TUM – Guide to your Medical Insurance Programme

Report
Corporate Employee Benefits:
Medical Insurance Programme
Tailored Benefits Programme Provided by AXA
Administered by Expat Insurance Pte Ltd
Coverage Highlights
• High Annual Limits of S$2M
• Global Coverage, excluding elective treatment in USA
• Emergency Treatment Covered in USA
• Fully Covered Outpatient Benefits
• Freedom of Choice for Care
• Direct Cashless Billing for Claims
• Full Coverage for all Pre-Existing Conditions
Summary of Core Benefits
Hospitalization & Day Surgery
Room & Board in Private Hospital, Single-Bed
X-rays, Lab Tests, Medicine, Diagnostics
Surgeon, Professional & Specialist Fees
Parental Accommodation
Organ Transplant
Cash Benefit (if no claims made for medical expenses)
Cancer & Kidney Dialysis: Inpatient or Outpatient
Emergency Benefits
Medical Evacuation & Repatriation
Local Ambulance Services
ER or A&E Treatment
Dental Treatment, Accidental Damage Only
Outpatient Benefits
Physician & Specialist Consultations & Prescribed Physio
Chiropractor, Acupuncture, Homeopathy, Osteopathy
Medicine & Drugs
X-rays, Lab Tests, Medicine, Diagnostics
Vaccinations
Dental: Oral & Maxillofacial Surgery (*refer to treatment list)
Dental: Routine Care
Fully Covered
Fully Covered
Fully Covered
$200
Fully Covered
$200
3 Years of Treatment Days
Unlimited
Fully Covered
Fully Covered
Fully Covered
Fully Covered
$800
Fully Covered
Fully Covered
$1,600
Fully Covered
80% of expenses, $1,600
Dental 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 jaw
• Treatment of cancers
• Temporal Mandibular Joint (TMJ)
Claims Process
Inpatient, Hospitalisation & Surgery
Call the 24-Hour Assistance Hotline:
1800 880 8181
Provide the following details:
Policy Number, Name of Patient, Date of Birth
Name of Hospital, Date of Admission, Attending Doctor/Surgeon
Claims Process
Inpatient, Hospitalisation & Surgery
Logon to: expatinsurance.com.sg/tum
Download & Complete Direct Billing Form
Upon approval, AXA will arrange for
direct settlement with the Hospital/Provider.
Claims Process
Outpatient Claims
Two Options:
1. Visit a Cashless Outpatient Provider
2. Visit a Doctor of Your Choice
Claims Process
Cashless Outpatient Claims
1. Visit a clinic on the Cashless Directory
2. Present your medical card at time of visit
3. The clinic will bill AXA directly
Claims Process
Outpatient Reimbursement Claims
Logon to: expatinsurance.com.sg/tum
Download & Complete Appropriate Claim Form
Post Claim Form & Original Invoice/Receipts to:
AXA Insurance Singapore
Health Service Team
8 Shenton Way, #27-01 AXA Tower, Singapore 068811
Claims Process
Outpatient Reimbursement Claims
AXA will issue a cheque for reimbursement
which will be distributed to you via TUM.
*Note: All claims must be submitted within 90 days of treatment.
Timeline: Upon receipt of claim form and receipts by post, AXA
will process within two-three weeks time.
Information Portal
Your Personal Portal can be found at:
www.expatinsurance.com.sg/tum
-Employee Benefit Handbooks
-Summary of Benefits, Policy Wording & Definitions
-Claim Forms
-Procedures
-Emergency Contact Numbers
Questions?
+65 6401 9201
[email protected]
www.expatinsurance.com.sg/tum
20 Upper Circular Road
The Riverwalk, #B1-52
Singapore 058416

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