View Maxima Product Deck Slide

8/7/2019 View Maxima Product Deck Slide

1/17

Welcome to Apollo Munich Health Insurance Co. Ltd.


2/17

Urban Spending in Healthcare will increase due to a variety o actors

Why Health Insurance ?

Factors

Increase in

Liestyle Diseases

Enhanced quality

o Hospitals

Increasing

Auence

Healthcare Spend in India

12902250

To double in next 5 years

Fina

ncialYear09

Fina

ncialYear13

Billion


3/17

How do you ensure you can get the best quality

treatment even i it costs a lot?

Reduce savings- Postpone a dream

Borrow money- Lose dignity

Do nothing- Pray

Compromise- Feel guilty

Take Health Insurance- Protect whats dear to you


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Why Apollo Munich

We know healthcare.

We know insurance.

Over 5000 Experts across

26 locations Worldwide,

Customers rom over 100 Countries

50 Hospitals,

1068 Pharmacies,

8000 Doctors and

Trust o 16 million patients


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Lets Uncomplicate.Not only a positioning but a belie and journey.

We make quality healthcare easy and accessible.

Simple language, clear policies, transparent procedures and

innovative products, making health insurance the way it ought to be.

Philosophy


6/17


7/17

Indias First truly Comprehensive Health Insurance Plan

Inpatient Treatment

Annual Health Check Up

Dental & Vision Care

OPD treatment & medicine

Critical illness Rider

Diagnostic Tests

Maxima

We dont just care or the

BIG ILLNESSES,Were or the LITTLE Illnesses too


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Maxima provides an in-patient cover along with hoards o other benefts with

an unique out-patient cover.

Wide In-patient Hospitalisation cover: Maxima oers` 3,00,000 cover

or In-patient hospitalization, pre and post hospitalization, 140 day care

procedures, etc.

Wide Out-patient cover: Flexible out-patient beneft within the OPD sum

insured covering expenses or doctor consultation, pharmacy expenses,

spectacles, contact lenses, health check-up and diagnostic tests.

Cashless Hospitalisation: Cashless hospitalisation can be availed at over

4000 hospitals across 800 cities.

Life Long Renewal benet: 100% lie long renewal beneft with no cover

ceasing age.

Additional Critical Illness cover: Optional additional coverage against 8specifed critical illnesses is also available.

Renewal benets: 10% cumulative bonus on in-patient hospitalization

Sum Insured or every claim ree year and 50% carry orward bonus or

unutilized OPD benefts(except Annual Health Check-up).

Maxima CompleteWhat makes it comprehensive?


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In-patient benefts

1 Member 2 Members 2 Adults +Upto 2 Children

Sum Insured per Policy year `300,000 `300,000 `300,000

a) In-patient Hospitalisation Covered

b) Pre-Hospitalisation 30 days

c) Post-Hospitalisation 60 days

d) Day Care Procedures 140 procedures Covered

e) Domiciliary Treatment Covered

) Daily Cash or choosing Shared Accommodation `500 per day, Maximum`3,000

g) Organ Donor Covered

h) Emergency Ambulance up to`2,000 per hospitalisation

i) Daily Cash or Accompanying an Insured Child `300 per day; Maximum`9,000

j) Maternity Expenses* (Waiting Period 4 years) Normal Delivery-`15,000;

Caesarean Delivery-`25, 000 (Including Pre/Post Natal

limit o`1,500 and inant baby limit o`2,000)

k) Newborn baby cover Optional

Optional Beneft

Critical Illness* (Oered on Individual basis) `300,000

* Benefts do not dip into In-patient Sum Insured


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Out-patient benefts

1 Member 2 Members 2 Adults +

Upto 2 Children

a) Doctor consultations* 4 consultations 6 consultations 8 consultations

b) Diagnostic tests#

c) Pharmacy# `5,000 `5,500 `7,000

d) Dental treatment#

e) Spectacles, Contact lenses#

) Annual Health Check-up within 1 Entitlement 2 Entitlement 2 Entitlement

specifed Network** Certifcate Certifcates Certifcates

*The reimbursement against non-network out-patient consultation is restricted up to

lower o actual expenses or`400

#The reimbursement against Diagnostic tests, OPD Dental treatment, Spectacles, Contact

lenses outside Apollo Munich network is restricted upto lower o actual expenses or the

Sum Insured mentioned herein.**Health check-up is available only within the specifed network and not available on

reimbursement basis.


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30 days waiting period: For the irst 30 days o your policy we would provide cover only or medicalexpenses arising out o accidental emergency conditions.

2 years disease specific waiting period: For speciic diseases like cataract, hernia, hysterectomy,joint replacement, hydrocele etc your claims would be payable only ater you have completed 2 consecu-

tive years as our insured customer.

Pre-existing disease: In case you have any existing condition, please remember to declare all suchmedical conditions at the time o taking the policy. Pre-existing diseases, except or any medical condition

/ disease or which we have applied speciic exclusion, shall be covered rom 4th year o the policy i the

proposal is accepted and policy is issued to You.

Apollo Munich would not provide cover or...

Expenses arising out of medical conditions like HIV, AIDS & related disease.

Expenses arising out of medical conditions pertaining to internal & external congenital diseases.

Non-allopathic treatments.

Expenses for artificial limb and external devices.

Expenses for Cosmetic treatment or items of personal comfort and convenience.

Please reer to the policy wording or the comprehensive set o exclusions

Remember


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Oerings Apollo Munich Majority o others

Lie Long Policy Renewal-

Cover rom Cradle to GraveYES Oer cover around 75 years only

No Sub-limits on Room Rent-

No need to compromise on acilities

when it comes to healthcare

Oered Limit o room rent up to 1% o the

sum insured

Portability o Benefts-Carry orward o benefts rom exist-

ing Health Insurance Policy

Oered Not oered resulting in loss o ac-crued benefts

Outpatient benefts Oered Most Insurers dont oer

Additional Cover or Critical Illness Oered as optional rider beneft with

core inpatient oering

Others oer as a separate product

New Born & Maternity Benefts Oeredwith a waiting period

Most Insurers dont oer

Health Line Support

or any time medical assistance

Oered Most Insurers dont oer

Annual Health Check-up Oered Most Insurers dont oer

What We OFFER & Others DONT


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2 Adults between the

age o 18 45 years

1 Adults between the

age o 18 45 years

MAXIMA Premium (Incl. Taxes) `15,216

Tax Beneft U/S 80D^ `4,635

OPD Entitlement Certifcates `10,100Eective Inpatient Premium `480

MAXIMA Premium (Incl. Taxes) `21,105

Tax Beneft U/S 80D^ `4,635

OPD Entitlement Certifcates `14,900Eective Inpatient Premium `1570

Maxima mathsWhat makes it a steal.

Its like money coming back to you along withhealth Insurance cover o`3,00,000.

^Indicative fgures. Consult your Tax Advisor or applicable

benefts. Tax benefts are subject to changes in Tax Laws.


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Commitment

Policy Issuance:

Over 93% o the policies are issued within 7 working days while

83% o the times the policy is issued within 3 working days.

Cashless Authorization:

Over 90% o the times, the cashless authorization is done within

2 hours o claim intimation.

Claim Settlement:

Over 95% o the claims are settled within 30 days with average

claims settlement duration o 15 days or clear cases.

Customer Satisfaction:

We keep a track o our customer satisaction level where on

average 85% o our customers are satisfed and advocate or us.

Our customer comes frst

Policy

Issuance:

Cashless

Services:

Customer

Satisfaction:

4000 Hospitals, 800 Cities. Cashless Treatment

Renewal Rate:

Over 80% o our existing customers renew their policy everyyear.


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Ours is an uncomplicatedsuccess story.Three o our plans have received a 5 star rating rom Economic Times Wealth.Making Apollo Munich Health Insurance plans among the best in the category.Taking care o your health has been good or us.

Ours is an uncomplicatedsuccess story.Three o our plans have received a 5 star rating rom Economic Times Wealth.Making Apollo Munich Health Insurance plans among the best in the category.Taking care o your health has been good or us.


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suranceisthesubjectmatterofsolicitation

Apollo Munich Health Insurance Company Limited

10th Floor, Tower-B, Building No: 10, DLF Cyber City,

DLF City Phase -II, Gurgaon 122002, Haryana,

Visit to our

39branch ofces across India

Our Ofces are present

in all major cities which

include HYDERABAD,

CHENNAI, KOLKATA,

BANGALORE,MUMBAI, DELHI,

PUNE, AHMEDABAD,

JAIPUR, CHANDIGARH,

LUCKNOW and COCHIN

HowtoBuy

Contact us on our Toll ree Number

1800-103-0555

apollomunichinsurance.com Internet connectivity required

Branch Locator
http://www.apollomunichinsurance.com/http://www.apollomunichinsurance.com/http://www.apollomunichinsurance.com/http://www.apollomunichinsurance.com/health-insurance-offices.aspxhttp://www.apollomunichinsurance.com/health-insurance-offices.aspxhttp://www.apollomunichinsurance.com/health-insurance-offices.aspxhttp://www.apollomunichinsurance.com/health-insurance-offices.aspxhttp://www.apollomunichinsurance.com/health-insurance-offices.aspxhttp://www.apollomunichinsurance.com/health-insurance-offices.aspxhttp://www.apollomunichinsurance.com/health-insurance-offices.aspxhttp://www.apollomunichinsurance.com/health-insurance-offices.aspxhttp://www.apollomunichinsurance.com/health-insurance-offices.aspxhttp://www.apollomunichinsurance.com/health-insurance-offices.aspxhttp://www.apollomunichinsurance.com/health-insurance-offices.aspxhttp://www.apollomunichinsurance.com/health-insurance-offices.aspxhttp://www.apollomunichinsurance.com/health-insurance-offices.aspxhttp://www.apollomunichinsurance.com/health-insurance-offices.aspxhttp://www.apollomunichinsurance.com/http://www.apollomunichinsurance.com/health-insurance-offices.aspxhttp://www.apollomunichinsurance.com/health-insurance-offices.aspxhttp://www.apollomunichinsurance.com/http://www.apollomunichinsurance.com/health-insurance-offices.aspxhttp://www.apollomunichinsurance.com/http://www.apollomunichinsurance.com/http://www.apollomunichinsurance.com/

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