AXA Affin

Underwritten by AXA Affin Life Insurance Berhad

AXA Affin SmartCare Optimum

Say goodbye to stressful hospital admissions and incredibly high medical bills, when you have the SmartCare Optimum to help keep you financially stable and ease the access to hospitals with its medical card.

    • Deductible Up To RM20000
    • 15-Day Cancellation Refund

Apply online now for AXA Affin SmartCare Optimum

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Coverage

How much you can claim for hospital bills

  • Annual Limit
    The claims on your medical card cannot exceed this amount in a single policy year.
    from RM50000 up to RM500000
  • Lifetime Limit
    Know your lifetime limit, your medical card expires if you reached this amount.
    Not Applicable
  • Pre-Hospitalisation Diagnostic Tests
    This covers the cost for ECG, X-rays and other laboratory tests to diagnose your symptoms.
    As Charged per disability
  • Room & Board
    For the days that you spend in a hospital room instead of your own bed.
    from RM100 up to RM500up to 120 days per year
    • Consultation & Diagnostic Procedures
      from RM1500 up to RM5500per disability
    • Pre-Hospitalisation Consultation
      What's covered for medical consultation prior to hospitalisation or day care.
      As Charged
    • Medication and Treatment
      Charges for the medicine and therapy that go towards helping you feel 100% again.
      As Charged
    • Intensive Care Unit (ICU)
      Worsening conditions may require critical care in the specialised hospital ward.
      As Charged up to 60 days a year
    • Day Care Surgery
      For treatments and minor surgeries which don't require you to stay overnight at the hospital.
      As Charged
    • Surgical Fees
      How much your medical card covers for surgical procedures, minor and major.
      As Charged
    • Anaesthetist Fees
      Some surgeries require the use of anaesthetic drugs to put you to sleep before the procedure.
      As Charged
    • Operating Theatre Fees
      All the costs involved for use and set up of the operating room for your surgery.
      As Charged
    • In-Hospital Physician Visits
      This is the limit for the visits from the hospital doctors that are covered by your medical plan.
      As Charged
    • Diagnostic and Physiotherapy Procedures
      What's covered when diagnosing your condition and to get your back on your feet again.
      As Charged
    • Hospital Specialist Fees
      Consultation cost for a hospital specialist that's provided by your health insurance policy.
      As Charged
    • Prescription Drugs
      For all the medicine and antibiotics prescribed by your doctor.
      As Charged
    • Outpatient Kidney Dialysis Treatment
      Charges covered for consultation, examination tests and prescribed drugs if you are diagnosed with kidney failure.
      from RM30000 up to RM150000
    • Outpatient Cancer Treatment
      Charges covered for consultation, examination tests and prescribed drugs if you are diagnosed with cancer.
      from RM30000 up to RM150000
    • Physiotherapy
      In case you need physiotherapy following injury or sickness, written recommendation from your doctor is required.
      from RM1500 up to RM5500optional benefit
    • Emergency Accidental Outpatient Treatment
      Cover for emergency outpatient treatment and follow up due to an accident.
      As Charged
    • accidentalDeath
      Coverage benefit for family if policyholder passes away due to an accident.
      up to RM3000
    • Medical Evacuation and Repatriation
      Amount covered for treatment requiring medical evacuation or repatriation to Malaysia.
      from RM50000 up to RM500000
    • Ambulance Fees
      Charges for local ambulance services to and from the hospital.
      from RM350 / As Charged
    • Cash Allowance at Government Hospital
      Daily lump sum cash benefits for patients who spend the night at a government hospital.
      up to RM100 per day, up to 120 days a year
    • Insured Child Guardian Benefit
      Reimbursement of expenses for parents or guardians of children who are admitted into the hospital ward.
      As Charged
    • Home Nursing Care
      How much you're allowed to claim for care from a government-licensed nurse at your home.
      from RM3000 up to RM6000optional benefit
View more coverage details +

Premiums

How much your premiums may cost

  • Machinery Operator

    James is a contract worker in his mid-50's, he needs a medical protection because of his work environment.

    Suggested PremiumRM1450
    Get Quote
  • Fresh Graduate

    Jaye is a fresh grad at a new job and needs medical coverage incase something unfortunate occurs.

    Suggested PremiumRM374
    Get Quote
  • Business Traveller

    Ken is an entrepreneur in his 30's with some medical history and wants to be prepared in any situation.

    Suggested PremiumRM760
    Get Quote

Actual premium rates will be determined by AXA Affin Life Insurance Berhad and may vary from what is suggested based on age, sex, occupation, lifestyle habits and other factors.

Suggested Premium is inclusive of 6% GST

How to Claim

There are a couple ways for you to make your claims when dealing with AXA Affin. It varies and depends on the type of claim you are making.

If you require emergency medical attention then you will be driving into the emergency admission at the hospital you visit. In the case that you are at a AXA Affin Panel hospital then you need only present your medical card and let AXA Affin handle the rest. You will be required to fill up a pre-authorization form as well. For the most part this is the easiest method. If you are not at a Panel hospital then you will have to make your own payments and later submit a claim form for reimbursement. 

The next option is that, you might have a scheduled visit to the hospital. In this case, you will need to contact AXA Affin a day or two before your appointment and send them the admission letter provided by the hospital. This way you will receive a guarantee letter from MiCare that you can bring along with you to the appointment, and will make payments easier.

Lastly, if you are requesting a reimbursement from AXA Affin then as per the work flow, you will need to have the claim form that you can get here. You will need to gather a claim statement, medical report, all original bills and receipts and an investigation report. Compile and submit these documents to AXA Affin or your agent and you will have begun the claims process.

Panel Hospitals

Find a hospital or clinic near you!

Requirements

Am I eligible to apply for this insurance?

Minimum Entry Age
At least 15 days of age
Maximum Entry Age
At most 59 years of age
Maximum Renewal Age
At most 100 years of age

Frequently Asked Questions about AXA Affin SmartCare Optimum

Things you might want to know

What’s special about the SmartCare Optimum?

Not only is it an affordable health insurance plan, it comes with a medical card for easy admissions and better coverage. It is one of the versatile medical insurance policies offered by AXA Affin, as it comes with 4 plan choices within the policy.

This way you are in control of how much you want to be covered and how much premium you would like to take on, because each plan comes with varying rates and schemes for coverage.

What are some of the benefits I get?

Well the most obvious one is that you will get coverage up to the age of 100. In addition to that, there is a high medical coverage with a little perk whether you make a claim or not. With no lifetime limit, no matter what your previous claims are your annual coverage limit remains the same.

Enjoy access to 24-hr assistance for easy cashless admissions at any one of the AXA Affin Panel hospitals whenever you need, in case of an emergency. Lastly, you will get to cash in on some income tax relief of up to RM3,000 for your medical insurance premiums.

How much does it cover?

Aside from all regular hospital expenses like room and board, the use of hospital and surgical equipment, this policy also looks after a number of medical expenses. So you will not have to worry about charges pertaining to surgery and medication or even the use of an ambulance for transportation as they will all be covered and for the most part repaid in full.

The policy also offers outpatient care in certain instances. You will be covered for physiotherapy treatment, as well as accident and emergency treatment within 31 days from your date of discharge. Over and above that you will have additional limits over your annual limit for kidney dialysis treatment, cancer treatment, accidental death and emergency medical evacuation and repatriation.

There are also a few optional benefits that you can acquire with a little bit extra payment in your premiums. Options include home nursing care, additional lifetime maximum limit for kidney dialysis and cancer treatment, and finally, post hospitalisation and physiotherapy c over extension to 60 days.

Tell me what the policy doesn’t cover.

As with most insurance policies there are a few exclusions that you need to take note of before purchasing a plan. The policy will not cover hospitalization for investigatory purposes, investigation and treatment for infertility or impotence.

Treatments of sexually transmitted diseases, self-harm, attempted suicide and injuries pertaining to professional sports or dangerous extreme activities are also not included in the plan.

Who can sign up for the policy?

Anyone can apply for this plan as long as you are above the legal age. Parents who want to purchase the policy for their kids can do so as soon as they are more than 15 days old.

The maximum entry age for this plan is 59 years old.If you are a policy holder before then, you can extend the policy renewals till the age of 100.

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