Apollo Munich Optima Restore Plan

Product Overview

Apollo Munich Optima Restore Health Insurance Plan is a unique plan which automatically reinstates the basic sum insured, for no extra charge, in case you exhaust it within a policy year. The reinstated amount can be used for some other illness. Moreover, the plan also offers No Claim Bonus facility and increases the sum insured by 50%.

Unique Features of Apollo Munich Optima Restore Plan

• Cumulative Bonus of 100 % is available over a period of 2 years.
• Restore of Sum Insured is available for unrelated illness once in a policy year.
• Pre & Post hospitalisation expenses are covered up to 60 & 180 days.
• This plan has no co-payment clause.
• Waiting period for pre existing disease is 3 years.
• Daily cash if treatment is availed at shared accommodation.

Features of edit Edit Details

Critical features of Apollo Munich Optima Restore Plan

• Room rent:
  Limits imposed towards room and ICU rent expenses
  No Sub limits on room rent and ICU charges
• Co-Pay:
  Specific % of admissible claim amount to be borne by Insured
  This plan does not have co-payment clause.
• No Claim Bonus:
  Health Insurance policies may offer Cumulative Bonus wherein for every claim free year, the Sum Insured is increased by a certain percentage at the time of renewal
  50 % of Basic Sum Insured per year upto a maximum of 100% for each unclaimed year in case opted for. (50 % will be reduced on claim)
• Pre-Existing Diseases:
  Means any condition, ailment or injury or related condition(s) for which you had signs or symptoms, and / or were diagnosed, and / or received medical advice/ treatment, within 48 months prior to the first policy issued by the insurer
  This plan has a waiting period of 3 years for pre-existing diseases

Eligibility Criteria

• Minimum Age of entry:- Children-91 days/Adults-18 years
• Maximum  Age of entry:- 65 years
• Renewal Age:- Long Life Renewal
• Sum Assured:- 3 lakhs to 50 lakhs
• Policy Tenure:- 1 & 2yrs
• Family Definition:-
  Individual Plan - spouse, dependent children, dependent parents, parent-in-law, grandparents and grandchildren
  Family Floater - Self, Spouse,Father, Father-in-law, Mother or Mother- in-law, Grandfather, Grandmother
• Premium Calculated on Basis of:- Age, (i.e. sum Insured Chosen)

Additional discounts

• Family Discount of 10 % for 2 or more family members
• Discount for multi-year polices - 7.5% discount for opting 2 yr policy tenure

Exclusions

Any claims arising out of or attributable to any of the following is not covered.

• Expenses arising from HIV or AIDS and related diseases
• Congenital diseases, mental disorder or insanity, cosmetic surgery and weight control treatments
• Abuse of intoxicant or hallucinogenic substances like intoxicating drugs and alcohol
• Hospitalization due to war or an act of war or due to a nuclear, chemical or biological weapon and radiation of any kind
• Pregnancy, dental treatment, external aids and appliances unless covered under the specific Easy Health Insurance Plan
• Items of personal comfort and convenience
• Experimental, investigative and unproven treatment devices and pharmacological regimens.
• Medical Expenses relating to any hospitalisation primarily and specifically for diagnostic, X-ray or laboratory examinations and investigations

Note: Please refer to the policy T&C for the detailed list of exclusions.

Tax Benefits

When you pay the premium for your health insurance policy, you are liable to get a tax rebate under section 80D of the Income Tax Act, 1961.

Claim Process

In case you would like to know about the Claim Process or would like to register a Claim please click the link below

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