health insurance group

Fulmedicare (Health Insurance Group / Collection)

Health Insurance Program is to provide health care benefits for participants who experienced pain because of the risk of illness or accident.

Privileges FulMedicare

1. Inpatient services at Hospital Partners (Provider)
2. Rapid Claims Payment
3. There is no limit hospital care costs
4. Existing disease guaranteed
5. For the results at the end of the period of membership
6. Provide protection for 24 hours a day

Benefits / Guarantee

* Program Inpatient and Surgical
o Room and stay in hospital
o Intensive Care Unit (ICU)
o Cost of Hospital Care Aneka
o Cost of Surgery
o Cost of Surgery Room
o Cost of Anesthesia
o visit the doctor at the hospital (only non-surgical treatments)
o Consultation specialists in hospitals
o Treatment before and after treatment in hospital
o Cost of ambulance
Emergency Dental Care o accident
o Emergency Care
o Death Benefit
o Operating without hospitalization
* Program Inpatient and Surgical
o Consultations with General Practitioners
o Consultation with the Medical Specialist
o Drugs
o Support Diagnostic
o Consultations with General Practitioners and Medicinal
o Physiotherapy
* Dental Care Program
o Consulting / Services Action Dentists
o Drugs
o Support Diagnostic
o Medical Action: Remove, Tambal, root canal treatment, gum treatment, dental care now, surgery, replacement dentures.
* Labor Program
o Normal Childbirth
o Confinement in Operation
o Miscarriage
* Glasses
o Lens
o Frame / Frame

Participation Conditions

1. Permanent employees and or their family (wife / husband and children Employee)
2. At the age of applicants registered at least 15 days and a maximum of 55 years
3. At the time of registration is not currently undergoing inpatient at any hospital

Reduction Participants

Participants who have left can not be replaced by new participants and no return of premium (premium refund), unless the participants had never used the benefits and has not exceeded the limit of his contract.

Addition of New Participant

The addition of new participants at the ongoing coverage period is only permitted for new employees and their families. The addition of new participants from the participants who have registered, then the election must not exceed the package from the package of labor regulations.

Claims Procedure

1. Any claims submitted will be completed no later than 14 (fourteen) working days from the date of receipt of a complete claim file by the claims of PT Asuransi Takaful Keluarga
2. Claims submitted later than 1 (one) month after the date of hospitalization
3. Claims filed must be attached:
* Claim Forms
* Resume of medical doctors
* The account number of participants (for ease of payment of claims)
* Receipt and recapitulation of the original maintenance costs and details
* A letter from the hospital of birth known
* Description of the cause of the crash of an authorized institution (a special case of traffic accidents)