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Product Summary Flexi Vital Care
Product Summary Flexi Vital Care
Group Term Life & Total Permanent Disability and Group Accelerated Critical Illness
Benefits Table
* Optional plans for upgrading from basic plan only
Optional Cover for - Group Term Life and Total and Permanent Disability - Group Accelerated Critical
Illness3
Provides lump sum payment of the sum
assured for any of the covered 37 critical
illnesses. Please refer to the policy contract
for the definition of critical illness
Upon payout of this benefit, the Group 25,000 40,000 60,000 125,000 250,000
Accelerated Critical Illness benefit will cease
24-hour worldwide coverage²
1
Total and Permanent Disability means the Insured Member is unable to engage in any gainful employment or
occupation for the rest of his life, and such disability or paralysis has continued uninterrupted for at least 90
consecutive days.
2
Excluding Iran, North Korea, Libya, South Sudan, Congo, Yemen, Sudan, Somalia, Eritrea, Cuba, Central
African Republic, Syria, Lebanon, Iraq, Cote D’Ivoire (Ivory Coast), Vanuatu, Uganda, Western Balkans (Western
Balkans include Albania and the former Yugoslavia, which is made up of Bosnia and Herzegovina, Croatia,
Macedonia, Montenegro and Serbia) and Ethiopia. Please note that the list of countries is subject to change.
Please contact your AIA Financial Services Consultant or Insurance Representative for the most updated list.
3
All conditions covered under the Group Accelerated Critical Illness benefit are subject to a waiting period.
The waiting period refers to the period whereby no benefit will be payable under the plan if the date of
diagnosis of an illness or condition leading to the performance of the surgical procedure was made within 30
days from the date of issue or date of reinstatement, whichever is later. However, the following critical
illnesses are subject to a 90-day waiting period:
· Major Cancers;
· Coronary Artery By-pass Surgery;
· Heart Attack; and
· Angioplasty & Other Invasive Treatment for Coronary Artery
The plan will pay out the insured amount upon diagnosis of any of the 37 covered critical illnesses prior to age
69. However, for Angioplasty & Other Invasive Treatment for Coronary Artery, a Limited Advance Payment
benefit equal to 10% of the insured amount, subject to a maximum amount of S$25,000 will be payable. The
Limited Advance Payment benefit is payable once only. After such a payment, the insured amount will be
reduced by the benefit paid.
The 37 covered Critical Illnesses are:
Main Exclusions (please refer to the policy contract for the full list of exclusions)
Main Exclusion (please refer to the policy contract for the full list of exclusions)
MEDICAL OPTION
Plan 1 Plan 2 Plan 3 Plan 4a**
(S$) (S$) (S$) Plan 4*(S$) (S$)
Group Hospitalisation & Surgical Benefits apply on a per disability basis unless otherwise stated, for
(GHS) each Insured Member.
4-bedded
4-bedded 2-bedded Single Room in
1a. Daily Room & Board Benefit
Room in Room in Room in Government 200 per
Room and Board charges (maximum
Private Private Private & day
120 days).
Hospital Hospital Hospital Restructured
Hospital
1b. Intensive Care Unit (ICU) Benefit
ICU charges, up to maximum limit as 600 per
10,000 10,000 10,000
stated in the policy contract or up to 30 day
days, whichever is earlier.
2. Other Hospital Services Benefit
(including implants)
Expenses excluding accommodation, 6,000
surgeon and in-hospital doctor's
attendance fee.
3. Surgical Benefit
Surgeon's fee of more than S$1,500 is 15,000 per
subject to Surgical Schedule for Policy Year
admission in private hospitals. Waiver of subject to 4-
Surgical Schedule for admission in bedded
Singapore Government and Room in a 7,000
Restructured Hospitals or if referred by Singapore
AIA panel of Specialists. Surgical Government
Schedule will apply if staying at a higher or
ward from the Room and Board Restructured
entitlement. Hospital (S-
4. In-Hospital Doctor’s Consultation Pass and
Benefit 15,000 20,000 25,000 Work Permit
Holder Only) 60
In-hospital doctor's visits during a
Per day
hospital confinement (maximum 120
days).
5. Pre- & Post-Hospitalisation
Specialist Consultation, Diagnostic
X-ray and Laboratory Test Benefit;
Post-Hospitalisation Traditional
1,000
Chinese Medicine (TCM) Treatment
Benefit (with referral)
Expenses incurred 90 days prior to
admission and 90 days after discharge.
6. Emergency Accidental Outpatient
Treatment Benefit
Expenses incurred within 31 days of
accident, provided treatment is sought
N.A. N.A.
within 24 hours of accident (including
Accidental Dental treatment).
7. Accidental Miscarriage Benefit As per benefit limits (item 1 to 6) N.A. N.A.
Includes ectopic pregnancy.
Notes:
*GHS Plan 4 can only be taken up if there is a minimum take-up rate of 3 employees for any of the GHS Plans 1
to 3. If the Insured Member stays in a Ward other than the Room and Board entitlement, the benefits in GHS
Plan 4 will not be applicable. Instead, the Insured Member will be covered under GHS Plan 4a.
**For GHS Plan 4a, sub-limit per Policy Year will apply if the Insured Member goes to a ward other than the
plan entitlement or private hospitals for treatment.
Specialist Outpatient
Visit to AIA panel of Specialists
(with referral letter by panel GP, includes coverage for
Physiotherapy treatment at panel Specialist clinics) ─ Cashless 800 per 1,000 per 1,500 per
Visit to Singapore Government/Restructured Hospitals (with Policy Policy Policy
referral letter by panel GP) ─ On reimbursement basis Year Year Year
The Integrated Healthcare Solutions (IHS) Outpatient pays for the clinical outpatient consultation, medical
fees, basic outpatient laboratory tests and plain and contrast X-ray when the Insured Member visits a General
Practitioner under the AIA panel of clinics or polyclinics. The coverage includes:
• Clinical and Specialist outpatient consultation and medication
• Basic diagnostic test, plain X-ray and laboratory test
Island-wide network of over 300 clinics
4
Benefit payable up to S$100 per visit, excluding clinics in Johor State. For non-panel clinics in Johor State,
benefit payable is up to S$25 per visit.
• Unlimited visits per Policy Year (up to one (1) visit per day) for outpatient panel General Practitioners,
government polyclinics and overseas outpatient treatment only
• Traditional Chinese Medicine clinics – six (6) visits per Policy Year (covers consultation only and excludes
treatment and medicine)
Main Exclusions (please refer to the policy contract for the full list of exclusions)
Group Hospitalisation & Surgical including Extended Major Medical
Pre-existing conditions which have existed during the 12 months preceding the entry date of the Insured
Member, whether known or unknown to the Insured Member in so far as the cause and pathology of the
conditions have already existed, unless the Insured Member affected by these conditions has been
insured under this policy continuously for 12 months.
Investigation and treatment of psychological, emotional and mental and behavioural conditions,
alcoholism or drug addiction, intentional self-inflicted injuries while sane or insane, injuries sustained as a
result of a criminal act of the Insured Member or Dependant.
Any investigation, treatment or surgical operation for congenital anomalies or complications arising from
such congenital anomalies, or physical defects present at and existing from the time of birth regardless of
the time of discovery or the time of such treatment or surgical treatment.
Acquired Immuno-Deficiency Syndrome (AIDS) or any HIV infection.
X-RAY
Intraoral 12
Bitewing 12
Panorex 32
PROPHYLAXIS
Routine 40
Complex 60
PULPOTOMY
Pulpotomy 40
Pulp Cap 20
EXTRACTIONS
Routine (simple) – each tooth 30
SURGICAL EXTRACTIONS
Erupted tooth or root 120
Soft tissue impaction 160
Part bony impaction 250
Completely bony impaction 320
ALVEOPLASTY
Per quadrant, in connection with extractions 30
Per quadrant, not in connection with extractions 42
For a complete Alveoplasty involving more than one quadrant 160
EXCISION OF TUMOUR
Excision of tumour 76
FRACTURE OF JAW
Simple 500
Compound 600
(X-ray of the fracture must accompany claim for payment)
SPACE MAINTAINERS
Fixed band type (uni or bilateral) 135
Removal in acrylic (uni or bilateral) 67
Main Exclusions (please refer to the policy contract for the full list of exclusions)
IMPORTANT NOTES
This insurance plan is underwritten by AIA Singapore Private Limited (Reg. No. 201106386R) (“AIA”). All
insurance applications are subject to AIA’s underwriting and acceptance. Submission of an application and
payment of premium does not constitute and should not be construed as acceptance by AIA. AIA reserves the
right to withdraw the plan or reject applications, at any time or for any reason without notice.
This product summary does not form a part of any contract of insurance. It is intended only to be a simplified
description of the product features applicable to this plan and is not exhaustive. The contents of this product
summary may vary from the terms of cover eventually issued. Please refer to the actual policy contract for all
terms and conditions, including exclusions whereby the benefits under your policy may not be paid out. You
are advised to read the policy contract. For the avoidance of doubt, only the terms and conditions as set out in
the policy contract will bind the parties.