SMiLe MEDICAL AS CHARGE

STAND ALONE
1. Keunggulan SMiLe Medical As Charge

2,5%

Pertanggungan Hingga Berlaku di Seluruh Dunia Pertanggungan Sesuai Tagihan Fasilitas Cashless di Indonesia Pertanggungan Hingga 17 Pilihan Plan
Manfaat Rawat Inap Diskon 2,5% Family Plan Premi Kompe��f
Usia 75 Tahun Rp6 Milyar

2. Manfaat SMiLe Medical As Charge

No Luas Jaminan Plan A Plan B Plan C Plan D Plan E Plan F Plan G Plan H Plan I Plan J Plan K Plan L Plan M Plan N Plan O Plan P Plan Q

1 Biaya Kamar & Menginap 100 Ribu 150 Ribu 200 Ribu 250 Ribu 300 Ribu 350 Ribu 400 Ribu 500 Ribu 600 Ribu 700 Ribu 800 Ribu 900 Ribu 1 Juta 1,5 Juta 2 Juta 5 Juta 7,5 Juta

2 Biaya Kamar ICU/ICCU 200 Ribu 300 Ribu 400 Ribu 500 Ribu 600 Ribu 700 Ribu 800 Ribu 1 Juta 1,2 Juta 1,4 Juta 1,6 Juta 1,8 Juta 2 Juta 3 Juta 4 Juta 4 Juta 4 Juta

3 Biaya Aneka Perawatan di RS As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged

Biaya Operasi/Pembedahan (termasuk biaya

4 As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged
pembiusan & biaya kamar bedah)

5 Biaya Kunjungan Dokter di RS As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged

6 Biaya Kunjungan Dokter ahli di RS As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged

Biaya Pemeriksaan Laboratorium

7 As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged
& Test Diagnos�k

8 Biaya Konsultasi Lanjutan As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged

Biaya Transportasi dengan Mobil Ambulance

9 As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged As Charged
Menuju ke RS (dalam keadaan darurat)

10 Perawatan Pribadi di Rumah As Charged As Charged

Batas Max Penggan�an per tahun 50 Juta 75 Juta 100 Juta 125 Juta 150 Juta 175 Juta 200 Juta 400 Juta 500 Juta 600 Juta 700 Juta 800 Juta 900 Juta 1,4 Milyar 1,9 Milyar 5 Milyar 6 Milyar

3. Premi Tahunan
Usia saat ini (A�ained Age)
Plan A Plan B Plan C Plan D Plan E Plan F Plan G Plan H Plan I Plan J Plan K Plan L Plan M Plan N Plan O Plan P Plan Q
Keluarga In� (Selain Anak) Anak
1 - 19** 1 - 19*** 371,900 483,400 594,900 700,400 810,900 920,900 1,031,400 1,067,000 1,273,200 1,627,100 2,058,600 2,536,300 3,098,800 5,409,600 8,554,900 15,240,500 19,155,400
20 - 29 20 - 24 568,900 778,400 988,400 1,187,400 1,270,400 1,326,400 1,422,400 1,437,900 1,776,900 2,287,900 2,902,600 3,583,000 4,459,200 8,513,400 14,107,400 25,400,700 31,925,700
30 - 39 753,900 1,056,400 1,358,900 1,427,400 1,496,400 1,564,900 1,633,400 1,693,700 2,042,700 2,638,400 3,361,400 4,162,100 5,160,100 9,587,100 15,538,600 28,223,000 35,472,900
40 - 49 834,400 1,176,900 1,519,400 1,599,400 1,679,400 1,759,400 1,839,400 1,908,200 2,298,100 2,976,300 3,810,900 4,735,400 5,822,800 10,618,100 16,937,800 30,768,400 38,672,200
50 - 55 1,054,400 1,506,900 1,959,400 2,075,900 2,192,900 2,309,400 2,426,400 2,518,900 3,036,400 3,940,400 5,085,600 6,343,900 7,769,700 13,245,000 19,872,000 36,106,300 45,381,300
56 - 60 1,156,900 1,780,400 2,323,900 2,463,900 2,603,400 2,742,900 2,882,900 2,994,000 3,595,400 4,691,300 6,084,800 7,629,200 9,200,800 15,471,000 22,893,100 41,602,300 52,289,200
61 - 64* 1,963,200 2,646,300 3,337,200 4,031,600 4,724,900 5,416,000 6,105,400 8,360,900 9,995,400 11,627,600 13,258,300 14,887,200 16,514,900 24,643,200 32,758,700 49,922,800 62,747,100
65 - 70* 3,777,400 5,143,600 6,525,400 7,914,300 9,300,900 10,683,200 12,061,800 16,572,900 19,841,800 23,106,300 26,367,600 29,625,400 32,880,900 49,137,400 65,368,500 99,696,800 125,345,400
71 - 74* 5,591,600 7,640,900 9,713,600 11,796,900 13,876,900 15,950,300 18,018,300 24,784,900 29,588,300 35,584,900 39,476,900 44,363,600 49,246,900 73,631,600 97,978,300 149,470,700 187,943,600

*) Khusus untuk usia 61 s/d 74 Hanya Untuk Perpanjangan & * usia 66-74 tahun merupakan usia perpanjangan khusus plan P & Q **) Usia minimum adalah 15 hari ***) usia masuk minimum 15 hari khusus plan P & Q
Catatan: - IP ( In Pa�ent / Rawat Inap ) Hanya untuk penggunaan internal, �dak untuk
Tarip Premi Asuransi akan menaik bersamaan dengan kenaikan usia Tertanggung sesuai dengan interval usia Tertanggung didistribusikan external. Syarat & Ketentuan berlaku.
rev.180321