dynamic-content-widget-fcc4442-1 - AYA SOMPO Insurance

Available Coverage
MediCare Classic	MediCare Premium
MediCare Classic +	MediCare Premium +

MediCare Classic
Eligible Person (Age)	Insurance Coverage	Benefits (MMK)
6 to 75 years	Hospital Cash daily (Maximum 60 days)	50,000
	Death benefit	5,000,000
	OPD (1 year)	Up to 50,000
	Surgical cash	500,000
	Miscarriage	300,000
MediCare Classic⁺
Eligible Person (Age)	Insurance Coverage	Benefits (MMK)
6 to 60 years	Hospital Cash daily (Maximum 60 days)	50,000
	Death benefit	5,000,000
	OPD (1 year)	Up to 50,000
	Surgical cash	500,000
	Miscarriage	300,000
	Critical Illness Disease Treatment	5,000,000
MediCare Premium
6 to 75 years	Hospital Cash daily (Maximum 60 days)	100,000
	Death benefit	10,000,000
	OPD (1 year)	Up to 100,000
	Surgical cash	500,000
	Miscarriage	300,000
MediCare Premium⁺
6 to 60 years	Hospital Cash daily (Maximum 60 days)	100,000
	Death benefit	10,000,000
	OPD (1 year)	Up to 100,000
	Surgical cash	500,000
	Miscarriage	300,000
	Critical Illness Disease Treatment	10,000,000

Policy Term 1 year from the date of premium

Renewal Period	First Year	Second Year Onward
Health Bonus %	10%	5%

Table of Benefits (in MMK)	AYA HEALTH
Table of Benefits (in MMK)	PLUS	PRO	PRESTIGE	PRIME
Maximum Benefit PRIME Plan only : Additional Limit of up to 44,000,000 MMK, applies to Thailand Zone	11,000,000	11,000,000	11,000,000	11,000,000
Medical and Hospital Benefits	Benefits up to	Benefits up to	Benefits up to	Benefits up to
Ambulance Services	165,000	165,000	165,000	165,000
Hospitalization Costs Accommodation in a standard single-bedded room and meals: Medical Treatment and services ordered by a Physician, including: Surgeon’s and Anesthetist’s charges Physician, Consultant and Nursing charges Diagnostic Procedures (including CT, MRI and PET scans) Surgical Appliances and Prostheses Medicines, Drugs and Dressings Intensive Care Day-Care	Full Refund	Full Refund	Full Refund	Full Refund
Post-Hospitalization Treatment	Nil	Nil	Nil	Nil
Chronic Conditions
First Onset	11,000,000	11,000,000	11,000,000	11,000,000
Ongoing Management	5,500,000	5,500,000	5,500,000	5,500,000
Maternity Cover (10 Months Waiting Period) Pre-Natal Examinations by a Physician All costs of Normal Childbirth or C-Section (elective or non-elective) Post-Natal Examinations by a Physician	Nil	Nil	Nil	1,100,000
Thailand Zone
Hospitalization Costs	Nil	Nil	Nil	44,000,000
Transportation Costs				2,200,000
Transportation Costs for Treatment not available in the Geographic Area				5,500,000
Additional Deductible for Treatment outside the Geographic Area				55,000
Outpatient Benefits	Benefits up to	Benefits up to	Benefits up to	Benefits up to
Physicians fees, Prescription Drugs and Dressings Specialist and Consultant Fees Diagnostic tests, medical scanning and imagery services	220,000	440,000	660,000	660,000
Optical Care One annual Vision test Glasses Glaucoma Test for Participants over 45 years	Nil	Nil	Nil	220,000
Dental Care Benefits	Benefits up to	Benefits up to	Benefits up to	Benefits up to
Dental Treatment Dental Surgery	Nil	Nil	Nil	220,000
Personal Accident Benefits	Benefits up to	Benefits up to	Benefits up to	Benefits up to
Accidental Death Loss of Sight or Loss of Limb Permanent Total Disablement	11,000,000	11,000,000	11,000,000	11,000,000

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