Seeing your family in the best of health is your utmost priority. Yet, unexpected illness / accidents result in expensive hospitalization, which in turn takes a toll on your savings. To ensure that your health & wealth stays fit, we have a unique health plan which will protect you against ever increasing medical costs and would provide a flexibility to increase your coverage with time to meet upto to ever increasing health costs.
This product gives protection for the Individual(s) as well as the entire family under Single Policy. The Policy covers hospitalization expenses incurred by the Insured Person for treatment of illness or injury with many other Benefits at competitive premium.
With our policy, we offer comprehensive and affordable health insurance The policy provides cover for:
Complete hospitalization cover
Inclusive of doctor fees
Nursing expenses, OT charges
Medicines and drugs
Anesthesia and oxygen administration expenses
Surgical appliances, pacemaker and radiotherapy
Understanding Terms used in Health Insurance Policies
The medical & health insurance (MHI) policy is a legal contract, and the meanings used in the policy will apply when a claim is made. That is why it is important that you read and understand the terms used in a MHI policy. If you still do not understand them fully, ask your insurance agent or company to explain them to you.
Your policy contract will have the actual definitions for the terms used in the contract. They generally will be the legal meanings, so you have to read and understand them carefully. Ask your insurance agent or company what they mean, if you do not understand them fully.
The following list is some of the more important terms used, but are not the legal definitions used in your contract. You may refer to your policy contract for the actual definition:
These refer to conditions or illnesses that existed before the effective date of a MHI policy, for which you are receiving treatment or have shown symptoms. It does not matter whether you were aware of them or not. If you consulted a medical doctor for any pain or discomfort in connection with the condition, it would be regarded as a symptom of a disability.
You may or may not be covered for treatment obtained overseas, subject to the exclusions, limitations and conditions specified in the policy contract.
If you are hospitalised and the board rate is higher than your eligibility, you will bear the difference in the room charges as well as some portion (usually between 10% – 20%) of the other eligible benefits described in the policy contract.
Misstatement of age
Your age is an important rating factor in your MHI policy. If you have misstated your age and the premium paid as a result is not enough, any claim payable under the policy will be pro-rated, based on the ratio of the actual premium paid to the correct premium that should have been charged. That means you will only receive part of your claims, instead of the total amount incurred.
Most MHI policies contain a waiting period for illness and disease, which means that eligibility for benefits under the policy will only start 30 days after the effective date of the policy.
If you were to live or travel out of Malaysia for more than 90 consecutive days, no benefits will be payable for medical treatment outside Malaysia.
If you decide not to take up a MHI policy, you can cancel the policy by returning it to the insurance company within 15 days from the date of issue. You will be entitled to a refund of the full premium, after deducting administrative expenses incurred by the insurance company for issuing the policy. These expenses shall be RM50 or 10% of the gross premium paid, whichever is lesser.
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