Generali Medical Solution (Rider)

Generali Medical Solution Supplemental Insurance

Generali Indonesia offers the additional insurance Generali Medical Solution which can be chosen by customers to plan health protection for themselves and their loved ones. The additional insurance Generali Medical Solution provides comprehensive health protection for customers requiring first-class coverage.

Advantages of Generali Medical Solution

Flexible Solution

Excellent Solution

Experienced Solution

Benefits of Generali Medical Solution

Manfaat Rawat Inap di Luar Wilayah Pertanggungan
Manfaat apabila Tertanggung/Tertanggung Tambahan (jika ada) dirawat inap dirumah sakit yang terletak di luar wilayah pertanggungan, maka Penanggung akan menanggung secara proporsional biaya rawat inap sesuai ketentuan setelah dikurangi biaya-biaya yang tidak berkaitan dengan pengobatan, biaya yang dikecualikan dalam Ketentuan Khusus dan dengan memperhatikan batas maksimum penggantian
Manfaat Rawat Inap
Manfaat apabila Tertanggung/Tertanggung Tambahan (jika ada) dirawat inap dirumah sakit yang terletak di dalam wilayah pertanggungan, maka Penanggung akan menanggung biaya rawat inap sesuai dengan ketentuan rencana manfaat rawat inap dan tagihan wajib yang timbul pada rawat inap minimal 8 (delapan) jam dengan kejadian terus menerus.
Manfaat Rawat Jalan
Manfaat apabila Tertanggung/Tertanggung Tambahan (jika ada) melakukan pengobatan rawat jalan maka, Penanggung akan menanggung biaya rawat jalan sesuai dengan ketentuan rencana manfaat rawat jalan.
Manfaat Tambahan
Manfaat yang diberikan kepada Tertanggung/Tertanggung Tambahan (jika ada)berupa manfaat tertentu sesuai dengan ketentuan rencana manfaat tambahan.
Manfaat tambahan yang dimaksud adalah:
• Manfaat anggota tubuh artifisial.
• Manfaat biaya tindakan bedah rekonstruksi payudara.
• Manfaat evakuasi medis darurat
Manfaat Kesehatan (Wellness Benefit)
Manfaat yang diberikan kepada Tertanggung/Tertanggung Tambahan (jika ada)berupa manfaat untuk kesehatan sesuai dengan ketentuan rencana manfaat kesehatan.
Manfaat kesehatan yang dimaksud adalah:
• Manfaat biaya konsultasi dan obat-obatan
• Manfaat Biaya Pemeriksaan Penunjang Diagnostik dan Wellness Benefit (MCU).

Basic Insurance Product

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Ketentuan Produk
Product Terms and Conditions

Entry Age	Policyholder: 18 – 90 years old Main Insured: 31 days – 70 years old Additional Insured (if any) – Spouse: 18 – 70 years old Additional Insured (if any) – Child: 31 days – 17 years old
Currency	Rupiah
Premium Payment Method	Following the Basic Insurance
Basic Insurance Costs	Charged monthly throughout the coverage period, with amounts based on your age and chosen PLAN. Additional insurance costs will be covered through monthly deductions from the investment fund units, increasing with the insured's age.
Additional Insurance Coverage Period	Available options up to the ages of 55, 65, 75, 85, and 95 for the Main Insured and Additional Insured. For Additional Insured Children, coverage is available up to age 25.
Sum Insured	Minimum: GOLD Standard with the lowest standard room limit of 2 beds or Rp500,000 per day, whichever is higher. Maximum: INFINITE Suite with the lowest standard room limit of 1 bed and an en-suite bathroom or Rp10,000,000 per day, whichever is higher.

Informasi Penting

Insurance Benefits Exclusions

Pre-existing Conditions, as described in Article 2, paragraph (20) of the Special Terms of this Additional Insurance, whether related or unrelated to the claim being made, unless otherwise specified in writing by the Insurer; or
Care resulting from a Disease that started or appeared within 30 (thirty) days from the Effective Date of this Additional Insurance or within 30 (thirty) days from the Date of Policy Restoration, whichever is later, except for Care resulting from an Accident; or
All specific Diseases suffered by the Insured within 12 (twelve) months, regardless of the cause, any complications, and the required Care, from the Effective Date of this Additional Insurance or the Date of Policy Restoration, whichever is later:
- Any type of hernia; or
- Diseases of the reproductive system including endometriosis, uterine fibroid/myoma, hysterectomy, varicocele, hydrocele; or
- Any type of lump/cyst, any type of benign or malignant tumor in any organ including Cancer; or
- Tuberculosis (tuberculosis) and Asthma; or
- Anal fistula and hemorrhoids; or
- Diabetes, cholecystitis, gallstones, all types of hepatitis including cirrhosis of the liver except hepatitis A; or
- Tonsillitis and all Diseases of the tonsils, and/or adenoid Diseases that may require Surgical Action; or
- Stones in the urinary tract (kidney, ureter, urethra, bladder) including bladder failure; or
- All types of ear disorders, nasal disorders, abnormal conditions of the nasal cavity, nasal septum/conchae including sinuses, septum, or turbinates; or
- Inflammation or ulcers in the stomach (gastritis, dyspepsia, peptic ulcer) or duodenal ulcers;
- Cataract, pterygium, retinal detachment; or
- Hallux valgus; or
- All types of epilepsy (grand mal or petit mal); or
- Spinal disorders including low back pain, disc prolapse (HNP, disc prolapse); or

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General Summary of Product and Service Information Generali Medical Solution