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Maxima Product Deck
Maxima Product Deck
Maxima Product Deck
2250
Financial Year09 Financial Year13
1290
Increasing Affluence
How do you ensure you can get the best quality treatment even if 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
We know healthcare.
Over 5000 Experts across 26 locations Worldwide, Customers from over 100 Countries
We know insurance.
Philosophy
Lets Uncomplicate.
Not only a positioning but a belief 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.
Maxima
Maxima provides an in-patient cover along with hoards of other benefits with an unique out-patient cover. Wide In-patient Hospitalisation cover: Maxima offers ` 3,00,000 cover for In-patient hospitalization, pre and post hospitalization, 140 day care procedures, etc. Wide Out-patient cover: Flexible out-patient benefit within the OPD sum insured covering expenses for 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 benefit: 100% life long renewal benefit with no cover ceasing age. Additional Critical Illness cover: Optional additional coverage against 8 specified critical illnesses is also available. Renewal benefits: 10% cumulative bonus on in-patient hospitalization Sum Insured for every claim free year and 50% carry forward bonus for unutilized OPD benefits(except Annual Health Check-up).
Maxima Complete
What makes it comprehensive?
Maxima unique
What makes it different?
Out-patient Consultations: 4/6/8 consultations as per plan opted for you and your family anywhere. Pharmacy Expenses: Your pharmacy bills are covered as well. Diagnostics Tests: Cost of diagnostic tests taken by you or anyone covered in your family will also be paid. Specialist Services: Dental treatment, Spectacles and contact lenses are all taken care of up to a certain limit. Health Check-up: Any person above 18 years of age is provided with an Annual Health Check-up (person above 45 years can avail this benefit from second year). Pre-existing illnesses under OPD Benefits, covered: If you need medicines or a Doctor consultation for any pre-existing illness, itll be covered without any waiting period. Flexibility: Enjoy freedom from sub limits. Use the OPD vouchers as per your needs and requirements without worrying about any sublimits. Tax benefits: You have the advantage of saving an optimum amount under section 80 D of Income Tax Act.
In-patient benefits
1 Member 2 Members Sum Insured per Policy year ` 300,000 ` 300,000 a) In-patient Hospitalisation b) Pre-Hospitalisation c) Post-Hospitalisation d) Day Care Procedures e) Domiciliary Treatment f) Daily Cash for choosing Shared Accommodation g) Organ Donor h) Emergency Ambulance i) Daily Cash for Accompanying an Insured Child j) Maternity Expenses* (Waiting Period 4 years) k) Newborn baby cover Optional Benefit Critical Illness* (Offered on Individual basis) 2 Adults + Upto 2 Children ` 300,000
Covered 30 days 60 days 140 procedures Covered Covered ` 500 per day, Maximum ` 3,000 Covered up to ` 2,000 per hospitalisation ` 300 per day; Maximum ` 9,000 Normal Delivery- ` 15,000; Caesarean Delivery- ` 25, 000 (Including Pre/Post Natal limit of ` 1,500 and infant baby limit of ` 2,000) Optional ` 300,000
Out-patient benefits
1 Member 2 Members a) Doctor consultations* b) Diagnostic tests# c) Pharmacy# d) Dental treatment# e) Spectacles, Contact lenses# f) Annual Health Check-up within specified Network** 4 consultations 6 consultations 2 Adults + Upto 2 Children 8 consultations
` 5,000
` 5,500
` 7,000
1 Entitlement Certificate
2 Entitlement Certificates
2 Entitlement Certificates
*The reimbursement against non-network out-patient consultation is restricted up to lower of actual expenses or `400 #The reimbursement against Diagnostic tests, OPD Dental treatment, Spectacles, Contact lenses outside Apollo Munich network is restricted upto lower of actual expenses or the Sum Insured mentioned herein. **Health check-up is available only within the specified network and not available on reimbursement basis.
Remember
expenses arising out of accidental emergency conditions.
30 days waiting period: For the first 30 days of your policy we would provide cover only for medical 2 years disease specific waiting period: For specific diseases like cataract, hernia, hysterectomy,
joint replacement, hydrocele etc your claims would be payable only after you have completed 2 consecutive years as our insured customer.
medical conditions at the time of taking the policy. Pre-existing diseases, except for any medical condition / disease for which we have applied specific exclusion, shall be covered from 4th year of the policy if the proposal is accepted and policy is issued to You.
Pre-existing disease: In case you have any existing condition, please remember to declare all such
Please refer to the policy wording for the comprehensive set of exclusions
Apollo Munich
YES Offered
Majority of others
Offer cover around 75 years only Limit of room rent up to 1% of the sum insured Not offered resulting in loss of accrued benefits Most Insurers dont offer
Offered
Offered
Offered as optional rider benefit with Others offer as a separate product core inpatient offering Offered with a waiting period Offered Offered Most Insurers dont offer Most Insurers dont offer Most Insurers dont offer
Maxima maths
Its like money coming back to you along with health Insurance cover of ` 3,00,000.
MAXIMA Premium (Incl. Taxes) Tax Benefit U/S 80D^ OPD Entitlement Certificates Effective Inpatient Premium ` 15,216 ` 4,635 ` 10,100 ` 480
What makes it a steal.
MAXIMA Premium (Incl. Taxes) Tax Benefit U/S 80D^ OPD Entitlement Certificates Effective Inpatient Premium
^Indicative figures. Consult your Tax Advisor for applicable benefits. Tax benefits are subject to changes in Tax Laws.
Commitment
Policy Issuance:
Policy Issuance:
Over 93% of the policies are issued within 7 working days while 83% of the times the policy is issued within 3 working days.
Over 90% of the times, the cashless authorization is done within 2 hours of claim intimation.
Cashless Services:
Over 95% of the claims are settled within 30 days with average claims settlement duration of 15 days for clear cases.
Customer Satisfaction:
Customer Satisfaction:
We keep a track of our customer satisfaction level where on average 85% of our customers are satisfied and advocate for us. Over 80% of our existing customers renew their policy everyyear.
Renewal Rate:
How to Buy
Contact us on our Toll free Number
1800-103-0555
Visit to our
39
Apollo Munich Health Insurance Company Limited 10th Floor, Tower-B, Building No: 10, DLF Cyber City, DLF City Phase -II, Gurgaon 122002, Haryana, apollomunichinsurance.com
Branch Locator
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branch offices across India Our Offices are present in all major cities which include HYDERABAD, CHENNAI, KOLKATA, BANGALORE, MUMBAI, DELHI, PUNE, AHMEDABAD, JAIPUR, CHANDIGARH, LUCKNOW and COCHIN