| |
BENEFIT PLAN |
Schedule of Benefits (in RM)
|
Plan
M1 |
Plan
M2 |
Plan
M3 |
Plan
M4 |
| Hospital Room & Board (daily up to 150 days) |
500 |
350 |
200 |
120 |
| Surgeon Fees |
80,000 |
60,000 |
30,000 |
17,500 |
| Anaesthetist Fees |
25,000 |
20,000 |
10,000 |
5,000 |
| Intensive Care Unit (daily up to 75 days) |
'As Charge' subject to
'Reasonable & Customary Charges'
and Overall Annual limit |
| Day Care Surgery |
| Operating Theatre Fees |
| Hospital Services & Supplies |
| In-Hospital Physician Visits (Daily up to 150 days) |
| Pre-Hospitalisation and Pre-Surgical Diagnostic Tests (within 60 days prior to hospitalisation) |
| Pre-Hospitalisation Specialist Fees (within 60 days prior to hospitalisation) |
| Emergency Accidental Outpatient Treatment |
| Emergency Accidental Dental Treatment |
| Post-Hospitalisation Treatment (within 60 days after discharge) |
| Outpatient Physiotheraphy Treatment (Daily up to 100 days) |
| Government Service Tax |
| Ambulance Fee |
| Organ Transplant |
| Insured Child's Daily Guardian Benefit (daily up to 150 days) |
300 |
250 |
150 |
90 |
| Daily Cash Allowance at Govt. Hospiral (Daily up to 150 days) |
175 |
150 |
100 |
60 |
| Monthly Outpatient Cancer or Kidney Dialysis Treatment |
7,000 |
6,000 |
5,000 |
4,000 |
| Home Nursing Care (Daily up to 60 days) |
120 |
100 |
80 |
70 |
| Bereavement Allowance |
5,000 |
3,000 |
2,000 |
1,000 |
| Overall Annual Limit, per person |
180,000 |
120,000 |
60,000 |
45,000 |
| Emergency Medical Assistance Services (EMAS) 24 hours worldwide - full reimbursement programme |
1.75 million
EMAS is applicable with adult premium only,
optional @RM15 per child |
| Age next birthday |
ANNUAL PREMIUM |
| 15 days to 18 years (child) |
620 |
510 |
400 |
320 |
| 19 to 35 years |
630 |
510 |
400 |
320 |
| 36 to 45 years |
730 |
540 |
400 |
340 |
| 46 to 55 years |
900 |
730 |
540 |
480 |
| 56 to 60 years |
1,500 |
1,150 |
800 |
680 |
| 61 to 65 years (renewal only) |
2,300 |
1,850 |
1,200 |
950 |
