Munich Health Insurance. However, there are specific exclusions for some specific Apollo health plans and the policyholders are requested to check the particular plan page for which they are planning.

Online Renewal Process of Apollo Munich health insurance

• After purchasing the policy from the company, you can renew when the policy anniversary arrives.
• Insured can visit the website of Apollo Munich and can apply for a renewal by disclosing the 10 digit policy number as asked during the process.
• If you have already applied for renewal in the past years, then you have to enter 12 digit policy number on date of renewal or completion of one year.

If you have already applied for renewal in the past years, then you have to enter 12 digit policy number on date of renewal or completion of one year.

Conditions to be followed

• The company into responsible to give notices or reminder regarding the renewal of the policy.
• In most of Apollo health insurance policies, the premiums on renewal will get revised which will change the future amount of premium based on the age and medical conditions of the insured.
• There will be no extra loading on the premium on renewal as imposed by the company.
• If the insured fails to renew the policy on the given date, then Apollo Munich will provide a grace period of 30 days to renew and submit the premium.

Apollo Munich Health Insurance has been rated as the top most preferred company for ensuring financial protection from health insecurities through broad coverage from rising expenditure of medicare sector.

With connectivity to 4,650 hospitals spread across various zones of the country and faster settlement of claim proposals have earned them satisfied customers.

Due to this gesture of service, 80% of the customers are return back to renew their health insurance policy on the policy anniversaries. Also, the benefits which are covered in each Apollo Munich Health plan are duly paid as promised during the commencement of the policy.