Health Insurance FulMedicare
The program is comprehensive health insurance program for the collection service (collectively) as companies, agencies, business entities, etc..
FullMedicare is a health insurance program that provides insurance coverage for medical expenses and operating if the participant pain caused by disease or kecelakaan.Program is not limited to inpatient benefits.
Benefits / Guarantee
• Inpatient and Surgery Program
- The rooms and stay in hospital
- Intensive Care Unit (ICU)
- Cost of Hospital Care Aneka
- Cost of Surgery
- Cost of Surgery Room
- Cost of Anesthesia
- Visit a doctor at the hospital (for non-surgical treatments)
- Consultation specialists in hospitals
- Treatment before and after treatment in hospital
- The cost of ambulance
- Emergency Dental Treatment due to accidents
- Emergency Care
- Death Benefit
- Operation without hospitalization
- Consultations with General Practitioners
- Consultation with Specialists
- Drugs
- Supporting Diagnostic
- Consultations with General Practitioners and drug
- Physiotherapy
• Dental care Programs
- Consulting / Services Action Dentist
- Drugs
- Supporting Diagnostic
- Medical Action: Unplug, Tambal, root canal treatment, gum treatment, dental care coral, surgery, replacement dentures.
• Program Delivery
- Normal Childbirth
- Delivery with Operation
- Miscarriage
• Glasses
- Lenses
- Frame / Frame
Conditions of Participation
1. Permanent employees and or their family (wife / husband and son Employees)
2. At the registered candidates for the aged at least 15 days and a maximum of 55 years
3. At the time of registration was not hospitalized in any hospital
Reduction of Participants
Participants who have come out can not be replaced by new participants and no return of premium (premium refund), unless the participants have not used the benefit and have not passed the limits of contract.
Addition of New Participant
The addition of new participants at the ongoing coverage period is only permitted for new employees and their families. Addition of new participants from the participants who have already registered, then the package must not exceed the election of the labor provisions of the package.
Claims Procedure
1. Any claims filed will be completed no later than 14 (fourteen) working days from the date of receipt of the claim in full by the claims of PT Asuransi Takaful Family
2. Claims submitted no later than 1 (one) month after the date of hospitalization
3. Claims filed must be attached:
- Claim Form
- Resume of the treating physician medical
- The account number of participants (for ease of payment of claims)
- Receipt and the recapitulation of the original cost of care and details
- Attach a letter from the hospital of birth known
- The certificate of the cause of the accident from the competent authority (especially in case of traffic accident)
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