-
What is this product about?
AIA Critical Illness Cover is a yearly renewable insurance plan which provides coverage for 39 critical illnesses. This plan is purely a critical illness protection plan and does not include any savings or investment elements.
-
What are the covers/benefits provided?
This plan covers:
| Description |
Benefit |
| Critical Illness Benefit |
RM{{SumInsured}} |
100% of the coverage amount shall be payable for any one of the 39 covered critical illnesses and covered surgery, except for Angioplasty and Other Invasive Treatments for Coronary Artery Disease, where 10% of the coverage amount will be payable and is subject to a maximum of RM25,000 (limited to 1 payment only). The coverage amount shall be reduced by this advance payment.
Duration of coverage: Yearly renewable up to age 70.
Benefits are only payable if you survive at least 15 days from the date of diagnosis of any of the 39 critical illnesses or a covered surgery. The list of 39 covered critical illnesses under this product is as follows:
- Stroke - resulting in permanent neurological deficit with persisting clinical symptoms
- Cancer - of specified severity and does not cover very early cancers
- Heart Attack - of specified severity
- Coronary Artery By - Pass Surgery
- Serious Coronary Artery Disease
- Angioplasty and Other Invasive Treatments for Coronary Artery Disease
- Heart Valve Surgery
- Fulminant Viral Hepatitis
- End - Stage Liver Failure
- Primary Pulmonary Arterial Hypertension - of specified severity
- End - Stage Lung Disease
- Kidney Failure - requiring dialysis or kidney transplant
- Surgery to Aorta
- Chronic Aplastic Anaemia - resulting in permanent Bone Marrow Failure
- Major Organ / Bone Marrow Transplant
- Blindness - Permanent and Irreversible
- Deafness - Permanent and Irreversible
- Loss of Speech
- Coma - resulting in permanent neurological deficit with persisting clinical symptoms
- Third Degree Burns - of specified severity
- Multiple Sclerosis
- Paralysis of Limbs
- Muscular Dystrophy
- Alzheimer's Disease / Severe Dementia
- Motor Neuron Disease - permanent neurological deficit with persisting clinical symptoms
- Parkinson's Disease - resulting in permanent inability to perform Activities of Daily Living
- Terminal Illness
- Encephalitis - resulting in permanent inability to perform Activities of Daily Living
- Benign Brain Tumour - of specified severity
- Major Head Trauma - resulting in permanent inability to perform Activities of Daily Living
- Bacterial Meningitis - resulting in permanent inability to perform Activities of Daily Living
- Brain Surgery
- Medullary Cystic Disease
- Loss of Independent Existence
- HIV Infection Due To Blood Transfusion
- Cardiomyopathy - of specified severity
- Full-blown AIDS
- Occupationally Acquired Human Immunodeficiency Virus (HIV) Infection
- Systemic Lupus Erythematosus with Severe Kidney Complications
*In the event of Angioplasty and Other Invasive Treatments for Coronary Artery Disease, 10% of the coverage amount shall be payable, subject to a maximum of RM 25,000 (limited to 1 payment only). The coverage amount shall be reduced by this advance payment.
-
How much premium do I have to pay?
The total premium that You have to pay : {{Premium}} ({{PaymentMode}}).
Please note that the premium rate will increase depending on the attained age when the premium is due. Please refer to “Appendix - Premium Table for AIA Critical Illness Cover” at the end of this document for further information.
You should satisfy yourself that the premium payable under the policy is an amount that you can afford. This premium is not guaranteed and may be increased in the future. We reserve the right to revise the premium rates by giving you 3 months written notice prior to the next policy anniversary.
-
What are the fees and charges that I have to pay?
There are no fees and charges other than the premiums payable.
This plan is commission-free and no intermediaries are involved in the sales or marketing of AIA Critical Illness Cover.
-
What are some of the key terms and conditions that I should be aware of?
- Importance of disclosure - You must disclose all material facts such as your medical condition, and state your age correctly.
- Free Look Period - You may cancel your policy by returning your policy contract and giving a written request signed by you to AIA Bhd. within fifteen (15) days after you have received your policy contract. The premiums that you have paid will be refunded.
- Grace Period - 31 days from the premium due date.
- Waiting Period - the eligibility for benefits under the policy will only start after a specific period from the effective date of the policy:
| Description |
Waiting Period |
| Cancer, Heart Attack, Coronary Artery By-Pass Surgery, Serious Coronary Artery Disease and Angioplasty and Other Invasive Treatments for Coronary Artery Disease |
60 days |
| Other Critical Illnesses |
30 days |
Notes:
- It may not be advantageous to switch from one insurance plan to another, as you may be subject to new underwriting requirements, full Waiting Period and any applicable period for the exclusion of specified illnesses / pre-existing conditions of the new policy.
- The terms and conditions as stated in this Product Disclosure Sheet are not exhaustive. Please refer to the policy contract for the full list of terms and conditions.
-
What are the major exclusions under this policy?
This policy does not cover:
- any illness or surgery other than a diagnosis or surgery for a covered Critical Illness;
- any pre-existing conditions prior to the Issue Date or Commencement Date, whichever is later;
- Cancer, Heart Attack, Coronary Artery By-Pass Surgery, Serious Coronary Artery Disease and Angioplasty and Other Invasive Treatments for Coronary Artery Disease, for which the signs or symptoms first occurred within sixty (60) days following the Issue Date or Commencement Date, whichever is later;
- all other critical illnesses for which the signs or symptoms first occurred within thirty (30) days following the Issue Date or Commencement Date, whichever is later;
- any critical illness diagnosed due, directly or indirectly, to a congenital defect or disease which has manifested or was diagnosed before you attain seventeen (17) years of age;
- the diagnosis of Fulminant Viral Hepatitis, Cancer, Encephalitis, Bacterial Meningitis, Alzheimer's Disease/ Severe Dementia or Terminal Illness of the Insured/You, where in Our opinion, was directly or indirectly due to an Acquired Immune Deficiency Syndrome (AIDS) or infection by any HIV. We reserve the right to require the Insured/You to undergo a blood test for HIV as a condition precedent to any acceptance of any claim. For the purpose of this policy:
- The definition of AIDS shall be that used by the World Health Organization in 1987, or any subsequent revision by the World Health Organization of that definition.
- Infection shall be deemed to have occurred where blood or other relevant test(s) indicate in Our opinion either the presence of any HIV or Antibodies to such a Virus.
- any of the critical illnesses or covered surgeries defined here which is caused by a self-inflicted injury.
- if the Insured did not survive for at least 15 days after the diagnosis of a critical illness.
Note: This list is non-exhaustive. Please refer to the policy contract for the full list of exclusions.
-
Can I cancel my policy?
You may cancel or surrender your policy by giving a written notice to AIA Bhd. Upon cancellation, you may be entitled to a refund of a portion of your premium provided that you have not made a claim on the policy during the current policy year.
If you do not pay your premium within the Grace Period, your policy will be terminated.
Note: Please refer to the policy contract for more details.
-
What do I need to do if there are changes to my contact details?
It is important that you inform AIA Bhd. of any change in your contact details to ensure that all correspondences reach you in a timely manner.
-
Where can I get further information?
Should you require additional information about medical and health insurance, please refer to the insuranceinfo booklet on 'Medical and Health Insurance', available at all AIA Bhd.'s branches or you can obtain a copy from the insuranceinfo website www.insuranceinfo.com.my. For more information on claims procedures, please refer to AIA Bhd’s website.
If you have any enquiries, please contact AIA Bhd. at:
AIA Bhd. (790895-D)
Menara AIA, 99 Jalan Ampang
50450 Kuala Lumpur
Care Line: 1 300 88 1899
Tel: 03 - 2056 1111
Fax: 03 - 2056 3891
Email: my.customer@aia.com
Website: AIA.COM.MY
AIA Bhd. is licensed under the Financial Services Act 2013 and regulated by Bank Negara Malaysia.
-
Other similar type of plans available
Please contact AIA Bhd. or visit our website at www.aia.com.my for other similar types of plans offered by AIA Bhd.
IMPORTANT NOTE: YOU SHOULD SATISFY THAT THE MEDICAL AND HEALTH INSURANCE POLICY CHOSEN WILL BEST SERVE YOUR NEEDS. YOU SHOULD READ AND UNDERSTAND THE MEDICAL AND HEALTH INSURANCE POLICY AND CONTACT AIA BHD. DIRECTLY FOR MORE INFORMATION.
THIS PRODUCT DISCLOSURE SHEET CONTAINS A SUMMARY OF THE PRODUCT AND IS NOT A CONTRACT OF INSURANCE. THE POLICY CONTRACT SHALL ALWAYS PREVAIL OVER THIS DOCUMENT.
The information provided in this disclosure sheet is valid as at {{currentDate}}.
