Aims

A tool in generating Cash Reimbursement from Medical Expense due to sickness or accident at reasonable cost.

Contract Features

Summary of Contract Feature

Covered Items

1. Hospital & Surgical Benefit
2. Supplementary Major Medical Benefit to Hospital & Surgical Benefit
3. Clinical / Dental Benefit
4. Hospital Cash Benefit

Policy Benefit

Maximum subject to

• Per Disability / Per Confinement : A Sickness, Disease, Illness or an injury arising from same pathogenic causes including any and all complications therefrom, up to 90 to 365 days following the latest discharge from Hospital or Latest Medical Consultation, or Laboratory Test, or Completion of Prescribed drugs course to that disability.
• Per Policy Year : within the period commencing from Policy Effective Date to Expiry Date

Covered Benefit

Normally 100% Medical Reimbursement within policy limit for hospital confinement, and day case surgery or clinical operation only if eligible.

Policy Type & Coverage Period

• Standalone Policy or Rider attaching to Life Insurance Policy
• Annual Policy
• Coverage up to age 65, 75 or till 100

2. Supplementary Major Medical Benefit

Covered Benefit

• Optional Benefit to the Basic Hospital & Surgical Benefits chargeable at a premium
• Lump Sum Amount on per disability / confinement / policy year following the basic terms of core Hospital & Surgical Benefits
• Reimbursement Percentage as 80% or 100% of eligible expenses when the name covered items on Hospital and Surgical Benefit are exhausted.

Policy Type & Coverage Period

Follow basic terms of core Hospital & Surgical Benefits

Covered Benefit

Pay 80% or 100% for consultation in panel or non-panel doctor based on actual disbursement

Policy Type & Coverage Period

• Standalone Policy without the Core Hospital & Surgical Benefit or Optional Benefit to Hospital & Surgical Benefit which may be standalone Policy or Rider attaching to Life Insurance Policy.
• Annual Policy
• Coverage up to age 65, 75 or 100

4. Hospital Cash benefit

Aim

Cash payable in full regardless of the actual Hospital Expenses and cushioning for the loss of Income and or increased expense in due course.

Covered Benefit

• Daily cash benefit in case of hospital confinement which is medically necessary arising from Sickness and /or Accident
• Hours requirement for Hospital Confinement normally ranges from half day to  3 consecutive days subject to policy terms
• Maximum Policy limit ranges from 365 to 1,000 days per Policy Contract

Policy Type & Coverage Period

• Standalone Policy without the Core Hospital & Surgical Benefit or Optional Benefit to Hospital & Surgical Benefit which may be standalone Policy or Rider attaching to Life Insurance Policy.
• Annual Policy subject to Core Hospital & Surgical Benefit if any
• Coverage up to age 65, 75 or till 100 or certain years especially designed for premium refundable policy ranging 7 to 10 years.

Policy Cash Value

• No Cash Value as Expense type of insurance
• Refund of premium with or without interest accumulation

Premium

• Level till the policy maturity usually as a form of short term policy ranging 7 to 10 years.
• Revise up with age for every year or 5 years

Normal Waiting period

No amount of benefit shall be payable during the waiting period for medical expenses arising from the following conditions

1. In the first 6 months of the policy:

2 In the first 12 months of the policy:

3 In the first 15 to 30 days of the policy for any causes

Exclusion

Market

Variety of choices is available in the Market. Predominant factor in securing the effectiveness of protection are as of following:

Broadness of Contract term / Premium Determination Base / Prudent Practice of Insurer / Professional Consultants Services