PRUvalue med

Senior Citizen Medical Insurance - It's never too late to start thinking about health insurance.

With a unique high entry age, PRUsenior med helps you address those large medical bills that you may face in your later years.

	Plan 1	Plan 2
Death Benefit	RM5,000	RM5,000
Medical Benefit 1. Hospital Daily Room & Board (120 days per year) 2. Intensive Care Unit (30 days per year)* 3. Surgical fees* 4. Anaesthetist Fees* 5. In-hospital & Related Services* 6. Pre-hospitalisation Treatment (within 30 days before hospitalisation)* 7. Post-hospitalisation Treatment (within 90 days after hospitalisation)* 8. Home Nursing Care (180 days per lifetime)* 9. Day surgery* 10. Out-patient Cancer Treatment* 11. Out-patient Kidney Dialysis Treatment*   *As charged subject to co-insurance at 10%. Minimum co-insurance amount below is applicable to items 2 to 5 only.	RM200	RM200
Minimum Co-insurance Amount	RM3,000	RM6,000
Lifetime Limit	RM225,000	RM225,000

* The Company reserves the right to revise the minimum co-insurance amount once every 12 months, by giving a 30-day notice.

 

Note: Co-insurance is a cost-sharing arrangement under which the policyholder pays a specified percentage of the cost of an eligible benefit. The remaining balance is paid by the Company.

 

The total benefits payable under the Medical Care Benefit during the lifetime is subject to the Lifetime Limit. Cover begins immediately on acceptance, for hospitalisation caused by accidents and 30 days after acceptance for any other causes.

 

Each claim will reduce the Lifetime Limit. When the Lifetime Limit is exhausted, the death benefit will continue without payment of any further premiums.

WHAT IS  PRUsenior med?

PRUsenior med is a unique term life policy that takes care of your large medical bills, in the event of hospitalisation, for major surgeries and illnesses up to age 80 – subject to a co-insurance of 10% or the affordable minimum co-insurance amount, whichever is higher.

 

WHAT WILL I RECEIVE?

PRUsenior med takes care of a whole host of medical costs beyond just hospital room & board. These include ICU charges, surgery fees, anesthetist fees, home-nursing costs, outpatient kidney dialysis bills, and outpatient cancer treatment bills.

 

To help take care of those large medical bills, we've raised the bar on the lifetime benefit limit that you receive to RM225,000 per lifetime.

PRUsenior med gives you:

• A choice of two plans, depending on the minimum co-insurance amount you wish to pay. Plan 1 offers a minimum co-insurance of RM3,000 and Plan 2 offers a minimum co-insurance of RM6,000
• Reimbursements on

          i. Hospital room & board, up to 120 days.

         ii. Intensive Care Unit charges, surgical fees, anesthetist fees and in-hospital services. For this, you will pay a co-insurance amount of 10% on your expenses, and we pay the rest, or you pay the minimum co insurance based on the plan you choose, whichever is higher.

        iii. Pre-hospitalisation consultations and tests, and post-hospitalisation treatment and prescription following discharge (all subject to a 10% co-insurance). 

        iv. Home nursing care, day surgery, outpatient cancer treatment, and outpatient kidney dialysis (all subject to a 10% co-insurance).

• Death benefit - RM5,000 is paid upon death as a compassionate allowance
• Cash value - a plan with a term of 20 years or more will accumulate cash value after 3 years of premiums have been paid.
• You can take up this plan anytime between 45 and 70 years old age next birthday. PRUsenior medprotects you up till age 80.

 

HOW CAN I TAKE UP PRUsenior med FOR MY PARENTS?

You can take up PRUsenior med for your parents by paying the premiums if they are between the ages of 45 and 70 years of age. Your parents will own the policy.

 

 

HOW MUCH PREMIUM DO I NEED TO PAY?

 

The premium that you pay for a PRUsenior med planis determined by your age, gender and plan chosen. The premiums are payable throughout the duration of the plan and must be paid within one month of the due date.

 

 

PREMIUM PAYMENT

Premiums can be paid yearly, half-yearly, quarterly or monthly via Autodebit, Credit Card, Banker’s Order, Cash or Cheque.

 

* If the premium is not paid within one month and if the policy has not acquired a cash value, it will cease automatically.

 

If the policy has acquired sufficient cash value and you are unable to pay premiums, the Company will automatically pay the premiums on your behalf via the Automatic Premium Loan Scheme. You will continue to enjoy the benefits under this policy. The policy will end when the premium loan plus interest are greater than its cash value. Interest, currently at 8%, is charged. The interest rate may be varied by the Company depending on market conditions.

 

 

HOW DOES PRUsenior med PAY FOR OVERSEAS?

If you receive medical treatment overseas, the Medical Care Benefit is paid according to the costs of treatment that would be reasonably charged by a hospital in Malaysia. No benefit is paid if you reside overseas for more than 90 days per trip.

 This plan is available to anyone between 45 and 70 years old (at age next birthday)

Get MORE with PRUvalue med

Wouldn’t it be great if there is a medical plan that not only promises you a lifetime of assurance for all your medical needs, but also helps you save with more benefits?

Introducing, PRUvalue med, a medical plan that combines extraordinary values and savings. With PRUvalue med, you will never have to choose between your health and finances as your healthcare needs are what matters most to us.

Benefit		Benefit Amount
Room & Board Benefits	Descriptions
a) Hospital Daily Room & Board (R&B)	(limit per day, up to 150 days per year)	Flexible option between  RM 100 and RM 600 per day (Increments in multiples of RM 100 per day)
Hospital & Surgical Benefits¹
b) Intensive Care Unit / Cardiac Care Unit c) In-hospital & Related Services Surgical Benefit Hospital Supplies and Services Operating Theatre Anaesthetist Fees In-Hospital Specialist’s Visit	(Up to 90 days per year)                     (limit to 2 visits per day)	As Charged ²
Outpatient Treatment Benefits¹
d) Pre-hospitalisation Treatment e) Post-hospitalisation Treatment f) Home Nursing Care g) Day Surgery h) Day Care Procedure	(within 60 days before hospitalisation)   (within 90 days after hospital discharge)   (180 days per life-time)	As Charged ²
i) Outpatient Cancer Treatment j) Outpatient Kidney Dialysis	(including take home drugs, examination tests & consultation)	As Charged ² Up to 1.5 times of the chosen Med Value Point per lifetime
Other Benefits
k) Maternity Complications Benefit¹	(for Female Life Assured)	Up to RM 5,000 per year
l) Intraocular Lens		Up to RM 6,000 per lifetime
m) Emergency Treatment For Accidental Injury¹		Up to 10 times of Daily R&B amount per year
Med Value Point		Flexible option between  RM 1,000,000 and RM 2,000,000  (Increments in multiples of RM 500,000)
Med Saver¹		Yes / No
Emergency Medical Assistance		Yes

 

Note:

¹ If Med Saver is chosen, policyholder must first pay a fixed amount of RM300 out of the total Reasonable and Customary Charges of eligible benefits (excluding the cost of Daily Room & Board and Intraocular Lens) for any one disability. If Med Saver is not chosen, the fixed amount of RM300 shall not apply.

² We shall only reimburse Reasonable and Customary charges on eligible expenses which are deemed Medically Necessary.

For Overseas Treatment, if the life assured chooses to have or is referred to be treated outside Malaysia, the benefits for the treatment is limited to the Reasonable and Customary and Medically Necessary charges for equivalent local treatment in Malaysia and subject to 90 days residence limit.

 How do I get started with PRUvalue med?

 

Step 1: Decide on your Med Value Point
Set a Med Value Point where we will fully pay the total cost of the eligible benefit until the total lifetime claims exceeds the chosen Med Value Point – RM1 million, RM1.5 million or RM2 million.

 

Step 2: Decide on Med Saver option 
Choose Med Saver to enjoy premium savings where the premium saved can be used to enhance your coverage and retirement funds.

 

Step 3: Decide on your Hospital Daily Room & Board amount
Choose the amount of Hospital Daily Room & Board coverage of RM 100, RM 200, RM 300, RM 400, RM 500 or RM 600 to cover for your accommodation charges in a hospital.

 

Step 4: Decide on your Expiry Age
Choose the age to which you would like to be covered until from a choice of 70, 80, 90 or 100 years old

 

How much premium do I have to pay?

The total premium that you have to pay and the policy terms may vary depending on our underwriting requirements. You are given one month's grace period after the due date for the payment of premium. The premiums are payable throughout the duration of the plan up to the chosen expiry age.

 

We will allocate a portion of the premium to purchase units in the investment-linked fund(s). Any unallocated amount will be used to pay commissions to agent/ wealth planner and other expenses by us. You are advised to refer to the allocation rates given in the sales illustration.

 

Premiums can be paid yearly, half-yearly, quarterly or monthly via Auto Debit, Credit card, Cash or Cheque.

 

What are the waiting periods that I should be aware of?

 

Description	Waiting period from commencement date or date of revival
Any Illnesses other than Specified Illnesses	30 days
Specified Illnesses	120 days
Maternity Complications	365 days

Note: This list is non-exhaustive. Please refer to the Policy Document for the full list of terms and conditions under this product.

 

Anyone between the ages of 14 days-70 years old on their next birthday. It is also available to pre-birth child from 18 weeks onwards with a waiting period of 30 days from the date of birth.

PRUhealth

Medical Insurance - Health has its rewards.

A medical plan that rewards you for staying healthy.

COMPREHENSIVE coverage for hospitalisation and surgery bills

 

PRUhealth is a plan that provides COMPREHENSIVE medical coverage by reimbursing your medical expenses incurred in the event of hospitalisation. Get peace of mind when you need it the most!

 

 

Enjoy NO CLAIMS BONUS

 

An innovative medical plan that rewards you with annual bonuses of up to RM5001 when you do not make any claim for the year. Your bonuses will automatically be credited in the form of additional units to be invested into funds of your choice, thus increasing your investment value, or to be withdrawn+ should you have the need to.

 

 

Option to SEEK MEDICAL TREATMENT OVERSEAS*

 

In addition to comprehensive coverage for hospitalisation and surgical expenses under your PRUhealth plan, you now have the option of overseas medical treatment for 5 types of covered conditions in Singapore, Hong Kong and China with PRUmedic overseas.

 

 

CHOICE to CHANGE your coinsurance option

 

If you are thinking to enhance your existing medical plan coverage, you can also opt for PRUhealth with either RM3,000 or RM10,000 deductible. Include this with PRUmedic retirement benefit and it will automatically switch the deductible amount to coinsurance when you reach 55 years old next birthday. Not only will it make your plan more affordable, it also gives you coverage when you need it the most – your retirement.

 

 

AUTOMATIC UPGRADE OPTION of your PRUhealth plan*

 

Your PRUhealthplan will be upgraded to the next benefit level on the 5th and 10th year rider benefit anniversary regardless of your health condition and any previous medical claims you may have made when you take up PRUmedic auto upgrade. This upgrade will follow the policy terms and conditions at the start or as and when it is attached to your PRUhealth plan.

 

 

An option to WAIVE the annual claims limit*

 

Worried that your medical bills might surpass your annual limit? You are now given the flexibility to waive the annual limit of your plan by attaching an optional PRUannual limit waiver rider to your PRUhealth plan which enables you to make claims above your annual limit.

 

Note: This benefit is only available for PRUhealth 200, 300 and 400 plans and cannot co-exist with PRUmedic auto upgrade or when deductible is selected for PRUhealth. Total benefits payable cannot exceed your Lifetime Limit.

 

 

CHOICE OF PLANS to suit your budget

 

Depending on the type of plan you choose and your age, you have a choice of 5 different PRUhealth plans starting from as low as RM100 a month to suit your lifestyle and needs.

 

 

Coverage of up to age 1002

 

PRUhealth gives you the choice of protection through all stages in life by covering your medical bills even up to age 100!

 

+ Subject to a minimum of RM500 per transaction. If the value of funds is less than RM500, only complete withdrawal is allowed.

* Subject to underwriting, additional premium and policy terms & conditions.

1 Amount depends on type of plan chosen without PRUmedic auto upgrade attached.

2 Subject to policy terms and conditions of the basic plan to which PRUhealth is attached & subject to sufficient funds to deduct insurance and service charges from. 

Select the plan of your choice by clicking here.

 

 Note:

Coinsurance is a cost-sharing arrangement under which the policyholder pays a specified percentage of the cost of an eligible benefit. If coinsurance is selected, policyholder will have to pay 10% of cost of an eligible benefit, subject to minimum coinsurance amount of RM300 and maximum coinsurance amount of RM1,000 for Hospital & Surgical Benefit, and maximum coinsurance amount of RM2,000 for Outpatient Treatment Benefit. The coinsurance will be applicable for each bill. The remaining balance is paid by the Company up to the annual limit.

On the other hand, deductible is a fixed amount the policyholder must first pay regardless of the total cost of an eligible benefit (excluding cost of daily room & board) for any one disability during a 90-day period. If deductible of RM3,000 or RM10,000 is selected, policyholder will have to pay the first RM3,000 or RM10,000 of the total cost of an eligible benefit (excluding cost of daily room & board). The remaining balance is paid by the Company up to annual limit.

 

WHAT IS PRUhealth?

PRUhealth is a regular premium medical rider plan that reimburses medical expenses incurred in the event of hospitalisation. Not only does this plan reward policyholders with No Claims Bonus (NCB) for those who do not make any claims for the year, you now have the option to choose the level of deductible (the fixed amount you must pay out of the total medical fees, excluding cost of daily room & board, for any one disability during a 90-day period) of RM3,000 or RM10,000 other than the default coinsurance option.

 

 

HOW CAN I TAKE UP PRUhealth?

You can take up PRUhealth when you purchase PRUlink one or PRUmy child policies.

 

 

HOW WILL THE NO CLAIMS BONUS (NCB) BENEFIT ME?

If you do not make any claims for the year, Prudential will reward you with No Claims Bonus (NCB) by purchasing additional units for your investment in the following year.

 

The amount of bonus paid depends on the plan that you have chosen.

 

Once you make a claim, you will not receive any bonus in the following year. However, you will receive the bonus for subsequent years as long as no claims are made. An example of the bonus mechanism, for a 30-year old male policyholder with a PRUhealth 200 plan, expiring at age 70 and pays an annual premium of RM1,032:

 

Years	Annual Premium (RM)	Any Claims Made?	Qualify for Bonus?	Amount of Bonus Received (RM)
1	1032	No	Yes	-
2	1032	Yes	No	300
3	1032	No	Yes	-
4	1032	No	Yes	300
5	1032	No	Yes	300

 

 

HOW MUCH PREMIUM DO I NEED TO PAY?

The premium that you pay for a PRUhealth plan is determined by your age, occupation class, plan type and coinsurance / deductible option chosen, subject to underwriting. The premiums are payable throughout the duration of the plan.

 

For premium rates with expiry at age 80, please click here.

 

For premium rates with expiry at age 100, please click here.

 

For additional premium rates with attachment of PRUmedic overseas, please click here.

 

 

PREMIUM PAYMENT

Premiums can be paid yearly, half-yearly, quarterly or monthly via Auto Debit, Credit Card, Cash or Cheque.

 

 

HOW DOES PRUhealth  PAY FOR OVERSEAS MEDICAL TREATMENT VERSUS PRUmedic overseas?

If you receive medical treatment overseas under your PRUhealth plan, the benefits are paid according to the costs of treatment that would be reasonably charged by a hospital in Malaysia. No benefit is paid if you reside overseas for more than 90 days per trip.

 

However, the 90 days restriction on overseas residence will not be applicable to PRUmedic overseas when attached to your PRUhealth plan. Reimbursement of medical expenses shall also be based on the reasonable and customary charges of the country of treatment.

This plan is for people aged between 1 – 70 years old next birthday who want a plan that takes care of their medical expenses AND rewards them for staying healthy.

 With additional premium and underwriting, you can now enhance the coverage of your PRUhealth plan with:

 

a) PRUannual limit waiver – the rider plan that allows you to make claims higher than your annual limit by waiving the annual limit of your PRUhealth plan. This will ensure that you are safeguarded against any unexpected large medical claims within a policy year. PRUannual limit waiver can only be attached toPRUhealth 200, 300 and 400 plans (subject to additional premium). When PRUannual limit waiver is attached, claim amounts exceeding the annual limit will be subjected to a coinsurance amount of 10% on total claims (excluding cost of daily room & board).

 

b) PRUmedic overseas - have the option to seek overseas medical treatment or advice in China, Hong Kong or Singapore for the following covered conditions:

• Surgery related to cancer

• Neurosurgery

• Coronary artery bypass surgery

• Heart valve surgery

• Organ transplant (kidney, lung, liver, heart, pancreas and bone marrow transplant)

 

In the event of a covered condition, if you choose to be hospitalised and undergo surgery in Malaysia instead of overseas due to reasons such as family or immobility, a Well-Being Benefit will be payable per admission for every surgery. Policyholders who claim Well-Being Benefit are no longer eligible to reimburse claims for Hospital & Surgical Benefits and Out-patient Treatment Benefits for that particular covered condition. Instead, you may claim Well-Being Benefit for multiple admissions for surgery on covered conditions in Malaysia, and claim for local medical treatment under PRUhealth based on reasonable and customary charges.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  

c) PRUmedic auto upgrade – with this benefit, our customers will have their PRUhealth plan automatically upgraded. On the 5th and 10th rider benefit anniversary, the PRUhealth plan will move up to the next higher plan following the table below:

 

 

 

 

 

 

 

 

 

 

 

 

 

  

d) PRUmedic retirement - your PRUhealth plan with deductible option will be switched automatically to coinsurance option when you retire at age 55 years next birthday with PRUmedic retirement.