UTAR Students Medical Insurance Scheme (Voluntary Basis)
UTAR has obtained a competitive Medical Insurance Scheme whereby UTAR students can sign up on a voluntary basis. There are 2 plans to choose from as follows:
|
|
Plan A |
Plan B |
|
Annual Limit Per Student |
RM25,000.00 |
RM15,000.00 |
|
Annual Premium Per Student |
RM204.00 |
RM109.00 |
CONDITION APPLICABLE TO BOTH OPTIONS:-
- Max Entry Age: 60 years old. (Renewal up to 65 years old-subject to PHD form)
- Pre-Existing Illness Condition.
- Specified Illness 120 days.
- 'As Charged Basis' shall be subject to reasonable and customary charges only.
- Co-Payment Clause applicable if student is hospitalized with room & board charges higher than stated limit.
Benefits of health insurance:
| Schedule of Benefits | RM | |
| Hospital Benefit/ Hospital Services | ||
| 1 | Hospital Room & Board (per day limit) (maximum up to 365 days) |
100 |
| 2 | Hospital Intensive Care Unit (maximum up to 365 days) |
As charged |
| Professional/ Specialist Fees | ||
| 3 | Surgical Fees |
As charged |
| 4 | Anaesthist Fee |
As charged |
| 5 | Operating Theatre Fee |
As charged |
| 6 | Hospital Services & Supplies |
As charged |
| 7 | In-Hospital Physician's Visits (maximum up to 365 days) |
As charged |
| Emergency/ Out-patient Services | ||
| 8 | Pre-Hospital Diagnostic Tests (31 days prior to hospitalization) |
As charged |
| 9 | Pre-Hospital Specialist Consultation (31 days prior to hospitalization) Second Surgical Opinion (31 days prior to hospitalization) |
As charged 500 |
| 10 | Emergency Accidental Out-Patient Treatment -within 24 hrs after the accident & follow-up treatment up to 365 days |
As charged As charged |
| 11 | Emergency Dental Treatment -within 24 hrs after the accident & follow-up treatment up to 14 days |
As charged As charged |
| 12 | Post-Hospitalisation Treatment (within 60 days from
discharge) Daycare Procedure/ Surgery Emergency Sickness Treatment between 12am to 6am ) |
100 As charged As charged |
| 13 | Home Nursing Care-up to 30 days |
50 |
| 14 | Ambulance Fees (road vehicle) |
2500 |
| 15 | Daily Cash Allowance at Government Hospital (max. up to 365 days) |
As charged |
| 16 | Inpatient Treatment for Mental Illness |
5% |
| 17 | Medical Report | |
| 18 | Govt. Service Tax (Room & Board limit only) | |
| Special Non-Medical Benefit | ||
| 19 | Reimbursement of Tuition Fees due to prolonged Period of Disability (per semester) |
5,000 |
Description Of Benefits
* Hospital Room & Board
- Reimbursement of the room
accommodation and meals during confinement in a hospital as an in-patient.
* Intensive Care Unit
- Reimbursement of the actual room
and board incurred during confinement as an in- patient in the Intensive Care
Unit of the Hospital.
* Surgical Fees
- Reimbursement of the charges for a
surgery by the Specialists, pre-surgical assessment Specialist's visits and
post-surgery care from the date of surgery.
* Operating Theatre
- Reimbursement of operating room
charges incidental to the surgical procedure.
* Anaesthetist Fee
- Reimbursement of fees charged by the
Anaesthetist for the administration of anaesthesia.
* Pre-Hospital Dianostic Tests
- Reimbursement of fees
charged for ECG, x-ray and laboratory examinations recommended by a qualified
medical practitioner for the determination of an illness or injury. Medications
and consultation charged by the medical practitioner will not be payable.
* Pre-Hospital Specialist Consultation
- Reimbursement of
the first consultation fees charged by a Specialist in connection with a
Disability and provided that such consultation has been recommended in writing
by the attending general practitioner. Payment will not be made for clinical
treatment (including medications and subsequent consultation after the illness
is diagnosed).
* In-Hospital Physician Visit
- Reimbursement of fees
charged by the attending physician for visiting an in-paying patient while
confined for a non-surgical Disability, subject to a maximum of 1 visit per day.
* Post-Hospitalization Treatment
- Reimbursement of
charges for follow up treatments following discharge from a hospital for a
non-surgical confinement administered by the same physician.
* Hospital Supplies & Services
- Reimbursement of
charges made by the Hospital for general nursing, dressings, splints, plaster
casts, x-ray, laboratory examinations, electrocardiograms, physiotherapy, basal
metabolism tests, intravenous injections and solutions, administration of blood
and blood plasma but excluding the cost of blood and plasma.
* Ambulance Fees
- Reimbursement for necessary domestic
ambulance services (inclusive of attendant) to and/or from the Hospital of
confinement.
* Daily-Cash Allowance At Government Hospital
- Pays a
daily allowance for each complete day of confinement for a covered Disability in
a Malaysian Government Hospital provided confinement in a Room and Board rate
that does not exceed the plan chosen.
* Medical Report
- Reimbursement of expenses for pursuing
the medical report.
* Government Service Tax
- Reimbursement of the charges
imposed by the Malaysian Government for service tax levied on Hospital Room
& Board charges.
* Emergency Accidental And Dental Out-Patient Treatment
-
Reimbursement of expenses incurred as a result of a bodily injury/ to sound
natural teeth arising from an ACCIDENT for treatment as an out-patient at any
registered clinic or hospital within 24 hours.
* Second Surgical Opinion
- Consultation or opinion with
a second specialist to determine whether a surgical operation is necessary or
required in view of the Insured Person's medical condition.
* Daycare Procedure
- Medically Necessary Day-Care
Procedure performed in an out-patient setting without hospital admission.
* Home Nursing Care
- Actual charges incurred for the
services of a government licensed nurse in the insured person's home when
prescribed by a physician subsequent from hospital confinement for the same
medical condition.
* In-patient Treatment for Mental lllness
- If the
Insured Person is confined to hospital for the treatment of mental illness, in
lieu of all the other Benefits, the Policy shall pay this Benefit as provided
under the Schedule of benefits subjects to the Annual Limit stated for each
insured person. The term "mental lllness" shall mean a nervous disorder or the
functional disorder of the psychic or mental constitution including any
physiological or psychosomatic manifestations that necessitate the Insured
Person to be confined in hospital for the medically required treatment.
*Reimbursement Of Tuition Fees Due To Prolonged Period Of Disability
(Per Semester)
- In the event of a prolonged disability, which
actually prevents the Insured person from attending to his academic session at
his registered college and as a direct result of this non-attendance such that
the Insured person has to repeat his coursework in a new academic session, this
benefit will reimburse the actual college tuition fees paid for the academic
session which was missed.
Information Sheet
Note: This information sheet provides a summary of the main features of the above product for illustration purposes and does not constitute a contract of insurance. Policy Owners are advised to refer to the Policy document for full details of the product terms and conditions, including those outlined below.
Terms of Issue
* Period of Cover
- This policy shall become effective as of the
date stated in the Schedule. The Policy Anniversary shall be one year after the
effective date and annually thereafter.
- Refer to Other Policy
Provisions.
Conditional Renewal and Premium
- The renewal premiums payable is
not guaranteed and the Company reserves the right to revise the premium rate
applicable at the time of renewal by giving a 30 days written notice and this
policy will be renewable at the option of the policyholder subject to the terms,
conditions and termination at each of the anniversary of the policy date.
-
Refer to Other Policy Provisions.
* Upgraded Room & Board Co-Payment
- If you are hospitalized at
a Room & Board which is higher than your eligible benefit (2 bedded room or
4 bedded room), you shall bear 20% of the other eligible benefits described in
the Schedule of Benefits.
- Refer to Other Policy Provisions.
* Consequence of Misrepresentation/ Fraud/ Non-Disclosure
- An
Insurer has the right to repudiate liability in the event that prospective
Policy Owner failed to disclose relevant information that would affect the
decision of the insurer to accept or reject the risk, and on the premiums and
terms to be applied to the Policy Owner.
- Refer to Other Policy
Provisions.
* Major Exclusions & the relevant periods applicable including but not
limited to exclusions, pre-existing illness, specified illnesses & waiting
period.
- Refer to Other Policy Provisions.
* Other specific terms/ conditions/ exclusion
- Refer to Policy
Schedule.
For Further Information Kindly Contact DSA/AAO
29-1, Dataran Prima Business Centre
Jalan PJU 1/41
47301 Petaling Jaya, Selangor
Tel: 03-78800691/2/3
Fax No: 03-78063907
Email: sharifah@aaogroup.com
Department of Student Affairs (DSA)
Lot 8, Jalan 13/4
46200 Petaling Jaya, Selangor
Tel: 03-79582628
Fax: 03-79551611