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Last Updated on 05/05/2018
Easy Health Group Insurance

Easy Health Group Insurance

Indian Overseas Bank as corporate agent under IRDAI does not underwrite the risk or act as insurer.

Indian Overseas Bank and Apollo Munich Health Insurance entered into a partnership in January 2015. The Objective of the partnership was to help customers of IOB to have their Health Coverage needs addressed through their preferred Bank thereby taking one step ahead in becoming a one stop shop for all the Insurance needs of its customers. Under this partnership, Apollo Munich has developed a seamless & Health Insurance Plan ("Easy Health Group Insurance") exclusively for customers of IOB.

The Product offers benefits which make Health Coverage for IOB's customers and their families very holistic and comprehensive.

Salient Features of the Product:

  • Coverage for self, spouse, dependent children, dependent parents / parents in law
  • Entry age for self & adult dependents can vary between 18-69 years
  • Entry age for child dependents can vary between 91 days and 21 years
  • Life-long renewals with no cover ceasing age
  • Multiple sum insured options available in both individual and family floater plans - 3Lacs, 5Lacs, 7.5Lacs, 10Lacs
  • Coverages offered:
    • In-patient treatment
    • Pre- Hospitalization expenses incurred upto 60 days prior to hospitalization
    • Post- Hospitalization expenses incurred upto 90 days post hospitalization
    • Medical expenses for 140 listed Day Care Procedures
    • Domiciliary Treatment
    • Organ Donor's treatment
    • AYUSH Benefit
    • Emergency Ambulance
    • Hospital Daily Cash Benefit
    • Double Hospital Daily Cash Benefit for ICU
    • E- Opinion for Critical Illnesses
    • Double Sum Insured in case of listed Critical illnesses for the same premium
    • Annual Health Checkup Benefit (available for sum insured options of 7.5 Lacs and 10 Lacs)

Exclusions under the product:

  • Any treatment within first 30 days of cover except any accidental injury
  • 1 year waiting period for specific diseases like Cataract, surgery for hernia, surgery for hydrocele etc
  • Pre-existing Conditions will not be covered until 36 months of continuouscoverage has elapsed
  • Any Injury or Ailment arising because of a War or any act of war, nuclear weapons/materials, chemical and biological weapons, radiation of any kind
  • Insured Person committing or attempting to commit a breach of law with criminal intent, or intentional self- injury or attempted suicide while sane or insane
  • Insured Person's participation or involvement in naval, military or air force operation, racing, diving, aviation, scuba diving, parachuting, hang-gliding, rock or mountain climbing
  • Abuse or the consequences of the abuse of intoxicants or hallucinogenic substances such as intoxicating drugs and alcohol
  • Pregnancy, miscarriage (except as a result of an Accident or Illness), maternity or birth (including caesarean section) except in the case of ectopic pregnancy

For complete list of exclusions, customers are advised to refer the policy document.

Procedure to become member under the product:

As a Technology enabled organization IOB always tries to leverage its IT landscape to create differentiation on the products being offered to our customers. We envision our Partnerships also with the same synergistic core values. Our Partnership with Apollo Munich Health Insurance has been a path breaking one which personifies our customer enablement philosophy.

Any Customer of IOB can approach any branch and walk out with the policy kit, thereby obtaining hassle free health coverage for self and family with just a few clicks. Our Instant Policy Issuance methodology gives immense comfort, satisfaction and peace of mind to our customers and that is why they cherish banking with us.

Procedure to make claim / Register claim under the product:

Claims can be registered under the product in 2 Modes - Cashless or Reimbursement of Medical Expenses

Cashless Claims: Insured Member needs to contact Apollo Munich at least 7 days prior to an event which might give rise to a claim. For emergency situations, the member needs to contact Apollo Munich within 24 Hours of the event.

Apollo Munich  can be contacted through the following channels/modes:

Website: www.apollomunichinsurance.com

Toll Free Number: 1800-3000-1501

Fax: 1800-425-4077

Email: iobcare@apollomunichinsurance.com

Claims Department

Apollo Munich Health Insurance Company Limited

Ground Floor, Srinilaya - Cyber Spazio Suite # 101, 102, 109 & 110,

Road No. 2, Banjara Hills, Hyderabad - 500034

Or

Apollo Munich Health Insurance Company Limited

2nd & 3rd Floor, ILABS Centre, Plot No.404-405, UdyogVihar, Phase-III,   

Gurgaon-122016, Haryana, INDIA

The customer should use the Claim Intimation form available at Apollo Munich's website in case of a  cashless claim.

Cashless Authorization Steps:

The Cashless Authorization request should be raised and should reach Apollo Munich at least 48 Hours prior to the hospitalization. Apollo Munich shall check the coverage as per the eligibility and send an authorization letter  to the provider. In case there is any deficiency in the documents received, the same shall be communicated to the hospital within 6 hours of receipt of documents.

In case the Cashless is authorized the member needs to pay the non-medical and the

expenses not covered to the hospital prior to the discharge.

In case the ailment/treatment is not covered under the policy a rejection letter would be

sent to the providerwithin 6 hours.

Please Note:

Insured Members are entitled for cashless treatment only in our empanelled hospitals.

The List of empanelled hospitals can be found on the Apollo Munich's website at the following Link:

http://www.apollomunichinsurance.com/our-hospital-network.aspx

Rejection of cashless claim in no way indicates rejection of the claim.

Reimbursement of Medical Expenses:

Apollo Munich should be informed no later than 7 days of completion of such treatment,  consultation or procedure. The Insured Member needs to send the duly signed claim form and all the information/documents mentioned therein to Apollo Munich within 15 days of the occurrence of the incident.  If there is any deficiency in the documents/information submitted by the Member, Apollo 

Munich will send the deficiency letter within 7 days of receipt of the claim documents.

On receipt of the complete set of claim documents, Apollo Munich shall make the payment for the admissible amount, along with a settlement statement within 30 days.

The payment will be made in the name of the proposer. Please note Apollo Munich shall make payment only for items covered under the policy and upto the limits therein.

 Premium chart (including the Service Tax)

Gross Premium Health + PA

Individual Plan (Inclusive of  18%  GST and PA Cover)

Age Band/SI

(in INR)

300000

500000

750000

1000000

0-35

3570

4935

6615

7771

36-50

5249

6511

9031

10710

51-60

6301

7246

10395

12182

61-70

7140

7981

11866

13756

71-75

9136

10186

15228

17643

Family Floater - 2 Adults + 0 Plan (Inclusive of taxes and PA Cover)

Age Band/SI

(in INR)

300000

500000

750000

1000000

0-35

6615

9347

11971

14176

36-50

9136

11341

15018

17747

51-60

11026

12600

17327

20372

61-70

12497

13862

19848

22998

71-75

15963

17643

25519

29509

Family Floater - 2 Adults + 2 Plan (Inclusive of taxes and PA Cover)

Age Band/SI

(in INR)

300000

500000

750000

1000000

0-35

6929

9765

12600

14807

36-50

9555

11971

15963

18798

51-60

11655

13442

18482

21634

61-70

13231

14911

21317

24679

71-75

16698

18692

26988

31189

Family Floater - 2 Adults + 4 Plan (Inclusive of taxes and PA Cover)

Age Band/SI

(in INR)

300000

500000

750000

1000000

0-35

7140

10081

12917

15228

36-50

9871

12392

16487

19427

51-60

11971

13966

19217

22579

61-70

13756

15542

22262

25833

71-75

17222

19323

27933

32345

7.       Important Addresses:

Address of AMHI Corporate Office:

        1st Floor, SCF-19, Sector-14, Gurgaon-122001, Haryana

Address of Claims Offices with email ids:

Covered Above

Email ID in case of registering grievances:

First Level Query has to be sent to a dedicated CRM email for IOB mentioned below:

iobcare@apollomunichinsurance.com

In case of no response/escalations Customer should write to: grievance@apollomunichinsurance.com