The document compares features of different health insurance plans - Apollo Munich Optima Health Guard Silver, Optima Health Guard Gold, and Optima Restore plans ranging from 3 Lac to 50 Lac sum insured. Key features included are room rent and ICU charges covered at actuals, day care treatments covered, maternity benefits for some plans, and preventive health checkups covered annually with higher limits for higher sum insured plans. Renewals are lifelong for all plans. Family definition includes spouse, children, parents, and dependents. Premiums are available on both individual and floater basis with zone-wise pricing.
The document compares features of different health insurance plans - Apollo Munich Optima Health Guard Silver, Optima Health Guard Gold, and Optima Restore plans ranging from 3 Lac to 50 Lac sum insured. Key features included are room rent and ICU charges covered at actuals, day care treatments covered, maternity benefits for some plans, and preventive health checkups covered annually with higher limits for higher sum insured plans. Renewals are lifelong for all plans. Family definition includes spouse, children, parents, and dependents. Premiums are available on both individual and floater basis with zone-wise pricing.
The document compares features of different health insurance plans - Apollo Munich Optima Health Guard Silver, Optima Health Guard Gold, and Optima Restore plans ranging from 3 Lac to 50 Lac sum insured. Key features included are room rent and ICU charges covered at actuals, day care treatments covered, maternity benefits for some plans, and preventive health checkups covered annually with higher limits for higher sum insured plans. Renewals are lifelong for all plans. Family definition includes spouse, children, parents, and dependents. Premiums are available on both individual and floater basis with zone-wise pricing.
Health Health Restore 3 Restore 5 Restore 10 Restore 15 Restore 20, Guard Silver Guard Gold Lac Lac Lac Lac 25, 50 Lac 1% of SI per Room rent Actual Actual Actual Actual Actual Actual day ICU Charges Actual Actual Actual Actual Actual Actual Actual Pre 60 days 60 days 60 days 60 days 60 days 60 days 60 days Post 90 days 90 days 180 days 180 days 180 days 180 days 180 days All under All under All under All under All under All under All under Day Care definition of definition of definition of definition of definition of definition of definition of Treatments day care day care day care day care day care day care day care Organ Up to sum Up to sum Up to sum Up to sum Up to sum Up to sum Up to sum Donor insured insured insured insured insured insured insured Upto Upto Up to Up to Up to Up to Up to Ambulance 20000/- per 20000/- per 2000/hospit 2000/hospit 2000/hospit 2000/hospit 2000/hospit cover policy year policy year alization alization alization alization alization Up to 2.5 Up to 2.5 Up to 2.5 Emergency Lac/hospital Lac/hospital Lac/hospital Air Not Not Not Not ization, Max ization, Max ization, Max Ambulance available available available available up to sum up to sum up to sum Cover insured insured insured > 10 days > 10 days Convalescen hospitalistio hospitalistio Not Not Not Not Not ce Benefit: n, Rs. 5000 n, Rs. 7500 available available available available available per policy per policy Daily Cash Rs. 500 per Rs. 500 per Benefit for day day Not Not Not Not Not Accompanyi maximum maximum available available available available available ng an up to 10 up to 10 Daily Cash Not Not for 800/day, 800/day, 800/day, 800/day, 1000/day, available available choosing Max 4800 Max 4800 Max 4800 Max 4800 Max 6000 Once in Once in Once in Once in Once in Once in Once in Sum Insured policy policy policy policy policy policy policy Reinstateme period, for period, for period, for period, for period, for period, for period, for nt Benefit similar similar similar similar similar similar similar illness too illness too illness too illness too illness too illness too illness too Maternity Not Up to Rs. Not Not Not Not Not Expenses available 35000 available available available available available New Born Not Within Not Not Not Not Not Baby available maternity SI available available available available available 50% of Sum Bariatric Not insured Not Not Not Not Not Surgery available maximum available available available available available Cover up to Rs. 5 Every 3 yrs, Every 3 yrs, Individual Individual Individual Individual 1% of sum 1% of sum up to up to up to up to Preventive insured, insured, 1500/perso 2000/perso 4000/perso 5000/perso Not Health max Rs. max Rs. n n n n available Checkup 2000/-, 5000/-, Floater up Floater up Floater up Floater up irrespective irrespective to to to to of claim of claim 2500/policy 5000/policy 8000/policy 10000/polic Ayurvedic up to 20000 and , available in Not Not Not Not Not Not Homeopathi all approved available available available available available available c ayurvedic Hospitalisati hospitals Domiciliary Not Not Up to sum Up to sum Up to sum Up to sum Up to sum Treatment available available insured insured insured insured insured E-Opinion in One opinion One opinion One opinion One opinion One opinion Not Not respect of a per policy per policy per policy per policy per policy available available Critical year year year year year Underwri ting guideline 3Months , 3Months , 3Months , 3Months , 3Months , 3Months , 3Months , Entry age 18yrs for 18yrs for 18yrs for 18yrs for 18yrs for 18yrs for 18yrs for Min Proposer Proposer Proposer Proposer Proposer Proposer Proposer 30yrs for 30yrs for 25 yrs for 25 yrs for 25 yrs for 25 yrs for 25 yrs for Entry age children, children, children, children, children, children, children, Max 65yrs for 65yrs for 65yrs for 65yrs for 65yrs for 65yrs for 65yrs for adults adults adults adults adults adults adults Renewal Lifelong Lifelong Lifelong Lifelong Lifelong Lifelong Lifelong 3/4/5/7.5/1 3/5/10/15/ 3/5/10/15/ 3/5/10/15/ 3/5/10/15/ 3/5/10/15/ Sum insured 1.5/2 lacs 0/15/20/25 20/25/50 20/25/50 20/25/50 20/25/50 20/25/50 /30/35/40/ Lacs Lacs Lacs Lacs Lacs • Proposer • Proposer /Spouse /Spouse /Parents/Sis /Parents/Sis ter/ ter/ Brother/In Brother/In spouse, spouse, spouse, spouse, spouse, Family laws/ Aunt/ laws/ Aunt/ dependent dependent dependent dependent dependent definition Uncle Uncle children and children and children and children and children and • • dependent dependent dependent dependent dependent Dependent Dependent parents and parents and parents and parents and parents and Children/Gr Children/Gr dependent dependent dependent dependent dependent andchildren andchildren: in laws in laws in laws in laws in laws Individual Individual Individual Individual Individual Individual Individual Sum insured and Floater and Floater and Floater and Floater and Floater and Floater and Floater type basis basis basis basis basis basis basis Yes, Metro Yes, Metro Yes, Metro Yes, Metro Yes, Metro Yes, Metro Yes, Metro Zone wise & Non & Non & Non & Non & Non & Non & Non premiums Metro Metro Metro Metro Metro Metro Metro premiums premiums premiums premiums premiums premiums premiums Cumulative Yes 10% Yes 10% Yes 50% Yes 50% Yes 50% Yes 50% Yes 50% bonus max 100% max 100% max 100% max 100% max 100% max 100% max 100% Cataract Disease 20% of sum Not Not Not Not Not Cappings insured, available available available available available max up to Discounts for 2 for 2 members members for 2 for 2 for 2 for 2 for 2 Family 10%, for 10%, for members members members members members discount more than 2 more than 2 10% 10% 10% 10% 10% members members 15% 15% Employee Not Not Not Not Not 20% 20% discount available available available available available Long term 4% for 2yrs, 4% for 2yrs, 7.5% for 7.5% for 7.5% for 7.5% for 7.5% for Policy 8% for 3yrs 8% for 3yrs 2yrs 2yrs 2yrs 2yrs 2yrs Co pay 10% or20% 10% or20% Not Not Not Not Not discount discount discount available available available available available Medical > 45 yrs > 45 yrs >46 >46 >46 >46 >18 1 yr, 2 yrs & 1 yr, 2 yrs & Policy term 1 yr, 2 yrs 1 yr, 2 yrs 1 yr, 2 yrs 1 yr, 2 yrs 1 yr, 2 yrs 3 yrs 3 yrs Waiting Periods Pre existing 36 months 36 months 36 months 36 months 36 months 36 months 36 months Specific 24 months 24 months 24 months 24 months 24 months 24 months 24 months Disease Joint Replacemen 36 months 36 months 24 months 24 months 24 months 24 months 24 months t, PIVD, 30days Yes Yes Yes Yes Yes Yes Yes Maternity Not Not Not Not Not Not 72 months waiting available available available available available available