PRODUCT DISCLOSURE SHEET Name of Life Assured: PREMKUMAR NADARAJAN

Read this Product Disclosure Sheet before you decide Gender of Life Assured Male
to take up Max Medic - Plan 1. Be sure to also read the Age of Life Assured: 31 Last Birthday
general terms and conditions. Occupational Class: 2
Plan: Max Medic - Plan 1
Date Printed: 04 Aug 2020

What is this product about?

This is a unit deducting rider, which provides coverage on hospitalisation and surgical expenses incurred due to accidental
injuries or illnesses covered under the policy. This plan will require the policyholder to pay for part of the total eligible
expenses (co-insurance). Besides, this plan also provides international assistance on medical, referral services on travel, car
or home assistance with the Emergency Assistance Program (EAP).

Who is eligible to apply?

Life Assured: Minimum 30 days old. Maximum 59 years old.

What are the covers / benefits provided?

MAXMEDIC PLAN 1

BENEFITS BENEFIT LIMITS(RM)

Overall Annual Limit 50000
Overall Lifetime Limit 500000

HOSPITAL & SURGICAL BENEFITS

Hospital Room & Board (max. 200 days per annum) 110
Intensive Care Unit/ High Dependency Unit (max. 30 days per annum)
Hospital Supplies & Services
As charged, subject to
In-Hospital Physician Visit (max. 200 days per annum)
Co-insurance of 10%, with a
Surgical Fees
minimum of RM 200 and a
Anaesthetist Fees
maximum of RM 1,000.
Operating Theatre

OUT-PATIENT TREATMENT BENEFITS

Pre-Hospital Diagnostic Tests (within 60 days prior to admission)
Pre-Hospital Specialist Consultation (within 60 days prior to admission)
Post-Hospitalisation Treatment (within 60 days from discharge)
As charged, subject to
Out-Patient Physiotherapy Treatment (within 90 days from discharge/surgery)
Co-insurance of 10%, with a
Out-Patient Kidney Dialysis Treatment
maximum of RM 2,000.
Out-Patient Cancer Treatment
Home Nursing Care (max. 180 days per life)
Emergency Accidental Out-Patient Treatment (within 72 hours from accident and
follow-up treatment up to a max. of 31 days)

OTHER BENEFITS

Ambulance Fees (max. limit per disability) 300

Daily Cash Allowance at Government Hospital (max. 200 days per annum) 50
Life Assured Child's Daily Guardian Benefit (max. limit per disability) 200
Medical Report Fees (max. limit per disability) 80
Tax on Eligible Expenses As Charged

Note: The description on the available cover is only a brief summary for quick and easy reference. The precise terms
and conditions that apply are stated in the policy contract.