SURAT RANGKUMAN PERLINDUNGAN

Dokumen ini merangkum perlindungan sesuai dengan Ketentuan Polis perusahaan asuransi rekanan.
This document summarizes the insurance coverage in accordance with the Policy Wording of the insurance
company.

Perusahaan Asuransi
: PT Great Eastern General Insurance Indonesia
Insurance Company

Jenis Asuransi Asuransi Kecelakaan Diri

:
Type of Insurance Personal Accident Insurance

1. Safiyah Azafirah/ 1212311138-P7IHQTSE

Nama Tertanggung/ Coverage ID 2. Nuraini Nuraini/ 1212311138-P7IHQTSE
:
Name of the Insured/ Coverage ID 3. Robby Fahlevy/ 1212311138-P7IHQTSE

Periode Polis Okt 28, 2022 - Okt 31, 2022

:
Policy Period Oct 28, 2022 - Oct 31, 2022

Rute Perjalanan CGK - DPS (Oct 28, 2022 - Oct 28, 2022)
:
Travel Route DPS - CGK (Oct 31, 2022 - Oct 31, 2022)

Jenis Perjalanan
: Basic Protection - Domestic Round Trip
Type of Travel

Jaminan Nilai Santunan

Coverage Compensation Value

Kecelakaan Diri - Kematian & Cacat : Maks. Rp 10.000.000

Accidental Death and Dismemberment Max. IDR 10,000,000

Biaya Pengobatan Akibat Kecelakaan : Maks. Rp 250.000 (tiket Points)

Medical Reimbursement due to Accident Max. IDR 250,000 (tiket Points)

Pembatalan Perjalanan oleh Tertanggung akibat :

Alasan Umum dan/atau Positif atau Reaktif test
Covid-19 Maks. Rp 250.000 (tiket Points)
Trip Cancellation by Insured due to Standard Max. IDR 250,000 (tiket Points)
Reasons and/or or Being Tested Positive/Reactive
for Covid-19

Biaya Pengobatan akibat Covid-19 : Maks. Rp 1.500.000 (tiket Points)

Medical Reimbursement due to Covid-19 Max. IDR 1,500,000 (tiket Points)

Santunan Tunai Harian Rawat Inap Rumah Sakit : Rp 300.000 per hari (tiket Points),
akibat Covid-19 maks. Rp 1.500.000 (5 hari perawatan)
Hospitalization Cash Benefit due to Covid-19 IDR 300,000 per day (tiket Points),
max. IDR 1,500,000 (5 days of hospitalization)
Catatan Penting
Important Notice

1. Syarat dan Ketentuan terkait dengan Usia dan Kewarganegaraan yang berlaku adalah sesuai yang
tertera pada halaman Syarat dan Ketentuan terkait asuransi produk ini di tiket.com.
Terms and Conditions on ages and nationality that apply on this insurance are further regulated in
tiket.com.
2. Syarat dan Ketentuan produk asuransi ini lebih lanjut diatur dalam Ketentuan Polis PT Great Eastern
General Insurance Indonesia.
Terms and Conditions are further regulated in PT Great Eastern General Insurance Indonesia Policy
Wording.
3. Anda dapat mengajukan klaim melalui aplikasi tiket.com (Android/iOS)
You can submit your claim through tiket.com App (Android/iOS)
4. Apabila Anda membutuhkan bantuan klaim, silakan menghubungi:
If you need claim assistance, please contact:
Whatsapp (Chat Only):0815-8500-9500
(Jam Operasional: 09.00 – 18.00 WIB, kecuali Libur Nasional/Sabtu/Minggu)
(Operational Hours: 09.00 – 18.00 WIB, except National Holidays/Saturday/Sunday)
Email: claims@cermati.com