TABLE OF BENEFITS CORPORATE GROUP SCHEMES - International Healthcare Plans for Singapore Valid from 1st May 2020 The following plans are only ...
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
TABLE OF BENEFITS CORPORATE GROUP SCHEMES International Healthcare Plans for Singapore Valid from 1st May 2020 The following plans are only available for corporate groups of three employees or more.
REASONS TO CHOOSE US
A culture of care We’ll take care of it
We’re proud of the personal touch, empathy and Your staff will have access to quality healthcare
determination we bring to global healthcare. through our ‘always on’ support. We find solutions.
We make it happen.
We have a plan Widest range of A human approach Simple direct billing
for you health benefits in to service service
the market
We offer tailor-made One single point of 24/7 multilingual We’ll settle the medical
plans for large contact for Health Helpline and Emergency bill directly with the
corporate groups insurance products as Assistance services provider for most
well as Health and in-patient treatments
Protection Services
Quick and efficient Driving savings
Fully completed medical Effective, proven cost
claims processed within containment and fraud
48 hours prevention methods
A better quality of life Closer to you
We designed services to help your staff live a healthier Making sure your staff have access to the right care.
life.
Be well Comprehensive Global network The right help at
cover the right time
Access to health and One of the most Large network of over Access to Employee
wellbeing benefits comprehensive 900K - and growing - Assistance Programme:
oncology benefits on quality medical Whether it’s helping
the market providers your staff with cross-
culture transition, coping
with cultural shock or
dealing with stress,
we offer consultations
to help your staff deal
with the challenging
situations of daily life.
Digital solutions Being informed,
being safe
MyHealth Digital Access to Travel Security
Services - to give you Services: Employees can
and your staff easy and talk to a security
convenient access to specialist for any safety
your cover concerns associated
with a travel destination
Policy terms and conditions
This Table of Benefits provides an overview of the cover we provide under each plan. Cover is subject to our policy terms and
conditions, as detailed in our Employee Benefit Guide. Details of our Treatment Guarantee process can also be found in this guide,
which is available on our website: www.agcs.allianz.com/global-offices/singapore/partnership-allianz-care.html
Core Plans
Singapore Singapore Singapore Singapore Singapore
Core Plan Benefits
Premier Executive Club Classic Essential
Maximum plan benefit USD($) $10,125,000 $2,025,000 $1,518,750 $1,518,750 $675,000
Maximum plan benefit SGD SGD13,000,000 SGD2,650,000 SGD2,000,000 SGD2,000,000 SGD880,000
In-patient benefits
Treatments and costs marked with an asterisk (*) require pre-approval through submission of a Treatment Guarantee Form.
Details of our Treatment Guarantee process can also be found in the Employee Benefit Guide.
Semi-private Semi-private
Hospital accommodation* Private room Private room Private room
room room
Intensive care* a a a a a
Prescription drugs and materials*
(in-patient and day-care treatment only)
(Prescription drugs are those which legally can a a a a a
only be purchased when you have a doctor’s
prescription)
Surgical fees, including anaesthesia
and theatre charges*
a a a a a
Physician and therapist fees*
(in-patient and day-care treatment only) a a a a a
Surgical appliances and materials* a a a a a
Diagnostic tests*
(in-patient and day-care treatment only) a a a a a
$13,500/
Organ transplant* a a a a SGD17,550
Psychiatry and psychotherapy* $23,870/ $14,310/ $11,950/ $6,750/
(in-patient and day-care treatment only) a SGD31,050 SGD18,650 SGD15,550 SGD8,800
(10 month waiting period applies)
Accommodation costs for one parent
staying in hospital with an insured a a a a a
child under 18*
Emergency in-patient dental
treatment
a a a a a
Other benefits
Day-care treatment* a a a a a
Kidney dialysis* a a a a a
$10,000/ $10,000/ $10,000/
HIV or AIDS* SGD13,000 per SGD13,000 per SGD13,000 per
(in-patient, day-care and out-patient insurance year, insurance year, insurance year,
treatment) a up to $100,000/ up to $100,000/ up to $100,000/
N/A
(48 months waiting period applies) SGD130,000 SGD130,000 SGD130,000
per lifetime per lifetime per lifetime
Singapore Singapore Singapore Singapore Singapore
Core Plan Benefits
Premier Executive Club Classic Essential
Out-patient surgery* a a a a a
Nursing at home or in a convalescent
home* $5,740/ $4,795/ $3,820/ $3,375/ $3,375/
(immediately after or instead of SGD7,500 SGD6,250 SGD5,000 SGD4,400 SGD4,400
hospitalisation)
Rehabilitation treatment*
(in-patient, day-care and out-patient
$5,970/ $4,725/ $4,050/ $3,375/ $2,700/
treatment; must commence within 14 days
of discharge after the acute medical and/or
SGD7,800 SGD6,200 SGD5,300 SGD4,400 SGD3,510
surgical treatment ceases)
Local ambulance a a a a $675/SGD880
Emergency treatment outside area of Up to $13,500/
cover
a a a a SGD17,550
max. 42 days max. 42 days max. 42 days max. 42 days
(for trips of a maximum period of six weeks) max. 42 days
Medical evacuation*
• Where necessary treatment is not available
locally, we will evacuate the insured person
to the nearest appropriate medical centre*
• Where ongoing treatment is required, we
will cover hotel accommodation costs*
• Evacuation in the event of unavailability of a a a a a
adequately screened blood*
• If medical necessity prevents an immediate
return trip following discharge from an
in-patient episode of care, we will cover hotel
accommodation costs (max. 7 days)*
Expenses for one person $4,050/ $4,050/ $4,050/ $4,050/ $4,050/
accompanying an evacuated person* SGD5,300 SGD5,300 SGD5,300 SGD5,300 SGD5,300
$2,700/ $2,700/ $2,700/ $2,700/ $2,700/
Travel costs of insured family members
SGD3,510 SGD3,510 SGD3,510 SGD3,510 SGD3,510
in the event of an evacuation*
per event per event per event per event per event
$13,500/ $13,500/ $13,500/ $13,500/ $13,500/
Repatriation of mortal remains*
SGD17,550 SGD17,550 SGD17,550 SGD17,550 SGD17,550
Travel costs of insured family $2,700/ $2,700/ $2,700/ $2,700/ $2,700/
members in the event of the SGD3,510 SGD3,510 SGD3,510 SGD3,510 SGD3,510
repatriation of mortal remains* per event per event per event per event per event
CT and MRI scans
(in-patient and out-patient treatment) a a a a a
PET* and CT-PET* scans
(in-patient and out-patient treatment) a a a a a
Oncology*
(in-patient, day-care and out-patient a a a a a
treatment)
• Purchase of a wig, prosthetic bra or other
$270/SGD350, $270/SGD350, $270/SGD350, $270/SGD350, $270/SGD350,
external prosthetic device for cosmetic
purposes per lifetime per lifetime per lifetime per lifetime per lifetime
Covered within Covered within Covered within Covered within Covered within
Chronic medical conditions* the specific the specific the specific the specific the specific
(in-patient and day-care treatment) benefits of benefits of benefits of benefits of benefits of
your Core plan your Core plan your Core plan your Core plan your Core plan
$35,000/ $25,000/ $15,000/ $10,000/
Congenital conditions* N/A
SGD45,500 SGD32,500 SGD19,500 SGD13,000
Routine maternity* $10,000/
(in-patient and out-patient treatment) a SGD13,000 a N/A N/A
(10 month waiting period applies) per pregnancy
Complications of pregnancy and
childbirth* a a a a N/A
(10 month waiting period applies)
Singapore Singapore Singapore Singapore Singapore
Core Plan Benefits
Premier Executive Club Classic Essential
$1,350/
Home delivery N/A N/A N/A N/A
SGD1,800
In-patient cash benefit (per night) $205/SGD270 $205/SGD270 $205/SGD270 $205/SGD270 $205/SGD270
(where treatment has been received free of
charge)
max. 25 nights max. 25 nights max. 25 nights max. 25 nights max. 25 nights
Emergency out-patient treatment
(where these benefit amounts are reached, $1,015/ $1,015/ $1,015/ $1,015/
N/A
any additional costs may be reimbursed within SGD1,320 SGD1,320 SGD1,320 SGD1,320
the terms of any separate Out-patient Plan)
Emergency out-patient dental
treatment $1,015/ $1,015/
(where these benefit amounts are reached, N/A N/A N/A
SGD1,320 SGD1,320
any additional costs may be reimbursed within
the terms of any separate Dental Plan)
Palliative care* a a a a a
a a a a a
Long term care* max. 90 days max. 90 days max. 90 days max. 90 days max. 90 days
per lifetime per lifetime per lifetime per lifetime per lifetime
Additional Core Plan Services
Employee Assistance Programme**
offers access to a range of 24/7 multilingual
support services as follows: a a a a a
• Confidential professional counselling
(in-person, phone, video, on-line chat and
email)
• Legal and financial support services
• Critical incident support
• Wellness website access
Travel Security Services***
offers 24/7 access to personal security
information and advice for all your travel
a a a a a
safety queries. This includes:
• Emergency Security Assistance Hotline
(not a free phone number)
• Country intelligence and security advice
• Daily security news and travel safety alerts
MyHealth Digital Services
(offered via our sister company Allianz Care) a a a a a
• Manage your cover with our app or portal
anytime, anywhere, online and offline
• Submit and track progress of claims
• Access your policy documents, health
services, payment details and more
Benefits marked with a a are covered in full, subject to the Maximum plan benefit.
* require pre-approval
** The Employee Assistance Programme Services are made available by Morneau Shepell Limited subject to your acceptance of our terms and conditions.
You understand and agree that Allianz Global Corporate & Specialty SE Singapore Branch, its administrators and reinsurers are not responsible or liable for
any claim, loss or damage directly or indirectly resulting from your use of the Employee Assistance Programme Services.
*** The Travel Security Services are made available by WorldAware LTD, subject to your acceptance of our terms and conditions. You understand and agree
that Allianz Global Corporate & Specialty SE Singapore Branch, its administrators and reinsurers are not responsible or liable for any claim, loss or damage
directly or indirectly resulting from your use of the Travel Security Services.
Out-patient Plans
The following Out-patient Plans can be purchased with any of our
Core Plans. They cannot be bought separately.
Out-patient Plan Benefits Singapore Gold Singapore Silver Singapore Bronze Singapore Crystal
Maximum plan benefit No limit $17,215/SGD22,400 $11,475/SGD15,000 $6,480/SGD8,450
Medical practitioner fees and prescription
drugs
(Prescription drugs are those which legally can
only be purchased when you have a doctor’s a a $1,350/SGD1,800 $1,350/SGD1,800
prescription)
MyDoc - Video consultation services*
Specialist fees a a a a
Diagnostic tests a a a a
Vaccinations $1,000/SGD1,300 $500/SGD650 $400/SGD520 N/A
Chiropractic treatment, osteopathy,
homeopathy, Chinese herbal medicine,
acupuncture and podiatry a a $1,520/SGD2,000 $675/SGD880
(max. 12 sessions per condition for chiropractic
treatment and max. 12 sessions per condition for
osteopathic treatment, subject to the benefit limit)
Prescribed physiotherapy
(initially limited to 12 sessions per condition;
limit also applies to prescribed and non-prescribed a a $1,520/SGD2,000 $675/SGD880
physiotherapy sessions, where combined)
- Non-prescribed physiotherapy 5 visits 5 visits 5 visits 5 visits
Prescribed speech therapy, oculomotor
therapy and occupational therapy*
a a $1,520/SGD2,000 $675/SGD880
Infertility treatment $16,200/SGD21,060 $16,200/SGD21,060
N/A N/A
(18 month waiting period applies) per lifetime per lifetime
Psychiatry and psychotherapy
30 visits 20 visits N/A N/A
(18 month waiting period applies)
Prescribed medical aids a $3,375/SGD4,400 N/A N/A
Prescribed glasses and contact lenses
$270/SGD350 $245/SGD320 N/A N/A
including eye examination
Dietician fees 4 visits N/A N/A N/A
Over-the-counter drugs
$70/SGD100 N/A N/A N/A
(must be prescribed by a physician)
Child hearing exam
$70/SGD100 $70/SGD100 N/A N/A
(for members aged 16 or younger)
Child Home Nursing following in-patient $135/SGD175 $135/SGD175
treatment of 5 days or more per day, per day, N/A N/A
(for members aged 16 or younger) max. 7 days max. 7 days
Child speech & language therapy for the
treatment of dyslexia and dyspraxia $135/SGD175 $135/SGD175 N/A N/A
(for members aged 16 or younger)
First aid course for parents who have a
$70/SGD100 $70/SGD100 N/A N/A
child insured as a dependant
* Video consultation services are provided by MyDoc, address MyDoc Pte. Ltd., 137 Market Street #02-00, Singapore 048943, and the consultation costs as
well as the prescription drugs costs are covered by us, subject to the terms of your insurance cover. Allianz Global Corporate & Specialty SE Singapore Branch,
its administrators and reinsurers are not responsible or liable for any claim, loss or damage directly or indirectly resulting from the use of the MyDoc services
or any other related service.
Out-patient Plan Co-payments
To reduce your Out-patient Plan premium, simply select an optional co-payment from the list below and read across to find the
relevant premium discount. Where a co-payment is selected it is payable per person, per Insurance Year. Also, our premiums are
expressed in whole numbers (i.e. without any cents or pence etc.), therefore, percentages may be slightly higher or lower than those
stated below.
Optional Out-patient Plan Co-payments Discount
No co-payment 0% premium discount
10% co-payment 12% premium discount
20% co-payment 24% premium discount
Health & Wellbeing Plans
Health and Wellbeing Plan Benefits bHealthy bFit bWell
Maximum plan benefit $1,620/SGD2,100 $810/SGD1,060 $400/SGD520
Health and wellbeing checks including
screening for the early detection of illness
or disease. Checks are limited to:
• Physical examination
• Blood tests (full blood count, biochemistry,
lipid profile, thyroid function test, liver function
test, kidney function test)
• Cardiovascular examination (physical
examination, electrocardiogram, blood
pressure)
• Neurological examination (physical
examination)
• Cancer screening
- Annual pap smear
- Mammogram (every two years for women
aged 45+, or younger where a family history
exists)
- Prostate screening (yearly for men aged 50+,
or younger where a family history exists)
- Colonoscopy (every five years for members
aged 50+, or 40+ where a family history
exists)
- Annual faecal occult blood test
• Bone densitometry (every five years for women
aged 50+)
• Well child test for children up to the age of six
years, up to a maximum of 15 visits per lifetime)
• BRCA1 and BRCA2 genetic test (where a direct
family history exists, Singapore Gold Plan only)
N/A N/A
Dental Plans
The following Dental Plans can be purchased with any of the Core Plans.
They cannot be bought separately.
Dental Plan Benefits Singapore Dental 1 Singapore Dental 2 Singapore Dental 3
Maximum plan benefit No limit $2,770/SGD3,600 $1,000/SGD1,300
Dental treatment 100% refund 80% refund 80% refund
Dental surgery 100% refund 80% refund 80% refund
Periodontics 80% refund 80% refund 80% refund
Orthodontic treatment and dental
65% refund, up to
prostheses 50% refund 50% refund
$6,750/SGD8,800
(10 month waiting period applies)
Repatriation Plan
The following Repatriation Plan can be purchased with any of the Core Plans.
It cannot be bought separately.
Singapore Repatriation Plan Benefits
Medical repatriation*
• Where the necessary treatment is not available locally, you can choose to be medically repatriated to your home country
instead of to the nearest appropriate medical centre. This benefit only applies when your home country is within your area
of cover*
• Where ongoing treatment is required, we will cover hotel accommodation costs* a
• Repatriation in the event of unavailability of adequately screened blood*
• If medical necessity prevents an immediate return trip following discharge from an in-patient episode of care, we will
cover hotel accommodation costs (max. 7 days)*
Expenses for one person accompanying a repatriated person* $4,050/SGD5,300
$2,700/SGD3,510
Travel costs of insured family members in the event of a repatriation*
per event
$2,025/SGD2,600
Travel costs of insured members to be with a family member who is at peril of death or who has died
per lifetime
Area of cover
We offer a range of options in relation to geographical cover.
The area of cover can be tailored for large group schemes.
Worldwide Worldwide excluding USA Tailored area of cover
Area of cover is subject to policy terms, conditions and exclusions. Please refer to the Employee Benefit Guide available on
www.agcs.allianz.com/global-offices/singapore/partnership-allianz-care.html for further details.Talk to us, we love to help!
If you have any queries, please do not hesitate to contact us:
Sales & General Queries
Phone: +65 6 297 2529
Email: internationalhealth@allianz.com
Helpline inside Singapore: 800 353 1018
Helpline outside Singapore: +353 1 630 1301
Allianz Global Corporate & Specialty SE Singapore Branch
Health Insurance Team,
12 Marina View,
#14-01 Asia Square Tower 2, 018961, Singapore
www.agcs.allianz.com/global-offices/singapore/partnership-allianz-care.html
DOC-Singapore-TOB-GR-EN-0320
The insurer is Allianz Global Corporate & Specialty SE Singapore Branch, address 12 Marina View, #14-01 Asia Square Tower 2, 018961, Singapore. Company Registration No. T11FC0131K.
This policy is supported by AWP Health & Life SA, trading as Allianz Care, a limited company governed by the French Insurance Code and acting through its Irish Branch. Part of the Allianz Group, AWP Health & Life SA is registered
in France: No. 401 154 679 RCS Bobigny. Irish Branch is registered in the Irish Companies Registration Office, registered No.: 907619, address: 15 Joyce Way, Park West Business Campus, Nangor Road, Dublin 12, Ireland. AWP
Health & Life SA provides administration services and technical support for the policy. Allianz Care and Allianz Partners are registered business names of AWP Health & Life SA.You can also read
