HEALTH A-Plus BabyCare A closer look at the benefits The Schedule of Benefits of A-Plus BabyCare: A-Plus BabyCare is an optional add-on ( rider ) that
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1 HEALTH A-Plus BabyCare Comprehensive Early Years Child Protection PT /0517 aia.com.my
2 HEALTH A-Plus BabyCare A closer look at the benefits The Schedule of Benefits of A-Plus BabyCare: A-Plus BabyCare is an optional add-on ( rider ) that you can attach to your A-Life Joy policy, to enhance coverage during your pregnancy as well as your child s early years. You can sign up for A-Plus BabyCare as early as week 14 of your pregnancy. If you are an A-Life Lady360 customer, you can purchase A-Life Joy and A-Plus BabyCare before the 14 th week of your pregnancy without going through any medical underwriting 1. No. 1 Benefits Neonatal Intensive Care Unit, Intensive Care Unit or High Dependency Unit Benefit (within the first year from the birth of the child, maximum 60 days) Plan 1 (RM) 300 per day Plan (RM) 600 per day Incubation of New Born Baby Benefit (within the first 60 days from the birth of the child) 150 per day 300 per day CHILD CARE BENEFIT CHILD DEVELOPMENT DISORDER BENEFIT PREGNANCY CARE BENEFIT A-Plus BabyCare provides your baby with coverage if he or she is admitted in the Neonatal Intensive Care Unit, Intensive Care Unit or High Dependency Unit. This rider also covers the incubation of new born babies, phototherapy treatment for Neonatal Jaundice and hospitalisation due to any one of the 15 covered Congenital Conditions. A-Plus BabyCare is the first plan in Malaysia that provides coverage for Autism Spectrum Disorder and Attention Deficit Hyperactivity Disorder. A-Plus BabyCare will reimburse you for the cost of the medical treatment that you choose for your child. A-Plus BabyCare provides you with coverage for pregnancy complications and the untimely loss of your baby while still in the womb Neonatal Jaundice requiring Phototherapy Treatment Benefit (within the first 60 days from the birth of the child - requiring hospitalisation with total serum bilirubin levels of > 50 μ mol/l (micromol/litre)) Hospitalisation Benefit due to 15 covered Congenital Conditions - Ventricular Septal Defect - Cerebral Palsy - Atrial Septal Defect - Tetralogy of Fallot - Transposition of Great Vessels - Coarctation of the Aorta - Infantile Hydrocephalus - Spina Bifida - Cleft Lip with / without Cleft Palate - Congenital Cataract - Congenital Deafness - Anal Atresia - Oesophageal Atresia - Congenital Diaphragmatic Hernia - Tracheo-oesophageal Fistula Child Development Disorder Benefit - Autism Spectrum Disorder - Attention Deficit Hyperactivity Disorder Pregnancy Complications Benefit - Eclampsia, - Abruptio Placentae, or - Amniotic Fluid Embolism 500 As charged, subject to Reasonable and Customary Charges up to RM15,000 throughout the coverage period,500 1,000 As charged, subject to Reasonable and Customary Charges up to RM30,000 throughout the coverage period 5,000 7 Death of Foetus Benefit (after 8 th weeks of gestation up to the birth of the child),500 5,000 1 Terms and conditions applied. Refer to Schedule of Benefits in page for details. 1
3 Frequently asked questions Q: What is A-Plus BabyCare? A-Plus BabyCare is a unit deducting rider that can be attached to A-Life Joy plan. This rider provides you with enhanced pregnancy care and child care benefits. This rider also covers child development disorders, specifically Autism Spectrum Disorder and Attention Deficit Hyperactivity Disorder. Q: Who can buy A-Plus BabyCare? Pregnant women aged between 18 and 45 years old who are under 35 weeks pregnant can apply for this rider. However, only A-Life Lady360 customers aged between 18 and 40 years old can purchase this rider together with A-Life Joy when they are under 14 weeks pregnant. Q: What is the coverage period for A-Plus BabyCare? This rider covers your child until he or she turns 5 years old. Q: What is the coverage amount for A-Plus BabyCare that I can purchase? There are plans available for A-Plus BabyCare, i.e. Plan 1 and Plan. Please refer to the Schedule of Benefits of A-Plus BabyCare for details. Q: What is the Cost of Insurance that I have to pay? Please refer to the table below for some indicative Cost of Insurance (for Plan 1): Policy Year A-Plus BabyCare RM RM33.0 RM98.58 The Cost of Insurance indicated above includes Goods and Services Tax (GST) of 6%. Q: Is the Cost of Insurance for A-Plus BabyCare guaranteed? The Cost of Insurance for this rider is not guaranteed and the Company reserves the right to revise the Cost of Insurance by giving the policyholders 3 months written notice prior to the next policy anniversary. Q: What are the major exclusions for A-Plus BabyCare? This rider does not cover: Pregnancy conceived through artificial insemination and/or assisted conceptions, other than in-vitro fertilization (IVF), Intrauterine Insemination (IUI) and Intracervical Insemination (ICI); or Pregnancy with more than two foetuses; or Any Pre-existing Illness prior to the effective date of the policy; or Human Immunodeficiency Virus (HIV) and/or any HIV related illness including Acquired Immune Deficiency Syndrome (AIDS) and/or any mutations, derivations or variations thereof; or A self-inflicted injury or attempted suicide while sane or insane; or Intoxication by substance, alcohol or drugs not prescribed by a Medical Practitioner; or Any condition arises directly or indirectly due to any complication resulting from fertility treatment (excluding in-vitro fertilization (IVF), Intrauterine Insemination (IUI) and Intracervical Insemination (ICI)); or Dental care and/or treatment, cosmetic surgery, eye glasses, corrective aids and treatment of refractive errors or any optional surgery; or Physical examinations, health check-ups or tests not consistent with customary medical treatment or diagnosis of a disease or injury, or any treatments which are not Medically Necessary; or Experimental or unlicensed treatment or test; or Any event giving rise to a claim on the Insured caused directly or indirectly by the intentional act of the policy owner or person who will otherwise be entitled to the benefit payable; or The use of unprescribed drugs where such drugs as required by law are to be prescribed by a registered medical practitioner; or Death of Foetus due to elective abortion; or The mother opts for elective termination of pregnancy other than for certified medical reasons and other than by certified medical process under the supervision of a registered medical practitioner. Q: What are the fees and charges that I have to pay? There are no fees and charges other than the Cost of Insurance. Q: Are the premiums paid for A-Plus BabyCare eligible for income tax relief? Yes, the premiums apportioned to this unit deducting rider may qualify you for personal tax relief of up to RM3,000 per annum for medical and education insurance, subject to the final decision of the Inland Revenue Board of Malaysia. 3 4
4 For your attention: General disclosures: 1. You should be absolutely certain that this rider meets your coverage needs and that you can afford the premiums under this policy.. If the basic policy of the Investment-Linked Insurance to which this rider is attached, is cancelled within the 15-day free look period, the unallocated premiums of the basic policy, value of units (if any), any insurance charges and Monthly Service Charge that have been deducted less medical expenses (if any) will be refunded. 3. The Cost of Insurance for this rider is not guaranteed and the Company reserves the right to revise the Cost of Insurance by giving the policyholders 3 months written notice. 4. The Service Charge quoted is inclusive of the prevailing GST rate of 6% which may be subject to change. Please note that the Company reserves the right to revise the Monthly Service Charge by giving the policyholders 3 months written notice. 5. You are advised to refer to the sales illustration for further information. 6. You should ensure that important information regarding this rider is disclosed to you and you understand the information disclosed. If there is ambiguity, you should seek clarification from the Company. 7. Should you require additional information about medical and health insurance, you may also refer to the insurance info booklet on Medical and Health Insurance available at all our branches or you can obtain a copy from your AIA Life Planner or visit com.my. 8. It may not be advantageous to switch from one health plan to another, as you may be subject to new underwriting requirements, full waiting period and any applicable period for the exclusion of specific illnesses/ pre-existing conditions of the new plan. (This page is intentionally left blank) (Muka surat ini sengaja dibiarkan kosong) Goods and Services Tax (GST): Please note that a Goods and Services Tax (GST) will be chargeable at the prevailing rate on the Cost of Insurance for the taxable riders of your policy, if attached to your policy. The GST is also chargeable on the fees and charges applicable to your policy. These amounts will be deducted from the account value of your policy. 5 This brochure contains only a brief description of the product and is not exhaustive. It is recommended that you request for a copy of Sales Illustration to know more about this product. For a detailed explanation of its benefits, exclusions, terms and conditions, please refer to the policy contract.
5 HEALTH A-Plus BabyCare Meneliti manfaat-manfaatnya Jadual Manfaat A-Plus BabyCare: A-Plus BabyCare ialah pilihan tambahan ( rider ) yang anda boleh lampirkan kepada A-Life Joy polisi, untuk meningkatkan perlindungan semasa anda mengandung dan juga pada tahuntahun awal anak anda. Anda boleh memohon untuk A-Plus BabyCare seawal 14 minggu kehamilan anda. Sekiranya anda merupakan pelanggan A-Life Lady360, anda boleh membeli A-Life Joy dan A-Plus BabyCare sebelum minggu kehamilan ke-14 tanpa memerlukan penajajaminan perubatan 1. No. 1 Manfaat-manfaat Manfaat Unit Rawatan Rapi Neonatal / Unit Rawatan Rapi / Unit Rawatan Separa Rapi (dalam tempoh tahun pertama dari kelahiran anak, maksimum 60 hari) Manfaat Inkubasi Bayi Baru Lahir (dalam tempoh 60 hari pertama dari kelahiran anak) Pelan 1 (RM) 300 sehari 150 sehari Pelan (RM) 600 sehari 300 sehari MANFAAT PENJAGAAN ANAK MANFAAT GANGGUAN TUMBESARAN KANAK-KANAK A-Plus BabyCare menyediakan perlindungan terhadap bayi anda sekiranya dia dimasukkan ke Unit Rawatan Rapi Neonatal, Unit Rawatan Rapi atau Unit Rawatan Separa Rapi. Rider ini juga meliputi inkubasi bayi yang baru lahir, rawatan fototerapi bagi Jaundis Neonatal dan kemasukan hospital disebabkan manamana satu daripada 15 Keadaan Kongenital. A-Plus BabyCare ialah pelan pertama di Malaysia yang menawarkan manfaat perlindungan ke atas Gangguan Spektrum Autisme dan Gangguan Defisit Perhatian Hiperaktif. A-Plus BabyCare akan membiayai kos rawatan perubatan yang anda pilih untuk anak anda. 3 4 Manfaat Jaundis Neonatal yang memerlukan Rawatan Fototerapi (dalam tempoh 60 hari pertama dari kelahiran anak - memerlukan hospitalisasi dengan jumlah paras serum bilirubin > 50 μ mol/l (micromol/liter)) Manfaat Kemasukan Hospital akibat 15 Keadaan Kongenital yang dilindungi: - Kecacatan Septum Ventrikel - Palsi Serebrum - Kecacatan Septum Atrium - Tetralogi Fallot - Transposisi Salur Darah Utama - Koarktasi Aorta - Hidrosefalus Bayi - Spina Bifida - Bibir Sumbing dengan / tanpa Lelangit Rekah - Katarak Kongenital - Pekak Kongenital - Atresia Dubur - Atresia Esofagus - Hernia Diafragma Kongenital - Fistula Trakeo-Esofagus 500 Seperti yang dikenakan, tertakluk kepada Caj Munasabah dan Biasa sehingga RM15,000 sepanjang tempoh perlindungan 1,000 Seperti yang dikenakan, tertakluk kepada Caj Munasabah dan Biasa sehingga RM30,000 sepanjang tempoh perlindungan MANFAAT PENJAGAAN KEHAMILAN A-Plus BabyCare menyediakan anda perlindungan untuk kerumitan kehamilan dan kematian bayi anda semasa masih dalam kandungan. 5 6 Manfaat Gangguan Tumbesaran Kanak-Kanak - Gangguan Spektrum Autisme - Gangguan Defisit Perhatian Hiperaktif Manfaat Kerumitan Kehamilan - Eklampsia - Abrupsi Plasenta - Embolisme Cecair Amniotik,500 5,000 7 Manfaat Kematian Fetus (selepas minggu kehamilan ke-8 sehingga anak dilahirkan),500 5,000 1 Tertakluk kepada terma dan syarat. Merujuk kepada Jadual Manfaat di halaman 8 untuk maklumat lanjut. 7 8
6 Soalan-soalan yang sering ditanya S: Apakah A-Plus BabyCare? A-Plus BabyCare merupakan rider potongan unit yang boleh dilampirkan kepada pelan A-Life Joy. Rider ini menyediakan manfaat penjagaan kehamilan dan penjagaan anak. Pelan ini juga menyediakan perlindungan terhadap Gangguan Tumbesaran Kanak-Kanak, khususnya Gangguan Spektrum Autisme dan Gangguan Defisit Perhatian Hiperaktif. S: Siapakah yang layak membeli A-Plus BabyCare? Wanita mengandung yang berumur di antara 18 dan 45 tahun yang berada di bawah 35 minggu kehamilan boleh memohon rider ini. Namun begitu, hanya pelanggan A-Life Lady360 yang berumur di antara 18 dan 40 tahun layak memohon rider ini dengan A-Life Joy semasa mengandung kurang dari 14 minggu kehamilan. S: Apakah tempoh perlindungan untuk A-Plus BabyCare? Pelan ini melindungi anak anda sehingga umur 5 tahun. S: Berapakah amaun perlindungan untuk A-Plus BabyCare yang boleh saya beli? Terdapat pelan disediakan untuk A-Plus BabyCare, iaitu Pelan 1 dan Pelan. Sila rujuk kepada Jadual Manfaat A-Plus BabyCare untuk maklumat lanjut. S: Berapakah Kos Insurans yang perlu saya bayar? Sila rujuk kepada jadual di bawah untuk Kos Insurans indikatif (untuk Pelan 1): Tahun Polisi A-Plus BabyCare RM RM33.0 RM98.58 Kos Insurans indikatif di atas termasuk Cukai Barangan dan Perkhidmatan (GST) pada kadar 6%. S: Adakah Kos Insurans untuk A-Plus BabyCare dijamin? Kos Insurans untuk rider ini adalah tidak terjamin dan Syarikat berhak untuk mengubah Kos Insurans dengan memberi notis 3 bulan terdahulu kepada pemegang polisi. S: Apakah pengecualian-pengecualian utama untuk A-Plus BabyCare? Rider ini tidak melindungi: Kehamilan yang berlaku menerusi permanian beradas dan/atau pertolongan konsepsi, selain daripada persenyawaan in-vitro (IVF), permanian intrauterus (IUI) dan permanian intraserviks (ICI); atau Kehamilan dengan lebih daripada dua fetus, atau Sebarang Penyakit Sedia Ada sebelum tarikh berkuatkuasa polisi; atau Jangkitan Virus Kurang Daya Tahan Manusia (HIV) dan/atau sebarang penyakit berkaitan HIV termasuk Sindrom Kurang Daya Tahan Melawan Penyakit (AIDS) dan/atau sebarang mutasi, terbitan atau variasinya; atau Kecederaan diri yang disengajakan atau percubaan bunuh diri dalam keadaan siuman atau tidak siuman; atau Keracunan akibat bahan, alkohol atau ubat yang tidak dipreskripsikan oleh Pengamal Perubatan; atau Sebarang keadaan yang timbul secara langsung atau tidak langsung disebabkan oleh sebarang komplikasi akibat rawatan kesuburan (kecuali persenyawaan in-vitro (IVF), permanian intrauterus (IUI) dan permanian intraserviks (ICI)); atau Penjagaan dan/atau rawatan gigi, pembedahan kosmetik, cermin mata, alat bantuan pembetulan dan rawatan rabun atau sebarang pembedahan pilihan; atau Pemeriksaan fizikal, pemeriksaan kesihatan atau ujian yang tidak konsisten dengan rawatan perubatan biasa atau diagnosis penyakit atau kecederaan, atau sebarang rawatan yang tidak Perlu Dari Segi Perubatan; atau Rawatan atau ujian berbentuk eksperimen atau tidak berlesen; atau Sebarang kejadian yang menimbulkan tuntutan ke atas Insured yang disebabkan secara langsung atau tidak langsung oleh perbuatan sengaja pemunya polisi atau orang selainnya yang layak untuk menerima manfaat yang akan dibayar; atau Penggunaan ubat-ubatan tanpa preskripsi di mana ubat-ubatan tersebut perlu dipreskripsikan mengikut undang-undang oleh pengamal perubatan berdaftar; atau Kematian Fetus akibat pengguguran elektif; atau Ibu memilih pengguguran elektif selain daripada untuk sebab-sebab perubatan yang disahkan atau selain daripada proses perubatan yang disahkan di bawah penyeliaan pengamal perubatan berdaftar. S: Apakah yuran-yuran dan caj-caj yang saya perlu bayar? Tidak ada sebarang yuran dan caj selain daripada Kos Insurans. S: Adakah premium-premium yang dibayar untuk A-Plus BabyCare layak mendapat pelepasan cukai? Ya, premium-premium yang diagaihkan kepada rider potongan unit ini melayakkan anda mendapat pelepasan cukai perseorangan sehingga RM3,000 setahun untuk insurans perubatan dan pendidikan, tertakluk kepada keputusan muktamad Lembaga Hasil Dalam Negeri Malaysia. 9 10
7 Untuk perhatian anda: Pendedahan am: 1. Anda harus memastikan pelan ini memenuhi keperluan anda dan anda mampu membayar amaun premium yang perlu dibayar di bawah polisi ini.. Jika pelan asas Insurans Berkaitan Pelaburan di mana rider ini dilampirkan kepada, dibatalkan dalam tempoh percubaan 15 hari, premium polisi asas yang tidak diperuntukkan, nilai unit (jika ada), sebarang caj insurans dan Caj Perkhidmatan Bulanan yang telah ditolak dikurangkan perbelanjaan perubatan (jika ada) akan dipulangkan sepenuhnya. 3. Kos Insurans untuk pelan ini adalah tidak dijamin dan Syarikat berhak untuk menyemak semula Kos Insurans dengan memberi pemegang polisi notis bertulis 3 bulan. 4. Caj Perkhidmatan yang dikenakan adalah termasuk kadar GST semasa sebanyak 6% yang mungkin tertakluk kepada perubahan. Sila ambil perhatian bahawa Syarikat berhak untuk menyemak semula Caj Perkhidmatan Bulanan dengan memberi pemegang polisi notis bertulis 3 bulan. 5. Anda dinasihatkan supaya merujuk ilustrasi jualan untuk maklumat lanjut. 6. Anda hendaklah memastikan bahawa maklumat penting mengenai rider ini dinyatakan kepada anda dan anda memahami maklumat yang dinyatakan itu. Jika terdapat ketidakpastian, anda hendaklah mendapatkan penjelasan daripada Syarikat. 7. Sekiranya anda memerlukan maklumat tambahan mengenai insurans perubatan dan kesihatan, anda juga boleh merujuk buku kecil info insurans mengenai Insurans Perubatan Dan Kesihatan yang boleh didapati di semua cawangan kami atau anda boleh mendapatkan satu naskah daripada Perancang Hayat AIA atau kunjungi 8. Adalah tidak menguntungkan untuk bertukar daripada satu pelan kesihatan kepada pelan kesihatan yang lain kerana anda mungkin tertakluk kepada keperluan penajajaminan yang baru, tempoh tangguh penuh dan sebarang tempoh yang dikenakan bagi pengecualian penyakit-penyakit tertentu / keadaan sedia ada dalam pelan baru itu. (This page is intentionally left blank) (Muka surat ini sengaja dibiarkan kosong) Cukai Barangan dan Perkhidmatan (GST): Sila maklum bahawa Cukai Barangan dan Perkhidmatan (GST) akan dikenakan ke atas Kos Insurans pada kadar semasa untuk rider-rider bercukai polisi anda, jika dilampirkan bersama polisi anda. GST juga dikenakan ke atas yuran dan caj yang dikenakan ke atas polisi anda. Amaun-amaun ini akan ditolak daripada nilai akaun dana polisi anda. Risalah ini hanya mengandungi keterangan ringkas mengenai produk ini dan tidak menyeluruh. Anda digalakkan untuk mendapat satu salinan Ilustrasi Jualan untuk mengetahui dengan lebih lanjut mengenai produk ini. Untuk penjelasan terperinci berkenaan manfaat, pengecualian, terma dan syaratnya, sila rujuk kepada kontrak polisi. 11 1
8 HEALTH A-Plus BabyCare 让我们更进一步了解它的利益 A-Plus BabyCare 项目利益计划 1 (RM) 计划 (RM) A-Plus BabyCare A-Life Joy 1 A-Plus BabyCare A-Life Lady360 A-Life Joy A-Plus BabyCare 育儿护理利益 儿童发展障碍利益 3 A-Plus BabyCare 4 A-Plus BabyCare A-Plus BabyCare 5 妊娠护理利益 A-Plus BabyCare
9 常问问题 问 : 什么是 A-Plus BabyCare? A-Plus BabyCare A-Life Joy 问 : 谁符合资格购买 A-Plus BabyCare? A-Life Lady360 A-Life Joy 问 : 我该缴付的保险费用是多少? 保单年 A-Plus BabyCare RM RM33.0 RM98.58 问 : A-Plus BabyCare 的保险费用是否获得保证? 问 : 我该缴付什么费用和收费是多少? 问 : A-Plus BabyCare 有哪些不受保情形? 问 : A-Plus BabyCare 的保障期是多久? 问 : 我可购买 A-Plus BabyCare 的保障是多少? A-Plus BabyCare A-Plus 问 : A-Plus BabyCare 之保费是否享有税务减免? 15 16
10 敬请留意 : 一般的资讯 : 消费税 (GST) (This page is intentionally left blank) (Muka surat ini sengaja dibiarkan kosong) 17 此小册子仅包含了产品的概要简述, 并不详尽 建议您索取一份销售说明书以更了解此产品 请参考保单契约以获得更多有关此产品的利益, 不受保情形, 条款和条件的详细解释
11 (This page is intentionally left blank) (Muka surat ini sengaja dibiarkan kosong) (This page is intentionally left blank) (Muka surat ini sengaja dibiarkan kosong)
12 Contact Us & Find Out More Hubungi kami untuk maklumat lanjut 联络我们以了解更多 (This page is intentionally left blank) (Muka surat ini sengaja dibiarkan kosong) If you have any further queries, kindly contact your AIA Life Planner / AIA authorized representative at: Sekiranya anda mempunyai pertanyaan lanjut, sila hubungi Perancang Hayat AIA / wakil AIA yang disahkan: 若您有任何疑问, 请联络您的 AIA 寿险策划师 / AIA 授权代表 : Underwritten by: AIA Bhd. ( D) Menara AIA, 99 Jalan Ampang, Kuala Lumpur. Care Line: Tel: Fax: AIA.COM.MY AIA Bhd. is licensed under the Financial Services Act 013 and regulated by Bank Negara Malaysia. AIA Bhd. adalah dilesenkan di bawah Akta Perkhidmatan Kewangan 013 dan dikawal selia oleh Bank Negara Malaysia. AIA Bhd. 是在 013 金融服务法下持牌经营并由马来西亚国家银行监管
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