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Apollo Munich Health Insurance Apollo Munich Health Insurance company is a consolidated collaboration between two healthcare and insurance sector giants namely, Apollo Hospitals and Munich Health. Apollo Hospitals that are distributed all over the Indian subcontinent delivering wide range services and Munich Health, reinsurance company headquartered in Germany and one of the three business segments of Munich Re.
Apollo Munich Health Insurance is known for crafting contemporary health plans that cover pre and post hospitalization expenses, daily cash for hospital rooms, free health checkups, medical expert opinion, daycare procedures, worldwide emergency ambulance, special coverage for cancer, hypertension and diabetes, etc.
Apart from bestowing these benefits, Apollo Munich health insurance also offers comprehensive coverage with the optional rider to make it more productive and efficient. With the support of this health cover, wipe out all your health-related anxieties and complexities towards the future expenses pertaining to health.
The company is appraised through a number of awards for instituting innovative health insurance plans that cater to the prevailing health associated needs of the current generation.
|Number of Network Hospitals||5000+|
|Claim Settlement Ratio||95% (4059 crores)|
|Renewability of the Policy||Lifetime|
|Additional Rider Benefit available||Available|
|Discounts and Rebates||Available|
|Health Rewards||8% discount|
Claim Settlement Ratio
Before taking a step to buy 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.
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 the policy they get the benefit of domestic as well as an 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.
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.
Apollo Munich health insurance plans give you the feature of lifelong renewability where the policyholder can renew online 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.
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 service at any network hospitals is like a blessing to policyholder and settlement of the 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.
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 for 30 days before the renewal date by filing a portability form and submitting previous policy details.
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.
The most preferred plan of Apollo Munich health insurance that includes complete cover for hospitalization for major and minor diseases.
A health insurance plan suitable for both individual and family healthcare needs and demands.
This plan ensures financial assistance for all the hospitalization cost incurred on the treatment of any defined illness by the company and other expenses related medical expenses of the insured.
A plan that offers higher coverage options at an affordable rate of premiums which covers important medical cost common to every individual.
An individual plan that is crafted to meet the increasing cost of healthcare sector and provides timely coverage for the treatment expenses at any of the 4,500 hospitals located in 800 cities.
This plan covers all the necessary medical costs that are crucial for sane health of the insured and becomes effective at the time of retirement.
A uniquely designed health insurance that basically covers critical diseases whose treatment are way too extravagant that may leave you bankrupt at a point of time. The plan safeguard the savings and create an additional reserve of money for medical expenses.
An exclusive health insurance plan to deal with widespread diseases called diabetes whether it is Type 1 or Type 2. This gives financial assistance to combat and treat the complicated illness of diabetes.
A special plan dedicated to providing coverage for minor illnesses that are excluded from the coverage portion of many health insurance plans. This plan takes care of all the minor injuries to illness such as a normal stomach infection, allergies, sore throat, eyesight weakness, dental treatment, etc.
This plan will give you advanced protection from cancer which has rapidly built its home in the human body. In order to eradicate the roots of cancer, this plan ensures complete coverage for the treatment without any limitation.
For Enhance Plan Only:
Apollo Munich concern towards growing cancer cases mostly in women population has given birth to iCan Cancer Insurance which takes care of the women specialized cancer mainly cancer.
For Advanced Plan:
A dengue specific plan that covers the expenses arising from hospitalization whether in-patient or outpatient treatment. Anybody from a child to an adult person can easily purchase the plan as there are no age limitations.
Apollo Munich health insurance offers health insurance online which is of great significance. The company remained 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.
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?
|Name of the product||Minimum Age of entry||Maximum Age of entry||Sum Insured/ Daily Cash||Number members can be included||Premium Paying Modes||Policy Term|
|For Individuals and Family:|
|Health Wallet||5 years/ 91 days (for children)||65 years||Rs 3 lakhs to Rs 50 lakhs||Individuals and Family Floater: 6 members||Annually/ Monthly||One Year/Two Year|
|Optima Restore||5 years/ 91 days (for children)||65 years||Rs 3 lakhs to Rs 50 lakhs||Individual: 6 members Family Floater: 6 members (2 adults & 5 children)||Annually/ Monthly||One Year/ Two Year|
|Easy Health||5 years/ 91 days (for children)||65 years||For Individual: Rs 1 to 15 lakhs For family: Rs 3 lakhs to Rs 50 lakhs||Individual: 6 members (4 adults & 5 children) Family Floater: 6 members (maximum of 5 adults and 2 children)||Annually/ Monthly||One Year/ Two Year|
|Day2Day Care- Silver||For children: 91 days to 25 years For Adults: 18 years||65 years||Not Specified||Individual: 6 members Family Floater: 4 members||Annually/ Monthly||One Year/ Two Year|
|Optima Super||5 years/ 91 days (For children)||65 years||Rs 5 lakhs/ 7 lakhs/ 10 lakhs||Individual: 6 members Family Floater: 4 members (maximum of 2 adults and 2 children)||Annually/ Monthly||One Year/ Two Year|
|For Individuals Only|
|Optima Cash||5 years/ 91 days (for children)||65 years||Rs 1000/ 2000/ 3000||Not Applicable||Annually/ Monthly||One Year/ Two Year|
|Optima Plus||5 years/ 91 days (for children)||65 years||Rs 5 lakhs||6 members (maximum of 4 adults and 5 children)||Annually/ Monthly||One Year/ Two Year|
|Optima Vital||18 years||65 years||Rs 1 lakhs to Rs 50 lakhs||6 members (maximum of 4 adults and 5 children)||Annually/ Monthly||One Year/ Two Year|
|Energy Plan||18 years||65 years||Rs 2/ 3/ 5/ 10/ 15/ 20/ 25/ 50 lakhs||Only for one member||Annually/ Monthly||One Year/ Two Year|
|Maxima Plan||5 years/ 90 days (for children)||65 years||Rs 3 lakhs||Only for one individual||Annually/ Monthly||One Year/ Two Year|
|iCan Cancer Insurance||5 years||Whole of the life||Rs 5/ 10/ 15/ 20/ 25/ 50 lakhs||Only for one individual||Annually/ Monthly||One Year/ Two Year|
|iCan Cancer Insurance for Women||18 years||Whole of the life||Rs 5/ 10/ 15/ 20 lakhs||Only for one female individual||Annually/ Monthly||One Year/ Two Year|
|Dengue plan||91 days to 25 years (for children 18 years (for adults)||65 years||Rs 50,000 to 1 lakh||6 members (Maximum of 4 adults and a maximum of 5 children)||Annually/ Monthly||One Year/ Two Year|
|For Senior Citizens:|
|Optima Senior||61 years||No maximum age limitations||Rs 2/ 3/ 5 lakhs|
By choosing this additional cover, the insured can enjoy never-ending benefits that comes along with the plan. Here’s a list of add-ons to make your plan more efficient in a comprehensive manner:
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.
In this rider, the policyholder can get protection from 8 major diseases that can degrade the health of the insured if not treated timely.
All these exclusions are common to all Apollo Munich Health Insurance plans. 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.
Reimbursement Claim Process
Cashless Claim Process
Following is the list of documents mandatory for claim settlement process:
Online Renewal Process of Apollo Munich health insurance
If you have already applied for renewal in the past years, then you have to enter 12 digit policy number on the date of renewal or completion of one year.
Conditions to be followed
Apollo Munich Health Insurance has been rated as the topmost preferred company for ensuring financial protection from health insecurities through broad coverage from the rising expenditure of medicare sector. It is highly reputed and got excellent reviews from its customers throughout its journey.
With connectivity to 4,650 hospitals spread across various zones of the country and faster settlement of the claim, proposals have earned them satisfied customers.
Due to this gesture of service, 80% of the customers are returning 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.
For a planned hospitalization, Apollo Munich health insurance company must be informed within 7 days before the event takes place.
In case of emergencies, the company must be notified about the claim within 24 hours succeeding the happening of an event.
Yes, Pre-Policy Check-up is necessary on the basis of age and sum insured value. The medical reports of the check-up are valid for 90 days from the date of check-up.
However, in some of the policies mentioned above, the requirement for pre-policy medical checkup is not compulsory.
Yes, some Apollo Munich Health Insurance plans contains 50% to 100% reimbursement of expenses incurred during the medical examination. Please read the policy wordings before purchasing a particular plan to get an idea about the reimbursement of pre-policy medical checkups cost.
Yes, pre-existing diseases will be covered after waiting period of 36 months or from the date of commencement of risk based on the type of health insurance policy chosen.
A maximum period of 30 days is taken to settle the payment of the claim for which bank details of the insured are necessary to get electronic transfer of funds. The payment will be made through a cheque issued in the name of the person proposing the
It allows the insured to gather health rewards in the form of discounts on the premium. The simple requirement to avail this benefit is to walk as far as possible to gain a healthy body and gain 8% discount on the premium paid on every renewal.
The documents for the claim settlement will be submitted to the respective TPA, kindly check your ID and user guide for TPA details.
Yes, there is a tax benefit for the premiums paid for the health insurance plans from Apollo Munich under Section 80D of the Income Tax Act.
For all sales policy, Apollo has their own efficient claim settlement team and for group policies the TPA is Family Health Plan Limited (FHPL) instead they have many other TPAs’ for various needs of the company.
Yes, the insured will pay for the cost of Pre-Policy Check-up (PPC) in which the insured has to do the tests from Apollo’s doctors and labs via responsible TPA. Reimbursement of 50% of the expenses will be provided by Apollo on submitting original bills and receipts.
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Last updated on 12-11-2019