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Apollo Munich Optima Vital Plan

Apollo Munich Health Insurance

3.5/5 22 User Reviews

Apollo Munich Optima Vital Plan is a health insurance policy mainly intended to cover 37 Critical Illnesses and the associated costs till Rs 50 Lacs. It serves as a supplemental coverage in addition to your existing health plan in case of any critical illness that requires large expenses for treatment.

Apollo Munich Optima Vital Plan is a health insurance policy mainly intended to cover 37 Critical Illnesses and the associated costs till Rs 50 Lacs. It serves as a supplemental coverage in addition to your existing health plan in case of any critical illness that requires large expenses for treatment.

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Highlights of Apollo Munich Optima Vital Plan

    Know all about Apollo Munich Optima Vital Plan online. Read more about health insurance on Coverfox
  • Provides a lump sum amount in the event of detection of critical Illness
  • 37 Critical Illnesses covered under the plan
  • Lifelong Renewability in this plan
  • Option of E-opinion with the company’s paneled doctor for expert advice relating to any Critical Illness
  • A premium rebate of 7.5% if opted for a two-year policy tenure
  • Free Healthline Service that provides for initial consultation, health counseling, individual referrals, nutrition, and diet.
  • **Please Note: Apollo Munich Health Insurance is now HDFC ERGO Health (formerly Apollo Munich Health Insurance)**

Scope of cover

Indivdual Plan

Entry Age

For children : 18 - 25

Adults :

Minimum : 18 years

Maximum : 65 years

Number of Members Covered

Maximum Members : 6

Maximum Adults : 4

Maximum Children : 4

Sum Insured

1 Lakh - 50 Lakh


discount

For longer policy term

Family Discount

Policy Periods Available

1, 2 years


Pre-Policy Medical Check-up

Sum Insured 6L & above

Age 46 Years above

Important Features

For a Critical Illness Insurance Plan it is most important to know the conditions covered under the plan. Given below is a list of conditions covered under each category.

Category 1:

  1. Cancer
  2. Kidney Failure requiring regular dialysis
  3. Multiple Sclerosis with persisting symptoms
  4. End stage liver disease
  5. First heart attack
  6. Coma
  7. Major Burns
  8. Goodpasture`s Syndrome
  9. Apallic Syndrome
  10. Aplastic Anaemia
  11. Systemic Lupus Erythematosus
  12. Bacterial Meningitis
  13. Multiple System Atrophy
  14. Progressive Scleroderma

Category 2:

  1. Primary Parkinson’s Disease
  2. Alzheimer’s Disease
  3. Motor Neuron Disease with Permanent Symptoms
  4. Stroke resulting in Permanent Symptoms
  5. Permanent Paralysis of Limbs
  6. Primary Pulmonary Arterial Hypertension
  7. Benign Brain Tumor
  8. Cardiomyopathy
  9. End Stage Lung Disease
  10. Brain Surgery
  11. Progressive Supranuclear Palsy
  12. Creutzfeldt-Jakob Disease (CJD)
  13. Major head Trauma
  14. Encephalitis

Category 3:

  1. Open Chest Coronary Artery Bypass Graft Surgery
  2. Major Organ/ Bone Marrow Transplant
  3. Aorta Graft Surgery
  4. Open Heart Replacement or Repair of Heart Valves
  5. Pneumonectomy
  6. Pulmonary Artery Graft Surgery

Category 4:

  1. Blindness
  2. Deafness
  3. Total Loss of Speech

Note: Please refer the policy wordings for details of the clauses and associated terms and conditions. Similarly, note that a registered medical practitioner should verify above mentioned ailments for a successful claim. For more information, contact Coverfox.

Good to Have Benefits

PORTABILITY
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PORTABILITY

If you are currently insured with a different insurer and wish to switch to Apollo Munich's Optima Vital Plan, you can do the same without losing your accrued benefits after due allowances for waiting periods.

TAX BENEFITS
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TAX BENEFITS

You can avail tax benefits for the premium amount paid towards this plan under Section 80D of the Income Tax Act.

SUM ASSURED ENHANCEMENT
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SUM ASSURED ENHANCEMENT

You can opt for the improvement of the Sum Insured at the time of renewal if you have not claimed on the policy.

Value Adds

E-OPINION
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E-OPINION

Along with the regular coverage offered under critical illness benefit plan, this plan also provides second opinion post diagnosis of critical illness.

FREE LOOK PERIOD
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FREE LOOK PERIOD

For any reason, should you decide not to proceed with the policy, you can return the same and request for a refund within 15 days from the date of receipt of the policy document.

Terms & Conditions

SUM INSURED
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SUM INSURED

Sum assured or coverage is the minimum amount payable to the insured by the insurance company.

You can opt for a sum insured between Rs.1,00,000 and Rs.50,00,000.

SURVIVAL PERIOD
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SURVIVAL PERIOD

45 days

Waiting Period

  • For any claim, there is a waiting period of 90 days from the commencement of this policy. However, this does not apply for renewals or portability, without any break.
  • 48 months waiting period from policy start date for all Pre-existing Conditions declared and accepted at the time of buying

Permanent Exclusions

The Plan will not cover any liabilities towards the treatments of following conditions-

  • whose signs or symptoms first occur within 90 days of the policy period
  • ailment out of war, riot, strike, and nuclear weapons
  • Critical illnesses after diagnosis of HIV infection
  • Treatment for drug addiction
  • Congenital internal and external disease, defects or anomalies

Review of Apollo Munich Optima Vital Plan

With a cover for 37 critical illnesses, Apollo Munich's Optima Vital is a worthy investment towards securing your financial future in case any of the specified critical illness hit you in future. A broad range of sum insured, expert opinion from paneled doctors and an option to enhance your sum insured at renewal are few of the significant benefits that make the plan worth considering.

**Reviews and ratings are based only on Benefits and Conditions. Things like Claim Settlement Ratio, Hospital Network have not been covered under product ratings. These are covered under Company ratings.
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