Medical Plus Solution is a package offered using PRULink Cover, as the basic plan, offers the following optional riders:
- PRUMillion Med Active with Active Booster / PRUMillion Med 2.0 with PRUMillion Med Booster 2.0 / PRUValue Med with PRUValue Med Booster
- Crisis Care
- Acci Guard Plus
- Acci Med Plus
- Acci Income Plus
- Payor Basic
Medical Riders
The flexibility to choose different coverage and benefits to suit your medical needs. When choosing a medical plan, it is best to compare your available options carefully and determine which benefits are most important for you.
If PRUValue Med is attached, you may extend your medical safety net overseas by attaching PRUMedic Overseas which enables access to treatment in Singapore, Hong Kong or China for 5 covered illnesses.
Table of Benefits
|
PRUMillion Med Active with Active Booster |
PRUMillion Med 2.0 with PRUMillion Med Booster 2.0 |
PRUValue Med with PRUValue Med Booster |
Active Pricing |
Yes |
NA |
NA |
Coinsurance, Med Saver or Deductible1 |
Coinsurance: 10%, minimum RM500 and maximum RM20,000
Deductible: RM500/ RM1,000/ RM5,000/ RM10,000 |
Deductible: RM500/ RM1,000/ RM5,000/ RM10,000 |
Yes or No.
If Yes, flexible option:
Med Saver: RM300/ RM1,000/ RM3,000/ RM5,000/ RM10,000
or
Deductible: RM20,000/ RM50,000/ RM75,000/ RM100,000 |
Room & Board Benefits |
a. Hospital Daily Room & Board (R&B) |
RM200, RM300 or RM400 per day
(No maximum number of days per year) |
RM150, RM200, RM300, RM400, RM500 or RM600 per day
(No maximum number of days per year) |
Hospital & Surgical Benefits |
b. Intensive Care Unit / Cardiac Care Unit Benefit |
As Charged2
No maximum number of days per year |
c. In-hospital & Related Services
- Surgical Fees
- Hospital Supplies and Services
- Operating Theatre Fees
- Anaesthetist Fees
- In-Hospital Specialist’s Visit
(limit to 2 visits per day)
|
As Charged2 |
As Charged2 |
d. Organ/Bone Marrow Transplant Benefit |
As Charged2 (no limit per lifetime) |
As Charged2 (under surgical fees) |
Outpatient Treatment Benefits |
e. Pre-hospitalisation Treatment |
As Charged2
(Within 90 days before hospitalisation) |
f. Post-hospitalisation Treatment
|
As Charged2
(Within 180 days after hospital discharge) |
As Charged2
(Within 90 days after hospital discharge) |
|
As Charged2
(Covers follow up treatment for 18 Serious Conditions within 365 days after hospital discharge) |
As Charged2
(Covers follow up treatment for 9 Serious Conditions within 365 days after hospital discharge) |
g. Day Surgery / Day Care Procedure |
As Charged2 |
As Charged2 |
h. Outpatient Cancer Treatment |
As Charged2
(including cancer remission coverage up to 5 years) |
As Charged2
No limit per lifetime |
i. Outpatient Kidney Dialysis |
As Charged2 |
j. Outpatient Rehabilitation Treatment Benefit
- Physiotherapy Treatment
- Alternative Treatment3
|
Non-Serious Condition: Combined limit subject to: R&B 200: RM6,000 R&B 300: RM10,000 R&B 400: RM12,000 per year, within 180 days after hospital discharge
- Physiotherapy: As Charged
- Alternative treatment: Up to RM1,500 per year
|
NA |
Serious Condition: As Charged2, within 365 days after hospital discharge
- Physiotherapy: As Charged
- Alternative treatment: Up to RM1,500 per year
|
k. Home Nursing Care |
R&B 200: RM8,000 R&B 300: RM12,000 R&B 400: RM16,000 Per confinement (200 days per lifetime) |
As Charged2
(Up to 180 days per lifetime) |
l. Outpatient Illness Treatment Benefit
- Bronchitis
- Dengue Fever
- Influenza
- Pneumonia
|
R&B 200: RM2,000 R&B 300: RM3,000 R&B 400: RM4,000 Per diagnosis |
NA |
Other Benefits |
m. Intraocular Lens |
Up to RM8,000 per lifetime, including multifocal lenses |
Up to RM6,000 per lifetime |
n. Emergency Treatment for Accidental Injury |
Outpatient Emergency Accidental Treatment / Outpatient Emergency Dental Treatment: As Charged2 (within 48 hours and up to 30 days for Follow-up Treatment) |
R&B 150: RM1,500 R&B 200: RM2,000 R&B 300: RM3,000 R&B 400: RM4,000 R&B 500: RM5,000 R&B 600: RM6,000
Per year |
o. Maternity Complications Benefit for Female Life Assured only |
As Charged2 (Covers 13 Maternity Complications) |
As Charged2 (Covers 11 Maternity Complications) |
Overall Annual Limit |
No Annual Limit
if Coinsurance is chosen
R&B 200: RM12,000,000 R&B 300: RM15,000,000 R&B 400: RM18,000,000
if Deductible is chosen |
R&B 200: RM12,000,000 R&B 300: RM15,000,000 R&B 400: RM18,000,000 |
NA |
Lifetime Limit (also known as Med Value Point4 for PRUValue Med with PRUValue Med Booster) |
NA |
R&B 150 (RM) |
R&B 200 (RM) |
R&B 300 (RM) |
R&B 400 (RM) |
R&B 500 (RM) |
R&B 600 (RM) |
Flexible option: 1.10 mil, 1.60 mil or 2.10 mil |
Flexible option: 1.15 mil, 1.65 mil or 2.15 mil |
Increases by 100k every year |
Increases by 150k every year |
Med Value Point Bonus5 |
NA |
Med Value Point increases at 2% of the initial Med Value Point (excluding the portion from PRUValue Med Booster) at the end of every 2 policy years, provided no claim has been incurred during the 2 policy years.
Applicable to plans with Hospital Daily R&B of RM300 and above. |
No Claims Benefit- Preventive Care |
Below R&B RM300: RM500 per year
R&B 300 and above: RM1,000 per year |
Services listed below shall be reimbursed up to the limit stated above provided that no claim has been incurred during the preceding year:
- Medical Check-Up
- Vaccination
- Diagnostic Test
- Subscription Programs
|
Emergency Medical Assistance6 |
Yes |
Expert Medical Opinion6,7 |
Yes |
Notes:
1 For PRUMillion Med Active/ PRUMillion Med 2.0/ PRUMillion Med Active with Active Booster/ PRUMillion Med 2.0 with PRUMillion Med Booster 2.0, if Deductible option is chosen, with the exception to the claims under No Claims Benefit, Emergency Treatment for Accidental Injury Benefit, Outpatient Cancer Treatment Benefit, Outpatient Kidney Dialysis Benefit or Treatment sought at a Government Healthcare Facility, policyholder must first pay a fixed amount equivalent to the Deductible selected out of the total Reasonable and Customary Charges of accumulated eligible benefits within an annexure year.
For PRUMillion Med Active/ PRUMillion Med Active with Active Booster, if Coinsurance option is chosen, with the exception to the claims under No Claims Benefit, Hospital Daily Room & Board Benefit, Emergency Treatment for Accidental Injury Benefit, Outpatient Cancer Treatment Benefit, Outpatient Kidney Dialysis Benefit or Treatment sought at a Government Healthcare Facility, policyholder must first pay a fixed amount equivalent to the 10% of the total Reasonable and Customary Charges of eligible benefits, subject to minimum of RM500 and maximum of RM20,000.
For PRUValue Med/ PRUValue Med with PRUValue Med Booster, with the exception to the claims under No Claims Benefit:
- If Med Saver is chosen, policyholder must first pay a fixed amount equivalent to Med Saver selected out of the total Reasonable and Customary Charges of eligible benefits excluding the cost of Hospital Daily R&B and Intraocular Lens for Any One Disability.
- If Deductible is chosen, policyholder must first pay a fixed amount equivalent to the Deductible selected out of the total Reasonable and Customary Charges of accumulated eligible benefits within an annexure year.
- If Med Saver and Deductible are not chosen, the fixed amount shall not apply.
2 We shall only reimburse Reasonable and Customary charges on eligible expenses which are deemed Medically Necessary.
3 Alternative Treatment only applicable to Plan R&B 300 and above, and including Acupuncture, Bonesetting, Chiropractic, Herbalist Treatment, Traditional Chinese Medicine, Moxibustion Therapy, Acupressure, Homeopathy and Osteopathy.
4 Claims on eligible benefits will be payable in full (subject to Med Saver or Deductible, if applicable) up to the Total Med Value Point. If the total benefits we pay to you have exceeded the Total Med Value Point, we shall pay 80% of the eligible benefit's excess cost. Total Med Value Point is equivalent to the sum of initial Med Value Point, any accumulated Med Value Point Bonus and additional Med Value Point (from PRUValue Med Booster).
5 When total claims paid exceeds the Total Med Value Point, no further Med Value Point Bonus shall be provided even if there are no further claims.
6 Emergency Medical Assistance and Expert Medical Opinion are services provided from third party providers which are non-contractual in nature and do not form part of the policy. We have the right to terminate these services by giving 90 days’ written notice.
7 Expert Medical Opinion is a value-added service that provides second medical opinion from medical experts in various areas of specialisation. This service is to assist you to learn more about your medical conditions and make an informed decision on the treatment plans.
For Overseas Treatment, if you choose to have or if you have been referred to be treated outside Malaysia, the benefits for the treatment are limited to the reasonable and customary medically necessary charges for equivalent local treatment in Malaysia. PRUValue Med / PRUValue Med with PRUValue Med Booster is subject to 90 days residence limit. For PRUMillion Med Active/ PRUMillion Med 2.0 / PRUMillion Med Active with Active Booster / PRUMillion Med 2.0 with PRUMillion Med Booster 2.0, we shall not pay any benefit if the Life Assured remains outside of Malaysia, apart from Singapore and Brunei, for more than 90 days on each trip.
Critical Illness Riders
Ease your mind and focus on your recovery with Crisis Care rider and Crisis Guard rider which offer additional and accelerated lump sum payment benefits respectively upon the diagnosis of any of the covered 43 Critical Illnesses.
Note: For the full list of covered Critical Illnesses, please refer to Product Disclosure Sheet and Product Illustration.
*For Angioplasty and Other Invasive Treatments for Coronary Artery Disease, only 10% of the Rider Sum Assured, subject to a maximum of RM25,000.00, is payable.
** Only 50% of the Rider Sum Assured is payable under Full-Blown AIDS.
Accidental Riders
Obtain accidental coverage with Acci Guard Plus, Acci Med Plus, and Acci Income Plus which provide lump sum benefits, medical reimbursement and income respectively for disabilities due to accidental causes.
Payor Riders
Concerned about your policy when the unspeakable happens? Our Payor riders1 will pay for your plan in the event of death (if applicable), TPD2, or Critical Illness of yourself or your covered family members. This will be made possible using our Payor, Parent Payor, 2Parent Payor, and Spouse Payor riders.
If more than one Payor rider triggers at once, not only will the premiums of the policy be borne by Prudential, but an amount equal to the Rider Sum Assured of the subsequent payor rider(s) will be allocated into the policy’s Account Value with 100% allocation, allowing for more funds for the policy owner.
1Angioplasty and Other Invasive Treatments for Coronary Artery Disease is not covered under Payor Riders.
2TPD coverage is available prior to the Policy Anniversary of age 70 or expiry of the rider, whichever is earlier.
Savings/Investment Riders
Cultivate the habit of saving and investing regularly with PRUSaver or PRUSaver Kid rider which improves your money’s worth with potentially higher returns and increased value of units.
For further details and the full list of benefits regarding the basic plan and these riders, please refer to the Product Illustration and Policy Contract.