Apollo Munich Optima Plus- A Top Up Plan: Eligibility & Features

Updated: 06-05-2019 08:18:07 AM

Sometimes, hospitalization expenses become a financial burden and one finds no way out to resolve the problem. Nobody can ever figure out the future, but the uncertainty of life demands planning for unexpected incidents and expenses. When one faces a financial crunch and looks for solutions, then the planned actions in the past helps in tackling the situation. For expenditures that goes beyond expectations and higher than one’s reach for better health, a plan like Apollo Munich Optima Plus covers the issue. The plan is within the reach of any individual and requires a nominal premium amount. It is also a plan which provides an option to the insurer to get nil deductible health insurance plans on his/her retirement.

Eligibility Criteria of Apollo Munich Optima Plus

Parameters	Details
Age Limit	The minimum age limit is 91 days and the maximum age limit is 65 Years
Entry Age	5 years is the minimum limit and 65 years is the maximum age limit
Individual Policy	6 members are covered. Adults: 4 Children: 5
Policy Period	1 or 2 years
Discount on Premium	For a 2 years’ term period option

Features of Apollo Munich Optima Plus 

• This plan provides coverage on individual sum assured basis.
• The family under this plan includes self, dependent children, spouse and dependent parents.
• This plan doesn’t provide any cover ceasing age as per the terms.
• The policyholder can choose 1 or 2 years’ policy period as per his/her choice.
• The plan provides an option for 5 lac Indemnity Health Insurance Policy.
• If the policyholder has purchased the policy before 50 years of age and the policy should have been renewed without any break.
• Option for conversion between 58-60 years of age at the time of renewal.

Different Modes of buying Optima Plus

There are two modes by which a customer can purchase health insurance. The two modes are online and offline. The customer can avail benefit by purchasing the insurance policy online rather than going for an offline purchase. There are numerous advantages that a policyholder gets on an online purchase. These benefits are:

• Sometimes while purchasing the policy through a company’s representative, some important points are missed under the declaration of pre-existing conditions to the company. So, it is wise to buy the insurance policy through online mode. The customer can accurately provide the information needed with honesty with comfort.
• A comparison among various plans always proves a beneficial exercise to the customers. In an online purchase, the customer can exercise this comparison and avail the benefits.
• The commission that might have to be paid by the customer is saved in an online purchase.

The policy, if purchased offline, has its own pros and cons. There are remote areas where an online facility is not available or the customers do not have much connectivity with the internet, the agents play a vital role in such a scenario.

Exclusions under Optima Plus

• Every kind of treatment is excluded for the initial 30 days’ period of the policy term.
• Pre-existing diseases are excluded for the first 4 years of the policy term.
• For some specific diseases, including a hernia, surgery of hydrocele etc., the plan offers a waiting period of 2 years.
• Expenses that incurred on the policyholder by sexually transmitted diseases like HIV or Aids are excluded.
• Mental disorder treatment is excluded.
• Treatments like weight control and cosmetic surgery are excluded.
• Any treatment occurred due to indulgence in intoxicants and hallucinogenic substances, even treatment of alcohol addiction and smoking are excluded from the policy.
• Such treatments that are not covered under the plan, including dental treatment, pregnancy, external aids, etc. are excluded.
• Any treatment resulting out of an act of war, treatments occurring as a result of a biological or chemical weapon are excluded.
• An attempt or committing suicide is considered a breach of the law. Under such situations, a policyholder is not entitled to the benefits of the policy.

How to purchase Apollo Munich Optima Plus – A Top-up Plan?

Purchasing an insurance policy online is a faster, easier, and beneficial way. The hassles involved in the purchasing process are less. The customer saves time as in an online purchase the company issues the policy in an instant. The customer is expected to take a right decision after comparing among the plans available. The customer should read the policy document also before finalizing the plan. The coverage, premium, term period, benefits and other associated parameters should be carefully considered.

The Optima Plus – A Top-up Plan insurance plan fulfills the need of the customer. It has been designed in such a way. Buying the plan online is not a complex process. There are only four steps involved:

• The customer has to select a plan.
• The customer has to create a proposal.
• The customer has to fill in the required details.
• The final step is to make a payment.

Apollo Munich Health Insurance Network Hospitals

The company provides the person insured with more than 4500 hospitals throughout India to get medical services from. It gives the person insured an opportunity to avail services of some of the best healthcare experts in the country.

Filing Claim with Apollo Munich Optima Plus – A top-up plan

• The company needs an update from the policyholder’s side if he/she has to face hospitalization stage. An application form has to be filled in to declare the details to the company.
• The policyholder can take help of customer care service by making a call and informing about the hospitalization.
• The company then sends a surveyor who inspects the case and prepares a report for the claim.
• On surveyor’s report, the company finalizes the claim amount.
• The sum assured is paid-off to the customer as per the approval based on the surveyor’s report.
• If the policyholder gets hospitalized with the planning of any treatment, the policyholder has to inform the company within 2 days.
• The doctor fills the form and documents related to the policyholder. This form has to be provided to the company.
• The cashless claim gets approval within one hour after the process gets completed.

Policy Renewal of Apollo Munich Optima Plus- a top-up plan

This plan offers a grace period of 30 days on policy renewal. The plan doesn’t provide any maximum coverage ceasing age. The policyholder is provided with a waiting period of one year on policy renewal. If the policyholder wishes for any change in the policy, the company has to be informed 3 months in advance. The change will be subject to the approval of the IRDA.

Contact Details

Email: customerservice@apollomunichinsurance.com

Sales Toll-Free: 1800-103-0555

Fax: +91-124-4584111

Support Toll-Free: 1800-102-0333

FAQs

Q1. Can I get any help from the company side to finalize a plan?

The company offers an online support service. The customer can make a call at 1800-103-0555. The customer care executive will provide help to the caller in finalizing the right plan according to his/her requirements.

Q2. How can I locate a hospital near me?

The policyholder can search the list of hospitals under the company’s network provided by the company online or taking help from the company representative by calling up the toll-free or any other support number listed by the company.

Q3. Is any medical check-up required while renewing a policy?

If the policyholder is renewing the policy without any break in the first year, also, the policyholder is not requesting for a change in any of the terms and conditions, the policyholder doesn’t need to undergo a medical check-up in this case.