Great Eastern General Insurance (Malaysia) Berhad (102249-P)

Level 18, Menara Great Eastern, 303, Jalan Ampang, 50450 Kuala Lumpur.
General Line: +603-4259 8888 Fax: +603-4813 0055
Customer Service Careline: 1300-1300 88
Customer Service Email: gicare-my@greateasterngeneral.com
Website: www.greateasterngeneral.com

Group Hospitalisation and Surgical Insurance Quotation

Proposer : MALINDO AIRWAYS SDN BHD
Business : Airline Operator
Branch : Kuala Lumpur
Date : 27/09/2022
Interest : On Employees and their Spouse and Children, name list to be lodged with GEGM

SCHEDULE OF BENEFITS (RM) HG180

Hospital Room and Board (Limit per day, subject to a max. of 120 days) 180
Intensive Care Unit (Subject to a max. of 20 days) As Charged
Hospital Supplies and Services As Charged
Surgical Fees (Subject to a max. of 60 days) As Charged
Anaesthetist Fee As Charged
Operating Theatre As Charged
In-hospital Physician Visit (Limited to two(2) visits per day, up to max. 120 days) As Charged
Pre-hospital Diagnostic Test (Within 60 days preceding hospitalisation) As Charged
Pre-hospital Specialist Consultation (Within 60 days preceding hospitalisation) As Charged
Post-hospitalisation Treatment (For non-surgical and within 60 days from discharge) As Charged
Emergency Sickness Outpatient Treatment (12 midnight to 6am) 100
Ambulance Fees (By road only) As Charged
Daily Cash Allowance at Government Hospital (Subject to a max. of 120 days per disability) 50
Annual Out-Patient Cancer Treatment As Charged
Annual Out-Patient Kidney Dialysis Treatment As Charged
Organ Transplant (Once per lifetime) As Charged
Medical Report 80
Prevailing Government Tax (if applicable) Yes
Daycare Procedure (Subject to a maximum of 60 days) As Charged

OVERALL ANNUAL LIMIT - ANY ONE INSURED PERSON 60,000

* As charged subject to Overall Annual Limit provided the charges made are Reasonable and Customary subject further to the ACT.
**ACT refers to the Fee Schedule – Professional Fee Schedule specified in the Thirteenth Schedule under the Private Healthcare Facilities and Services Act 1998, Private
Healthcare Facilities and Services (Private Hospitals and other Private Health Care Facilities) (Amendment) Order 2013.

All Benefits payable under this Policy are in accordance with the Insured Person's selected Plan.

Annual Premium - With TPA Arrangement

Member Only (MO) 481.00
Member and Spouse (MS) 1,203.00
Member and Children (MC) 1,203.00
Member and Family (MF) 1,924.00
Note: The above premium rates are inclusive of TPA Fees but not inclusive of Government Tax and RM10.00 Stamp Duty.

OPTIONAL COVID-19 Extended Coverage Annual Premium - Reimbursement Basis

Per Member 198.00
Note: The above premium rates are not inclusive of Government Tax.

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