Generali eMedic Plus

An online medical card that comes with an affordable monthly premium, auto-increase of annual limit up to a total of 150% of the initial Annual Limit at no extra cost, daily hospitalisation allowance, No Claim Rewards benefit, unlimited days on room and board, and no lifetime limit up to age 80.

Generali eMedic Plus
Annual Limit
up to RM150k
Lifetime Limit
No limit
Room & Board
As Charged
Coverage Age
15 days - 80 years
Investment-Linked Plan
No

Coverage

How much you can claim for hospital bills

Annual Limit
from RM20k up to RM150kthe Annual Limit will be increased by 10% of the initial Annual Limit at the end of every 5 policy years starting from the policy issue date, subject to a maximum of 50% of the initial Annual Limit
Lifetime Limit
No limitup to the age of 80 years old
Pre-Hospitalisation Diagnostic Tests
As charged 
Room & Board
As charged RM250 maximum coverage for all plans with unlimited days of hospitalisation
Surgical Fees
As charged in-patient and surgical benefit
Consultation & Diagnostic Procedures
As charged outpatient benefit, up to 3 times and within 31 days before hospitalisation. Also includes medication
Pre-Hospitalisation Consultation
As charged 
Medication and Treatment
As charged 
Intensive Care Unit (ICU)
As charged in-patient and surgical benefit
Hospital Services and Supplies
As charged in-patient and surgical benefit
Day Care Surgery
As charged outpatient benefit
Anaesthetist Fees
As charged in-patient and surgical benefit
Operating Theatre Fees
As charged in-patient and surgical benefit
In-Hospital Physician Visits
As charged in-patient and surgical benefit, up to 2 visits per day
Diagnostic and Physiotherapy Procedures
As charged maximum of 2 visits per day, per Physician or Specialist
Post-Hospitalisation Treatment
As charged outpatient benefit, including Physiotherapy Treatment, within 60 days from discharge
Prescription Drugs
As charged in-patient and surgical benefit, outpatient consultation before hospitalisation
Day Surgery
As charged 
Emergency Accidental Outpatient Treatment
As charged outpatient emergency benefit, up to 3 times per any one disability
Emergency Dental Treatment
As charged 
Ambulance Fees
As charged in-patient and surgical benefit
Hospital Cash Benefit
As charged in-patient and surgical benefit (cash allowance in ICU), RM100 per day, up to 30 days per policy year
Hospitalisation Allowance Due To Road Accidents
As charged in-patient and surgical benefit, RM50 per day, up to 30 days per policy year
Government Service Tax (GST)
As charged 
Medical Report Fee
As charged 
Dedicated Medical Attendant
As charged 

Features

Additional benefits with this insurance

Deductible
Up to RM1,000

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 55 years of age
Coverage Expiry Age
At most 80 years of age

More Information

You’d never know what could happen while you go about your days as usual. If any unforeseen circumstances happen and you are being hospitalised, having a medical card at hand can be very helpful.

How does eMedic Plus work?

eMedic Plus is a standalone online medical card that provides coverage for hospitalisations. Doesn’t matter if you’re being hospitalised due to sudden sickness or due to an accident, your admission will be covered by Generali.

Unfortunately, if you already have a pre-existing illness or medical condition that requires you to be admitted to a hospital, you won’t be covered by the medical card.

What hospitalisation services are being covered?

If you’re being admitted, the following would be the hospitalisation services that will be covered by the eMedic Plus medical card. And if you want to find out more details on the hospitalisation services, do check out the product disclosure sheets: 1) Deductible 2) Non-deductible

In-patient and Surgical Benefits

  • Hospital room and board
  • Intensive Care Unit (ICU)
  • Hospital supplies and services
  • Surgical fees
  • Anaesthetist fees
  • Operating theatre
  • Prescription medications
  • Diagnostic procedures and physiotherapy
  • Physician/specialist visits
  • Ambulance fees
  • Daily allowance for hospitalisation due to accident
  • Daily allowance for hospitalisation in ICU

Out-patient Benefits

  • Daycare surgical procedure
  • Consultations and Diagnostic Procedures (including medications)
  • Post-hospitalisation care and physiotherapy treatment
  • Emergency accidental treatment

What are the types of plans available?

With Generali eMedic Plus, there are four (4) types of plans with different annual limits and you can choose whichever plan, depending on your needs or preferences.

Types of PlansAnnual Limit
Plan 20RM20,000
Plan 50RM50,000
Plan 100RM100,000
Plan 150RM150,000

You can also enjoy the ‘Inflation Defender’ benefit which means at the end of every five (5) policy years, starting from your policy’s date of issuance, your annual limit will increase by 10% of the initial annual limit that you chose. It is subject to a maximum of 50% of the initial annual limit only.

What happens if I don’t make any claims?

There is another one (1) benefit that we would like to highlight which is the No Claim Rewards benefit. If you don’t make any claims for one (1) policy year, you will be rewarded with cash at the end of the policy year.

This reward is tiered and is up to RM60 per year, depending on the type of plan you choose. For better clarity, you can check out the table below:

Types of PlansNo Claim Rewards
Plan 20RM20
Plan 50RM30
Plan 100RM50
Plan 150RM60

And if you’re eligible, Generali will send you the No Claim Rewards through your registered email address. However, please kindly note that the said payment method is subject to change from time to time as determined by Generali.

Deductible and non-deductible per hospitalisation options

With Generali eMedic Plus, you can choose between deductible or non-deductible options.

Deductible means that if you’re being hospitalised, you will need to pay for the first RM1,000 upfront of the total medical expenses charged to you. The remaining balance will then be paid by Generali after deducting the first RM1,000, subject to your annual limit.

For example, your total medical bill is RM10,000 and because you choose deductible, you will pay RM1,000 first and the remaining RM9,000 will be paid by Generali.

Non-deductible on the other hand, is the total opposite whereby Generali will pay the total medical expenses charged to you.

With that said, the deductible option typically comes with lower premiums and the non-deductible with slightly higher premiums.

Is a medical check-up required? When will I get my card and policy documents?

No, you don’t need to do a medical check-up to apply for a Generali eMedic Plus medical card. However, you will need to answer a few health questions upon online application. It’s very simple and it won’t take much of your time!

You should receive your policy documents via email within 7 working days.

Your e-medical card will be available to you via the Customer Portal after you receive your policy documents from us.

Can I use my eMedic Plus medical card immediately?

For accident-related hospitalisation, you can use your medical card immediately. For other medical conditions, there is a 30-day waiting period before you can use your card. And for other specified illnesses such as cancer, high blood pressure or diabetes, there is a 120-day waiting period.

Click to read the Policy Contract (Deductible)

Click to read the Policy Contract (Non-deductible)

Click to read the Frequently Asked Questions (FAQs)

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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