Apollo Munich Health Insurance - Optima Restore Health Insurance
Apollo Munich health insurance offer a new plan called Optima Restore, which provides 2 additional unique benefits without any extra cost:
Restore Benefit
Multiplier Benefit
Medical Coverage Benefits Offered by Apollo Munich Optima Restore Health Insurance
Benefit
Coverage Optima Restore for Individual Optima
Restore for Family
1.
Basic Sum Insured per insured person per policy year (Rs. in Lakh)
3.00, 5.00, 10.00, 15.00
2.
In-patient Treatment
Covered
3.
Pre-Hospitalization
Covered, upto 60 Days
4.
Post-Hospitalization
Covered, upto 180 Days
5.
Day Care Treatment
Covered
6.
Domiciliary Treatment/Home Treatment
Covered
7.
Treatment for Organ Donor
Covered
8.
Emergency Ambulance
Upto Rs.2,000 per Hospitalisation
9.
Restore Benefit
Equal to the sum insured. Extra sum insured will be reinstated only after the basic sum insured amount has been
exhausted. This does not involve additional cost.
10.
Multiplier Benefit
50% of the initial basic sum insured for every year without claims and maximum is 100%. If there are
claims, only the bonus is reduced by 50%, not the initial sum insured.
Restore Benefit provided by Apollo Munich Optima Restore Health Insurance
The sum insured is reinstated after it has been exhausted before a policy year ends. This restoring of sum insured doesn’t not include any extra charges.
The sum insured will provide coverage for some other sickness or for another member in the family. It will not provide coverage for the same individual’s sickness or same member in the family.
For example:
If have purchased a 5lakhs plan and the entire amount has been exhausted, restore benefit will reinstate an additional 5lakhs amount which can be used up for a different sickness or for a different member covered under the family floater plan.
Multiplier Benefit provided by Apollo Munich Optima Restore Health Insurance
The benefit is provided for a claim-free year. If an insured has not made any claims in a policy year, a bonus called no claim bonus is given to the customer which is 50% of the sum insured. Again if the customer has made no claims in the following year, the sum insured amount becomes double the basic sum insured.
For example:
If you have a 3lakhs policy and has made no claims in the 1st year, the sum insured becomes 4.5lakhs for the second year. Again if you have made no claims in the 2nd year the basic sum insured will double i.e. the sum insured becomes 6lakhs. You will still be paying a premium for the 3lakhs plan.
Other important benefits provided by OptimaRestore Health insurance plan
Plan renewal can be done lifelong providing coverage forever.
The sublimits for patient room and medical expenses is Nil
Cashless settlement in over 4000 reputed hospitals across 800 cities in the country(India).
There exists no sublimits with respect to geography i.e. an insured can get treatment anywhere in India no matter where he/she buys the policy from.
If you have made any claims in the previous years, you still have to pay the same premium on renewing the policy in the following years.
90% of pre-authorization happens in not more than 2 hours.
Claims are settled very fast and easily.
The policy can be upgraded to the next slab while renewing the policy.
