Presentation on theme: "Corporate Employee Benefits: Medical Insurance Programme"— Presentation transcript:
1Corporate Employee Benefits: Medical Insurance Programme Benefits Provided by AXA Insurance SingaporeAdministered by Expat Insurance Pte Ltd
2Coverage Highlights Annual Limits of US$1M No Deductible or Cost Sharing Required by EmployeeGlobal Coverage, excluding treatment in USAFully Covered Outpatient BenefitsDental Benefits for all StaffFreedom of Choice for CareFull Coverage for Employee’s Pre-Existing Conditions
3Summary of Core Benefits Hospitalization & Outpatient SurgeryRoom & Board, AccommodationFully CoveredX-rays, Lab Tests, Medicine, etcPre & Post-Hospitalisation BenefitsFully Covered, 90 daysEmergency BenefitsMedical Evacuation & Repatriation, incl AmbulanceOutpatient BenefitsPhysician & Specialist Consultations, incl MedicationsPhysiotherapist$1,150Chiro, Osteo, Homeopath & AccupunctureTCM: Traditional Chinese Medicine$60/visit, 20 visits/yearVaccinations$500Routine Check-Ups & Wellness BenefitsNot OfferedDental BenefitsRoutine Dental Care80%, Up to $500Accidental Damage to TeethOral & Maxillofacial Surgery (refer to listing)Additional BenefitsCancer Care: Radio & Chemotherapy$150,000CT Scans, MRI, PET Scans, x-rays, etc.*For full terms, conditions and benefits, please refer to the policy which is the operative document.
4Dental Benefits* Oral & Maxillofacial Surgery Surgical removal of impacted/un-erupted teeth and buried teeth (tooth/teeth must be symptomatic or causing damage to an adjacent tooth)Surgical removal of complicated buried roots (roots must be diseased or causing symptoms, or flap of gum is raised and bone is removed)Enucleation (removal) of cysts of the jawTreatment of cancersTemporal Mandibular Joint (TMJ)
5Claims Process Inpatient, Hospitalisation & Surgery Call the 24-Hour Assistance Hotline:or (out of Singapore)Provide the following details:Policy Number, Name of Patient, Date of BirthName of Hospital, Date of Admission, Attending Doctor/Surgeon
6*For ease of assistance with Payment Guarantees, consult Claims ProcessInpatient, Hospitalisation & SurgeryLogon to: expatinsurance.com.sg/reflectgeoDownload & Complete Pre-Authorisation FormUpon approval, AXA will arrange fordirect settlement with the Hospital/Provider.*For ease of assistance with Payment Guarantees, consultthe International Directory of Hospitals and utilise a preferred provider
7Claims Process Outpatient Claims Two Options: Visit a Cashless Outpatient Clinic in SingaporeVisit a Doctor of Your Choice
8Claims Process Cashless Outpatient Claims Visit a clinic on the Cashless Billing ListPresent your medical card at time of visitThe clinic will bill AXA directly
9Claims Process Outpatient Reimbursement Claims Logon to: expatinsurance.com.sg/reflectgeoDownload & Complete a Medical Claim FormPost Claim Form & Original Invoice/Receipts to:AXA Health Claims Team8 Shenton Way, #27-01 AXA Tower, Singapore
10*Note: All claims must be submitted within 60 days of treatment. Claims ProcessOutpatient Reimbursement ClaimsAXA will credit your preferred bank account in the currency of your choice.*Note: All claims must be submitted within 60 days of treatment.Timeline: Upon receipt of claim form and receipts by post, AXA will process within three weeks time.
11Coverage for your Family Reflect Geophyscial will pay 100% of employee premiums.Offshore Employees have the option to add their Spouse and/or Children* to the plan at rates subsidized 50% byReflect Geophysical.*Children are eligible up to Age 21
12Premium for your Family For non-USA based family members:Premium Payable by Employee for each Family MemberUSD 1,097For USA based family members:Premium Payable by Employee for each Family MemberUSD 3,291
131 November 2011 and claims settled accordingly Adding your FamilyTwo deadlines for addition of your dependents:16 January 201220 February 2012Send a copy of each family member’s passport to:You will receive a brief Health Declaration to be signedYou will receive a confirmation including terms of coverage and medical insurance cards for each member*For Health Declarations received by 20 February, coverage will be back-dated to1 November 2011 and claims settled accordingly
14Information Portal Your Personal Portal can be found at: (effective 19 December 2011)-Employee Benefit Handbook-Summary of Benefits, Policy Wording & Definitions-Claim Forms-Procedures-Emergency Contact Numbers