Generali SmartCare Optimum Plus

Generali SmartCare Optimum Plus provides comprehensive medical care for up to RM2.1 million annually, which is reset every year. You can be protected up to 100 years old.

Generali SmartCare Optimum Plus
Annual Limit
up to RM2.1m
Lifetime Limit
Not applicable
Room & Board
up to RM500
Coverage Age
15 days - 100 years
Investment-Linked Plan
No

Coverage

How much you can claim for hospital bills

Annual Limit
from RM50k up to RM2.1m
Lifetime Limit
Not applicable
Pre-Hospitalisation Diagnostic Tests
Not applicable
Room & Board
from RM100 up to RM500up to 180 days per year
Surgical Fees
subject to the Overall Annual Limit provided the charges are within the recommendations of the Malaysian Medical Association Guidelines and Reasonable and Customary charges
Consultation & Diagnostic Procedures
As charged within 60 days before hospitalisation
Intensive Care Unit (ICU)
As charged up to 180 days a year
Anaesthetist Fees
subject to the Overall Annual Limit provided the charges are within the recommendations of the Malaysian Medical Association Guidelines and Reasonable and Customary charges
Operating Theatre Fees
As charged 
In-Hospital Physician Visits
maximum 2 visits per day and is subject to the Overall Annual Limit provided the charges are within the recommendations of the Malaysian Medical Association Guidelines and Reasonable and Customary charges
Diagnostic and Physiotherapy Procedures
subject to the Overall Annual Limit provided the charges are within the recommendations of the Malaysian Medical Association Guidelines and Reasonable and Customary charges
Post-Hospitalisation Treatment
As charged within 90 days after discharge
Prescription Drugs
As charged 
Outpatient Kidney Dialysis Treatment
As charged outpatient treatment, per disability
Outpatient Cancer Treatment
As charged outpatient treatment, per disability
Emergency Accidental Outpatient Treatment
As charged within 60 days from the date of the accident
Accidental Death
special benefit with RM3,000 coverage for all plans (additional limit on top of the Overall Annual Limit)
Medical Evacuation and Repatriation
special benefit with RM500,000 coverage for Plan 1 and RM50,000 coverage for Plan 2, Plan 3, Plan 4 and Plan 5 (additional limit on top of the Overall Annual Limit)
Ambulance Fees
As charged 
Cash Allowance at Government Hospital
up to RM100per day, up to 180 days
Insured Child Guardian Benefit
As charged for children below 15 years old, up to 180 days
Home Nursing Care
special benefit with RM6,000 coverage for Plan 1, RM5,000 coverage for Plan 2, RM4,000 coverage for Plan 3, RM3,000 coverage for Plan 4 and RM2,000 coverage for Plan 5, applicable up to 180 days (additional limit on top of the Overall Annual Limit)
Medical Report Fee
RM100 coverage for all plans
Intraocular Lens
up to RM1,000 per eye for all plans
Inpatient Treatment For Mental Illness
RM3,000 per annum, special benefits, including outpatient treatment for Major Depressive Disorder, OCD, PTSD, Anorexia Nervosa, Bulimia Nervosa, Polyphagia, Schizophrenia, Bipolar Disorder and Anxiety
Surgical Implants
RM20,000 coverage for all plans (of Pacemaker and Defibrillator)

Features

Additional benefits with this insurance

Refund
15 days cancellation refund

How to Claim

Who do I contact if I have a question or emergency?

Medical Assistance Hotline & Services

You can always count on Generali to process your claim swiftly and professionally. All you need to do is inform them immediately of any event that may result in a medical claim.

You can reach them in multiple ways:

  • Email the Claim Form to [email protected]. You can download the form at the Generali corporate website. However, the original physical document still requires submission to the nearest branch; or
  • Walk into any of the nearest Generali branches; or
  • Submit your claim via the Generali Customer Portal. However, the original physical document still requires submission to the nearest branch.

Generali will give you the best advice based on your situation and guide you on the necessary steps to report a claim successfully.

Requirements

Minimum Entry Age
At least 15 days of age
Maximum Entry Age
At most 65 years of age
Coverage Expiry Age
At most 100 years of age

More Information

Financial protection against rising medical costs

Generali SmartCare Optimum Plus is the medical card you need that provides comprehensive coverage and a high annual limit of up to RM2.1 million.

As if the living costs nowadays aren't high enough, getting into an accident will drain your savings.

From ambulance fees, surgeon fees, and room and board fees to post-hospitalisation treatments, imagine how much you have to spend.

On top of that, you need to bear the risk of losing your income when you're hospitalised!

Generali understands that some people prefer to have peace of mind when it comes to unfortunate events and unexpected expenses, therefore, the Generali SmartCare Optimum Plus medical card provides three different plans with high annual limits, each for more than RM1 million.

PlanAnnual Limit
Plan 1RM2.1 million
Plan 2RM1.5 million
Plan 3RM1.1 million
Plan 4RM100,000
Plan 5RM50,000

What are the highlights of this Generali medical card?

Here are some of the benefits that you will get when you purchase this Generali medical card:

  • High medical coverage up to RM2.1 million
  • The annual limit is reset every year
  • Outpatient Kidney Dialysis and Cancer Treatment benefits are up to the annual limit
  • Comprehensive protection up to the age of 100
  • 24-hour emergency medical assistance
  • Up to 90 days of Post-hospitalisation Care & Physiotherapy
  • Overseas Treatment Medical Insurance Policy

You can use Generali SmartCare Optimum Plus for medical treatment in Malaysia, Singapore and Brunei.

However, if you reside or travel outside of the three countries for more than 90 consecutive days, you will receive no benefit.

Should you be referred to treatments outside Malaysia by the attending doctor or physician, the medical treatment benefits shall be limited to the reasonable, customary and medically necessary charges for such equivalent local treatment and Malaysia.

The medical card benefits exclude the transportation cost to the place of treatment.

When can I start using Generali SmartCare Optimum Plus?

There's a 30-day waiting period after the commencement of your medical card policy before you can use your Generali medical card.

The waiting period won't be applicable after the first year of coverage except for the case of an insurance break-in.

In that case, the waiting period policy will apply again.

The benefit(s) payable under eligible product is protected by PIDM up to limits. Please refer to PIDM's TIPS Brochure or contact Generali Life Insurance Malaysia Berhad or PIDM (visit www.pidm.gov.my).

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