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I Great Evo PDF
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I Great Evo PDF
Critical Illness
Waiver of
Protection
Optional Rider Contribution
Optional Rider
Hospital Benefit RM
Accidental Coverage
Optional Rider Optional Rider
PAGE 6|GREAT EASTERN TAKAFUL BERHAD | CONFIDENTIAL & FOR INTERNAL USE ONLY |OCT 2020
Medical Protection
NEW NEW
Primary Medical Cover: i-Medi Rider (J94-J95) Secondary Medical Cover: i-Medi Ex+ Rider (J108)
• Provides coverage for hospitalisation and surgical expenses • This rider can only be attached with i-Medi Rider
• 2 plans - Room & Board (R&B) limit of RM150 and RM200* • 1 plan only
• Deductible Amount of RM300 and RM500 per disability, • Removes the Deductible Amount of Primary Medical Cover
respectively • Extends the OAL - UNLIMITED
• Overall Annual Limit (OAL) of RM 100,000 and RM • Up to RM 2 million (with no Co-Takaful),
200,000*
• Total expenses exceeding the above limit will be
* The R&B limit will increase RM50 every 5 certificate years (on the 5th subjected to 20% Co-Takaful
certificate anniversary) up to R&B RM300 or RM500 respectively. The Overall
Annual Limit will also increase RM50,000 every 5 certificate years up to
RM300,000 or RM500,000 respectively. Other benefits remained the same.
Terms and Conditions apply. PAGE 11|GREAT EASTERN TAKAFUL BERHAD | CONFIDENTIAL & FOR INTERNAL USE ONLY |OCT 2020
NEW
Terms and Conditions apply.
ITEM COVERED BENEFITS LIMITS (RM) ITEM COVERED BENEFITS LIMITS (RM)
PRIMARY MEDICAL COVER T MED150 (J 94) T MED200 (J 95) PRIMARY MEDICAL COVER T MED150 (J 94) T MED200 (J 95)
DEDUCTIBLE AMOUNT Other Benefits
300 500
(per disability for item 1 - 7) 16 Ambulance Fees
As Charged, subject to Annual Limit, Terms
Inpatient Benefit Organ Transplant
17 and Conditions.
Hospital Room and Board* 150 200 (limit to once per lifetime as receiver)
1
(Limit per day, for unlimited number of days) up to 300 up to 500 Daily-Cash Allowance at Malaysian
Intensive Care Unit 18 Government Hospital 150 200
2 (Per day, for unlimited number of days)
(Limit per day, for unlimited number of days)
3 Hospital Supplies and Services 1,000 per eye and maximum of 2,000 per
As Charged, subject to Annual Limit, 19 Intraocular Lens
4 Surgical Fees lifetime
5 Operating Theatre Terms and Conditions. Daily Guardian (for child hospitalization)
6 Anaesthetist Fees 20 (Per day, subject to a maximum of 180 days N/A 200
7 In Hospital Physician Visit (2 visits per day) in a Certificate Year)
UNLIMITED, in accordance with the benefit
Outpatient Benefit 21 Outpatient GP Tele-Consultation
provisions in teleconsultation agreement
Pre-Hospitalisation Diagnostic Tests
8 Supreme Assist
(Within 60 days before hospitalisation) 22 500,000
(Emergency Medical Assistance Services)
Pre-Hospitalisation Specialist
9 1 time for any 1 Covered Condition in any 1
(Within 60 days before hospitalisation)
Post-Hospitalisation Treatment 23 Executive Second Opinion (ESO) Certificate Year, and
10 As Charged, subject to Annual Limit, 3 times in total per Person Covered
(Within 180 days after hospital discharge) Terms and Conditions.
11 Outpatient Day Surgery Service tax and/or other tax(es) incurred on
12 Outpatient Cancer Treatment 24 Malaysian Tax Covered Benefits, for which a claim is
13 Outpatient Kidney Dialysis Treatment payable; not subject to Overall Annual Limit
14 Outpatient Dengue Treatment Overall Limits
Outpatient Emergency Accidental Treatment Overall Annual Limit* for Items (1) to (20) 100,000 200,000
25
15 (Limit per Certificate Year, subject to a 5,000 (OAL) (Based on paid amount) Up to 300,000 Up to 500,000
maximum of 30 days from the date of accident) 26 Overall Lifetime Limit (OLL) No Lifetime limit
* Notes: The Room & Board limit will increase RM 50 every 5 certificate years (on the
PAGE 12|GREAT fifth certificate
EASTERN TAKAFULanniversary) up to R&B 300&(15
BERHAD | CONFIDENTIAL FORyear
th onwards)
INTERNAL USEorONLY
R&B |OCT
500 (30
2020year onwards) respectively. The Overall Annual Limit will also increase
th
RM 50,000 every 5 certificate years (on the fifth certificate anniversary) up to RM 300,000 (20th year onwards) or RM 500,000 (30th year onwards) respectively while other benefits remained the same.
NEW Terms and Conditions apply.
PAGE
13|GREAT
EASTERN
TAKAFUL
BERHAD |
CONFIDE
NTIAL &
FOR
INTERNA
L USE
ONLY
|OCT
Medical plan(s) that considers your future needs
PAGE 17|GREAT EASTERN TAKAFUL BERHAD | CONFIDENTIAL & FOR INTERNAL USE ONLY |OCT 2020
Critical Illness Protection
NEW NEW
i-Lifetime Critical Illness Benefit Term Rider (LCI) (J89) i-Early Lifetime Critical Illness Benefit Term Rider (ELCI) (J107)
This rider will accelerate the Basic Sum Covered This rider can only be attached if LCI is attached. It will accelerate the
LCI and the Basic Sum Covered. It pays the Rider Sum Covered upon
Age Covered CI Benefit Payout
early onset of listed Critical Illness severity conditions:
Age 1 to 18 years 45 CI 50% of the Rider Sum Covered. • Severity 25: 20% of Rider Sum Covered (10% for Child PC)
(Child Person Covered) + 11 Child No more CI claim will be • Severity 50: 50% of Rider Sum Covered (25% for Child PC)
CI payable until PC becomes adult Age Covered CI Benefit Payout
at 19 years ANB.
Age 1 to 18 years 45 CI Can be multiple payout up to total
Age 19 and above 45 CI 100% of the Rider Sum (Child Person Covered) 50% of Rider Sum Covered
(Adult Person Covered) Covered or the balance of the Age 19 and above 45 CI Can be multiple payout up to 100%
Rider Sum Covered, where (Adult Person Covered) of Rider Sum Covered of the
applicable. balance of the Rider Sum Covered.
Terms and Conditions apply. PAGE 22|GREAT EASTERN TAKAFUL BERHAD | CONFIDENTIAL & FOR INTERNAL USE ONLY |OCT 2020
i-Lifetime Critical Illness Benefit Term Rider (J107) Terms and Conditions apply.
45 Critical Illness (1 year old and above)
31. Motor Neuron Disease – permanent neurological deficit
1. Alzheimer's Disease/ Severe Dementia 16. Elephantiasis
with persisting clinical symptoms
2. Angioplasty and Other Invasive Treatments for Coronary 17. Encephalitis - resulting in permanent inabilityto
32. Multiple Sclerosis
Artery Disease perform Activities of Daily Living
3. Apallic Syndrome 18. End-Stage Liver Failure 33. Muscular Dystrophy
4. Bacterial Meningitis - resulting in permanent inabilityto 34. Occupationally Acquired Human Immunodeficiency
19. End-Stage Lung Disease
perform Activities of Daily Living Virus (HIV) Infection
5. Benign Brain Tumor - of specifiedseverity 20. Full-Blown AIDS 35. Paralysis of Limbs
36. Parkinson's Disease – resulting in permanent inabilityto
6. Blindness - permanent and irreversible 21. Fulminant Viral Hepatitis
perform Activities of Daily Living
7. Brain Surgery 22. Heart Attack - of specified severity 37. Poliomyelitis
8. Cancer - of specified severity and does not cover very 38. Primary Pulmonary Arterial Hypertension – of specified
23. Heart Valve Surgery
early cancers severity
9. Cardiomyopathy – of specified severity 24. HIV Infection Due to Blood Transfusion 39. Progressive scleroderma
10. Chronic Aplastic Anemia - resulting in PermanentBone
25. Kidney Failure - requiring dialysis or kidney transplant 40. Serious Coronary Artery Disease
Marrow Failure
41. Stroke - resulting in permanent neurological deficitwith
11. Chronic Relapsing Pancreatitis 26. Loss of Independent Existence
persisting clinical symptoms
12. Coma - resulting in permanent neurological deficitwith
27. Loss of Speech 42. Surgery to Aorta
persisting clinical symptoms
28. Major Head Trauma - resulting in permanent inabilityto 43. Systemic Lupus Erythematosus with SevereKidney
13. Coronary Artery By-Pass Surgery
perform Activities of Daily Living Complications
14. Creutzfeldt-Jakob disease (CJD) (Mad Cow Disease) –
29. Major Organ/ Bone Marrow Transplant 44. Terminal Illness
requiring continuous assistance
15. Deafness - permanent and irreversible 30. Medullary Cystic Disease 45. Third Degree Burns - of specified severity
Item List of Core Critical Illnesses (CI) Severity 25 Severity 50 Item List of Core Critical Illnesses (CI) Severity 25 Severity 50
Adult Person Covered Payout 20% Payout 50% Adult Person Covered Payout 20% Payout 50%
Child Person Covered Payout 10% Payout 25% Child Person Covered Payout 10% Payout 25%
1. Alzheimer's Disease/ Severe Dementia √ √ 25. Loss of Independent Existence √ √
2. Angioplasty and Other Invasive Treatmentsfor 26. Loss of Speech √ √
NA NA
Coronary Artery Disease
27. End-Stage Lung Disease √ √
3. Apallic Syndrome √ √
28. Major Head Trauma √ √
4. Bacterial Meningitis √ √
5. Benign Brain Tumor √ NA 29.. Major Organ/ Bone Marrow Transplant √ √
6. Blindness √ √ 30. Medullary Cystic Disease √ √
7. Brain Surgery √ √ 31. Motor Neuron Disease √ √
8. Cancer √ √ 32. Multiple Sclerosis √ √
9. Cardiomyopathy √ √ 33. Muscular Dystrophy √ √
10. Chronic Aplastic Anemia √ √ 34. Occupationally Acquired Human
11. Chronic Relapsing Pancreatitis √ √ NA NA
Immunodeficiency Virus (HIV) Infection
12. Coma √ √ 35. Paralysis of Limbs √ √
13 Coronary Artery By-Pass Surgery √ NA 36. Parkinson's Disease √ √
14 Creutzfeldt-Jakob disease (CJD) (Mad Cow Disease) √ √ 37. Poliomyelitis √ √
15. Deafness √ √
38. Primary Pulmonary Arterial Hypertension √ √
16. Elephantiasis √ √
39. Progressive scleroderma NA √
17. Encephalitis √ √
40. Serious Coronary Artery Disease √ √
18. Full-Blown AIDS √ NA
19. Fulminant Viral Hepatitis √ √ 41. Stroke √ √
20. Heart Attack √ √ 42. Surgery to Aorta √ NA
21. Heart Valve Surgery √ √ 43. Systemic Lupus Erythematosus with SevereKidney
√ √
22. HIV Infection Due to BloodTransfusion NA √ Complications
23. Kidney Failure √ √ 44. Terminal Illness NA NA
24. End-Stage Liver Failure √ √ 45. Third Degree Burns √ √
PAGE 28|GREAT EASTERN TAKAFUL BERHAD | CONFIDENTIAL & FOR INTERNAL USE ONLY |OCT 2020
RM Hospital Benefit
Admission in normal ward: Daily cash benefit is payable for each day
Benefits Admission in Intensive Care Unit (ICU): 2x daily cash benefit is payable for each day
subject to a maximum of 150 days in a certificate year and an overall lifetime limit of 500 days
Age Next Birthday Percentage (%) of Daily Cash Benefit
(upon claim event) Normal Ward Intensive Care Unit
1 50% 100%
2 75% 150%
3 - onwards 100% 200%
Terms and Conditions apply. PAGE 30|GREAT EASTERN TAKAFUL BERHAD | CONFIDENTIAL & FOR INTERNAL USE ONLY |OCT 2020
Accidental Coverage
PAGE 31|GREAT EASTERN TAKAFUL BERHAD | CONFIDENTIAL & FOR INTERNAL USE ONLY |OCT 2020
Accidental Coverage
Accidental
1 x RSC Eligibility Min Max
5% of RSC annually, Death Entry Age 17 years ANB 60 years ANB
up to 50% Accidental 2 x RSC
Increase in Death on
Sum Covered Public Coverage Until age 70 years ANB or expiry of
Conveyance Term Basic Plan
1 x RSC
Compassionate Rider Sum RM 10,000 Lower of RM 1mil
Accidental
Allowance Covered or 5 x Basic Sum
TPD
5% of RSC, (RSC) Covered
up to RM 5,000 i-CABX Notes: Subject to underwriting. RM1million per person covered, cut
Confined in
Accidental across all PA plans.
Malaysian
Government Injury % of RSC
Weekly Hospital
Indemnity
RM 7.50 per RM Reimbursement Temporary
1,000 RSC of Medical Total Weekly Indemnity
Expenses RM 7.50 per RM
Temporary Disability
1,000 RSC
RM 25 per Partial
Weekly Indemnity
RM 1,000 RSC, max RM Disability
RM 1.75 per RM
3,000 per Accident 1,000 RSC
Terms and Conditions apply.
A=BSC
(A/1000) X 7.5
EXAMPLE:
A= RM100,000
(RM100,000/1000) X 7.5
=RM750
Accidental
Injury
PAGE
35|GREAT
EASTERN
TAKAFUL
BERHAD |
CONFIDE
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FOR
INTERNA
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ONLY
|OCT
Waiver of Contribution Terms and Conditions apply.
i-Provider Plus Term Rider (iPP) (J99) i-Contributor Benefit Plus Term Rider (iCBP) (J89)
• Provides coverage on the life of the Person Covered • Provides coverage on the life of the Participant
• Cover Event: • Cover Event:
• Upon diagnosis of any one of the 44 CI1, or • Upon diagnosis of any one of the 44 CI1, or
• Upon TPD2 • Upon TPD2, or
• This Rider will pay future Contributions3 (Contributions • Upon Death
of Basic and applicable attachable Riders) which will be • This Rider will pay the future Contributions3
payable from the Tabarru’ Fund. (Contributions of Basic and applicable attachable Riders)
which will be payable from the Tabarru’ Fund.
1 44 Critical Illnesses (Angioplasty and Other Invasive Treatments for Coronary Artery Disease is excluded).
2 before age 70 years next birthday
3 beginning
from the next Contribution due date immediately following the occurrence of such event up to and including the contribution due date
immediately preceding the expiry date of this rider, depend on basic plan the rider attached to.
✓ ✓
Replacement of Certificate Assignment & Nomination
subject to ROC guidelines
✓ ✓
Backdating PAGE
45|GREAT
Surrender Value (CV) EASTERN
Up to 6 months TAKAFUL
BERHAD |
X
CONFIDE
NTIAL &
Contribution Top Up FOR
INTERNA
L USE
ONLY
|OCT
Upfront Charge will be deducted from PIA. It consists of:
Upfront
▪ distribution costs including agent’s commission, and
Charge
▪ management expenses including Stamp Duty of RM10.
Giro & Credit Card Giro & Credit Card Giro & Credit Card Giro & Credit Card