pageheroimage

Free Lifestyle Sports Cover

Frequently Asked Questions

Yes. You can continue to make claims for the benefits provided under this Free Lifestyle Sports Cover if the injury is caused by the same accident event which happened during the coverage period, up to the benefit limit stipulated in Table of Benefits under Q1.

This free coverage is valid for 1 accident event during the coverage period only. No benefit is payable for any death or injuries caused by the subsequent and different accident events even though happened within the same coverage period.

Yes. This free coverage does not cover any claim where the basis of the claim is caused directly or indirectly, wholly or partly by any of the following:

  1. engaging in a sport in a professional capacity or where the Covered Person would or could earn income or remuneration from engaging in such sport;

  2. racing of any kind; or

  3. engaging in any Hazardous Activity.

 

Note: Please refer to Appendix 1 for the definitions.

Your Free Lifestyle Sports Cover will commence on the day your registration on the microsite is successful. If your application is successful, you will receive a welcome email within 14 working days from the registration date.

You will then be required to download the AIA+ mobile app via Google Play, App Store or Huawei App Gallery and register your AIA+ account. Once completed, you may view your benefits via the AIA+ app. You are highly encouraged to download the AIA+ mobile app to enjoy higher coverage for this Free Lifestyle Sports Cover. 

Do not worry. This is a system default setting in the AIA+ app and does not mean you are an AIA employee. It does not affect your eligibility for the Free Lifestyle Sports Cover. This is where you can view details of your Free Lifestyle Sports Cover in the AIA+ App.

Follow the guide below and you will be able to see that your coverage is shown (point 6) as below:

Please ensure that you have provided the correct information via the dedicated microsite when you sign up for this free coverage, including full name as per NRIC, NRIC Number, phone number and e-mail address.

If you are unsure, please resubmit the application with the correct information and contact your respective AIA Life Planner for assistance.

For accidental death and dismemberment claim:

✔ Please refer to Table of Documents below for the list of documents required when submitting a claim.
✔ Go to aia.com.my > “Contact us” > “Enquiry form” > Select “Claims” under Category.

For medical reimbursement or daily hospital income claims:

✔ Please refer to Table of Documents below for the list of documents required when submitting a claim.
✔ Claims can be submitted via AIA+ app/AIA customer portal

  • Step 1: Choose “Submit Claims” in AIA+ app’s/ AIA Customer Portal homepage
  • Step 2: Choose “Employee Benefits Claim”
  • Step 3: Fill in the claim details under claim type “Hospitalisation” and complete the rest of the claim submission process following the instructions in the app/portal.

 

Table of Documents

List of documents required when submitting a claim:

Type of Claim Documents
For all types of claims
  • A copy of Malaysian Identity Card with front and back for Covered Person and Claim Payee (if different from Covered Person)
  • A copy of the first page of bank statement or account passbook indicating Claimant/Claim Payee Bank Account Number, Account Holder Name, Bank Name for E-payment purpose
  • Confirmation letter from event organizers and/or documents/photos about attending such activities, if any
Additional documents for:  
Accidental Death
  • Certified true copy of death certificate
  • A copy of Police Report, if any
  • A copy of Post-Mortem report, if any
  • Proof of relationship: marriage certificate or birth certificate
Accidental Dismemberment
  • Certified true copy of medical reports & imaging results
  • Full length photo showing Dismemberment
  • A copy of Police Report, if any
Accidental Medical Reimbursement
  • Original receipts & bills with itemised breakdown
  • Diagnosis, Type of Accident and Treatment certified by doctor with chop/stamp of clinic/hospital at the receipts/bills
Daily Hospital Income
  • Certified true copy of Discharge Summary with Diagnosis and type of accident stated
  • Copy of medical bills showing Date of Admission & Date of Discharge, duration of stay at hospital

 

Note:

  1. Claims must be submitted within 60 days from the accident/ diagnosis date.
  2. We may request additional information and/or supporting documents when required; your early response will expedite the processing of your claim.

One of the reasons is you may have provided incorrect information during the claims application. Please resubmit the claim application with the correct information and contact your respective Life Planner for assistance.

All ages referred to under this free coverage shall be the age of Covered Person’s last birthday.

“Accident” means a sudden, unintentional, unexpected, unusual, and specific event that occurs at an identifiable time and place which shall, independently of any other cause, be the sole cause of bodily Injury.

“Confinement” or “Confined in a Hospital” shall mean admission in a Hospital for a minimum period of six (6) hours upon the recommendation of a Physician and continuous stay in the Hospital prior to the Covered Person’s discharge. Confinement shall be evidenced by a daily room/room and board charged by the Hospital.

“Hazardous Activity” refers to mountaineering or abseiling necessitating the use of ropes and other climbing equipment, offshore activities beyond five (5) kilometers off any coastline and including rafting or canoeing involving white water rapids, bungee jumping, flying or other aerial activities (unless as a fare-paying passenger in a fully licensed aircraft), underwater activities involving the use of any artificial breathing apparatus to a depth of more than eighteen (18) metres, horseback polo playing, steeple chasing, any form of martial arts, racing (other than on foot or swimming) or trial of speed or reliability, ski-jumping, ski-bob racing, freestyle skiing including the use of bob sleighs, professional sporting activities and competitions of any kind, any organised sporting holiday and any other activities that require a degree of skill.

“Hospital” shall mean only an establishment duly constituted and registered as a Hospital for the care and treatment of sick and injured persons as paying bed-patients, and which:

  1. has facilities for diagnosis and major surgery;
  2. provides twenty-four (24) hour a day nursing services by registered and Graduate Nurses;
  3. is under the supervision of a Physician; and
  4. is not primarily a clinic; a place for alcoholics or drug addicts; a nursing, rest or convalescent home or a home for the aged or similar establishment.

 

“Injury” means bodily Injury caused solely by Accident.

“Covered Person” shall mean the person(s) covered whom must meet the following eligibility and has/have successfully applied for this free coverage:

  • Age last birthday at the time of registration is between eighteen (18) years old and fifty-five (55) years old; and a Malaysian citizen residing in Malaysia.

 

“Licensed Nurse” or “Graduate Nurse” shall mean any person that upon successful completion of a recognised college or school of nursing, is legally authorised by the government of the geographical area of his/her practice to render nursing services, but excluding a Licensed Nurse or Graduate Nurse who is the Covered Person/Owner himself, an insurance agent/authorised insurance intermediary, business partner(s) or employer/employee of the Covered Person/Owner or a member of the Covered Person’s immediate family or related in similar fashion to the Owner.

“Medically Necessary” means a medical service which is:

  1. consistent with the diagnosis and customary medical treatment for a covered disability and/or Injury;
  2. in accordance with standards of good medical practice, consistent with current standard of professional medical care, and of proven medical benefits;
  3. not for the convenience of the Covered Person or the Physician, and unable to be reasonably rendered out of Hospital (if admitted as an in-patient);
  4. not of an experimental, investigational or research nature, preventive or screening nature; and
  5. for which the charges are fair and reasonable and customary for the disability and/or Injury.

 

“Physician”, “Registered Medical Practitioner” or “Surgeon” shall mean any person qualified by degree in western medicine and who is legally authorised in the geographical area of his practice to practise medicine and surgery, but excluding the Covered Person/Owner himself, an insurance agent/authorised insurance intermediary, business partner(s) or employer/employee of the Covered Person/Owner or a member of the Covered Person’s immediate family or related in similar fashion to the Owner.

“Reasonable and Customary” shall mean any medical fee or expense which is charged for treatment, supplies or medical services Medically Necessary to treat an Covered Person’s condition under the care, supervision or order of a Physician; does not exceed the usual level of charges for similar treatment, supplies or medical services in the locality where the expense is incurred; and does not include charges that would not have been made if no insurance existed.

Whenever the context requires, masculine form shall apply to feminine and singular term shall include the plural.