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You are here: Skip Navigation LinksHome > Insurance > Products > Product Gallery > MediGuard Premier
MEDIGUARD PREMIER
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POLICY DETAILS
Product Details
Description of Benefits
Exclusions
Special Provision & Conditions
Product Disclosure Sheets
mediGUARD Premier


INTRODUCTION back to top
 
Looking for a medical insurance that offers more than the basic hospitalization coverage? mediGUARD Premier is THE PLAN! Besides basic hospitalization coverage, it has various extended benefits, which provide you with adequate protection at an affordable price. With mediGUARD Premier, you are offered choice of plans with or without a medical card.
 
With A Medical Card - Hospital Admission And Discharge Will Be Hassle Free
 
You will be given a Kurnia Insurans  medical card. Just present your card at any of our panel hospitals to get admitted, no deposit required. Click here to search for a panel hospital. This card guarantees hassle free admission and discharge for a covered condition. You may only need to settle non-payable charges, if any.
   
Without A Medical Card - You Have Free Choice Of Hospital
 
Just settle your full bill upon discharge and submit to Kurnia Insurans for claims reimbursement for a covered condition.
 
You can enjoy generous additional benefits:
-
Out-Patient Kidney Dialysis / Cancer Treatment
-
Emergency Accidental & Dental Out-Patient Treatment
-
Out-Patient Physiotherapy Treatment
-
Organ Transplant
-
Second Surgical Opinions
-
AIDS
- Home Nursing
- Double Overall Annual Limit For Accident Occurs Overseas
- Major Medical
- Accidental Death
- Permanent Total Disablement Due To Accidental Injury
- Bereavement Benefit On Accidental Death
- Out-Patient Clinical Benefit (Optional). Click here to search for a panel clinic.
- Full Reimbursement for Government Hospital (up to overall annual limit)


SCHEDULE OF BENEFIT back to top
 
SECTION A : BENEFIT / PLAN
Plan 1
(RM)
Plan 2
(RM)
Plan 3
(RM)
Plan 4
(RM)
Plan 5
(RM)
Plan 6
(RM)
IN-HOSPITAL BENEFITS Maximum Per Disability
Accommodation:
Hospital Room & Board (daily max up to 150 days) 100 150 200 250 400 600
Intensive Care Unit, ICU (daily max up to 20 days) Full Reimbursement
Medical & Surgical Procedures:
Surgical Fees (including post-surgery care up to 60 days from date of surgery) Full Reimbursement
Operating Theatre
Anaesthetist Fee
Pre-Hospital Diagnostic Tests & Specialist Consultation (31 days prior to admission)
In-Hospital Physician Visit (daily max up to 150 days)
Post-Hospitalization Treatment (within 60 days from date of discharge)
Hospital Supplies & Services
Prescribed Medicines (within 150 days during hospitalization and 60 days after discharge)
Ambulance Fees
OUT-OF-HOSPITAL BENEFITS
Out-Patient Benefits:
Annual Out-Patient Kidney Dialysis Treatment 20,000 25,000 35,000 40,000 50,000 60,000
Annual Out-Patient Cancer Treatment 20,000 25,000 35,000 40,000 50,000 60,000
Emergency Accidental & Dental Out-Patient Treatment (seek treatment within 24 hours and follow-up within 31 days) Full Reimbursement
Out-Patient Physiotherapy Treatment (within 60 days from discharge)
EXTENDED BENEFITS
Organ Transplant (per lifetime limit) Full Reimbursement
Daily-Cash Allowance At Government Hospital (up to 150 days) 50 60 70 80 90 100
Medical Report 50 50 50 50 50 50
Second Surgical Opinions 50 50 70 70 100 150
Government Service Tax 5% of Hospital Room & Board Eligible Expenses Reimbursable
SPECIAL BENEFITS
AIDS (per lifetime limit) 5,000 5,000 5,000 10,000 10,000 10,000
Home Nursing 5,000 5,000 6,000 8,000 8,000 10,000
OVERALL ANNUAL LIMIT 50,000 70,000 90,000 110,000 130,000 150,000
DOUBLE OVERALL ANNUAL LIMIT FOR ACCIDENTAL INJURY WHILST TRAVELING OVERSEAS 100,000 140,000 180,000 220,000 260,000 300,000
MAJOR MEDICAL (per lifetime limit) 10,000 15,000 20,000 25,000 30,000 35,000
LIFETIME LIMIT 150,000 210,000 270,000 330,000 390,000 450,000
PERSONAL ACCIDENT BENEFITS
Accidental Death 20,000 25,000 30,000 35,000 40,000 50,000
Permanent Total Disablement Due To Accidental Injury 20,000 25,000 30,000 35,000 40,000 50,000
Bereavement Benefit On Accidental Death Only 1,500 1,500 1,500 1,500 1,500 1,500
 
SECTION B : BENEFIT / PLAN
Plan 1 Plan 2 Plan 3 Plan 4 Plan 5 Plan 6
OUT-PATIENT CLINICAL BENEFITS (OPTIONAL)
Out-Patient GP Care (in the Physician's office or clinic)
· Consultation
· Medication
· Diagnostic Test (for accidental injury only)
Panel
- Co-payment RM 5 per visit
- Unlimited number of visits per annum

Non-Panel
- Reimburse up to 80% of the actual charges or maximum RM 20 per visit, subject to emergency basis only

Out-Patient Specialist Care (in the Physician's office or clinic)
· Consultation
· Medication
· Diagnostic Test (for accidental injury only)
Co-payment RM5 per visit up to RM100 per visit (inclusive of co-payment) subject to referral by panel clinics only (reimbursement basis)
Preventive Screening For Annual Pap Smear Or Prostate Specific Antigen Full Reimbursement at panel GP clinics only
OVERALL ANNUAL LIMIT RM 1,500
LIFETIME LIMIT RM 4,500
 
Please refer to Description of Benefits for definition of terms.


ELIGIBILITY back to top
 
Enrolment age from 19 years old up to 65 years old. Renewal is up to age 65 at the option of the Policyholder, thereafter at the discretion of the Company up to 70 and provided that you are enrolled before 61 years old.


PREMIUM back to top
 
Premium is calculated based on age next birthday and type of plan.
 
Annual Premium Table On Age Next Birthday (RM)
 
Section A : With Medical Card Option
Age / Plan Plan 1 Plan 2 Plan 3 Plan 4 Plan 5 Plan 6
19-25 424 484 549 670 834 971
26-35 433 493 559 682 848 989
36-45 550 629 723 886 1,109 1,301
46-55 833 970 1,133 1,400 1,772 2,094
56-60 1,123 1,328 1,561 1,937 2,473 2,932
61-65 1,452 1,738 2,050 2,545 3,268 3,889
66-70 (Renewal only) 1,962 2,389 2,830 3,501 4,539 5,446
 
Section A : Without Medical Card (Reimbursement Basis) Option
Age / Plan Plan 1 Plan 2 Plan 3 Plan 4 Plan 5 Plan 6
19-25 382 436 494 603 751 874
26-35 390 443 503 614 763 890
36-45 495 566 651 798 998 1,171
46-55 749 873 1,020 1,260 1,595 1,885
56-60 1,010 1,195 1,405 1,744 2,226 2,639
61-65 1,307 1,564 1,845 2,291 2,942 3,500
66-70 (Renewal only) 1,765 2,150 2,547 3,151 4,085 4,902
 
Section A & B : With Medical Card & Out-Patient Clinical Benefit Option
Age / Plan Plan 1 Plan 2 Plan 3 Plan 4 Plan 5 Plan 6
19-25 722 782 847 968 1,132 1,269
26-35 731 791 857 980 1,146 1,287
36-45 848 927 1,021 1,184 1,407 1,599
46-55 1,131 1,268 1,431 1,698 2,070 2,392
56-60 1,421 1,626 1,859 2,235 2,771 3,230
61-65 1,750 2,036 2,348 2,843 3,566 4,187
66-70 (Renewal only) 2,260 2,687 3,128 3,799 4,837 5,744
 
Loading will be imposed based on height and weight of the insured person. Please refer to Height and Weight Table


PRODUCT DISCLOSURE SHEETS back to top
 
Click here to view Product Disclosure Sheets (PDS).


HOW TO BUY back to top
1 Buy directly from Kurnia Branch
2 Buy directly from our Agents
3 Make Product Enquiry


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