Optima Restore

Optima Restore

An innovative Health Insurance Policy

Innovations in the  Health Insurance sector are the order of the day now a days to take care of  the changing  needs the consumers .Optima Restore is an  innovative healthcare plans introduced by  Apollo Munich Health Insurance.

Uniqueness

Optima Restore plan offers a unique Restore benefit that automatically reinstates the basic sum insured in case you exhaust it in a policy year. First, it restores basic sum insured if insured person exhausts his limit during the policy year. The restored sum insured can be utilized against some other illness not claimed earlier during the policy period. In case of family floater policy, the restored sum can be used by some other person insured under the floater policy. For instance, if a person extinguishes sum insured of Rs 5 lakh during first policy year, the policy reinstates entire

sum insured. The individual may claim the reinstated sum insured for some other illness not related to the earlier illness. In case of family floater policy, the reinstated sum insured can be used by some other family member covered under the policy.
Second, this policy provides a no claim bonus at 50 per cent of basic sum insured for each claim-free year. Thus, the sum insured doubles itself in case no claims arise during two consecutive years. Sample this,for a Rs 5 lakh policy, the sum insured becomes Rs 7.5 lakhs in case of a claim-free year and Rs 10 lakhs after second claim-free year. However, in case of a claim, the bonus would be reduced by 50 per cent of sum insured in subsequent year.

Benefits
This policy covers inpatient hospitalisation expenses. It covers pre and post hospitalisation expenses. Day care procedures which do not require a 24-hour stay in hospital due to technological upgradation and domiciliary treatment wherein, treatment is taken at home on advice of doctor which would otherwise require hospitalisation also falls under its coverage. It also provides emergency ambulance.

 Eligibility

Maximum age

65

 

Maximum Policy Renewal Age

No Limit

 

Maximum Sum Assured

Rs 15 lakhs

 

Minimum Sum Assured

Discount

Rs 3 lakhs

 

 

Premium discount of 7.5% on advance premium payment for 2 year policy term.
Family discount of 10% is applicable if 3 or more family members included.

 

Premium (Individual) (Sum insured (in Rs))

Age

3 Lakhs

5 Lakhs

10 Lakhs

15 lakhs

0-17

4095

4741

6399

7679

18-35

4487

5609

8004

9809

36-45

4778

6395

8251

10056

46-50

7800

9813

13407

16327

51-55

11556

14445

19904

24251

56-60

14725

17719

25462

31050

61-65

28088

32809

40727

42467

Premium (Family Floater) (Sum Assured Rs. 5 lakhs)

Age (Senior most member)

1 Adult+1 child

1 Adult+2 child

2 Adult+1 child

2 Adult+2child

2 Adult

18-35

7,296

9,185

9,923

12,522

7,687

36-45

8,049

9,695

10,920

13,650

9,317

46-50

12,285

15,380

19,452

21,329

17,218

51-55

14,953

17,901

24,413

27,261

21,465

56-60

18,808

20,342

29,092

32,144

26,447

61-65

33,887

37,182

50,011

53,425

46,549

 Premium (Family Floater) (Sum Assured Rs. 10 lakhs)

Age (Senior most member)

1 Adult+1 child

1 Adult+2 child

2 Adult+1 child

2 Adult+2 child

2 Adult

18-35

9,291

11,590

12,313

15,671

10,103

36-45

10,589

12,664

14,258

17,859

12,392

46-50

17,073

18,482

25,927

28,250

22,870

51-55

20,545

24,596

32,159

35,888

28,297

56-60

25,935

27,850

38,136

42,144

34,719

61-65

41,972

45,952

61,907

60,036

57,719

Premium (Family Floater) (Sum Assured Rs. 15 lakhs)

Age (Senior most member)

1 Adult+1 child

1 Adult+2 child

2 Adult+1 child

2 Adult+2 child

2 Adult

18-35

11,334

14,110

14,982

19,068

12,314

36-45

12,902

15,404

17,333

21,718

15,087

46-50

20,830

22,499

31,626

34,425

27,923

51-55

25,020

29,953

39,154

43,689

34,456

56-60

31,609

33,903

46,401

51,278

42,254

61-65

43,770

47,933

64,588

68,907

60,207

Premiums are exclusive service tax

Last modified on Wednesday, 10 February 2016 06:46

Prakash Praharaj

Shri Prakash Praharaj has a passion for excellence. He has been awarded two gold medals for securing top positions both in Graduation and Post Graduation in Commerce. He is an MBA with specialization in Finance and marketing. He has been awarded Diploma in Treasury, Investment and Risk Management besides CAIIB from the Indian Institute of Bankers. He is a Certified Financial Planner from the Financial Planning standards Board, India (FPSB), affiliated to FPSB, Denver, USA and Certified Personal Financial Adviser from NISM. He is also a SEBI registered Investment Adviser vide Reg. no. INA 000000045 dated 2nd August 2013.His book "Your Every day guide to Personal Finance and Insurance" has been published by CNBC TV 18 in August 2015.

6 comments

  • Sujata Aniruddha Sapkal

    posted by Sujata Aniruddha Sapkal

    Saturday, 04 July 2015 06:46

    No claim year bonus of 50% of sum assured is key feature and policy sum assured get restored if it used in a year is amazing benefit one can avail ...something very innovative and new to the market.

    Report
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  • Shriya

    posted by Shriya

    Tuesday, 25 November 2014 03:11

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