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AIA Medical Card - Benefit Summary

This document summarizes several insurance benefits for full-time employees including: 1) Group term life insurance that provides a death benefit of 26 times the employee's basic monthly salary. 2) Group outpatient clinical insurance that covers consultation fees and medication costs at appointed general practitioner clinics and polyclinics, as well as accident and emergency department visits up to $120. 3) Additional coverage for outpatient specialist benefits including consultation fees, medication, and diagnostic tests referred through primary care providers, with an annual limit of $1,500 per employee.

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0% found this document useful (0 votes)
73 views1 page

AIA Medical Card - Benefit Summary

This document summarizes several insurance benefits for full-time employees including: 1) Group term life insurance that provides a death benefit of 26 times the employee's basic monthly salary. 2) Group outpatient clinical insurance that covers consultation fees and medication costs at appointed general practitioner clinics and polyclinics, as well as accident and emergency department visits up to $120. 3) Additional coverage for outpatient specialist benefits including consultation fees, medication, and diagnostic tests referred through primary care providers, with an annual limit of $1,500 per employee.

Uploaded by

LimKang
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Group Term Life Insurance

Benefit Summary – Job Band 9-12


Full-time, permanent or contract employee, upon employment or
Eligibility
underwriting acceptance, whichever is later
• Benefit/Insurance Period: 1 Jan 2020 – 31 Dec 2020
Basis of Cover 26 times last drawn basic monthly salary
_____________________________________________________________________________

Group Outpatient Clinical (GP) Insurance Death – sum assured payable in one lump sum
Total & Permanent Disablement – sum assured payable up to
Eligibility Full-time, permanent or contract employee, after 3 months of service Coverage $1,000,000 and the balance if any in 3 annual installment after 12 months
Terminal Illness – sum assured payable up to $1,000,000 and balance
Consultation, Medication, Diagnostic tests at company appointed GP upon death
Basis of Cover
or polyclinics or A&E departments
Panel GP – cashless visit upon presentation of AIA medical card Underwriting Sum assured exceeding $500,000 or age above 64 requires underwriting
Polyclinic – reimbursement upon successful claim submission
Coverage
A&E Visit – up to S$120 per visit (including A&E departments in
Malaysia Government hospitals) Group Hospital & Surgical Insurance
1. Work-related injuries (to be filed under WICA)
Main Exclusions 2. Purchase of medicine without prescription Full-time, permanent or contract employee1, upon employment and their
Eligibility
(subject to policy 3. Preventive treatment, routine examination, non-medically eligible dependents2
terms & conditions) necessary treatment Basis of Cover Plan 3 (refer to benefit schedule below)
4. Retail items, supplements, vitamins Coverage Hospitalisation or surgery due to sickness or injury
1. Pre-existing medical conditions prior to employment will be
excluded for 12 months
Outpatient Specialist Benefit 2. Work-related injuries (to be filed under WICA)
Main Exclusions 3. Congenital conditions
Eligibility Full-time, permanent or contract employee, after 3 months of service (subject to policy 4. Goods & Services Tax
Consultation, Medication, Diagnostic tests at government restructured terms & conditions) 5. Treatment of preventive nature or routine examination
Basis of Cover 6. Pregnancy, childbirth, infertility related treatments
hospitals, upon referral from panel GP / polyclinic / A&E
7. Self-inflicted injuries, violation of law, participating in riot
Specialist Consultation, Medication & Physiotherapy – S$1,500
8. Sleep apnea and sleep study
per policy year
Coverage
Diagnostic Tests (X-ray, lab tests, ultrasound, MRI, CT Scan) –
S$1,000 per policy year Benefit Item Benefit Limit
1. Psychiatric treatments, counselling, psychological assessments Ward Charges 1-Bed (Govt/Restr)
2. Preventive treatments, routine examination, non-medically
necessary treatments Overall Limit for Government Hospital admission
Main Exclusions Including Pre-hospitalisation Consultation & Diagnostic Tests /
3. Pregnancy, childbirth, infertility related treatments
4. Medical appliances Post-hospitalisation Treatment (incurred within 120 days before S$17,000
5. Eye refraction, correction of eyesight (e.g. lasik) admission or after discharge)
(Per disability limit)
Transfer of specialist disciplines requires attending specialist memo or Outpatient Kidney Dialysis & Cancer Treatment
Remarks S$16,800
referral letter for claim filing (Per policy year limit)
Miscarriage (accidental or due to medical reason) S$1,000
Dental + TCM Benefit (Self-funded)
Dental Surgery (Per policy year limit)
- Removal of burial or impacted teeth S$1,000
Eligibility Full-time, permanent or contract employee, after 3 months of service - Removal of growth/cyst with or without extraction S$2,500
Basis of Cover $250 per benefit year - Fracture of jaw which requires hospitalisation S$2,500
- Dental treatment at registered dental clinics
Coverage 20%
- TCM treatment at registered TCM clinics Co-insurance (claimant) for private hospital / overseas hospital
Policy sub-limits apply
Cosmetic dental treatments (whitening, bleaching, orthodontics,
Main Exclusions 1 Employee age 74 and above will be covered at S$8,000 per policy year
veneer, dentures) 2 Dependents refer to non-working spouse and dependent child below age 19, or below age 25 if still studying as
full-time student in tertiary education institution. Child must be unmarried and unemployed.
This leaflet is a summary of your benefits and is meant for reference and guide only. Company reserves the right to make changes to the insurance/non-insured benefits from time to time without prior notification/approval from the employees. Insurance covers are subject to the insurer’s acceptance in writing.

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