PRUValue Med 1
PRUValue Med 1
Enhanced
All about PRUvalue med
We all know just how crucial medical care is in today’s world and the need for healthcare becomes even more
paramount as we age. With the escalating cost of healthcare, have you ever wondered if you are able to
safeguard yourself against any uncertainty and insufficient savings for healthcare?
Wouldn’t it be great if there is a medical plan that not only promises you a lifetime of assurance for all your
medical needs, but also helps you save with more benefits?
Here are some questions to help you identify your needs in order to select the features that best fit those needs!
YES life
annual time
limit limit
Is there any or
on your existing medical coverage?
2.5 times
higher than the
1 IN 4 Malaysians proportion of deaths from 6 Malaysians are
gets cancer by age 75 1 all cancers combined 2 hit by stroke every hour 3
Source:
1
[Link]
2
[Link]
3
[Link]
Source:
[Link]
In fact, what may seem enough today in one’s medical plan may become insufficient in the future. PRUvalue
med helps you safeguard against rising healthcare costs, and allows you to have peace of mind knowing that you
will have adequate and lifelong protection.
Allows you to enjoy the premiums saved to Provides extension to your existing medical plan as
increase your coverage a safety net for unexpected healthcare costs
OR
MORE value in every way
Read more about Med Saver and Deductible options in this brochure
Example:
Total eligible claims of RM2 million
Med Value Point
RM1.5 million 1st RM1.5 million
• 100% of the total claims will be paid
by Prudential
Subsequent RM500,000
• 80% will be paid by Prudential
• 20% will be borne by policyholder
33 Med Value Point Bonus 44 100% Non-Cancellable
2%
55 More Benefits
Additional benefits on top of what you would expect from a medical plan.
Day Care
Procedure
Save time &
go home Outpatient Cancer &
Kidney Treatment
Take Home Drugs
Consultation Fees
11 Examination Test
Maternity
Complication
Benefits
Emergency
Treatment for Home
Accidental Nursing Care
Injury
All about PRUvalue med
What is PRUvalue med?
PRUvalue med is a regular premium investment-linked medical rider that reimburses medical expenses incurred
in the event of hospitalisation and for outpatient treatment.
d) Pre-hospitalisation Treatment
(within 60 days before hospitalisation)
e) Post-hospitalisation Treatment
(within 90 days after hospital discharge) As Charged 1
f) Home Nursing Care
(up to 180 days per life-time)
g) Day Surgery
h) Day Care Procedure
Other Benefits
Med Value Point Bonus Med Value Point increases at 2% of the initial Med
Value Point at the end of every 2 policy years,
provided no claim has been incurred during the 2
policy years.
Applicable to plans with Hospital Daily Room &
Board of RM300 and above.
1
We shall only reimburse Reasonable and Customary charges on eligible expenses which are deemed Medically Necessary.
2
If Med Saver is chosen, policyholder must first pay a fixed amount equivalent to Med Saver selected out of the total
Reasonable and Customary Charges of eligible benefits, which are Hospital & Surgical Benefits, Outpatient Treatment
Benefits, Maternity Complications Benefits and Emergency Treatment For Accidental Injury (excluding the cost of Hospital
Daily Room & Board and Intraocular Lens) for any one disability.
Otherwise, if Deductible is chosen, policyholder must first pay a fixed amount equivalent to the Deductible selected out of the
total Reasonable and Customary Charges of accumulated eligible benefits, which are Hospital Daily Room & Board, Hospital
& Surgical Benefits, Outpatient Treatment Benefits and Other Benefits within a policy year.
If Med Saver and Deductible are not chosen, the fixed amount shall not apply.
3
Expert Medical Opinion is a value added service that provides second medical opinion from medical experts in various areas
of specialisation. This service is to assist you to learn more about your medical conditions and make an informed decision on
the treatment plans.
Note:
For Overseas Treatment, if the life assured chooses to have or is referred to be treated outside Malaysia, the
benefits for the treatment are limited to the Reasonable and Customary and Medically Necessary charges for
equivalent local treatment in Malaysia and subject to 90 days residence limit.
Med Saver 300
If Med Saver 300 is chosen, you must first pay a fixed amount of RM300 out of the eligible benefits before
Prudential pays for any expenses (excluding the cost of Hospital Daily Room & Board and Intraocular Lens) for
any one disability.
Med Saver 300 applies to Hospital & Surgical Benefits, Outpatient Treatment Benefits, Maternity Complications
Benefit and Emergency Treatment for Accidental Injury Benefit.
Med Saver 300 allows you the flexibility to enjoy premium savings where the premium saved can be used to
enhance your coverage and retirement funds.
He has bought a PRUlink one (with Death and Total & Permanent Disability (TPD) Benefit) attached with Crisis
Shield (with Critical Illnesses Benefit) and PRUvalue med (PVM) on 1 January 2016 with annual premium of
RM5,250 and he has selected an equity fund.
RM1,104
Note:
* Illustration is based on a high projected investment return scenario (i.e. 9% p.a. for the first 20 years and 6% p.a.
thereafter). The projected values are for illustrative purpose only. These values are neither guaranteed nor based on
past performance of the investment-linked funds.
Deductible
What is Deductible?
If Deductible is chosen, you must first pay a fixed amount equivalent to Deductible selected out of the total
accumulated eligible benefits within a policy year, before Prudential pays the rest of the expenses. The costs of
the eligible benefit accumulated for that year will not be carried forward to next year.
If you already have a medical plan with an annual limit equivalent to (or higher than) the Deductible amount, the
eligible expenses in excess of the Deductible selected will be covered by PRUvalue med.
Deductible applies to Hospital Daily Room & Board Benefit, Hospital & Surgical Benefits, Outpatient Treatment
Benefits and Other Benefits.
He is diagnosed with an illness and admitted to a hospital, and incurs a medical bill of RM200,000.
Illustration
Extended coverage
RM50K Deductible RM150K for that policy year
Note:
The above scenario is for illustration purpose only and all benefits are subject to waiting periods. Please refer to Policy
Document for the detailed terms and conditions.
All about PRUvalue med
What is Med Value Point (MVP)?
Claims on eligible benefits will be payable in full (subject to Med Saver, if applicable) up to the initial Med Value
Point. If the total claims exceed the initial Med Value Point plus any accumulated Med Value Point Bonus, we will
still provide continuous coverage up to the expiry age by paying 80% of the total cost of the eligible benefits.
Outpatient Cancer Treatment and Outpatient Kidney Dialysis Benefits will be up to 1.5 times of the chosen Med
Value Point. Claims on Outpatient Cancer Treatment and Outpatient Kidney Dialysis Benefits will be counted as
part of Med Value Point.
We pay RM400,000
(80% of RM500,000)
80%
20%
PRUvalue med with Total claims RM2 million of the James pays RM100,000
MVP RM1.5 million total eligible benefits, which (20% of RM500,000)
exceed the MVP by RM500,000
Illustration
Continuous
RM1.5M MVP RM500K Coverage
Up to Age 80
Fully Paid by
Prudential Prudential pays 80% Customer pays 20%
RM400K RM100K
Note:
The above examples are for illustrative purposes only and all benefits are subject to waiting periods. Please refer to the
Policy Document for the detailed terms and conditions.
All about PRUvalue med
What is Med Value Point Bonus?
For plans with Hospital Daily Room & Board (R&B) of RM300 and above, if you do not incur any claims for 2
policy years, we will reward you with Med Value Point Bonus by increasing your Med Value Point (MVP) at 2% of
the initial MVP at the end of every 2 policy years.
When total claims paid exceed the total Med Value Point plus any accumulated Med Value Point Bonus, no
further Med Value Point Bonus shall be provided even if there are no further claims.
What is non-cancellable?
PRUvalue med is non-cancellable which also means PRUvalue med coverage is guaranteed unless there is fraud
or any circumstance that makes the policy or PRUvalue med voidable or null and void. This depends on all
premiums being duly paid and the policy or PRUvalue med being in force.
Date of Deductible is a facility to match the Deductible reset date1 of PRUvalue med with Deductible with
the annual limit reset date2 of your existing medical plan. By matching the Date of Deductible, you can have a
seamless and uninterrupted coverage with both existing medical plan and PRUvalue med with Deductible.
If you choose PRUvalue med with Deductible and do not provide the Date of Deductible, the Date of
Deductible will be defaulted to PRUvalue med’s effective date (i.e. Date of Annexure).
When Date of Deductible and/or any of PRUvalue med with Deductible’s benefit is amended (i.e. Hospital
Daily Room and Board, Med Value Point, Med Saver/Deductible or Expiry Age), Deductible will restart from
zero and re-accumulate each time from the new effective date and Date of Deductible.
1
The date at which the accumulated Deductible amount resets to zero.
2
The date at which the annual claimable amount resets to the annual limit of the medical plan.
How do I get started with PRUvalue med?
STEP 4
Decide on your
STEP 3 Expiry Age
Decide on your
Hospital Daily
STEP 2 70
Room & Board
Amount
Decide on your
STEP 1 Med Saver or
Deductible Option 80
100 200
Decide on your
NO
Med Value Point
300 400 90
YES
PRUvalue med is available to anyone aged between 14 days to 70 years old on their next birthday.
It is also available to pre-birth child from 18 weeks onwards with a waiting period of 30 days from the date of birth.
The total premium that you have to pay and the policy terms may vary depending on our underwriting require-
ments. You are given one month's grace period after the due date for the payment of premium. The premiums are
payable throughout the duration of the plan up to the chosen expiry age.
We will allocate a portion of the premium to purchase units in the investment-linked fund(s). Any
unallocated amount will be used to pay commissions to agent/wealth planner and other expenses by us. You are
advised to refer to the allocation rates given in the Sales Illustration.
Premiums can be paid yearly, half-yearly, quarterly or monthly via Auto Debit, Credit/Debit Card or
Cash/Cheque.
All about PRUvalue med
What are the waiting periods that I should be aware of?
Note:
This list is non-exhaustive. Please refer to the Policy Document for the full list of terms and conditions under this
product.
What are the key terms and conditions that I should be aware of?
1. Importance of disclosure - when answering any question asked by us, you must disclose all relevant
facts such as medical condition and state your age correctly. If the insurance policy is intended wholly for
your personal purposes, you must take reasonable care to disclose any facts that you know to be relevant to
us and not to mislead us. Your above duty of disclosure continues until the policy is issued.
2. Free-look period - you may cancel your policy by returning the policy within 15 days after the policy has
been delivered to you. We will refund to you the unallocated premiums, the value of units that have been
allocated (if any) at unit price at the next valuation date and any insurance charge, Goods and Services Tax
(if any) and other charges that have been deducted less any medical fee incurred.
3. Cash value - the cash value of the policy depends on the performance of the investment-linked fund(s) you
have chosen. The higher the level of Insurance coverage selected, the more units will be absorbed to pay for
the insurance charges and the fewer units will remain to accumulate cash values under your policy. You
should consider whether the allocation of insurance premiums towards protection and investment meets
your financial circumstances.
4. Policy lapse - The policy will lapse when the value of investment units is insufficient to pay for the
insurance and other charges.
Please note that this is an insurance product that is tied to the performance of the
underlying assets, and is not a pure investment product such as unit trusts.
Exclusions
PRUvalue med does not cover any hospitalisation, surgery or charges caused directly or indirectly, wholly or
partly, by any one of the following occurrences:
1) Pre-existing conditions.
2) Specified Illnesses listed below occurring during the first 120 days from the commencement date of the
rider, the date it is revived, whichever is later.
(a) Hypertension, diabetes mellitus and Cardiovascular disease;
(b) Growths of any kind including tumours, cancers, cysts, nodules, polyps;
(c) Stones of the urinary system and biliary system;
(d) Any disease of the ear, nose (including sinuses) or throat;
(e) Hernias, haemorrhoids, fistulae, hydrocele or varicocele;
(f) Any disease of the reproductive system including endometriosis; or
(g) Any disorders of the spine (including a slipped disc) and knee conditions.
3) Any medical or physical conditions and its signs or symptoms occurring within the first 30 days from
the commencement date of the rider or the date it is revived, whichever is later, except for traumatic
bodily injury caused by an accident.
4) Any neonatal medical or physical conditions including birth trauma (a physical injury sustained by an
infant during birth) occurring within the first 30 days from the commencement date of the rider, the
date it is revived or the date of birth, whichever is latest.
5) Elective cosmetic or plastic surgery except re-constructive surgery necessary to restore function,
hyperhidrosis, circumcision, eye examination for nearsightedness, farsightedness or astigmatism,
visual aids and refraction or surgical correction of nearsightedness (Radial Keratotomy) and the use
or acquisition of external prosthetic appliances or devices such as but not limited to artificial limbs,
hearing aids, cochlear apparatus, external or temporary pacemakers and prescriptions thereof.
6) Dental conditions including dental treatment or oral surgery except as necessitated by Accident to
restore function of sound natural teeth occurring while the Policy and the rider are in force.
7) Private nursing (except for Home Nursing Care Benefit), rest cures or sanitaria care.
8) Drug abuse, addictive disorders from any kind of substance or alcohol use or misuse, under influence of
alcohol, venereal disease and its sequelae, AIDS (Acquired Immune Deficiency Syndrome) or ARC (AIDS
Related Complex) and HIV related diseases, and any communicable diseases required quarantine by law.
9) Any treatment or surgical operation for congenital abnormalities or deformities including hereditary conditions.
10) Pregnancy, child birth (including surgical delivery), miscarriage, abortion and prenatal or postnatal
care and surgical, mechanical or chemical contraceptive methods of birth control or treatment
pertaining to infertility and its complications, with exception to the benefits as provided under the
Maternity Complications Benefits. Erectile dysfunction and tests or treatment related to impotence
or sterilization.
11) Primarily for investigatory purposes, diagnosis, X-ray examination, stem cell therapy, general physical
or medical examinations, not incidental to treatment or diagnosis of a covered Disability or any
treatment which is not Medically Necessary and any preventive treatments, preventive medicines or
examinations carried out by a Physician, and treatments specifically for weight reduction or gain or
bariatric surgery.
12) Suicide, attempted suicide or intentionally self-inflicted injury while sane or insane.
13) War or any act of war, declared or undeclared, criminal or terrorist activities, act of foreign enemies,
active duty in any armed forces, direct participation in strikes, riots, civil commotion, insurrection,
revolution or any war-like operations.
14) Ionising radiation or contamination by radioactivity from any nuclear fuel or nuclear waste from
process of nuclear fission or from any nuclear weapons material.
15) Expenses incurred for donation of any body parts or organ by a Life Assured and acquisition of the
organ including all costs incurred by the donor during organ transplant and its complications.
16) Investigation and treatment of sleep apnoea and snoring disorders, hormone replacement therapy
and alternative therapy such as treatment, medical service or supplies, including but not limited to
chiropractic services, acupuncture, acupressure, reflexology, bonesetting, hyperbaric oxygen therapy,
herbalist treatment, massage or aroma therapy or other alternative treatment.
17) Care or treatment for which payment is not required or to the extent which is payable by any other
insurance or indemnity covering the Life Assured, and Disabilities arising out of duties of
employment or profession that is covered under a Workman's Compensation Insurance Contract.
18) Psychotic, mental or nervous disorders (including any neuroses and their physiological or
psychosomatic manifestations).
19) Costs/expenses of services of a non-medical nature, such as television, telephones, telex services,
radios or similar facilities, admission kit/pack and other ineligible non-medical item.
20) Participating in racing of any kind (except foot racing), hazardous sports such as but not limited to
skydiving, water skiing, underwater activities requiring breathing apparatus, winter sports, professional
sports and illegal activities.
21) Private flying other than as a fare-paying passenger in any commercial scheduled airlines licensed to carry
passengers over established routes.
22) Expenses incurred for sex changes.
23) Experimental treatment, including medication and/or unconventional medical technology/procedure,
which has not been proven to be effective, based on established medical practice, and which has not
been approved by a recognised body in the country in which you receive the treatment.
24) Care or treatment that do not lead to a recovery, conservation of your condition or restoration to
your previous state of health.
Note:
This list is non-exhaustive. Please refer to the Policy Document for more details about the major exclusions under this
policy.
YOU SHOULD SATISFY YOURSELF THAT THIS PRODUCT WILL BEST SERVE YOUR
NEEDS. YOU SHOULD READ AND UNDERSTAND THE INSURANCE POLICY AND
DISCUSS WITH THE AGENT OR CONTACT THE INSURANCE COMPANY DIRECTLY
FOR MORE INFORMATION. IT IS IMPORTANT THAT ANY RECEIPT THAT YOU
RECEIVE SHOULD BE KEPT AS PROOF OF PAYMENT OF PREMIUMS.
Important Notes
• This brochure is for illustrative purposes only. You are advised to refer to the Product Disclosure Sheet and
Sales Illustration before purchasing a plan, and to refer to the terms and conditions in the policy document
for details of the important features of the plan.
• You should assess the affordability and suitability of the product (including optional benefits) in relation to
your financial goals and risk appetite. To achieve that, we recommend that you speak to your agent or Wealth
Planner who will perform a needs analysis and assist you in making an informed decision.
• You must inform us of any change in your occupation, avocation or sports activities because it may affect the
premiums, terms, conditions and benefits.
• Emergency Medical Assistance and Expert Medical Opinion are services provided from third party providers
which are non-contractual in nature and do not form part of the policy. We have the right to terminate this
service by giving a 90-day written notice.
• PRUvalue med is guaranteed to be renewable but premium rates and / or insurance charges are not
guaranteed. We reserve the right to revise the premium rates and / or insurance charges at policy
anniversary by giving you a 30-day notice.
• Coverage to expiry age is subject to sufficient funds for insurance charges and service charges.
• There is a free-look period of 15 days after the delivery of your policy to allow you to review if it meets your
needs. If the policy (which PRUvalue med is attached to) is cancelled within this period, the value of units (at
next pricing day) plus the unallocated premiums, service charge, insurance charges and Goods and Services
Tax (if any) less medical expenses will be refunded.
• If you cancel the policy (which PRUvalue med is attached to) in the early years, you may not be able to obtain
the full value from the amount you have paid in. Upon surrender, the benefits under PRUvalue med will
lapse.
• Prudential Assurance Malaysia Berhad (PAMB) is an insurance company licensed under the Financial
Services Act 2013 and is regulated by Bank Negara Malaysia.
Prudential Assurance Malaysia Berhad (PAMB) is a member of Perbadanan Insurans Deposit Malaysia
(PIDM). As a member of PIDM, some of the benefits insured under the insurance policies offered by PAMB
are protected against loss of part or all of insurance benefits by PIDM, in the unlikely event of an insurer
member failure. For further details of the protection limits and the scope of coverage, please obtain a PIDM
information brochure from PAMB or visit PIDM website ([Link]) or call PIDM toll free line
(1-800-88-1266).
Prudential Assurance Malaysia Berhad (107655-U)
Menara Prudential, 10 Jalan Sultan Ismail,
50250 Kuala Lumpur, Malaysia.
Tel: 03-2116 0228 Fax: 03-2032 3939
Email: [Link]@[Link]
05/2017
[Link]