All benefits in the Plan are applicable worldwide (except for psychiatric treatment1 and renal dialysis2,3) and covers the following medical benefit items::
- Expenses incurred during hospitalization
- Day Case Procedure4
- Pre- and post-Confinement / surgery benefit
- Extended benefits
- Optional supplementary major medical benefit5
2. Only covers renal dialysis treatments under the recommendation of the attending Registered Medical Practitioner, and (1) as an Inpatient worldwide or (2) as a Day Patient in Hong Kong.
3. The Company shall have the right to ask for proof of recommendation, e.g., written referral or testifying statement on the claim form by the attending Registered Medical Practitioner.
4. Day Case Procedure refers to a Medically Necessary surgical procedure for investigation or treatment to the Insured Person performed in a medical clinic, or day case procedure centre or Hospital with facilities for recovery.
5. Subject to 20% Coinsurance and maximum reimbursement of different plan levels. If the actual room level of the confinement is of a level higher than the covered room level under optional supplementary major medical benefit, the Company will adjust the benefits paid under optional supplementary major medical benefit subject to the room level adjustment factor. For details, please refer to the product brochure and policy documents.