GREAT Pro Medical | Cashless Supplemental Outpatient and Inpatient Health Insurance

A. Inpatient Insurance

● Inpatient Benefits

• Benefits of Reimbursement for Inpatient Hospitalization Costs
• Intensive Care Unit Cost Reimbursement Benefits including Isolation Room/Intermediary Room/NICU/PICU/Semi ICU
  

● Benefits of Surgical Procedures

• Benefits of surgical procedures (incisions, cuts and stitches)
  
• Electrocautery, cryocautery, procedures using laser light
  

● Medical Expense Reimbursement Benefits

• General Practitioner Visit Reimbursement Benefits
  
• Specialist Doctor Visit Reimbursement Benefits
  
• Benefits of Reimbursement for Various Hospital Treatment Costs
• Ambulance Reimbursement Benefits

● Outpatient Insurance Benefits

• Pre-Hospitalization Reimbursement Benefits
  
• Post-Hospitalization Reimbursement Benefits

● Other Additional Insurance Benefits

• Benefits of Care by a Private Nurse in a Hospital
• Emergency Dental Care Benefits due to Accidents (without Hospitalization)
• Benefits of Emergency Outpatient Care due to Accidents (without Hospitalization)
• Benefits of One Day Surgery
• Benefits of Pregnancy Complications Treatment (with Hospitalization)
• Benefits of Replacement Compensation

● Death Benefit

• only for Bronze and Silver plans

B. Outpatient Insurance

If the Customer chooses Outpatient Benefits, here are some actions that can be covered by insurance:

• Benefits of Doctor Consultation Fees
• Benefits of Drug Costs
• Benefits of Diagnostic and Laboratory Test Costs
• Benefits of Physiotherapy Costs
• Benefits of Preventive Care Including Vaccination and Contraception
• Benefits of Administration
• For the payment of the Additional Outpatient Benefits mentioned above, the Self-Dependent provisions apply as stated in the Additional Outpatient Benefits Table.
• Customers can use the Cashless or Reimbursement health insurance mechanism to obtain this Additional Outpatient Benefit.

C. Dental Health Insurance

If the Customer chooses the Dental Care Benefit, here is a list of benefits that can be obtained:

● Benefits of Basic Dental Care: 

doctor consultations and basic dental care such as fillings and x-rays.

● Benefits of Gum Care:

treatment for nerves and infections.

● Benefits of Preventive Care

dental maintenance such as scaling.

● Benefits of Complex Treatment

tooth extraction and abscess treatment

● Benefits of Dentures

making new or damaged teeth.

GREAT Pro Medical Additional Insurance Terms & Conditions

1. Insured Entry Age: 1 month - 65 years¹ 
2. Currency: Rupiah
   
3. Minimum Amount of Coverage: As stated in the table of Inpatient, Outpatient and Dental Care Benefits
4. Waiting Period: 30 (thirty) calendar days
5. Underwriting Requirements: Simple Health Questions / SIO²

1 Age is defined as the next birthday.
2 Specifically for bronze and silver plans

Cashless Health Insurance

With cashless health insurance , you can receive outpatient and inpatient medical care without having to pay any upfront costs. You and your family can enjoy hospital services and focus on healing without worrying about costs.

Individual and Family Outpatient and Inpatient Insurance

GREAT Pro Medical, a supplemental insurance plan, provides comprehensive additional protection for both individuals and families, including parents, spouses, and children. With this inpatient and outpatient health insurance, your entire family will have access to a variety of additional medical treatments. Get GREAT Pro Medical supplemental insurance with GREAT Pro Solution Insurance to complete your protection against various risks, such as accidents.

Supplemental Health and Dental Insurance FAQs

●  What is additional insurance?

• Supplemental insurance is a type of insurance that complements your primary insurance with additional benefits, such as outpatient and inpatient health insurance, as well as dental insurance. This insurance product helps you get more comprehensive protection tailored to your and your family's needs.

●  Is there insurance that covers outpatient care?

• Benefits of surgical procedures (incisions, cuts and stitches)
  
• Electrocautery, cryocautery, procedures using laser light
  

●  What is inpatient insurance?

• Inpatient insurance covers the costs of hospitalization when you need to stay in a hospital for treatment or other medical care. Covered expenses include room and boarding costs, nursing care, and other medical procedures.

●  What is the difference between outpatient and inpatient care?

• Outpatient care is medical care that doesn't require a hospital stay, such as doctor's consultations and tests. Meanwhile, inpatient care requires a patient to stay overnight in the hospital for more intensive care.

●  Is hospitalization covered by BPJS?

• Yes, BPJS covers inpatient costs, but with certain limitations, such as room type and facilities. For broader protection and convenience, supplemental health insurance like GREAT Pro Medical from Great Eastern Life Indonesia could be an option for your well-being.

●  What is Cashless in insurance?

• Cashless insurance means you no longer need to pay for treatment costs upfront because these costs will be directly covered by the insurance company.

●  What diseases require hospitalization?

• There are several diseases that require hospitalization because they can be contagious or require intensive care, such as diarrhea or dysentery, heart disease, kidney failure, serious infections such as those of the lungs and blood, and major surgery.

●  Can toothache be covered by insurance?

• Yes, GREAT Pro Medical's dental health insurance covers dental care, including consultations, nerve care, tooth extractions, scaling, dentures, and other treatments.
  
  

●  Are dentures covered by insurance?

• Yes, the procedure of installing dentures can be covered by health insurance, for example GREAT Pro Medical.

Get additional Great Pro Medical insurance with Asuransi GREAT Pro Solution.