Takaful Health2

Takaful Health2

It pays to stay healthy and now get more value from your medical plan.

We were there for you when you needed us and rewarded you for staying healthy. That's the promise we kept. Now, we are extending the benefits to offer you more value for your medical plan. Taking into consideration that medical cost keeps escalating due to advanced treatments and upgraded facilities, we have created an innovative plan that will enable you to receive the best medical care you need from the finest facility.

Here are some frequently asked questions to help you understand our product better. What is Takaful Health2? Takaful Health2 is a regular contribution medical rider plan that reimburses major medical expenses incurred in the event of hospitalisation, surgery or outpatient treatment. This plan also rewards certificate holders with No Claim Bonus (NCB) for those who do not make any claims for the year. You may choose between co-Takaful or deductibles of RM3,000 or RM10,000. Who is entitled for Takaful Health2? This plan is available to individuals aged 1 to 70* years old who participate in any of our PruBSN Link Series plan. * Entry age depends on your choice of expiry age The medical plan for you - HIGHER and BETTER  Continue to enjoy NO CLAIM BONUS We give you annual bonuses1 of up to RM500 if you do not make any claim for the year2. Stay healthy and you will get more benefits for your effort. COMPREHENSIVE coverage for hospitalisation and surgical bills Takaful Health2 gives you complete peace of mind. It provides you with comprehensive medical coverage in the event of hospitalisation, surgery or outpatient treatment. HIGHER Room & Board Benefit Enjoy higher daily room & board benefit with Takaful Health2. Now, our benefit1 starts from RM150 daily for an Overall Annual Limit of RM50,000. Choice of CO-TAKAFUL or DEDUCTIBLES Apart from co-Takaful, Takaful Health2 now comes with two additional options of deductibles. Choose between deductibles of RM3,000 or RM10,000 to suit your individual medical plan. Include this with TH Retirement3 and it will automatically switch the deductible amount to co-Takaful when you reach 55 years old. Not only will it make your plan more affordable, it also gives you additional protection when you need it the most - during your retirement. EXTENDED coverage up to AGE 100 This comprehensive Takaful medical plan covers you up to age4 25, 70, 80 or 100. This comprehensive Takaful medical plan covers you up to age 25, 70, 80 or 100. 1 Amount depends on type of plan chosen 2 Refers to certificate year 3 Attachment of additional benefits is subject to underwriting and additional contribution 4 The expiry age of Takaful Health2 cannot be higher than your PruBSN Link Series plan. We give you MORE OVERSEAS treatment With TH Overseas5, you have the option to obtain medical treatment for five types of covered conditions in Singapore, Hong Kong, China and India. Option to WAIVE annual claim limits FOR ALL PLANS Our TH Annual Limit Waiver5 is now open to all Takaful Health2 plans. By taking this option, you don't have to worry if your annual medical bills exceed your annual claims limit6. AUTO UPGRADE to a higher plan We will automatically upgrade your Takaful Health2 plan twice7 regardless of your health condition and any previous medical claims you may have made when you attach TH Auto Upgrade5. This upgrade will follow the terms and conditions at the start of or as and when it is attached to your Takaful Health2 plan. 5 Attachment of additional benefits is subject to underwriting and additional contribution 6 Total benefits payable cannot exceed your Lifetime Limit 7 On the 5th and 10th rider anniversary to the next benefit level How much contribution do I need to pay? The contribution that you pay for your Takaful Health2 plan is determined by your age, occupation class and plan type, subject to underwriting. The contributions are payable throughout the duration of the plan. Please refer to the brochure for details. I'm healthy. Why should I take Takaful Health2? That's why it pays to stay healthy. With Takaful Health2, we will reward you with an NCB if you do not make any claims for the year. The NCB will be used to buy additional units for your Investment Unit Account (IUA). The higher the plan that you choose the bigger the NCB that awaits you. Below is an example of the NCB calculation for a 30-year old male certificate holder under TH2 Plan200 with an annual contribution of RM1,032. Year Annual Contribution (RM) Any Claims Made? Quality For NCB Amount of NCB for certificate year (RM) 1 1,032 No Yes 300 2 1,032 Yes No - 3 1,032 No Yes 300 4 1,032 No Yes 300 5 1,032 Yes No - Medical costs are increasing. How can Takaful Health2 assist me? Why limit the amount that you can claim within a year? Attach8 TH Annual Limit Waiver to any of your Takaful Health2 plan and we will waive the annual limit. Now, you don't have to worry about any unexpected large medical payments. When you attach TH Annual Limit Waiver, claim amounts exceeding the annual limit will be subjected to a co-Takaful amount of 10%. We also provide you with another option. Attach8 TH Auto Upgrade and your Takaful Health2 plan will automatically upgrade on the 5th and 10th rider anniversary. Certificate Year Plan Year 11 onwards TH2 Plan250 TH2 Plan300 TH2 Plan400 TH2 Plan500 TH2 Plan600 Year 6 to 10 TH2 Plan200 TH2 Plan250 TH2 Plan300 TH2 Plan400 TH2 Plan500 Year 1 to 5 TH2 Plan150 TH2 Plan200 TH2 Plan250 TH2 Plan300 TH2 Plan400 8 Attachment of additional benefits is subject to underwriting and additional contribution Can I seek treatment overseas? If you receive medical treatment overseas under your Takaful Health2 plan, the benefits are paid according to the costs of treatment that would be reasonably charged by a hospital in Malaysia. No benefit will be paid if you reside overseas for more than 90 days per trip. However, the 90 days restriction on overseas residence will not be applicable to TH Overseas when attach9 to your Takaful Health2 plan. With this rider, you have the option to seek medical treatment or advice in Singapore, Hong Kong, China or India. Reimbursement of medical expenses shall also be based on the reasonable and customary charges of that country. We only cover the following conditions: Surgery related to cancer Neurosurgery Coronary artery bypass surgery Heart valve surgery Organ transplant (kidney, lung, liver, heart, pancreas and bone marrow transplant) In the event of a covered condition, if you choose to be hospitalised and undergo surgery in Malaysia instead of overseas, a Well-Being Benefit will be payable per admission for every surgery. Certificate holders who claim Well-Being Benefit are no longer eligible to reimburse claims for Hospital & Surgical Benefits and Out-patient Treatment Benefits for that particular covered condition under the TH Overseas benefit. You may claim Well-Being Benefit for multiple admissions for surgery on covered conditions in Malaysia, and claim for local medical treatment under Takaful Health2 is based on reasonable and customary charges. Below is the table of benefits for TH Overseas: Plan THO Gold THO Platinum A. Hospital and Surgical Hospital Daily Room & Board Benefit (120 days per year) Intensive Care Unit (30 days per year) Surgical Benefit In-hospital & Related Service Benefit As Charged B. Outpatient Treatment Pre-hospitalisation Treatment Benefit (within 30 days before hospitalisation) Post-hospitalisation Treatment Benefit (within 90 days after hospital discharge) Home Nursing Care Benefit (180 days per lifetime) Day Surgery Benefit Cancer Treatment As Charged Well-Being Benefit RM5,000 RM10,000 Overall Annual Limit RM200,000 RM400,000 Lifetime Limit RM2,000,000 RM4,000,000 9 Attachment of additional benefits is subject to underwriting and additional contribution How does Takaful Health2 work? Takaful Health2 is a rider attached to PruBSN Link Series. It is based on the Wakalah Bil Ajr model where we put your contribution into your account after we take a portion of it as a Wakalah charge. This is a fee for the services we provide. We will deduct Tabarru' from your account into the Tabarru' Fund and use it to support other participants in times of need. What are the charges involved in Takaful Health2? The details of the Wakalah and other charges are listed in the table below. The type of charges Details of charges Upfront Wakalah charge This charge consists of commission and distribution related expenses as well as management expenses. The percentage10 below is based on your protection contribution11. Certificate Year Percentage of contribution 1 2 3 4 5 & 6 7 & above 60% 60% 50% 30% 20% 0% Tabarru' We deduct an amount monthly based on your age, gender, health status, occupation (if applicable), amount of coverage and the duration of the coverage. 10 This is the charge for certificates with term of 20 years or more. For certificates with term less than 20 years, it will be reduced accordingly. Please refer to the plan illustration for more detailed information. 11 This is the contribution allocated into your Protection Unit Account (PUA) Would I receive any Surplus from this plan? You are entitled to receive at least 50%12 of the surplus distributed (if any) on a yearly basis. The balance of up to 50%12 is shared with us as an incentive for managing the Tabarru' Fund. 12 The percentage will be decided by the Shariah Committee each year Note: This is a brief product description only. For exact details of terms and conditions, please refer to your certificate document. You should satisfy yourself that this product will serve your needs and that the contribution payable under the certificate is an amount you can afford.