Apollo Munich Health Insurance Plans Review
Apollo Munich offers a wide range of health insurance plans in India. It offers health policies suitable for everyone. Its unique features of covering maternity benefits, diabetes, hypertension, day care procedures make such plans attractive. What are various Health Insurance Plans offered by Apollo Munich? Which is the best Apollo Munich Health Insurance Plans for family? Which is the good Apollo Munich Health Insurance Plans for Parents or senior citizens? Let me review these health insurance plans in this article.
What is a health insurance plan?
Health insurance policy is a contract between the policyholder and the insurance company, wherein the insurance company agrees to pay the medical expenses incurred on the policyholder to the extent of the amount insured. The insurer will either provide a reimbursement for your medical expenses or ensure that you get a cashless treatment for illnesses or injuries covered under the policy at one of the network hospitals.
Mediclaim Vs Health Insurance Plans – Is there any difference?
Many feel there is no difference between these two. However, let us look at this video (in Hindi, but the sub-titles are in English) to know the exact differences.
Overview about Apollo Munich Health Insurance
Apollo Munich Health Insurance Company Limited is a joint venture between Apollo Hospitals and the health business division of the Germany-based Munich Re, Munich Health. The company began its operations in India in the year 2007 intending to provide high-class health care services to the common man. It offers a wide array of Health Insurance plans with many advantages and benefits to fit every budget and requirement.
What is the Incurred Claim Ratio of the Apollo Munich Health Insurance?
We re-iterated about incurred claim ratio for health insurance in our earlier article. The Incurred Claims Ratio (ICR) indicates the strong footing of insurance companies in the insurance market. Standard incurred claim ratio for a health insurance company should be between 50% to 70%. The ICR of Apollo Munich is 62.47%. It shows that Apollo Munich is in good condition to approve and clear claims without having to overburden their finances.
What are various Apollo Munich Health Insurance Plans being offered?
It offers the following health insurance policies.
1) Apollo Munich Optima Restore
2) Apollo Munich Easy Health
3) Apollo Munich Energy
4) Apollo Munich Health Wallet
Apollo Munich Health Insurance Plans – Which is the best for you?
Now let us go into the features of these health insurance plans and conclude which could be a better health insurance policy for you.
#1 – Apollo Munich Optima Restore
It is one of the best selling health plans of the company. Let us check the features of this health insurance.
The minimum age of entry is 5 years. For a newborn, it is 91 days subject to a parent getting insured.
The maximum age of entry is 65 years.
The minimum sum assured is Rs 3 Lakh and maximum is 50 lakh.
It provides complete coverage up to 60 days pre-hospitalization and 180 days post-hospitalization to ensure better planning of your hospitalization needs.
One can earn up to an 8% discount on the renewal premium if the insured has the average Step Count on Healthjinn App.
The biggest benefit of this policy is that it provides an instant addition of 100% basic sum assured to your cover, on your first claim. For example, if you have a base sum insured of Rs. 5 lakh and claim Rs. 1 Lakh at the beginning of the year, the base sum insured of 5 lakh will be restored to your remaining balance. This way you will have now Rs. 9 lakh which can be used for subsequent claims in the remaining policy year for all claims under Inpatient benefits. The policy also offers the Multiplier Benefit in which the basic sum insured is increased by 50% as no claim bonus for two years. If you have a 5 lakh policy and don’t claim in the first year, the cover is increased to 7.5 lakh for the second year and 10 lakh for the third year, while you pay a premium of Rs. 5 lakh policy (i.e.no change in premium).
Whom does this health policy suitable?
This policy is suitable for almost every individual. If you are also thinking that you need a health insurance plan where the sum assured is increasing year on year without a change in premiums (without any claims), then this is one of the best Apollo Munich Health Insurance Plans for family and for individuals.
#2 – Apollo Munich Easy Health
It is a comprehensive and affordable plan available at quite low premiums.
This health insurance policy provides a comprehensive hospitalization cover which includes hospital room rent, nursing, ICU, medical practitioners, blood, oxygen, anesthesia, surgical appliances, operation theatre, medicines, etc.
Its complete coverage plan covers pre and post-hospitalization expenses for consultation, investigations and medicines up to 60 days before the days of admission and 90 days after discharge from hospital.
A Critical Illness Rider can also be attached to it. Critical illnesses demand treatments and medical care which are often quite expensive. With Easy Health Policy, you can opt for a Critical Illness lump sum benefit of 50% or 100% of the sum insured in addition to our payment under Inpatient Treatment Benefit.
The policy also provides a cumulative bonus. In any year if you do not make a claim for Easy Health safety shield grows bigger and better by 10% of the sum insured. Cumulative Bonus increases your sum insured by 10% for every claim-free year up to 100%.
This policy also gives an option for Maternity Benefit which includes regular checkups from a qualified doctor, quality treatment for mothers before, during and after labor pains, any hospitalization expenses of the newborn up to 90 days after the birth.
One can earn up to 8% discount on renewal every year by walking for about 10,000 steps every day on an average. This can have immediate and long term health benefits sinking your risk to multiple diseases and earn reward for the effort.
The policy also provides for Ayush benefits for the insured members can use Ayush (Ayurveda, Yoga, Naturopathy, Unani, Siddha, and Homeopathy) benefit to pay for expenses that incur on such treatments in any government or recognized hospitals.
The benefits of this policy are it offers maternity benefit which very few policies offer. Along with it, it is providing Critical Illness Rider and Ayush benefit.
The drawback of this policy is that coverage for newborn baby will start from the date, the premium has been received and not the date when the newborn is born.
Whom does this health insurance policy suitable?
This is like a regular health insurance plan, however, comes with critical illness coverage rider and maternity benefit. If you think these additional features are good for your life style, you can consider this health insurance.
#3 – Apollo Munich Energy
This is not just a regular health plan, but a complete wellness program. This policy has been specifically designed for people suffering from diabetes and hypertension.
It provides coverage from day one for hospitalization arising out of these two diseases. The minimum sum insured is Rs. 2 Lakh and the maximum is Rs. 50 lakh.
The minimum entry age is 18 years and maximum entry age is 65 years.
It has pre-hospitalization charges up to 30 days and post-hospitalization up to 60 days. It covers InPatient treatment like nursing, ICU, anesthesia, medicines, OT etc.
Day Care procedures like cancer chemotherapy, biopsy, coronary angiography, cataract, etc. are also covered in it.
It also provides the Restore Benefit which means that if you have a cover of Rs. 10 lakh and you make a claim of Rs. 3 Lakh, you have now Rs. 17 lakh (7+10) at the price of 10 lakh cover.
The premium amount paid under this policy qualifies for deduction under Section 80 D of the Income Tax Act.
The policy provides for many Wellness Incentives which encourages you to stay healthy and get regular checkups done. The plan comes with a customized Wellness plan in which a health coach assists you to grow personalized improvement through diet and exercise plans and establish clear health goals with timelines. It encourages you to stay healthy by getting up to 25% premium discounts through to earn reward points.
In today’s lifestyle, diseases like diabetes and hypertension are quite common. No other policy covers the pre-existing diseases except this one.
Whom does this health insurance policy suitable?
This medical policy covers for diabetes and hypertension. It provides wellness incentives to stay you healthy. This is one of the best Apollo Munich health insurance plans for parents or for senior citizens.
#4 – Apollo Munich Health Wallet
This is a revolutionary health policy that comes with the Reserve feature and Deductible feature which is barely found anywhere.
The minimum sum assured is Rs. 3 Lakh and the maximum is Rs. 50 lakh with reserve benefits.
The policyholder can use the reserve for OPD expenses and then all payable products under the Health Insurance claim. The policyholder also has an option to use this reserve to pay up to 50% of his/her renewal premium. This reserve benefit keeps on increasing year after year. Any unused balance is carried forward to the upcoming year with a bonus of 6%.
The policy also provides for Restore Benefit in which the partial unutilized sum assured is restored in the subsequent years.
Health Wallet comes with Multiplier Benefit features too in which the basic sum insured will increase by 50% at the time of renewal. And if you do not claim even in the 2nd policy year, your basic sum insured gets doubled.
If you already have a Health Insurance you can avail Health Wallet Deductible Benefit. It is optional to take. The deductible is cost-sharing feature which means that the insured takes care of his Health Care costs up to the deductible amount in the policy year by himself or to another existing policy. All health care expenses beyond the deductible amount will be covered by health wallet. The Deductible will apply on an individual basis in case of the individual sum insured policy and on the family floater basis in case of family floater policy. It is a Win-Win situation for all.
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Whom does this health insurance suitable?
Reserve and deductible are unique features of this health insurance plan. If you feel these special features are useful based on your lifestyle, you can consider taking this health insurance plan.
Conclusion: Apollo Munich’s health insurance plans come with different novel features which make the company stand apart from others. One should meticulously choose his/her plan as per his/her needs and requirements.
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Apollo Munich Health Insurance Plans Review
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