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Outpatient | Specialist | Dental | Maternity | Hospitalisation | Additional Benefits

Outpatient

Outpatient treatment by the Family Doctor is available to you and your dependents at one of our many 24-hour clinics located at your home town, near where you work or live. All examinations, consultations, diagnostic services and prescribed medicine are FREE OF CHARGE.

All Preventative Services are FREE. All children under 5 years receive vitamin A and Hepatitis B Immunisation FREE. Basic immunisation for Babies, BCG, DPT, Polio, & Measles is FREE.

Family Planning assistance including contraceptive pills, birth control injectibles, IUD control, examinations and sterilisation is FREE.

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Specialist

All consultations, examinations, diagnostic support, medication and medical treatment, when referred by the Family Doctor, will be FREE.

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Dental

Dental care including consultation and periodic examination, dental fillings with amalgam, extraction of deciduous and permanent teeth, treatment of infection, cleaning of plaque and film and root canal treatment, is FREE.

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Maternity

Maternity including information on pregnancy, specialist examinations, diagnostic support, childbirth and post natal services is FREE. There is no waiting period for maternity cover.

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Hospitalisation

Hospitalisation services on referral by the Family Doctor are FREE. They include emergency services, specialist hospital services, consultation and examination, diagnostic support, medication, medical treatment and information.

If hospitalised you will be admitted to your chosen Hospital in one of the following rooms, depending on the plan selected;

Plan Hospital Class Rose (Rp)* Jasmine (Rp)* Carnation (Rp)*
Platinum VIP

1,490,000

954,000

580,100

Gold Utama 1,228,800 816,000 520,600
Silver 1st Class 940,700 593,300 384,000
Bronze 2nd Class 839,400 512,900 329,900
Basic 3rd Class 725,500 436,000 258,900

*Net Premium (Per Person Per Year)

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Additional Benefits

    Maximum Benefit

Premium
Per Person Per Year

1 Cancer Rp 20,000,000 33,000
  Cardiac    
2a Open Heart Surgery Rp 25,000,000 77,000
2b Closed Heart Surgery Rp 12,500,000 10,600
  Angioplasty and Laser treatment    
3 Dialysis Rp 25,000,000 40,000

Optic

  Once a Year    
4a Spectacles & Frame Rp 250,000 129,400
4b   Rp 100,000 52,500
  Once each 2 Years    
4c Spectacles & Frame Rp 250,000 91,900
4d   Rp 100,000 37,500

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