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  Health : Group : Group Managed Health Care Plan


OUR PRODUCTS

Customer Service

Layanan Pemasaran Jl. Raden Saleh No. 44
JAKARTA 10330
Telp. : (021) 3190-6740
Fax.  : (021) 3190-7158
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Group Managed Health Care Plan













TM
Group Managed Health Care Plan

Providing Group Health Insurance Services
  • In the provider network throughout Indonesia, without having to pay in advance
  • No annual limit
  • Provide a comprehensive Health Services.
TM Group Managed Health Care Plan
Providing comprehensive health care guarantee, including Outpatient, Dental Care, Medicine, Allied Diagnostic Investigation, Hospitalization, Surgery, Protesa, Glasses, Evacuation Media, Daily Hospital Benefit and other benefits required by the company to be given to employees.

TM Group Managed Health Care Plan
Providing 24 hours service (24hours customer service) to enable participants to obtain information on medical assistance and other information relating to the health insurance program that followed.

METHOD OF SERVICE
We apply a structured method of service (managed services) through the Health Service Provider network (Provider Network), which has collaborated with us consists of: General Practitioners, Dentists, Doctors Specialists, General Clinic, Specialist Clinic, Pharmacy, Optical, and Hospitals, Networking. Our providers are spread in almost all major cities and several other regions in Indonesia.

MAIN SERVICES Coverage
  • First Level Outpatient (General Dentists and Doctors)
  • Outpatient Advanced Level (Specialist Doctors, etc.)
  • Inpatient and Operations Package
  • Emergency Services
  • Allied Diagnostic Examination
  • Giving Medication / Therapy
  • Service Package Includes County, such as: Cancer, Hemadialise, open / closed Heart operations, ESWL, MRL, Stroke.
CLASSIFICATION OF SERVICE
There are 4 (four) classes / plan, namely:

   Standard Plan
3rd Class   
Length of hospitalization was 40 days per year per case and the ICU 20 days per year per case
   Intermediate Plan 2nd Class   
   Primary Plan 1st Class   
   Supra Plan
VIP Class   

There is no annual limit to:
  • Medications to general practitioners
  • Treatment to the dentist
  • Medications to a specialist
  • Intake / Medicine redeem
  • Cost of inpatient care in hospitals (except on the operating action)
  • Diagnostic Investigations
Flexibility benefits (customized) which can be adjusted by:
  • Corporate Needs
  • Company Policy
  • Benefit that has been followed by the Company with the previous insurance
  • Corporate Budget

ADDITIONAL SERVICES coverage
Additional Services in First Year Membership includes:
  • Maternity Benefit Package Costs
  • Daily Hospital Benefit
  • Domestic Medical Assistance
Additional services include in Second Year Membership :
  • Glasses
  • Dental Protesa
Additional Services in the Third Year Membership includes:
  • Dental Protesa
  • Eye Protesa
  • Leg Protesa
  • Hand Protesa
Simplicity
No advanced payment that must be spent / paid to pharmacies, hospitals, and agencies that conduct medical facility for treatment of participants perform the procedure correctly.
Each participant is both the employee and any family members listed as participants included an infant will get a Member Card.



 

 

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