QUOTE(flintbatu @ Apr 24 2016, 07:43 PM)
Hi everyone,
Need some clarifications on deductible. I'm having a medical card with a 50k annual limit. Would like to buy a second MC from AXA SmartOptimum plan with a 20k deductible as it offers a 50% discount on premium. Not sure about how it works? Based on the following scenario, per calendar year
Hospitalization 1 used RM10k
Hospitalisation 2 used RM15k
Can I claim for the 5k which is above the deductible (if I don't choose to utilize my first Medical Card). Secondly any subsequent hospitalization, can I claim from the AXA?
For the outpatient kidney dialysis or cancer treatment, does it also subject to the 20k deductible too.
Thank you in advance all sifus.
You can only claim from 1 medical card at any point of time, you can't separate medical bill. You can only claim from the 2nd medical card should you reach above the annual limit.
In this case,
You will have to claim from the 50k medical card limit first for the 1st and 2nd hospitalization, as your per hospitalization each doesn't exceed the 50k limit, you can't utilize the 2nd card which has 20k deductible
e.g
50k limit, you've used up 30k previously for claim purpose, now another surgery cost 35k, you can claim the 20k left from your first medical card then the 15k from the 2nd card.
However if your limit on the first card is left 15k, same scenario, you can claim the remaining 15k limit, pay 5k from your own pocket, and then balance 15k claim on the 2nd card. As your 2nd card requires at least 20k to be paid as deductible first.