Group MediCare

Take care of your employees' health with MediCare Insurance

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Key benefits

1. Cover for both illnesses and accidents

2. Full cover for surgery, organ transplant, home nursing, day care treatment, local ambulance service and domestic medical emergency evacuation

3. No limit on hospital services or the number of hospitalisation days

4. No waiting period for special disease

5. Transparent, fast and fair claims procedure

We have got your needs covered

Hospital Services	Plan M4 - Diamond (VND)	Plan M3 - Gold (VND)	Plan M2 - Silver (VND)	Plan M1 - Bronze (VND)
Hospital Services Overall Annual Limit	1,000,000,000	500,000,000	250,000,000	120,000,000
All Hospital Services including surgeon fee, operation room, surgical appliances, investigations, nursing and hospital charges, etc	Fully covered	Fully covered	Fully covered	Fully covered
Room and Board – per day	4,000,000	2,500,000	1,500,000	1,000,000
Intensive Care Unit – per day	15,000,000	6,000,000	4,000,000	2,500,000
Companion Bed – per day  (accompanied dependent child below 18, maximum 10 days/year)	1,000,000	Not applicable	Not applicable	Not applicable
Oncology Treatment Treatment given for cancer received as an In-patient or Day-patient at the Hospital Maximum per policy year	Fully covered	250,000,000	100,000,000	50,000,000
Day Case Treatment Admitted to a Hospital bed but does not stay overnight Maximum per policy year	Fully covered	Fully covered	Fully covered	Fully covered
Local Ambulance Services The medically necessary road ambulance transportation services to and from a local Hospital	Fully covered	Fully covered	Fully covered	Fully covered
Organ Transplant In respect of kidney, heart, liver and bone narrow transplants Maximum per Sickness or Injury	Fully covered	Fully covered	Fully covered	Fully covered
Pre and Post Hospitalisation Treatment Outpatient expenses incurred within 30 days before admission & 90 days following hospital discharge Maximum per hospitalisation	20,000,000	10,000,000	8,000,000	6,000,000
Emergency Ward Treatment Services performed in a Hospital casualty ward or emergency room for a period of not more than 24 hours	Fully covered	15,000,000	10,000,000	6,000,000
Nursing at Home Maximum 182 days per policy year	Fully covered	Fully covered	Fully covered	Fully covered
Emergency Dental Treatment Immediately following an accident and the teeth repaired must have been sound and natural Maximum per policy year	50,000,000	20,000,000	Not applicable	Not applicable
AIDS/HIV occurring during the Period of Insurance of this Policy, including the subsequent renewal year(s) and manifests itself after five years of continuous coverage under the Policy from the first Effective Date	10% of Annual Overall Limit/lifetime	Not applicable	Not applicable	Not applicable
Emergency Medical Evacuation/Repatriation	Fully covered	Fully covered	Fully covered	Fully covered
Repatriation of Mortal Remains	Fully covered	Fully covered	Fully covered	Fully covered
Medical/Legal information and assistance	24-hour access	24-hour access	24-hour access	24-hour access

Outpatient Services	O4 (VND)	O3 (VND)	O2 (VND)	O1 (VND)
Outpatient Annual Overall Limit	30,000,000	20,000,000	15,000,000	10,000,000
General Outpatient Services	Fully covered	Fully covered	Fully covered	Fully covered
Specialist Outpatient Services	Fully covered	Fully covered	Fully covered	Fully covered
Laboratory and x-ray Services (upon referral)	Fully covered	Fully covered	Fully covered	Fully covered
Prescribed Drugs (upon referral)	Fully covered	Fully covered	Fully covered	Fully covered
Chinese Herbalist, Bonesetter & Acupuncture (Limit per visit, maximum 10 visits per policy year)	300,000 per visit limit	200,000 per visit limit	150,000 per visit limit	150,000 per visit limit
Physiotherapy and Chiropractor Treatment (upon referral) (Limit per visit, maximum 15 visits per policy year)	600,000 per visit limit	400,000 per visit limit	300,000 per visit limit	200,000 per visit limit

Dental Services	O4 (VND)	O3 (VND)	O2 (VND)	O1 (VND)
Dental Overall Annual Limit	10,000,000	10,000,000	10,000,000	10,000,000
Routine Oral Examination (including scaling & polishing) (once per year, maximum per policy year)	2,000,000	2,000,000	2,000,000	2,000,000
Basic Dental Services (Extraction, amalgam fillings, x-rays, periodontal scaling)	Fully covered	Fully covered	Fully covered	Fully covered
Major Dental Services Removal of impacted, buried or unerupted teeth, Root Canal Treatment, Removal of Solid Odonomes, Apicectomy	Fully covered	Fully covered	Fully covered	Fully covered

Maternity Care	O4 (VND)	O3 (VND)	O2 (VND)	O1 (VND)
Maternity Overall Annual Limit	40,000,000	40,000,000	40,000,000	40,000,000
Pre-natal, postnatal services, cost of delivery including all hospital and profession fees and up to 30 days for new-born baby care (subject to 12 months waiting period)	Fully covered	Fully covered	Fully covered	Fully covered

¹ Available when applying together with optional outpatient and subject to 20% co-payment

² Available when applying together with Hospitalisation Plan

Important information

Expand All Collapse All

Insured persons

Full-time employees
Dependents of employees, including spouses and children

Age of inception

New members: from 15 days up to 64 years old
Renewal members: maximum 74 years old

Minimum number of insureds

Plan M1 & M2: 20 members
Plan M3 & M4: 2 members

Vietnam

The premium rates are effective from 15 Sept 2015 and are applicable to Occupation I and II and for standard risks
The summary in this brochure supports customers to evaluate the benefits of HealthCare insurance. Reasonable and customary charges will apply to any benefit payment
This insurance policy is only available to Vietnamese citizens and permanent residents in Vietnam, excluding citizens of countries under sanctions or embargoes by the United Nations, the United States of America, the European Union or the United Kingdom
This brochure is for reference only. For complete details of plan benefits, conditions, limitations, and exclusions, please refer to the policy schedule, wording and endorsement (if any), copies of which will be provided upon request.

Resources

form

Application form - Employee

Download

form

Application form - Group

Download

Need to Make a Claim?

Our claims specialists are here to help you every step of the way with fast, responsive support when you need it most.

Report a Claim

Group MediCare

Key benefits

1. Cover for both illnesses and accidents

2. Full cover for surgery, organ transplant, home nursing, day care treatment, local ambulance service and domestic medical emergency evacuation

3. No limit on hospital services or the number of hospitalisation days

4. No waiting period for special disease

5. Transparent, fast and fair claims procedure

We have got your needs covered

Hospital services

Outpatient services

Dental services

Maternity Care

Important information

Resources

Application form - Employee

Application form - Group

Need to Make a Claim?

Group MediCare

Key benefits

1. Cover for both illnesses and accidents

2. Full cover for surgery, organ transplant, home nursing, day care treatment, local ambulance service and domestic medical emergency evacuation

3. No limit on hospital services or the number of hospitalisation days

4. No waiting period for special disease

5. Transparent, fast and fair claims procedure

We have got your needs covered

Hospital services

Hospital services

Optional coverage

Outpatient services

Dental services

Maternity Care

Important information

Eligibility criteria

Area of coverage

Important note

Resources

Application form - Employee

Application form - Group

Need to Make a Claim?