Frequently Asked Questions

Co-Pay Assist Plan

Claim Coverage

• Q:How much can I claim under my Co-Pay Assist Plan?

  A:

  You can claim according to the following co-payment rates:

  Ward		Adjusted Co-Payments Rates
  Entitlement	Admitted to	Policyholder	Dependant
  C	B2	4.4%	11.7%
  C	B2+	3.1%	8.3%
  C	B1	1.8%	5.0%
  C	A	1.3%	3.3%
  B2	B2+	5.3%	13.3%
  B2	B1	3.1%	8.3%
  B2	A	2.6%	6.7%
  B1	A	5.7%	15.0%
  As per plan eligibility / Downgrade of ward		7.5%	20.0%

• Q:Can I claim for child delivery?

  A:

  Yes, any claims arising out of or relating to pregnancy or childbirth is claimable except for accouchement charges. This is provided that you have been insured under the Co-Pay Assist Plan for more than 12 months.

• Q:Can I claim from another medical policy after I have submitted a claim under Co-Pay Assist Plan?

  A:

  If there is a balance amount not payable by Co-Pay Assist Plan, you can submit a claim request for the remaining portion under another medical policy.