Amanah Medicare Hidupkan amanah, Hulurkan ihsan
This plan is the result of a strategic collaboration between Amanah Saham Nasional Berhad (ASNB) and Prudential BSN Takaful Berhad (PruBSN) as well as Implementation Coordination Unit, Prime Minister Office (ICU JPM) aimed at providing appropriate outpatient clinical treatment coverage and easing the financial burden of those in need.
Key Product Benefits
Outpatient Treatment
Extensive Clinic Network
Hassle-free
Product info
Coverage Term, and Eligibility
|
Coverage Term |
12 months |
|
Eligibility |
Individuals aged 1 to 100 years from the hardcore poor and poor categories. |
|
Takaful Contribution |
This certificate is fully funded by PruBSN and ASNB. |
Features
-
Exclusive for eKasih Members:
This scheme is offered exclusively to the hardcore poor and poor category registered in the eKasih database. -
A Complimentary Takaful Plan:
Shariah-compliant group term takaful plan of which contributions are fully sponsored by PruBSN and ASNB. -
Protection:
Provides one (1) year coverage for outpatient treatment with cashless facility at all panel clinics. -
Simple:
Straightforward and easy to understand. -
No Underwriting Needed:
Member of this scheme does not need to undergo medical examination and underwriting process. -
Hassle-free:
Automatic registration.
Benefits
Outpatient treatment at panel clinics amounts to RM300 per year.
How to Submit Claims
Enjoy cashless treatment at panel clinics
A claim can also be made if:
-
Treatment received at a non-panel clinic or hospital;
-
More than 80% of the overall annual limit has been utilized.
Please refer to the brochure for the complete Claim Process.
How long does it take to process a claim?
The claim payment will be processed within 14 working days upon receive of complete documents.
Important Notes
The above is only a brief description of our product. For more information on Skim Amanah Medicare, kindly refer to the Product Disclosure Sheet and refer to the terms and conditions in the Certificate Summary for details on the important features as well as exclusions that apply to the plan.
Schedule of Benefits
|
PruBSN Plan |
Amanah Medicare |
|
|
Outpatient Visit Only |
Annual Limit RM 300 |
|
|
Category |
Coverage for Clinic & Specialist Clinic Visit (up to maximum RM300) |
|
|
OUTPATIENT CLINICAL SERVICES (Clinic & Specialist Clinic) - CASHLESS/COVERED |
||
|
1 |
Consultation |
Cashless |
|
2 |
Medication |
Cashless |
|
3 |
Injection (part of treatment) |
Cashless |
|
4 |
Diagnostic Lab/X-Ray Procedure (medically necessary) |
Pay and Claim |
|
5 |
Outpatient Surgical Procedure |
Pay and Claim |
|
6 |
Any Outpatient treatment at SP |
Pay and Claim |
|
7 |
Outpatient Paediatric Direct Access for 12 years & below |
Pay and Claim |
|
OTHERS - NOT COVERED |
||
|
1 |
Immunization (Treatment allowed at GP & SPI) |
NOT COVERED |
|
2 |
Immunization/Vaccination MANDATORY Child vaccination as per KKM Schedule ONLY |
|
|
3 |
Pre Natal/Post Natal |
|
|
4 |
Covered all types pregnancy scan |
|
|
5 |
Circumcision |
|
|
6 |
HIV or any sexual transmitted disease |
|
|
7 |
Intraarticular injections for osteoarthritis |
|
|
8 |
Any treatment for cosmetic reasons |
|
|
9 |
Investigative purpose -ray, Stem cell therapy) |
|
|
10 |
Physical or Medical Examinations |
|
|
11 |
Preventive medicines |
|
|
12 |
Treatments for weight reduction |
|
|
13 |
Bariatric |
|
|
14 |
Hyperhidrosis |
|
|
15 |
Eye examination (nearsighted & farsighted) |
|
|
16 |
Astigmatism |
|
|
17 |
Visual aids |
|
|
18 |
Radial Keratotomy |
|
|
19 |
Prosthetic Appliance (not limited to artificial limbs, hearing aids, cochlear apparatus, pacemakers) |
|
|
20 |
Drugs and alcohol abuse |
|
|
21 |
Addictive disorders |
|
|
22 |
AIDS |
|
|
23 |
Any Communicable disease requires quarantine |
|
|
24 |
Suicide or any self inflicted injury |
|
|
25 |
Any hazardous sports |
|
|
26 |
Illegal activities |
|
|
27 |
Caused by Radiation activity |
|
|
28 |
Donation of body part |
|
|
29 |
Prescribed medicine without consultation |
|
|
30 |
Physiotherapy (without admission) |
|
