HDFC Ergo Health Optima Cash Plan

Apollo Munich Optima Cash policy pays a daily cash amount to cover sickness, accident, day care, convalescence, parent accommodation costs etc incurred by a person an individual or family members.  

• No medical bills required for claims
• No pre-policy check-up in case of a clean proposal form

There are three variants available in Apollo Munich Optima Cash Policy. They are -

1. Platinum – Annual Premium
2. Platinum – 2 Year Premium

• Sickness hospital and ICU cash
• Accident hospital and ICU cash
• Double amount on Joint hospitalisation due to an accident where 2 or more persons are hospitalized at the same time
• Day care procedure which does not require 24 hr hospitalisation
• Daily cash amount paid for parents’ accommodation if child is hospitalized
• Convalescence benefit paid for gradual recovery after illness if hospitalized beyond 7 days
• Pays for childbirth after a waiting period of 2 yrs
• Lump-sum amount equal to twice the Daily Cash amount for maternity to female Insured in event of child birth.

• Children aged over 91 days can be covered if parent is insured under the same policy
• 10% family discount if two or more persons insured
• 5% discount if purchase made through online channel

• Self
• Spouse
• Dependent children

Health Insurance premiums paid up to Rs. 15,000 in case of individuals and Rs 20,000 for senior citizens are allowed as a deduction from the taxable income each year under section 80D of the Income Tax Act.

• Waiting period of 30 days except in case of an accident
• Specific waiting period of 2 yrs for conditions like arthritis, ulcer, internal tumors, osteoporosis, cataract, benign ear surgery, dilation, varicose veins etc.
• Pre-existing conditions
• HIV, AIDS and related diseases
• Non-allopathic treatment, congenital diseases, cosmetic surgery, weight control treatments, plastic surgery
• Abuse of drugs, alcohol, hallucinogens, intoxicant – not covered
• War. Radiation or nuclear contamination
• Participation in dangerous sports like scuba diving
• Psychiatric conditions, Alzheimer Parkinson’s disease, hormone therapy, stem cell implantation etc
• Pregnancy, dental unless specific plan taken
• 2 yrs exclusion for: cataract, hernia, hysterectomy, Joint Replacement, Hydrocele
• Dental treatments