Apollo Munich Optima Restore-Unique Health insurance policy

Apollo Munich Optima Restore-Unique Health insurance policyApollo Munich Optima Restore-Unique Health insurance policy

There were several messages in the last 3 weeks on our blog asking for good health insurance policy. Apollo Munich Optima Restore is a unique health insurance policy. If you have exhausted your basic sum assured, this health insurance policy would enhance the basic sum assured by 100% without any extra premium. In this article, I would elaborate about Apollo Munich Optima Restore health insurance plan, its unique features and the limitations of this health insurance policy.

Unique features of Apollo Munich Optima Restore

It offers two unique features:

Restore Benefit: If your basic sum assured is exhausted in any policy year, this health insurance policy would automatically enhance the basic sum assured up to 100% so that you can utilize this for other illness or for other family members who are covered under the policy.

E.g. if the sum assured is Rs 5 Lakhs. In a policy year, you have exhausted Rs 5 Lakhs, this policy would automatically enhance basic sum assured for another Rs 5 Lakhs. Means in that policy year, your sum assured would go up to Rs 10 Lakhs. The condition is you cannot use such enhanced value for the same illness. You should use such value for other illness or for other family members.

Also read: Max Bupa heart beat family floater health insurance-Should you buy

Multiplier benefit: In case of any claim free year, your basic sum assured would be enhanced by 50% after 1 year completion of policy year. After 2 years, in case you still have not claimed any amount, the basic sum assured would be enhanced by 100% of basic sum assured. E.g. If your basic sum assured is Rs 10 Lakhs, in case of no claim after 1 year, your basic sum assured would be Rs 15 Lakhs and in case of no claim even after 2 years, your basic sum assured would be Rs 20 Lakhs without any additional premium.  

Other features of Apollo Munich Optima Restore

  • Minimum age is 91 days. In case of children between 91 days to 5 years they would get covered provided parents are also covered.
  • Max age is 65 years
  • Lifelong renewals without any additional premiums.
  • No sub-limits on room rent.
  • Cashless transactions
  • You can get treatment in any hospital across India.
  • No loading on premiums if you fall ill or for future renewals of policy.
  • Quick pre-authorization within 2 hours (90% of the cases)
  • Income tax benefit as per section 80D on the premiums paid.
  • Portability option available. In case you do not like the service, you can shift to any other health insurer and get similar benefits.
  • Policy is available for 1 year and 2 years period.
  • If you opt for 2 years policy, you would get 7.5% discount on premium amount.
  • Policy available for sum assured of Rs 3 Lakhs, Rs 5 Lakhs, Rs 10 Lakhs and Rs 15 Lakhs
  • Pre-hospitalization expenses covered for 60 days
  • Post-hospitalization expenses are covered up to 180 days
  • Day care procedures are covered for 140 listed day care procedures.
  • Individual and family floater plans available.

Major exclusions in Apollo Munich Optima Restore plan

  • Does not cover first 30 days from policy date (except for accidental injuries).
  • Pre-existing diseases coverage waiting period is 3 years.
  • Exclusions for 2 years for specific diseases like cataract, hernia.
  • HIV or AIDS and related diseases not covered
  • Pregnancy, dental treatment etc. not covered
  • Non allopathic treatment, cosmetic surgery, mental disorder etc are not covered.

Major limitations in this policy

  • If you are expecting a child or planning to have child in near future, this policy would disappoint you, as this policy does not cover pregnancy expenses.
  • The health insurance policy is available up to 65 years only. Several competitors are offering such health policies up to 75 years.
  • Comparing to any other health insurance policy the premiums are little high. If a 34 year old want to cover his family under this health insurance (self + wife + 2 children), the premium works out to be Rs 10,736 for Rs 3 Lakhs sum assured.  If he opts for 2 year policy, he would get discount of 7.5% and the premium would be Rs 19,862 for 2 years.

Also read: How good is Bharti Axa Life Secure Income Plan

Conclusion: While there are several health insurance policies, I feel Apollo Munich Optima Restore is good health insurance plan having unique features. Premium looks little high, but considering other factors, I feel one can consider taking this health insurance policy.

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Suresh
Apollo Munich Optima Restore-Unique Health insurance policy

13 Comments

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  1. Hi Suresh,

    Good to go through your blogs and information that you sure, would request if you could guide me in choosing a good Health Insurance Plan ( Flamily Floater) with a cover of 10 lacs & above, ideally i would like to have a cover of 15 lacs – 20 lacs.

    The plan should cover critical illness cover and accidental cover as well.

    Details of the Family Tree :

    2 Adults – Age Band 33 – 35
    1 Child – Age Band 2 yrs.

    Also if we plan for a second child, will any exsisting plan include the new born.

    Lastly is there any plan which covers accidental death internationally outside Indian teritory.

    Would appreciate if you can inbox the details to me.

    Thanks & Regards
    Sayantan

    1. Hi Sayantam, Pls go through this article where I indicated top health insurance plans. https://myinvestmentideas.com/2013/11/best-mediclaim-policy-health-insurance-plan-in-india/

  2. I am age of 57, interest to take mediclaim policy for me and my wife of age 55

  3. Hi

    I am working in IT Industry as a Project Managere.  I am very much interested in Financial Planning and Investments.

    What type of Articles you will suggest me for reading and keep me updated.

    Your website is really informative.

     

    Regards

    Prasad Deshpande

     

    1. Hi Prasad, Glad to know about you. You should go in this sequence — 1) Safe investment options like bank FD or post office schemes 2) Mutual funds like debt mutual funds and diverisifed funds 3) Stocks. When you go in this order, you are moving from low risk options to high risk options. You would know whether you are really keen to take such risk or not. Based on this your investment decisions would change.

  4. Hi Suresh,

                     This article was very much informative, i would like to ask about HDFC Ergos FAMILY HEALTH COVER HEALTH COVER policy, i was offered this policy with 10 lacs accidental death coverage, premium is 7000 for 3 lacs SA for me & my wife, kindly let me know whether is this policy worth to buy.                 

    1. Sumedh, This is like any other health insurance policy, nothing excitement nor any unique features. I have reviewed 3 plans, Reliance easy life health insurance, max bupa heart beat plan and apollo munich optima restore which has some unique features. You can review and consider one of them.

  5. Hi,

    Just wanted to point out 1 thing on restore benefit feature.

    the coverage amount gets reinstated only when the Sum Insured is completely exhausted. 

    meaning, If I have an insurance of 5 lakhs, and I have exhausted 4 lakhs in 1 claim and if there is a claim of 2 lakhs for some other illness by other family member,  at that point only 1 lakh can be claimed.

    Your sum insured gets reinstated only when you have exhausted total sum insured but not in the above case. i.e restore benifit does not kick in when the sum insured is short to pay a claim but only when you have totally exhausted your limit.

    I hope you got the point.

    However in the case of Religare, the restore benefit will kick in as soon as the Sum Insured is short to pay a claim. 

    Thanks

    1. Viral, Yes apart from Apollo, Religate also offering this now. However your last point, I am not sure whether it is right or wrong. I have reviewed one more time, but could not see this point in Religate health insurance. Can you please provide the link which talks about this.

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