Group Mediwell Plus

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Group Mediwell Plus Insurance

Whether your staff strength is 5 or 100, Group Mediwell Plus is the hospital and surgical cover that cares for your employees. You can choose from two affordable flexible plans to meet your needs -  Aggregate Plan or Unit Plan.  

The Aggregate Plan works on a lump sum basis, which provides the added convenience to a cover, without sub-limits for in-hospital expense. For more flexibility, choose our Unit Plan which allows you to balance cover and premium to suit your company’s needs. In fact, you can design the plan according to your budget.

Coverage

Aggregate Plan

Schedule Of Benefits (Per-disability limit unless indicated) G1
(S$)
G2
(S$)
G3
(S$)
G4
(S$)
G5
(S$)
A. In-Patient Benefits
- Hospital Room & Board 1- Bedded 1- Bedded 2- Bedded 2- Bedded 4 - Bedded
- In-Patient Benefits As Charged
Including Intensive Care Unit, Surgical Fees (including Day Surgery), Hospital Misc Services, Pre-hospitalisation (30 days) and Post-hospitalisation (90 days) treatment expenses
B. Out-Patient Benefits For Kidney Dialysis/Cancer Treatment (per policy year)
- Out-Patient Kidney Dialysis treatment 25,000 20,000 15,000 10,000 Not Covered
- Out-Patient Cancer Treatment 25,000 20,000 15,000 10,000 Not Covered
C. Other Out-Patient Benefits
- Emergency Accidental Out-Patient Treatment As Charged
- Accidental Dental Treatment 1,000 750 500 500 500
D. Miscellaneous Benefits
- Home Nursing (per year maximum 26 weeks) 8,000 3,000 3,000 2,000 Not Covered
- Prosthesis/Implant 5,000 4,000 3,000 3,000 2,000
- Ambulance fee 75 75 75 75 75
- Special Grant 3,000 3,000 3,000 3,000 3,000
- Registered Bone-Setter fees for accidental injuries (per policy year) 250 250 250 250 250
- Accidental Miscarriage 1,000 750 500 500 500
- Acupuncture performed in a hospital (per policy year) 200 200 200 200 200
Emergency Assistance including Evacuation and Repatriation Unlimited
Limits (Excluding Emergency Assistance)
Annual Overall Limit 300,000 250,000 175,000 125,000 100,000
Additional Yearly Limit For Organ
Transplant (In Respect Of Heart, Liver, Kidney, Lung And Bone Marrow Only)
100,000 75,000 50,000 30,000 25,000

Unit Plan (Up To Max 4 Units)

Schedule Of Benefits (Per-disability limit unless indicated) 1 Unit
(S$)
1.5 Unit
(S$)
2 Unit
(S$)
2.5 Unit
(S$)
3 Unit
(S$)
3.5 Unit
(S$)
4 Unit
(S$)
A. In-Patient Benefits
- Hospital Room & Board (daily max up to 90 days) 100 150 200 200 300 350 400
- Intensive Care Unit (daily max up to 20 days) 200 300 400 500 600 700 800
- Surgical Fees (including Day Surgery) 5,000 7,500 10,000 12,500 15,000 17,500 20,000
- Hospital Misc Services 3,000 4,500 6,000 7,500 9,000 10,500 12,000
- Pre-Hospitalisation Treatment
(within 30 days before hospitalisation)
300 450 600 750 900 1,050 1,200
- Post-Hospitalisation Treatment
(90 days immediately after discharge
500 750 1,000 1,250 1,500 1,750 2,000
B. Out-Patient Benefits For Kidney Dialysis/Cancer Treatment (per policy year)
- Out-Patient Kidney Dialysis treatment 5,000 7,500 10,000 12,500 15,000 17,500 20,000
- Out-Patient Cancer Treatment 5,000 7,500 10,000 12,500 15,000 17,500 20,000
C. Other Out-Patient Benefits
- Emergency Accidental Out-Patient Treatment 1,000 1,500 2,000 2,500 3,000 3,500 4,000
- Accidental Dental Treatment 250 375 500 625 750 875 1,000
D. Miscellaneous Benefits
- Home Nursing (per year maximum 26 weeks) 1,500 2,250 3,000 3,750 4,500 5,250 6,000
- Prosthesis/Implant 2,000 3,000 4,000 5,000 6,000 7,000 8,000
- Ambulance fee 75 113 150 188 225 263 300
- Special Grant 1,000 1,500 2,000 2,500 3,000 3,500 4,000
- Registered Bone-Setter fees for accidental injuries (per policy year) 250 375 500 625 750 875 1,000
- Accidental Miscarriage 250 375 500 625 750 875 1,000
- Acupuncture performed in a hospital (per policy year) 200 300 400 500 600 700 800
Emergency Assistance including Evacuation and Repatriation Unlimited
Limits (Excluding Emergency Assistance)
Annual Overall Limit 75,000 112,500 150,000 187,500 225,000 262,500 300,000
Additional Yearly Limit For Organ
Transplant (In Respect Of Heart, Liver, Kidney, Lung And Bone Marrow Only)
20,000 30,000 40,000 50,000 60,000 70,000 80,000

Optional Riders

  1. Dread Disease Rider
    • A S$10,000 lump sum payout on 1st confirmed diagnosis of any one of the following 10 covered dread diseases:
      • Major Cancers
      • Coronary Artery By-pass Surgery
      • Heart Attack
      • Kidney Failure
      • Stroke
      • Major Organ/Bone Marrow Transplant
      • Paralysis (Loss of Use of Limbs)
      • Blindness (Loss of Sight)
      • Major Burns
      • Coma
    • Subject to:
      • pre-existing condition exclusion
      • waiting period of 90days from effective date of insurance cover
      • 30 days survival period from 1st confirmed diagnosis
  2. Hospital Cash Allowance
    • A daily cash benefit of S$100 per day (max. up to 90 days for each day of hospitalisation)
  3. Parent’s accommodation as companion for child below 12 years
    • Provides a daily S$100 accommodation allowance (up to 30 days per policy year) for the parent to accompany his/her child when the child is hospitalized. Provided child is insured under this policy and hospitalization claim is admissible.

Annual Premium Rates

The annual premium rates for this plan are as set out below. Please note that the premium rates may be revised at each renewal date, depending on its claims experience and at the discretion of the Company. The annual premium is based on the Insured Member's age next birthday at the time of renewal and apply to persons who are in Occupational Class I & II.

Premium (Inclusive of GST) G1
(S$)
G2
(S$)
G3
(S$)
G4
(S$)
G5
(S$)
Age Band (Male)
Child 551.05 446.19 355.24 302.81 233.26
19 – 40 720.11 582.08 461.17 390.55 296.39
41 – 50 1,285.07 1,033.62 814.27 683.73 506.11
51 – 60 2,510.22 2,014.81 1,580.39 1,318.24 954.44
Age Band (Female)
Child 551.05 446.19 355.24 302.81 233.26
19 – 40 1,177.00 948.02 747.93 631.30 476.15
41 – 50 1,679.90 1,350.34 1,062.51 890.24 654.84
51 – 60 1,962.38 1,576.11 1,237.99 1,031.48 744.72
Premium (Inclusive of GST) 1 Unit
(S$)
1.5 Unit
(S$)
2 Unit
(S$)
2.5 Unit
(S$)
3 Unit
(S$)
3.5 Unit
(S$)
4 Unit
(S$)
Age Band Male Female Male Female Male Female Male Female Male Female Male Female Male Female
Child 142.31 142.31 213.47 213.47 284.62 284.62 355.78 355.78 426.93 426.93 498.09 498.09 569.24 569.24
19 – 40 216.14 292.11 324.21 438.17 432.28 584.22 540.35 730.28 648.42 876.33 756.49 1,022.39 864.56 1,168.44
41 – 50 334.91 431.21 502.37 646.82 669.82 862.42 837.28 1,078.03 1,004.73 1,293.63 1,172.19 1,509.24 1,339.64 1,724.84
51 – 60 560.68 498.62 841.02 747.93 1,121.36 997.24 1,401.70 1,246.55 1,682.04 1,495.86 1,962.38 1,745.17 2,242.72 1,994.48

Class I
Persons engaged in professional, managerial, administration, clerical and non-manual occupations generally.

Class II
Persons engaged in work of a supervisory nature and all others not in Class I whose duties may involve occasional light manual work but not using tools or machinery or expose to any special hazard (e.g. Clerk-of-Work, Sub-Contractor, and Supervisor).
Persons who are required to travel outside office for Business or Professional purposes but not engaging in manual labour (e.g. Salesman).

Please check with the insurer separately for all occupations involving manual work and not within the above..

Declined Occupations
Air Crew members, ship crew members and occupations involving diving, platforms, oil rig and/or offshore work, fire-fighting, police, military operations, full-time national servicemen other than local peace-time reservist training, persons engaged in heavy manual work involving the use of heavy tools and machinery, construction worker, truck driver, welder, machinist, persons engaged in medical professions


Optional Riders Premium

Dread Disease Rider

Age Band Premium (Inclusive of GST) (S$)*
Child 6.42
17 - 30 11.77
31 – 35 19.26
36 – 40 33.17
41 – 45 54.57
46 – 50 86.67
51 – 55 128.40
55 – 60 179.76

Hospital Cash Allowance

Age Band Premium (Inclusive of GST) (S$)*
17 - 40 51.36
41 – 50 57.78
51 – 60 88.81

Optional Riders
For more information on the benefits on optional riders as well as the additional premium, where applicable, please contact our underwriter


Deductibles / Co- Insurance / Discounts

Deductible (Optional)
Deductible per Annum (S$) Discount
500 2.5%
1,000 5%
1,500 10%
2,000 15%
Co-Insurance (Optional)
Co-Insurance (%) Discount
10% 10%
20% 20%
Group Discounts
Enjoy group discounts starting from 5% up to 20% for group size of 5 employees or more

Note:
*Additional premium for riders are not subject to discount entitlements.

Eligibility

  • The maximum age for enrolment is 60 years old.
  • All Employees must be under the payroll of a Singapore-based office.
  • Employees and Dependents must be Singapore Citizens, Singapore Permanent Residents as well as expatriates or foreigners who are holding a valid Employment Pass and who are domiciled in Singapore.

Exclusions

There are certain conditions whereby the benefits under this plan will not be payable. These are stated as exclusions in the contract. You are advised to read the policy contract for the full list of exclusions.

  1. Any Pre-existing conditions unless the Insured Member affected by these conditions has been insured under this Policy for 12 months with the exception on congenital anomalies which will be considered as permanent exclusions under this Policy.
  2. Treatment arising from pregnancy, miscarriage (except as a result of an accident), or childbirth (including diagnostic tests for pregnancy), tests to do with and treatment for sub-fertility, and charges for abortion or sterilization, and contraception including any complications relating thereto.

Important Notice

Terms of Renewal

Coverage may be renewed on the Policy Anniversary Date by the payment of the annual premium.

Waiting Period

For Hospital and Surgical Plans

  1. No benefits will be payable if any illness or sickness, which commences within the first thirty (30) days from the effective date of cover of the Insured Member, except for accidental injuries.
  2. For Dread Disease Cover

No benefits will be payable if the Insured Member is diagnosed with any of the Dread Disease within the first 90 days from the effective date of cover under the Policy.;

Survival Period

No benefits will be payable if the Insured Member does not survive the first 30 days from the date he is diagnosed with any of the Dread Disease;

Country of Residence

Insurance for any Insured Member will cease automatically if the Insured Member has been physically absent from Singapore for more than 180 consecutively days during the policy year, unless prior agreement have been received and endorsed by the Company to extend the policy to include such absence from Singapore and payment of the additional premium chargeable. In such event, the Insured Member’s cover will be terminated at 24:00 standard Singapore time on the 180th day after the Insured Member’s departure from Singapore.

Termination

Cover ceases for the Insured Employee:-

  1. on the date this policy is terminated;
  2. on the 70th birthday of the Employee;
  3. on the date of termination of employment;
  4. on the date in which an Employee is retired or pensioned; or
  5. on the premium due date if the Policyholder fails to pay the required premium for the insured Employee.

The liability of this policy shall cease on the last day of cover for the insured Employee or Dependent.

The Company will also not pay for any benefit in respect of expenses incurred by any Insured Member whose insurance has terminated, for treatment provided to the Insured Member on or after the effective date of such termination.

Notice of Material Changes

The Policyholder shall give reasonable notice to the Company of any change in the Insured Member’s country of residence or business or occupation or habits or pursuits which is likely to result in a material increase in hazard to the Company and shall pay any additional premium that may be required by the Company.

Policy Owners’ Protection Scheme

This policy is protected under the Policy Owners’ Protection Scheme which is administered by the Singapore Deposit Insurance Corporation (SDIC). Coverage for your policy is automatic and no further action is required from you. For more information on the types of benefits that are covered under the scheme as well as the limits of coverage, where applicable, please visit www.sompo.com.sg/FAQ or the GIA / LIA or SDIC websites (www.gia.org.sg or www.lia.org.sg or www.sdic.org.sg)

Disclaimer

The product information detailed in this section does not outline all aspects of cover nor does this serve as an insurance contract. Please refer to a copy of our policy wording, which is available on request, for details of the coverage conditions and limits; or contact our Sompo authorized agent or your insurance broker for more details.