senarai nama 36 jenis penyakit kritikal

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  • 8/12/2019 Senarai Nama 36 Jenis Penyakit Kritikal

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    36 JENIS

    PENYAKIT KRITIKAL

    TYPES OF CLAIMS DOCUMENTS REQUIRED

    Critical Illness

    1) Original certificate/polic contract!) "ertifie# cop of In$%re# / Life A$$%re# / Per$on "o&ere# / Participant'$ I"3) (octor'$ Stateent an# rele&ant #iagno$tic te$t re$%lt$ or report to $%pport t*e #iagn

    +Plea$e refer Ta,le 1 - A##itional Re.%ireent$ for "ritical Illne$$ clai)) "ritical Illne$$ clai for0) "on$ent letter for e#ical report etraction6) Ot*er $%pporting #oc%ent +if applica,le)7) SALINAN KAD PENGENALAN YG DISAHKAN BENAR OLEH MAJIKAN

    Hospital Beneit

    1) 2o$pital an# S%rgical "lai or / (i$c*arge 4e#ical or

    !) 4e#ical report coplete# , atten#ing #octor +for clai ao%nt ore t*anR4055)

    3) (i$c*arge note or $%ar it* #iagno$i$+for clai ao%nt le$$ t*an R405) "ertifie# cop of in7patient e#ical ,ill0) Ot*er $%pporting #oc%ent$ +if applica,le)6) SALINAN KAD PENGENALAN YG DISAHKAN BENAR OLEH MAJIKAN

    Note: The items listed served as the guidelines for claims submission. The Company reserves the right to request for furth

    information or documents deemed necessary8

    Ta!le " # A$$itional Re%&ire'ents For Critical Illness Clai'

    SILA IKUT ARAHAN, LENGKAPKAN BORANG BERSAMA SALINAN

    DOKUMEN & KAD PENGENALAN YG DISAHKAN BENAR OLEH

    MAJIKAN/DOKTORJIKA TIDAK BORANG TUNTUTAN AKAN

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    Critical Illness A$$itional Re%&ire$ Me$ical E(i$ence

    Stro9e 18 "T Scan / 4RI of :rain report!8 (octor'$ Stateent to ,e coplete# , "on$%ltant Ne%rologi$t +for c%rre

    con#ition at lea$t 6 ont*$ after t*e $tro9e)

    2eart Attac9 18 "ar#iac En;e$ A$$a re$%lt$ +"K74:)!8 Electrocar#iograp* report +E" *i$tolog repo%linant ?iral 2epatiti$ 18 "T Scan report of Li&er

    !8 Li&er %nction Te$t re$%lt$38 An ot*er la,orator or pat*olog report$

    "oa 18 4e#ical receipt for t*e %$age of life $%pport +Ogen)!8 (octor'$ Stateent to ,e coplete# , "on$%ltant Ne%rologi$t

    :enign :rain T%o%r 18 "T Scan / 4RI of :rain report!8 2i$topat*olog/,iop$ report

    Paral$i$ / Paraplegia 18 @7ra / "T Scan / 4RI report= if a&aila,le!8 (octor'$ Stateent to ,e coplete# , "on$%ltant Ne%rologi$t

    :lin#ne$$ / Total Lo$$ of Sig*t 18 ?i$%al Ac%it report on ,ot* ee$ to ,e #one , an op*t*alologi$t

    !8 (octor'$ Stateent to ,e coplete# , an Op*t*alologi$t(eafne$$ / Total Lo$$ of 2earing 18 A%#ioetr te$t an# So%n# T*re$*ol# te$t re$%lt$

    4aor :%rn$ 18 Total :o# S%rface A$$e$$ent report

    En# Stage L%ng (i$ea$e 18 P%lonar %nction te$t!8 E? 1 te$t38 Rele&ant e#ical report$

    Encep*aliti$ 18 "T Scan / 4RI of :rain!8 (octor'$ Stateent to ,e coplete# , "on$%ltant Ne%rologi$t

    4aor Organ / :one 4arro

    Tran$plant

    18 S%rger report

    Angiopla$t an# Ot*er In&a$i&eTreatent$ for 4aor "oronar Arter

    (i$ea$e

    18 "oronar Angiogra report !8 S%rger report

    Lo$$ of Speec* 18 4e#ical e&i#ence fro ENT $peciali$t to confir illne$$ or in%r to &ocacor#$

    !8 (octor'$ Stateent to ,e coplete# , $peec* pat*ologi$t / t*erapi$t

    :rain S%rger 18 :rain S%rger report

    2eart ?al&e S%rger 18 2eart ?al&e S%rger report

    Terinal Illne$$ 18 All rele&ant in&e$tigation re$%lt in $%pport of t*e #iagno$i$

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    Critical Illness A$$itional Re%&ire$ Me$ical E(i$ence

    :acterial 4eningiti$ 18 "T Scan / 4RI of :rain > Spine

    4aor 2ea# Tra%a 18 (etaile# e#ical a$$e$$ent fro atten#ing #octor!8 "T Scan / 4RI of :rain38 Police report= if an

    Ot*er Serio%$ "oronar Arter

    (i$ea$e

    18 "oronar Angiogra report

    "*ronic Apla$tic Anaeia 18 :one 4arro A$piration!8 :loo# te$t report

    4otor Ne%ron (i$ea$e 18 All in&e$tigation report$

    Par9in$on'$ (i$ea$e 18 (etaile# e#ical a$$e$$ent incl%#ing Acti&itie$ of (ail Li&ing fro"on$%ltant Ne%rologi$t

    4%$c%lar ($trop* 18 (iagno$tic te$t re$%lt!8 (octor'$ Stateent to ,e coplete# , "on$%ltant Ne%rologi$t

    S%rger to Aorta 18 Aorta S%rger report

    4%ltiple Sclero$i$ 18 Op*t*alologi$t'$ report!8 "T Scan > 4RI report of :rain > Spine

    38 (octor'$ Stateent to ,e coplete# , "on$%ltant Ne%rologi$t4e#%llar "$tic (i$ea$e 18 A,#oinal Bltra$o%n# or A,#oinal "T Scan

    !8 Renal ,iop$ report38 Brine Specific