6.

0 Company’s name: MCIS Zurich Insurance Berhad (K6)

Insurance product: MZ MEDIHEALTH- Medical Card

6.1 SUMMARY
Medical insurance policies are provided in Malaysia by MCIS Zurich Insurance Berhad, a joint venture
between MCIS Insurance Berhad and Zurich Insurance Group. These programmes are made to cover
hospital stays, medical costs, and healthcare services. I am unable to provide you with specific
information regarding the medical insurance plans offered by MCIS Zurich, however I can give you a
basic overview of what medical insurance normally covers:

1) Hospitalization costs, including room and board, nursing care, surgical charges, and
medicines, are typically covered by medical insurance.
2) Medical Consultations: It might pay for the costs associated with seeing a doctor, specialist,
or other healthcare provider for advice, a diagnosis, and subsequent care.
3) Laboratory tests, X-rays, scans, and other diagnostic procedures recommended by medical
specialists are frequently covered by medical insurance policies.
4) Medication & Prescriptions: Depending on certain conditions and restrictions, insurance may
pay for the cost of prescription meds as well as occasionally even over-the-counter
medicines.
5) Surgical Procedures: Expenses linked to surgical procedures, including surgeon fees,
anesthesia costs, and operating room costs, may be covered.
6) Emergency ambulance services for hospital transportation are covered by several medical
insurance policies.
7) Alternative Therapies: Depending on the policy, coverage for complementary therapies like
chiropractic care, homeopathy, or traditional Chinese medicine may be offered.

The terms, conditions, coverage limits, and exclusions of each medical insurance plan may vary. This
is crucial to keep in mind. I suggest getting in touch with MCIS Zurich Insurance Berhad personally or
visiting their official website to learn more about the medical insurance policies they provide. They
will be able to give you detailed information about their medical insurance alternatives, such as
coverage options, costs, and any extra advantages or features.

Plans for medical insurance from MCIS Zurich Insurance Berhad frequently come with a medical
card. A physical or digital card given to policyholders by the insurance company is known as a
medical card, sometimes known as a health card or medical insurance card. It promotes quick access
to medical treatments and acts as proof of coverage.
6.2 BENEFITS

1. In the network of healthcare organizations connected to MCIS Zurich. When you show the
card to the hospital, the insurance provider will immediately pay the appropriate medical
costs that are covered by your policy.
2. Streamlined Claims Process: By doing away with the requirement for upfront payments or
reimbursement processes, the medical card streamlines the claims process. Instead, you can
show the card to the healthcare provider, who will then work with the insurance provider
directly to arrange for billing and payment.
3. Obtain Medical Services with Convenience: The medical card makes it simple and convenient
to obtain medical services. You can use it to access any qualified treatments, such as medical
consultations, diagnostic tests, and medicines, that are covered by your policy without
having to pay anything out-of-pocket right away.

BENEFIT PLAN 150 PLAN 100 PLAN 50 PLAN 20

Annual Limit RM RM RM RM
150,000 100,000 50,000 20,000
(applicable to Section A and B)

Inflation Defender Annual Limit will be increased by 10% of the

initial Annual Limit at the end of every five (5)
Policy Years starting from the Issue date, subject
to a maximum of 50% of the initial Annual Limit.

Lifetime Limit No Limit

Section A In-Patient and Surgical Benefit

1 Hospital Room and Board (daily RM250

maximum)

2 Intensive Care Unit As charged

3 In-Patient Related Fees

a) Hospital Supplies and Services

b) Surgical Fees

c) Anaesthetist Fees

d) Operating Theatre

e) Prescribed Medicines

f) Diagnostic Procedures and As charged

Physiotherapy

g) Physician/Specialist Visit (up to

two (2) visits per day

h) per Physician/Specialist)

4 Ambulance Fees As charged

5 Daily Allowance for Hospitalisation due to RM50 per day, up to thirty (30) days per Policy
Accident Year

6 Daily Allowance for Hospitalisation in RM100 per day, up to thirty (30) days per Policy
Intensive Care Unit Year

Section B Out-Patient Benefit

7 Daycare Surgical Procedure As charged

8 Consultations and Diagnostic Procedures As charged

(including

medication)

(up to three (3) times and within thirty one

(31) days

before Hospitalisation)

9 Post Hospitalisation Care and As charged

Physiotherapy Treatment

(with in sixty (60) Days from Hospital

discharge)
 1 Emergency Accidental Treatment As charged
0
(up to three (3) times per Any One (1)
Disability)

Section C Special Benefit

11 No Claim RM RM 50 RM 30 RM 20
Rewards 60

Example of Step-By-Step Premium Calculation

Zainab, a 35-year-old individual, decides to purchase the MZ MEDIHEALTH- Medical Card with a
policy term of 30 years. She wants to secure financial protection for her family and also build savings
for future needs. She wishes to pay a single premium. The sum assured is RM150,000. We assume
that the interest rate is 6%. Over the years, the investments linked to the MZ MEDIHEALTH- Medical
Card perform well, and Zainab receives annual bonuses and investment returns, accumulating a
significant amount. Without considering the bonus or return and assuming that Zainab does not pass
away during the policy term, we can calculate the net single premium as follows.

Age of insured , x=35 yearsold

Interest Rate , i=6 %=0.06

∑ Insured for Plan 4=RM 150,000

Duration of Insurance ,n=30 years
Solution:
A x :n∨¿=A 1
x :n∨¿ + A ¿
¿
1
x : n∨¿ ¿

¿ A x: n∨¿ ¿
1

¿ 150,000 ( v n × n p x )

( )
n
1
¿ 150,000 ×n px
1+i

¿ 150,000 (
1+0.06 )
30
1
× p 30 35

¿ 150,000 (
1+0.06 )
1 l 30
65
×( )
l 35

¿ 150,000 ( )
30
1 7,534,074
×( )
1+0.06 9,420,611
¿ RM 20886.52