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Health Insurance

Provide coverages for medical, surgical and hospitalization expenses

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Health is wealth and AYA SOMPO’s Health Insurance brings you guaranteed protection from medical and health uncertainties. Protect your financial savings and safeguard yourself and your loved ones from unforeseen risks of illness and diseases.
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Hospitalization and Death Benefits

Coverage for death benefit and hospital expenses

Surgical Procedure and Miscarriage

Coverage for surgical expenses and miscarriage

Outpatient Benefit (OPD*)

Coverage for Outpatient Treatments at clinics or hospitals which do not require admission of patient *OPD – outpatient department

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CRITICAL ILLNESS

  • Heart Attack
  • Stroke (Permanent)
  • Cancer (Life Threatening)
  • Heart Valve Repair or Replacement
  • Renal Failure
  • Coronary Artery Bypass Surgery
  • Severe Burns
  • Coma
  • Major Organ Transplant
  • Bacterial Meningitis
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Choose from the following 4 types of health plans to suit your needs!

  • MediCare Classic
  • MediCare Classic+ (incl. additional coverage)
  • MediCare Premium
  • MediCare Premium+ (incl. additional coverage)
Individual Plan (Figures In MMK)
MediCare Classic MediCare Classic+ MediCare Premium MediCare Premium+
Hospital cash Daily (Max 60days)
50,000 		Hospital cash Daily (Max 60days)
50,000 		Hospital cash Daily (Max 60days)
100,000 		Hospital cash Daily (Max 60days)
100,000
Death Benefit
5,000,000 		Death Benefit
5,000,000 		Death Benefit
10,000,000 		Death Benefit
10,000,000
Out-Patient Department (OPD)
UP to 50,000 		Out-Patient Department (OPD)
UP to 50,000 		Out-Patient Department (OPD)
UP to 100,000 		Out-Patient Department (OPD)
UP to 100,000
Surgical cash
500,000 		Surgical cash
500,000 		Surgical cash
500,000 		Surgical cash
500,000
Miscarriage
300,000 		Miscarriage
300,000 		Miscarriage
300,000 		Miscarriage
300,000
Critical illness (6-60 age)
5,000,000 		Critical illness (6-60 age)
10,000,000
Corporate Plan (Figures In MMK)
MediCare Classic MediCare Classic+ MediCare Premium MediCare Premium+
Hospital cash Daily (Max 60days)
50,000 		Hospital cash Daily (Max 60days)
50,000 		Hospital cash Daily (Max 60days)
100,000 		Hospital cash Daily (Max 60days)
100,000
Death Benefit
5,000,000 		Death Benefit
5,000,000 		Death Benefit
10,000,000 		Death Benefit
10,000,000
Out-Patient Department (OPD)
UP to 50,000 		Out-Patient Department (OPD)
UP to 50,000 		Out-Patient Department (OPD)
UP to 100,000 		Out-Patient Department (OPD)
UP to 100,000
Surgical cash
500,000 		Surgical cash
500,000 		Surgical cash
500,000 		Surgical cash
500,000
Miscarriage
300,000 		Miscarriage
300,000 		Miscarriage
300,000 		Miscarriage
300,000
Critical illness (6-60 age)
5,000,000 		Critical illness (6-60 age)
10,000,000
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  • Any individuals, or Corporate Employees, between 6 to 60 years of age. A parent or guardian is required if to be insured is between 6 to 18 years of age.
  • Medical Checkup is required if purchased unit is above 4 units or insured age is above 50 for Critical Illness Additional Coverage.
Individual Plan (Figures in MMK)
MediCare Classic MediCare Classic + MediCare Premium MediCare Premium +
6-30 Age
115,500 		6-30 Age
159,500 		6-30 Age
214,500 		6-30 Age
302,500
31-40 Age
132,000 		31-40 Age
209,000 		31-40 Age
247,500 		31-40 Age
401,500
41-50 Age
148,500 		41-50 Age
269,500 		41-50 Age
280,500 		41-50 Age
522,500
51-60 Age
203,500 		51-60 Age
390,500 		51-60 Age
390,500 		51-60 Age
764,500
61-75 Age
368,500 		61-75 Age
720,500
MediCare Classic

6-30 Age
115,500

31-40 Age
132,000

41-50 Age
148,500

51-60 Age
203,500

61-75 Age
368,500

MediCare Classic +

6-30 Age
159,500

31-40 Age
209,000

41-50 Age
269,500

51-60 Age
390,500

MediCare Premium

6-30 Age
214,500

31-40 Age
247,500

41-50 Age
280,500

51-60 Age
390,500

61-75 Age
720,500

MediCare Premium +

6-30 Age
302,500

31-40 Age
401,500

41-50 Age
522,500

51-60 Age
764,500

Corporate Plan (Figures in MMK)
MediCare Classic MediCare Classic + MediCare Premium MediCare Premium +
6-30 Age
110,200 		6-30 Age
152,200 		6-30 Age
204,700 		6-30 Age
288,700
31-40 Age
125,700 		31-40 Age
198,700 		31-40 Age
235,700 		31-40 Age
381,700
41-50 Age
141,200 		41-50 Age
256,200 		41-50 Age
266,700 		41-50 Age
496,700
51-60 Age
193,700 		51-60 Age
371,200 		51-60 Age
371,700 		51-60 Age
726,700
61-75 Age
350,200 		61-75 Age
684,700
MediCare Classic

6-30 Age
110,200

31-40 Age
125,700

41-50 Age
141,200

51-60 Age
193,700

61-75 Age
350,200

MediCare Classic +

6-30 Age
152,200

31-40 Age
198,700

41-50 Age
256,200

51-60 Age
371,200

MediCare Premium

6-30 Age
204,700

31-40 Age
235,700

41-50 Age
266,700

51-60 Age
371,700

61-75 Age
684,700

MediCare Premium +

6-30 Age
288,700

31-40 Age
381,700

41-50 Age
496,700

51-60 Age
726,700

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Policy Term
Maximum policy term 1 year (Renewable on annual basis)

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  • Pre-existing diseases
  • Normal delivery, surgery and hospitalization due to pregnancy, insanity, mental illness
  • Hospital visits for medical checkup purpose
  • Hospitalization and having surgery to procreate
  • Illegal abortion and/or induced miscarriage
  • Dental treatment except due to accident
  • Eye treatment except due to accident
  • Cosmetic/plastic surgery
  • Hearing implant
  • Infirmity
  • Drug abuse
  • Crimes
  • HIV/AIDS
  • Vandalizing, protect and war and war-like terrorism
  • Fraudulent requests
  • Suicide
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What documents are needed to insure?

  • Completed Proposal form
  • Complete Checklist Items Submission
  • Medical Checkup Record (if necessary)
  • Copy of NRC (for individual)
  • Copy of Company Registration & Dominant Shareholder Information (For Company)

Are there any exclusions in a Health Insurance Plan?

Yes, please refer to the Policy Exclusions as stated in the Health Product Exclusions.

Who is responsible to pay the ineligible expenses upon discharge?

The policyholder has to pay.

Do I need to go for any medical examination?

Yes, your application will be assessed based on the health declaration made by you.
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Digital Services

Easy for you to access your insurance policy via our digital platform
My AYASOMPO
E-Payment
E-Claim
Premium Calculator
Booking An Appointment
Location Map

Key benefits

Wide Choices

Of private and restructured hospitals, ward classes and doctors, to manage your health care needs, as well as costs. Among solutions, AYA SOMPO Health Insurance protects you from unexpected, high medical costs. You must consider investing in a high-quality plan to cover your medical needs. We provide a wide range of choice with easy access to purchase health insurance plan including Critical Illness & Micro Health Insurance.

Hassle-free Claims

Enjoy our hassle-free process when making health claims. Fast and reliable claims give you a sense of calm to focus on your recovery.

Easy Renewability

Benefits of having our health insurance, a renewable term on our policy provides peace of mind for the possibility of a worst-case scenario. We offer easy, simple and guaranteed renewability.

Download center

Checklist
ProposaL
Critical Illness Checklist
Claim Information Checklist
Endorsement Request Form
Cancellation Request Form

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