Medical Insurance Coverage
Medical insurance coverage is wide ranging and covers most health, medical and disease conditions.
However, there are terms and conditions for this insurance coverage, that all medical insurance plans have, that protect insurance companies from fraud, abuse and financial loss.
These terms are usually found in the coverage exclusions list in the medical insurance policy.
What the Medical Insurance Benefits or Does for the Insured Person
Medical insurance is a lifeline for many people. Although Malaysia is a blessed country with Government Hospitals and Clinics with very low cost of treatment, there is the long wait times for consultation, treatment and surgery.
Access into Private Hospitals
Unless you are willing to wait in pain, for the time for a bed and time slots for surgery or intervention to be available for you, at a government hospital, you are better off for the fast treatment and recovery options from the private hospitals in Malaysia.
With the high medical treatment and consultation costs at private hospitals, medical insurance is the emergency medical fund everybody uses. And they need it from the moment they are born.
Fast Hospital Admissions
You just walk into a hospital, go to the patient registration counter, and give them your Malaysian identity card number (IC) and tell them AIA medical insurance. The counter staff will check with the high tech AIA systems and confirm your coverage entitlements.
Deposit Free Platinum Hospital Admissions
AIA Platinum hospitals (Just call in to any of the panel hospitals and ask if they are an AIA platinum hospital.) will waive any deposits for admission. You are admitted just on the strength of the AIA letter of guarantee (LOG) issued by the AIA high tech systems to the hospital admission counter staff.
Minimum Deposit Hospital Admissions
For non-AIA Platinum hospitals, they might request a minimal deposit amount. It differs from hospital to hospital, but best you plan by calling and asking first. These hospitals will admit you based on the AIA LOG from the AIA systems, but they still have their own processes to follow.
Cashless Hospital Treatment
Anyone using their own cash, needs help in better financial planning. The AIA medical insurance plans are listed below and gives you emergency money to be used for medical purposes.
- Corporate medical plans
- Stand alone medical plans
- Investment linked medical plans
- Takaful medical plans
These plans creates an emergency medical fund for you to pull from. And the amount available for you, depends on how much you planned for. Check out the plan medical fund coverage and premiums (The insurance plan price) payable at the respective pages.
Do note that you are no longer covered, once you leave the company or have retired. So its best to have your own medical insurance plan as a backup for your golden years.
Your Workplace’s Free Group Medical Insurance Plan
The corporate or the employee benefits or group medical plan is based on what your company or workplace makes available to you. Usually, the higher up in the company you are, the higher the coverage and benefits for you. Ask your HR for assistance on your medical benefits.
For the group medical insurance, there is also the option for panel clinic outpatient coverage.
Medical Insurance Coverage Exclusions
As mentioned earlier, there are terms and conditions for this medical insurance coverage, that most medical insurance plans have, that protect insurance companies from fraud, abuse and financial loss.
These terms are usually found in the coverage exclusions list in the medical insurance policy. Below is a collection of medical insurance coverage exclusions. Read this first before buying a medical insurance plan.
Any insurance plan that waives these, i.e., says they will pay for these, well you have to be really sure that that insurance company will pay your medical bills when the time comes to claim those bills.
Always read the fine print of your insurance policy, no matter how reputable the insurance company appears to be. A lot of additional documents and verifications and terms are added in, especially for the lower premium medical plans.
List of usual medical insurance exclusions
If you are already sick, or have a pre-existing disease condition, no insurance plan will take you. And for AIA, this includes too, if you are diagnosed with such a health condition, within 30 to 120 days (the waiting period) of signing up for an insurance plan. This waiting period depends on the insurance plan you sign up for.
a. Hypertension, diabetes mellitus and cardiovascular diseases.
b. All tumors, cysts, nodules and polyps in ay part of the body.
c. Stones of the urinary system and biliary system.
d. Diseases of the ear, nose 9including sinuses) or throat
e. Hernias, haemorrhoids, fistulae, hydrocele, varicocele.
f. Diseases of the reproductive system including endometriosis
g. Disorders of the spine (including slipped disc) or any knee conditions
h. Congenital birth defects appearing or diagnosed within 17 years of age. Includes epilepsy.
No. This is a choice made by you. And child birth is the natural result of this process. So plan for your own cash savings for baby delivery costs. And read the fine print of the insurance policy of how to claim for this, if it says this is covered. Ask the agent to show you an official policy to show this.
It depends on the insurance plan offered. Pregnancy complications are covered by medical insurance as well as the pregnancy maternity insurance plans. The type of complications covered are per the respective insurance plans. You will need to read the specific insurance plan for details.
It depends on the insurance plan offered. Family members are covered only if your medical insurance plan includes the family medical plan option. And only if the insurance plan specifies the age ranges and family member type. Call +6012-684 0948 to check with our insurance agents on this.
It starts from the medical insurance issue date or commencement date, with conditions. For accidental injuries, the medical insurance is effective immediately from issue date. For illnesses, 30days from issue date. For specified illnesses, 120 days from issue date. For specified maternity complications, 1 year from issue date. These insurance plan start time from issue date, are called waiting periods.
Financial Security – Medical Insurance Is There When Needed
AIA INSURANCE AGENT LEVINE LEE can help you to protect yourself and the future of your loved ones. Get immediate financial security. Don’t touch your savings. Let insurance provide it.
She can help provide the financial security in times of hardship and will be able to ease the financial burden of your dependents in your absence.
Contact our AIA Life Planning Advisor to get in touch with us and start your personal coverage or choose your plan now. Get covered correctly. Be advised correctly. Call Levine Lee (+6012-684 0948) today to be advised on the best insurance protection personalized for you. Or see the medical insurance product below for more details.
AIA Medical Insurance Card Malaysia
This is a medical insurance plan from AIA Insurance.
- A-Life Med Regular provides you the medical coverage up to the age 100.
- A-Life Med Regular pays your medical claim in full, without imposing any co-insurance or deductible charges.
- You can be the policy owner for your spouse and children to register for medical insurance
- You can get income tax relief with this medical card up to RM3,000
- Enjoy worldwide assistance services by calling AIA’s 24-hour service hotline +603-21665421 and reverse the call charges.
- The plan details and downloads are in the detailed description below
Send in this pre-order to get the official proposal for you. Nothing needs to be paid for this pre-order.
- AIA SME Platinum - 21 March 2023
- Group Insurance Plans - 16 March 2023
- AIA Group Hospitalisation Claims Submission - 9 March 2023