* Per Disability or Single Confinement means the case when the Covered Person is confined to a Hospital or Medical Center as an Inpatient at any time, which include the confinements for 2 times or more due to the same causes, disease, or complication, with intervals of not more than 90 days from the most recent discharge from a Hospital or Medical Center. Outpatient treatment for no more than 30 days from the most recent treatment due to the same cause, disease or complication shall also be deemed a Single Confinement.
** Full cover for hospital general expenses, surgeon's fees and physician's hospital visit fee, but not exceeding the maximum benefit specified in the policy schedule.
*** For annual health check-up and maternity benefits, policyholders must make an advance payment for medical services.
**** Personal Accident insurance (Or.bor.2) provides benefits in case of death, dismemberment, loss of sight, loss of hearing, loss of speech, and total permanent disability (50% of the sum assured for personal accident coverage while riding a motorcycle whether as a rider or passenger).
Remarks:
- Cost associated with tests such as PET scan, MRI, CT scan, Echocardiogram or Exercise stress test will normally be paid under outpatient benefits. If those tests have been approved in advance by Aetna, they will be paid under hospital general expenses benefits.
- Worldwide coverage for medical treatment in case of sickness or accident (excluding the United States of America where the benefits will be paid for the injury from an accident only).
- For maternity benefits, policyholders will only be covered if they have been insured for at least 280 consecutive days before childbirth and at least 90 consecutive days before a miscarriage.
* Per Disability or Single Confinement means the case when the Covered Person is confined to a Hospital or Medical Center as an Inpatient at any time, which include the confinements for 2 times or more due to the same causes, disease, or complication, with intervals of not more than 90 days from the most recent discharge from a Hospital or Medical Center. Outpatient treatment for no more than 30 days from the most recent treatment due to the same cause, disease or complication shall also be deemed a Single Confinement.
** Full cover for hospital general expenses, surgeon's fees and physician's hospital visit fee, but not exceeding the maximum benefit specified in the policy schedule.
*** For annual health check-up and maternity benefits, policyholders must make an advance payment for medical services.
**** Personal Accident insurance (Or.bor.2) provides benefits in case of death, dismemberment, loss of sight, loss of hearing, loss of speech, and total permanent disability (50% of the sum assured for personal accident coverage while riding a motorcycle whether as a rider or passenger).
Remarks:
- Cost associated with tests such as PET scan, MRI, CT scan, Echocardiogram or Exercise stress test will normally be paid under outpatient benefits. If those tests have been approved in advance by Aetna, they will be paid under hospital general expenses benefits.
- Worldwide coverage for medical treatment in case of sickness or accident (excluding the United States of America where the benefits will be paid for the injury from an accident only).
- For maternity benefits, policyholders will only be covered if they have been insured for at least 280 consecutive days before childbirth and at least 90 consecutive days before a miscarriage.
