| |
Plan 1
(RM) |
Plan 2
(RM) |
Plan 3
(RM) |
Plan 4
(RM) |
| In
Hospital Care |
|
|
|
|
| a) Hospital Room and Board
(daily limit up to 120 days max per disability) |
60 |
100 |
150 |
250 |
| b) Intensive Care Unit
(daily limit up to 20 days max per disability) |
250 |
250 |
250 |
350 |
| c) Hospital Supplies and
Services |
As charged
subject to self insured deductible on a per admission basis* |
| d) Surgical
Fees |
| e) Anaesthetic Fees |
| f) Operation Theatre
Charges |
| g) In Hospital Physician's
Visit (daily limit up to 120 days max per disability) |
| h) Hospital Service Tax
(on eligible Room & Board Charges) |
5% |
5% |
5% |
5% |
| Out
of Hospital Care |
|
|
|
|
| a) Pre-Surgical / Medical
Diagnostic Test (within 60 days) |
As Charged |
| b) Pre-Surgical / Medical
Specialist Consultation (within 60 days) |
| c) Second Surgical Opinion |
| d) Post - Hospitalisation
Treatment (up to 60 days maximum per disability) |
e) Emergency Outpatient
Accidental Treatment
(within 24 hours up to 60 days from date of Accident) |
| f) Outpatient Cancer
Treatment |
| g) Outpatient Kidney
Dialysis (maximum of RM2,000 per month for Home Dialysis) |
| h) Daycare Procedure |
| i) Accidental Dental
Treatment (within 24 hours up to 14 days from date of
Accident) |
100 |
100 |
100 |
100 |
| j) Ambulance Fee (Max per
disability) |
250 |
250 |
250 |
250 |
| k) Emergency Outpatient
Treatment (maximum per disability) |
100 |
100 |
100 |
100 |
|
Overall Annual Limit per policy Year |
10,000 |
30,000 |
60,000 |
120,000 |
| Life time limit |
30,000 |
90,000 |
180,000 |
360,000 |
| Compassionate Allowance |
3,000 |
3,000 |
3,000 |
3,000 |
|
Deductible Amount |
Plan 1
(RM) |
Plan 2
(RM) |
Plan 3
(RM) |
Plan 4
(RM) |
| In Hospital Care |
|
|
|
|
| Self Insured Deductibel
Per Admission |
300 |
400 |
500 |
600 |
| |
|
|
|
|
| Premium Rates (RM) |
|
|
|
|
| |
|
|
|
|