Med Insure: Insurans perubatan bermula dari RM20 sebulan

DAPATKAN SEGERA SEBUTAN HARGA

Lindungi diri anda daripada perbelanjaan perubatan yang tidak dijangka dengan Med Insure di TNG eWallet. Dapatkan insurans perubatan persendirian dengan had tahunan sehingga RM100,000 untuk perbelanjaan rawatan pesakit dalam dan pembedahan yang layak. Permohonan mudah dengan hanya RM20 sebulan, tanpa perlu menjalani pemeriksaan perubatan.

tngd-bersama-hero-insurans-thumbnail-pasangan-tinggi-5

Mengapa memilih Med Insure?

tngd-medinsure-icon-hingga had tahunan RM100k

Had tahunan sehingga RM100,000

Dapatkan perlindungan untuk perbelanjaan rawatan di hospital dan pembedahan yang layak, dengan had tahunan sehingga RM100,000.
ikon-tngd-medinsure-untuk-penginapan-hospital-tanpa-tunai

Pengebilan hospitalisasi tanpa tunai

Dapatkan rawatan di Hospital Panel AIA yang menyertai program ini tanpa perlu membuat bayaran pendahuluan untuk perbelanjaan perubatan yang layak.
tngd-medinsure-icon-kandungan perubatan - bermula daripada RM20 sebulan

Kewangan perubatan bermula dari RM20 sebulan

Pilih pelan perlindungan perubatan bermula hanya RM20 sebulan. Orang dewasa berusia 18 hingga 50 tahun boleh memohon, dengan perlindungan yang boleh diperbaharui sehingga umur 70 tahun.

Pilih pelan insurans perubatan yang sesuai untuk anda

Had Hadiah Terhad/Pelan Jumlah (RM)
Rancangan A Rancangan B Rancangan C Rancangan D
Had Tahunan 100,000 100,000 100,000 100,000
Jumlah yang boleh ditolak bagi setiap satu jenis kecacatan - 500 3,000 20,000
Jumlah yang boleh ditolak, bagi setiap Tahun Polisi 500 - - -
Faedah Pesakit Dalam dan Pembedahan Seperti yang dinyatakan, tertakluk kepada caj yang munasabah dan biasa
Perkhidmatan Pengurusan Kes Perubatan Peribadi (PMCM)
  • Akses kepada pakar-pakar terkemuka dunia
  • Urus semula dan kaji semula keadaan kesihatan anda
  • Menyediakan cadangan perubatan berdasarkan diagnosis yang telah disemak semula
  • Panduan dan sokongan yang berterusan
Termasuk

Perlukan bantuan untuk memahami terminologi insurans?
Pelajari tentang syarat-syarat insurans

Med Insure ditawarkan oleh AIA General Berhad, sebuah ahli PIDM. Faedah yang dibayar di bawah produk yang layak dilindungi oleh PIDM, dan tertakluk kepada had perlindungan PIDM. Untuk maklumat lanjut, sila rujuk kepada Brochure TIPS PIDM, atau hubungi AIA General Berhad atau lawati Laman web PIDM.

Dapatkan insurans kesihatan dalam beberapa ketikan sahaja

1

Cari "perubatan" di TNG eWallet dan ketik "Med Insure"

Cari "perubatan" dalam TNG eWallet dan ketik pada Med Insure""

2

Semak manfaatnya dan ketik "Dapatkan sebut harga secara PERCUMA"

Semak manfaatnya dan ketik "Dapatkan sebut harga secara PERCUMA"

3

Ceritakan sedikit tentang diri anda

Ceritakan sedikit tentang diri anda

4

Pilih pelan kemudian ketik "Next" untuk memilih mod pembayaran

Pilih pelan kemudian ketik "Next" untuk memilih mod pembayaran

5

Isikan soal selidik kesihatan

Isikan soal selidik kesihatan

6

Semak semula dan ketik "Bayar Sekarang" untuk menyempurnakan transaksi.

Semak semula dan ketik "Bayar Sekarang" untuk menyempurnakan transaksi.

Sedia untuk melindungi diri daripada perbelanjaan perubatan yang tidak dijangka?

Sedia untuk melindungi diri daripada perbelanjaan perubatan yang tidak dijangka?

Dapatkan perlindungan untuk perbelanjaan pesakit dalam dan kos pembedahan melalui Med Insure di TNG eWallet.

Ada soalan?

What is Med Insure?

Med Insure is a non-guaranteed yearly renewable medical insurance product which covers all reasonable and customary charges incurred for your medically necessary confinement as an in-patient in a hospital.

 

This product is structured on a group policy basis, where TNG Digital Sdn. Bhd. (TNGD) is the Master Policyholder. Any TNGD’s users who sign up for this product are the Insured Person(s).

 

This product is underwritten by AIA General Berhad and can only be purchased through Touch ‘n Go eWallet. 

What am I covered for under Med Insure?

Med Insure covers all reasonable and customary charges for your hospitalisation, treatment, surgery, medical services provided to you as an in-patient in a hospital, up to the Annual Limit, as long as they are medically necessary. For hospital room and board, the amount of benefit payable shall not be more than the rate of standard single or basic single room of the hospital and Annual Limit.

Please refer to the Schedule of Benefits below for the available plan options:

Schedule of Benefits:

BENEFIT LIMITS / PLAN P100
D500P
P100
D500
P100
D3000
P100
D20000
Annual Limit 100,000 100,000 100,000 100,000
Deductible Amount, per Any One Disability - 500 3,000 20,000
Deductible Amount, per Policy Year 500 - - -
In-Patient and Surgical Benefit As charged, subject to Reasonable and Customary Charges
Personal Medical Case Management (PMCM) Service
  • Access to world’s leading specialists
  • Review and re-evaluate your medical condition
  • Offer medical recommendation based on reviewed diagnosis
  • Ongoing guidance and support
Included

 

Notes:

  • All amounts shown in the Schedule of Benefits above are in Ringgit Malaysia (RM) unless stated otherwise.
  • AIA shall only reimburse reasonable and customary charges incurred for the eligible benefits in the Schedule of Benefits above.
  • For any confinement in a hospital that is not listed as AIA panel hospital in Malaysia, the maximum amount of benefit payable for hospital room & board of standard single or basic single room shall not exceed RM300 for any one day.
  • This is a non-guaranteed yearly renewable plan, with one year (1) coverage period
  • PMCM service is a value-added service programme that is administered by our appointed service provider, Teladoc Health, Inc. It offers comprehensive information, additional remote medical consultation and additional opinions from specialists and physicians, guidance, assistance in reaching the right diagnosis and support in the process of deciding upon the best medical treatment, and to coordinate quality medical care by leading medical experts in leading medical centers. The PMCM service does not prescribe any treatment but it will assist the Insured Person to reach the right diagnosis and most appropriate treatment plan. For more details, refer to the Personal Medical Case Management (PMCM) Service section in this FAQ.
  • The benefits above have been summarized and are not exhaustive. Please refer to the Policy Wording here for the full list of benefits, definitions, exclusions, terms and conditions.

 

What is ‘Confinement’?

‘Confinement’ shall mean covered day care procedure or overnight admission of the Insured Person in a hospital as an in-patient upon the recommendation of a physician and continuously stays in the hospital prior to his/her discharge.  

What is ‘Annual Limit’?

Annual Limit is the maximum amount which AIA will pay in a year for your certificate of insurance for Med Insure. 

What is ‘Deductible per Any One Disability’ and how does it work?

‘Deductible’ is a fixed amount that you must pay for the eligible expenses incurred for any one disability, the balance will be borne by AIA. You are not required to pay for the deductible amount under Med Insure if you undergo confinement and/or surgery at a Malaysian government hospital, except if you opt for Full-Paying Patient Service at the government hospital.

 

2 different scenarios are illustrated as follow, assuming Annual Limit of RM100,000 & Deductible of RM500: 

 

Scenario 1 – Same Disability

Date of event/ hosp. Claims Scenario Date of Discharge Claims Amount (RM) AIA Pay (RM) Customer Pay (RM) Remarks
13 June 2024 Admission to hospital & perform surgery 20 June 2024 30,000 29,500 500 Customers need to pay the Deductible as it is applicable for In-Patient And Surgical Benefit

30 June 2024

(Day 11)

2nd admission due to surgical complications 15 July 2024 20,000 20,000 0 Due to the same disability and the confinement are within the 90 days from the last admission discharge date, customer is not required to pay the Deductible

30 Sept 2024

(Day 78)

3rd admission due to surgical complications 1 Oct 2024 10,000 10,000 0

16 Jan 2025

(Day 108)

4th admission due to surgical complications 1 Nov 2024 10,000 9,500 500 Customers need to pay the Deductible as the hospitalisation is more than 90 days from the last admission discharge date

 

Scenario 2 – Different Disability

Date of event/ hosp. Claims Scenario Date of Discharge Claims Amount (RM) AIA Pay (RM) Customer Pay (RM) Remarks
13 June 2024 Admission to hospital & perform surgery due to accident 20 June 2024 30,000 29,500 500 Customers need to pay the Deductible as it is applicable for In-Patient And Surgical Benefit

30 Sept 2024

(Day 78)

Admission to hospital & perform surgery due to heart condition 1 Oct 2024 30,000 29,500 500 Customers need to pay the Deductible as the hospitalisation is from a different cause

What is ‘Any One Disability’?

‘Any One Disability’ means that if 2 or more confinements are due to the same or related disability, or to any complications arising from it, such confinements shall be regarded as 1 confinement if each of them is not separated by more than 90 days from the paid or payable confinement which immediately occurred before this. This rule shall be observed in determining the limit of the benefits. 

What is ‘Disability’?

‘Disability’ shall mean a sickness, disease, illness, or the entire covered injuries arising out of a single or continuous series of causes. 

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