In the current climate of constant medical cost inflation, receiving the proper healthcare that you deserve can be a large financial setback, particularly in times of unexpected medical emergencies. With this growing concern in mind, we’ve developed a plan that makes the best of its valuable features to safeguard you and your loved ones in times of need.
Meet SmartMedic Million – an investment-linked medical rider that offers you comprehensive medical and hospitalisation benets, with four types of Hospital Room and Board. You’ll also be protected until the age of 100 years next birthday, allowing you to enjoy greater nancial and medical security well into your golden years.
To top it all off, you can further enhance your protection by choosing to attach an optional rider that extends your yearly medical coverage by an additional RM2 million, strengthening your personal safety net when times get tough.
SmartMedic Million comes with a deductible of RM300 per any one disability, which is the amount that you are required to pay for the applicable insured benefits before SmartMedic Million takes care of the rest. This rider will reimburse you for the total eligible expenses incurred, in excess of any deductible and up to the limits stated in the Summary Table of Coverage &
Benefits.
Key benefits under this plan include pre- and post- hospitalisation treatments; outpatient treatment for cancer, kidney dialysis, treatment for dengue fever and Zika virus; as well as covering the costs of your Intensive Care Unit expenses and surgical fees. Benefits for accidental death and emergency accidental outpatient treatment also further safeguard you and your loved ones against the unexpected.
SmartMedic Million offers a vital nancial buffer to foot your medical bills, with a high Overall Annual Limit and no Overall Lifetime Limit. The Overall Annual Limit, which refreshes every year, goes up to RM2,000,000, depending on your selected plan.
SmartMedic Million provides medical coverage until the age of 100 years next birthday, giving you the continuous protection you need to face any unforeseen circumstances even in your golden years.
To strengthen your nancial certainty in times of medical difculties, you can also choose to attach SmartMedic Million Extender, an optional rider that extends the Overall Annual Limit of your selected SmartMedic Million plan by an additional RM2,000,000.fi
You have the flexibility to choose the plan that best meets your medical needs, depending on your budget and requirements. SmartMedic Million offers 4 different plans with comprehensive medical benets:
Notes:
1 The Company will reimburse the total eligible expenses incurred for insured benets (2) to (15) accumulated per any one disability, in excess of the deductible amount.
2 Reimbursement of Reasonable and Customary Charges which is consistent with those usually charged to a ward or room and board accommodation which is approximate to and within the daily limit of the amount stated in Hospital Room and Board benet under the plan insured.
3 Subject to Reasonable and Customary Charges.
Notes:
1 The Company will reimburse the total eligible expenses incurred for insured benets (2) to (15) accumulated per any one disability, in excess of the deductible amount.
2 Reimbursement of Reasonable and Customary Charges which is consistent with those usually charged to a ward or room and board accommodation which is approximate to and within the daily limit of the amount stated in Hospital Room and Board benet under the plan insured.
3 Subject to Reasonable and Customary Charges.
The insurance charges on the previous pages are only applicable to occupational class 1 & 2. The insurance charges of occupational class 3 & 4 will be provided by your servicing agent, if applicable. The insurance charges on the previous pages will be charged according to your attained age next birthday, sex, smoker status, occupation, health condition, and the plan selected (where applicable). The insurance charges are not guaranteed and may be revised from time to time. Upward revision of insurance charges, if any, will be done on your policy anniversary and we will notify you in writing at least three months before the revision takes place
Q: How much premium do I have to pay?
A: These are unit deduction riders, which means that the insurance charges will be deducted from the total investment value of your policy on a monthly basis. However, you may be
required to pay additional premium to ensure policy sustainability, if the total investment value of your policy becomes insufficient.
Q: What are the normal circumstances under which SmartMedic Million and/or SmartMedic Million Extender will be terminated?
A: The normal circumstances include:
• Death of the life assured.
• On the policy anniversary on which the life assured’s age is 100 years next birthday.
• When the attached basic policy has lapsed, is surrendered, or is terminated.
Note: Terms and conditions apply.
Q: Am I covered for medical treatment received outside Malaysia?
A: You are covered for medical treatment received outside Malaysia but subject to a maximum of 90 consecutive days if you reside or travel outside Malaysia (except for Singapore and Brunei), and the Reasonable and Customary Charges for the equivalent local treatment in Malaysia.
Note: Terms and conditions apply.
Q: Will I be entitled to tax benefits?
A: Benefits received from SmartMedic Million and SmartMedic Million Extender are generally are subject to the Malaysian Income Tax Act, 1967, and nal decision of the Inland Revenue Board.
(Applicable to SmartMedic Million, SmartMedic Million Extender, and SmartMedic Million Plus) The Company will not pay any benet under these riders as a result of, including any of the following whether directly or indirectly:
1. Pre-existing Illness;
2. Specied Illnesses occurring within the rst 120 days from the Risk Effective Dates of SmartMedic Million, SmartMedic Million Extender and/or SmartMedic Million Plus
respectively;
3. Any medical or physical conditions arising within the rst 30 days from the Risk Effective Dates of SmartMedic Million, SmartMedic Million Extender and/or SmartMedic Million
Plus respectively except for Injury;
4. Plastic/cosmetic Surgery, circumcision, eye examination, glasses and refraction or surgical correction of nearsightedness (Radial Keratotomy or Lasik) and the use or
acquisition external prosthetic appliances or devices such as articial limbs, hearing aids, implanted pacemakers and prescriptions thereof;
5. Dental conditions including dental treatment or oral Surgery, except as necessitated by Injury to sound natural teeth occurring in any Policy Year and performed by Dentist;
6. Private nursing, rest cures or sanitaria care, illegal drugs, intoxication, sterilisation, venereal Disease and its sequelae, AIDS (Acquired Immune Deciency Syndrome) or ARC
(AIDS Related Complex) and HIV related Diseases, and any communicable Diseases required quarantine by law;
7. Any treatment or surgical operation for Congenital Conditions or deformities including hereditary conditions;
8. Pregnancy, childbirth (including surgical delivery), miscarriage, abortion and prenatal or postnatal care and surgical, mechanical or chemical contraceptive methods of birth
control or treatment pertaining to infertility. Erectile dysfunction and tests or treatment related to impotence or sterilisation;
9. Hospitalisation primarily for investigatory purposes, diagnosis, x-ray examination, general physical or medical examinations, not incidental to treatment or diagnosis of a covered Disability or any treatment which is not Medically Necessary and any preventive treatments, preventive medicines or examinations carried out by a Physician, and treatments specifically for weight reduction or gain;
10. Suicide, attempted suicide or intentionally self-inicted Injury, while sane or insane;
11. War or any act of war, declared or undeclared, criminal or terrorist activities, active duty in any armed forces, direct participation in strikes, riots and civil commotion or insurrection;
12. Ionising radiation or contamination by radioactivity from any nuclear fuel or nuclear waste from process of nuclear ssion or from any nuclear weapons material;
13. Expenses incurred for donation of any body organ by the life assured, and the cost of acquisition of any body organ donated to the life assured including all costs incurred by
the donor during organ transplant and its complications;
14. Investigation and treatment of sleep and snoring disorders, hormone replacement therapy, and alternative therapy such as treatment, medical service or supplies, including but not limited to chiropractic services, acupuncture, acupressure, reflexology, bone setting, herbalist treatment, massage or aroma therapy or other alternative treatment;
15. Care or treatment for which payment is not required or to the extent which is payable by any other insurance or indemnity covering the life assured and disabilities arising out of
duties of employment or profession that is covered under a Workman’s Compensation Insurance Contract;
16. Psychotic, mental or nervous disorders (including any neuroses and their physiological or psychosomatic manifestations);
17. Costs/expenses of services of a non-medical nature, such as television, telephones, telex services, radios or similar facilities, admission kit/pack and other ineligible
non-medical items;
18. Sickness or Injury arising from racing of any kind (except for foot racing), hazardous sports such as but not limited to sky-diving, water skiing, underwater activities requiring
breathing apparatus, winter sports, professional sports and illegal activities;
19. Private fiying other than as a fare-paying passenger in any commercial scheduled airlines licensed to carry passengers over established routes;
20. Expenses incurred for sex change;
21. Any Outpatient treatment not related to Inpatient treatment, except as provided under Insured Benefits; or
22. Charges which are not Reasonable and Customary Charges, or any Surgery or treatment which is not Medically Necessary, or charges in excess of Reasonable and Customary
Charges, or charges which are incurred for hospitalisation, pre-hospitalisation and/or post-hospitalisation after the Expiry Date.
SmartMedic Million, SmartMedic Million Extender and SmartMedic Million Plus are unit deduction medical riders attachable to selected regular premium investment-linked insurance
plans. These plans are insurance products that are tied to the performance of the underlying assets, and are not pure investment products such as unit trusts. The insurance charge to be imposed will be deducted from the total investment value of your policy on a monthly basis. You may stop paying premiums under the policy and still enjoy protection as long as there is sufcient total investment value to pay for the insurance charge. However, there is a possibility of the policy lapsing when the required charges, including rider charges exceed the total investment value of the fund units available. Purchasing too many unit deduction riders may deplete the fund units.
You have the option to include SmartMedic Million Extender and/or SmartMedic Million Plus to your investment-linked insurance plan; however, they must be attached together with
SmartMedic Million. If SmartMedic Million Extender and/or SmartMedic Million Plus are subsequently included to your investment-linked insurance plan after your coverage under
SmartMedic Million becomes effective, then the rst policy year of SmartMedic Million Extender and/or SmartMedic Million Plus will be adjusted accordingly and will be shorter than
a year. For subsequent years, the policy anniversary of SmartMedic Million Extender and/or SmartMedic Million Plus will coincide with SmartMedic Million’s policy anniversary.
You should satisfy yourself that these riders will best serve your needs and that the premium payable under the policy is an amount you can afford. A free-look period of 15 days is given for you to review the suitability of the Medical and Health Insurance (MHI) product. If a rider is cancelled during this period, the policy owner is entitled to the reinstatement of the units deducted for the payment of insurance charge after net of expenses incurred for the medical examination, if any. If you switch your Medical Policy/Rider from one company to another or if you exchange your current Medical Policy/Rider with another Medical Policy/Rider within the same company, you may be required to submit an application where acceptance of your proposal will be subject to the terms and conditions to be imposed at the time of Policy/Rider switching or replacement.
This brochure is for general information only. It is not a contract of insurance. You are advised to refer to the Product Disclosure Sheet, consumer education booklet on MHI and sample policy documents for detailed important features and benets of the plan before purchasing the plan. The exclusions and limitations of benets highlighted above are not exhaustive. For further information, reference shall be made to the terms and conditions specied in the policy issued by Great Eastern Life.
If there is any discrepancy between the English, Bahasa Malaysia and Chinese versions of this brochure, the English version shall prevail.
The terms “Great Eastern Life” and “the Company” shall refer to Great Eastern Life Assurance (Malaysia) Berhad.
For more information, please contact your friendly Great Eastern Life Planning Advisor or Customer Service Careline at 1300-1300 88.
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