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SURAT RANGKUMAN PERLINDUNGAN

Dokumen ini merangkum perlindungan sesuai dengan Wording Polis perusahaan asuransi rekanan.
This document summarizes the Insurance coverage in accord to the Policy Wording of the insurance company.

Perusahaan Asuransi
: PT Lippo General Insurance Tbk
Insurance Company

Jenis Asuransi Asuransi Kecelakaan Diri & MyHealth Protection CashPlus


:
Type of Insurance Personal Accident Insurance & MyHealth Protection CashPlus

No. Polis
: ADA024010
Policy No.

Nama Tertanggung
: MUHAMMAD KHOLILUL FAHMI
Name of the Insured

Periode Polis 27 September 2022 - 27 Oktober 2022


:
Policy Period 27 September 2022 - 27 October 2022

Jaminan Nilai Santunan


Coverage Compensation Value

Kecelakaan Diri - Kematian & Cacat : Maks. Rp 10.000.000


Personal Accident - Death & Disablement Max. IDR 10,000,000

Biaya Pengobatan Akibat Kecelakaan : Maks. Rp 1.000.000


Medical Reimbursement due to Accident Max. IDR 1,000,000

Santunan Tunai Harian Rawat Inap Rumah Sakit : Maks. Rp 40.000/hari (Maks. 5 Hari/periode
akibat Covid-19 pertanggungan)
Hospitalization Cash Benefit due to Covid-19 Max. IDR 40,000 (max 5 days/coverage period)

Santunan Kehilangan Pendapatan akibat Covid- :


Rp 100.000/periode pertanggungan
19
IDR 100,000/coverage period
Loss Income Protection due to Covid-19

Catatan Penting
Important Notice

1. Syarat dan Ketentuan produk asuransi ini lebih lanjut diatur dalam Ketentuan Polis PT Lippo General
Insurance Tbk.
Terms and Conditions are further regulated in PT Lippo General Insurance Tbk Policy Wording.
2. Anda dapat mengajukan klaim melalui portal Cermati.com dibawah ini:
You can submit your claim through portal Cermati.com as below :
http://www.cermati.com/pusatklaim/adakami/personal
3. Apabila Anda membutuhkan bantuan, silahkan menghubungi:
If you need assistance, please contact:
Phone : (021) 40000312
Jam Kerja : Senin-Jumat 9:00-17:00
Email: claims@cermati.com

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