ADMISSION AND DISCHARGE PROCEDURE For panel hospitals in Malaysia

HOW TO LODGE A Complaint And Redress Avenues Available

Complaints Unit (CU) insurance company

MEMBERS: to produce 1. Medical Card. 2. NRIC 3. Referral Letter (if any) Medic Partner is a comprehensive Annual Renewal Hospital & Surgical insurance policy whichTO GOES covers medical cost incurred by you for hospitalization due to accidents or sickness. No coverage for outpatient medical expenses which is not related to the hospitalization. This plan also provides you with medical card facilities for admission and HOSPITALS: discharge from hospitals. Hospital Admission Form. 1. Request patient to fill 2. Hospital & Doctor to complete Hospital Admission Form. If you takeAsia Assistance Call Centre 3. Notify up this policy before 60 years, the policy may be renewed up to 65 years.

MEDIC PARTNER
Complaint

Satisfied
of

Fact Sheet

Complaint Resolved

Pre-Existing Condition Pre-existing Condition means Disability that the insured Person has reasonable Not satisfied knowledge of on or before the effective date of insurance of the Insured person. An insured person may be considered to have reasonable knowledge of Write to either : a Pre-existing Condition where the condition is on of which:
Bureau of The insured person had receivedBankisNegara or receiving treatment, Malaysia, or 2. the insurance or treatment Medical advice, diagnosis, care mediator of the has been recommended, Financial Mediation Bureau. Clear and distinct symptoms are or were evident. Its existence wouldAlternatively, you could take your a reasonable person in the have been apparent to case to court. circumstances. 1. the Customer Service

CALLS Age Limit New Application : 15 days old to 60 years old. ASIA ASSISTANCE: to age 65. Renewal : Up 1. Verify membership 2. Check Policy terms and conditions. Benefits Provided 3. Provide major The policy covers:Some of the admission guarantee up to RM2,500 or Issuance of Non- Issuance of Guarantee Letter. Hospital Room & Board. Surgeon Fees Anaesthethist Fees GUARANTEE Intensive Care Unit 1. Issue superceding guarantee. Day Care Surgery 2. Monitor billing status with billing Department Hospital Services & Supplies Operation Theatre In Hospital Physician Visit Pre-Hospitalization, Pre-Surgical Diagnostic tests & Pre-Hospitalization DISCHARGE Specialist Fees 1. Hospital fax bill for calculation. Emergency letter of Excess 2. AA will issueAccidental Outpatient Treatment Emergency Accidental Dental Treatment 3. Hospital arrange to collect excess Post-Hospitalization Treatment Outpatient Physiotherapy Treatment NOT GUARANTEE Ambulance fee & Government service tax 1. Issue Non-Issuance of Guarantee letter Organ Transplant 2. Liaise with Patient/Insurance Company Insureds Child Daily Guardian Benefit Daily Cash allowance at3. PatientHospitalsto stay or transfer. General may opt Monthly Outpatient Cancer or Kidney Dialysis Home Nursing care Accidental Death Benefit DISCHARGE Emergency Medical Assistance Service (EMAS) 24 hours worldwide. Patient arrange full payment to hospital Optional for Children. This is not a Guarantee Renewable policy. Main Exclusions Generally, the Policy does not cover: Sickness arising within the first 30 days of insurance. Pre-existing Condition, except Disabilities that are declared to the Company in the proposal form and for the companies does not imposed any condition on will be covered after 12 months of your insurance cover. Specified Illness occurring during the first one hundred twenty (120) days of continuous cover of an Insured person. Cosmetic treatment, dental conditions or refractive errors of the eyes except due to accidental injury. Congenital abnormalities, pregnancy related conditions, AIDS or sexually transmitted disease, self-inflicted injuries, drug addiction, mental or nervous disorders, non-medically necessary expenses, weight control, sexual dysfunction, medical examinations, investigative procedures, preventive treatment, nuclear or militaryrelated activities, racing (other than foot racing), professional sports and criminal activities.

Specified Illness For more information about Tokio Marine and our products and services, Hypertension, cardiovascular disease and diabetes mellitus, please log on to our website www.tokiomarine.com.my All tumours, cancers, cysts, nodules, polyps, stones of the urinary and biliary system, All ear, nose (including sinuses) and throat conditions, Hernias, haemorrhoids, fistulae, hydrocele, vericocele, Endometriosis including disease of the Reproductive system, Vertebro-spinal disorders (including disc) and knee conditions. Importance Of Disclosure You must disclose all material facts such as personal particulars, status of your health and your occupation which would affect our underwriting consideration. You must disclose all material facts that you know or ought to know; otherwise your policy may be invalidated. Compensation / Indemnity You will be compensated on reimbursement basis on the actual amount incurred subject to the limit specified in the policy. You cannot make multiple claims on medical expenses. Cash Before Cover It is fundamental and absolute special condition of this contract of insurance that the premium due must be paid and received by us before cover commences. If this condition is not complied with then this insurance Policy is automatically null and void. Payment of Premium Premium must be made to out intermediary or direct to us. For Renewal, premium must be paid within 14 days of Policy expiry date. Payment can be made by cash, credit card or cheques (cheques should be made in favor of Tokio Marine Insurans (Malaysia) Berhad). Insist on a receipt for the premium paid. Contact us if you have not received your policy after one month of purchase.

Medic Partner

ADMISSION AND DISCHARGE PROCEDURE For panel hospitals in Malaysia

HOW TO LODGE A Complaint And Redress Avenues Available

Complaints Unit (CU) insurance company

MEMBERS: to produce 1. Medical Card. 2. NRIC 3. Referral Letter (if any) Medic Partner is a comprehensive Annual Renewal Hospital & Surgical insurance policy whichTO GOES covers medical cost incurred by you for hospitalization due to accidents or sickness. No coverage for outpatient medical expenses which is not related to the hospitalization. This plan also provides you with medical card facilities for admission and HOSPITALS: discharge from hospitals. Hospital Admission Form. 1. Request patient to fill 2. Hospital & Doctor to complete Hospital Admission Form. If you takeAsia Assistance Call Centre 3. Notify up this policy before 60 years, the policy may be renewed up to 65 years.

MEDIC PARTNER
Complaint

Satisfied
of

Fact Sheet

Complaint Resolved

Pre-Existing Condition Pre-existing Condition means Disability that the insured Person has reasonable Not satisfied knowledge of on or before the effective date of insurance of the Insured person. An insured person may be considered to have reasonable knowledge of Write to either : a Pre-existing Condition where the condition is on of which:
Bureau of The insured person had receivedBankisNegara or receiving treatment, Malaysia, or 2. the insurance or treatment Medical advice, diagnosis, care mediator of the has been recommended, Financial Mediation Bureau. Clear and distinct symptoms are or were evident. Its existence wouldAlternatively, you could take your a reasonable person in the have been apparent to case to court. circumstances. 1. the Customer Service

CALLS Age Limit New Application : 15 days old to 60 years old. ASIA ASSISTANCE: to age 65. Renewal : Up 1. Verify membership 2. Check Policy terms and conditions. Benefits Provided 3. Provide major The policy covers:Some of the admission guarantee up to RM2,500 or Issuance of Non- Issuance of Guarantee Letter. Hospital Room & Board. Surgeon Fees Anaesthethist Fees GUARANTEE Intensive Care Unit 1. Issue superceding guarantee. Day Care Surgery 2. Monitor billing status with billing Department Hospital Services & Supplies Operation Theatre In Hospital Physician Visit Pre-Hospitalization, Pre-Surgical Diagnostic tests & Pre-Hospitalization DISCHARGE Specialist Fees 1. Hospital fax bill for calculation. Emergency letter of Excess 2. AA will issueAccidental Outpatient Treatment Emergency Accidental Dental Treatment 3. Hospital arrange to collect excess Post-Hospitalization Treatment Outpatient Physiotherapy Treatment NOT GUARANTEE Ambulance fee & Government service tax 1. Issue Non-Issuance of Guarantee letter Organ Transplant 2. Liaise with Patient/Insurance Company Insureds Child Daily Guardian Benefit Daily Cash allowance at3. PatientHospitalsto stay or transfer. General may opt Monthly Outpatient Cancer or Kidney Dialysis Home Nursing care Accidental Death Benefit DISCHARGE Emergency Medical Assistance Service (EMAS) 24 hours worldwide. Patient arrange full payment to hospital Optional for Children. This is not a Guarantee Renewable policy. Main Exclusions Generally, the Policy does not cover: Sickness arising within the first 30 days of insurance. Pre-existing Condition, except Disabilities that are declared to the Company in the proposal form and for the companies does not imposed any condition on will be covered after 12 months of your insurance cover. Specified Illness occurring during the first one hundred twenty (120) days of continuous cover of an Insured person. Cosmetic treatment, dental conditions or refractive errors of the eyes except due to accidental injury. Congenital abnormalities, pregnancy related conditions, AIDS or sexually transmitted disease, self-inflicted injuries, drug addiction, mental or nervous disorders, non-medically necessary expenses, weight control, sexual dysfunction, medical examinations, investigative procedures, preventive treatment, nuclear or militaryrelated activities, racing (other than foot racing), professional sports and criminal activities.

Specified Illness For more information about Tokio Marine and our products and services, Hypertension, cardiovascular disease and diabetes mellitus, please log on to our website www.tokiomarine.com.my All tumours, cancers, cysts, nodules, polyps, stones of the urinary and biliary system, All ear, nose (including sinuses) and throat conditions, Hernias, haemorrhoids, fistulae, hydrocele, vericocele, Endometriosis including disease of the Reproductive system, Vertebro-spinal disorders (including disc) and knee conditions. Importance Of Disclosure You must disclose all material facts such as personal particulars, status of your health and your occupation which would affect our underwriting consideration. You must disclose all material facts that you know or ought to know; otherwise your policy may be invalidated. Compensation / Indemnity You will be compensated on reimbursement basis on the actual amount incurred subject to the limit specified in the policy. You cannot make multiple claims on medical expenses. Cash Before Cover It is fundamental and absolute special condition of this contract of insurance that the premium due must be paid and received by us before cover commences. If this condition is not complied with then this insurance Policy is automatically null and void. Payment of Premium Premium must be made to out intermediary or direct to us. For Renewal, premium must be paid within 14 days of Policy expiry date. Payment can be made by cash, credit card or cheques (cheques should be made in favor of Tokio Marine Insurans (Malaysia) Berhad). Insist on a receipt for the premium paid. Contact us if you have not received your policy after one month of purchase.

Medic Partner