Item |
Covered Benefits |
E |
F |
1 |
Hospital Room and Board
(R&B) (Limit
per day, subject to a maximum of 180 days per certificate year for Items (1)
and (2) in aggregate) |
200 |
150 |
2 |
Intensive Care Unit (ICU) (Limit
per day, subject to a maximum of 30 days per certificate year for Items (1)
and (2) in aggregate) |
As
Charged |
As
Charged |
3 |
Hospital
Supplies and Services Maximum per Any One Disability |
As
Charged |
As
Charged |
4 |
Surgical Fees Maximum per Any One
Disability |
As
Charged |
As
Charged |
5 |
Operating Theatre Maximum per Any One
Disability |
As
Charged |
As
Charged |
6 |
Anaesthetist Fees Maximum per Any One
Disability |
As
Charged |
As
Charged |
7 |
In Hospital Physician Visit (Maximum
2 visits per day up to 180 days) Maximum per Any One Disability |
As
Charged |
As
Charged |
8 |
Pre-Hospitalisation
Specialist Consultation (Within 90 days before hospitalisation) Maximum per
Any One Disability |
As
Charged |
As
Charged |
9 |
Pre-Hospitalisation
Diagnostic Tests (Within 90 days before hospitalisation) Maximum per Any One
Disability |
As
Charged |
As
Charged |
10 |
Post-Hospitalisation
Treatment (Within
90 days after hospital discharge) Maximum per Any One Disability |
As
Charged |
As
Charged |
11 |
Ambulance Fees Maximum per Any One
Disability |
As
Charged |
As
Charged |
12 |
Day Surgery Maximum per Any One
Disability |
As
Charged |
As
Charged |
13 |
Malaysian Tax |
As
Charged |
As
Charged |
Item |
Optional Benefits |
E |
F |
14 |
Daily-Cash
Allowance at Malaysian Government Hospital (Maximum 180 days in a Certificate
Year) |
100 |
100 |
15 |
Second
Surgical Opinion (Option 1) Maximum per Any One Disability |
As
Charged |
As
Charged |
16 |
Organ Transplant (Once Per
Lifetime) |
15,000 |
10,000 |
17 |
Outpatient Cancer Treatment |
15,000 |
10,000 |
18 |
Outpatient Kidney Dialysis
Treatment |
15,000 |
10,000 |
19 |
Emergency
Accidental Outpatient Treatment (Maximum 60 days from the date of accident)
Maximum per Any One Disability |
As
Charged |
As
Charged |
20 |
Accidental Dental Treatment (Maximum
14 days from the date of accident) Maximum per Any One Disability |
As
Charged |
As
Charged |
21 |
Emergency
Sickness Outpatient Treatment (10pm to 8am) Maximum per Any One Disability |
100 |
100 |
22 |
Medical
Report Reimbursement (Per report) Maximum per Any One Disability |
80 |
80 |
23 |
Compassionate Allowance (Death due to all causes) |
5,000 |
5,000 |
Overall Annual
Limit (for
items 1 to 12, 14 to 15, 19 to 22) |
40,000 |
20,000 |
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