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had used up
could not pay
46% their personal 39% for medication
savings
Source: www.malaysiakini.com/advertorial/318645
www.thestar.com.my/news/nation/2015/11/21/cancer-makes-patients-poor-study-looks-at-the-economic-
implications-of-a-new-cancer-diagnosis/
A snapshot of HE+ privileges1
HE+ plan helps you cope with the high medical costs and living expenses
Stroke
For the newlyweds who are starting to build a family life together. HE+ Vital Providing for your family takes sacrifice and adjustments to your lifestyle.
plan provides essential medical protection so you can spend quality time The all-inclusive HE+ Select plan ensures your medical expenses are well
raising your family. taken care of, so you will have the headspace you need to satisfy your
growing responsibilities.
Unique
Added security with 24-hour comfort of expecting mothers.
access to emergency medical
assistance worldwide.
Someone as hard working as you may have little or no time to ponder your
future priorities carefully. HE+ Advanced is the ideal plan that provides in life, including healthcare. HE+ Premier gives you the ultimate health
optimum protection for your health needs, so you never have to compromise protection and lets you enjoy other exclusive privileges, so you can live a
your health in achieving your dreams. remarkable life without losing sight of your most prized asset.
Better accommodation
at our Preferred Hospitals nationwide.
Easy admission with pre-arranged
hospitalisation and waiver of hospital
deposit at our Preferred Hospitals.
Easy admission with pre-arranged
hospitalisation and waiver of hospital
deposit at our Preferred Hospitals.
Consultation and diagnosis
with leading local and international
medical experts5.
5
will be managed by PruBSN.
HE+ Vital HE+ Select HE+ Advanced HE+ Premier
If you are hospitalised
Hospital Room and Board – Panel Hospital RM200 per day RM300 per day RM400 per day RM500 per day
Hospital Room and Board – Preferred Hospital Not Applicable Not Applicable Not Applicable RM1,000 per day
Maximum Stay at Hospital (per annum) 120 days 150 days 150 days 200 days
Intensive Care Unit (maximum 120 days per annum)
Surgical Procedure and Treatment As Charged As Charged As Charged As Charged
In-hospital and Related Services
Dedicated Daily Medical Attendant (maximum 200 days per annum) Not Applicable RM200 per day
Not Applicable Not Applicable
Hospital Deposit at Preferred Hospitals Waived Waived
If you need out-patient treatment
Day Surgery As Charged As Charged As Charged As Charged
Home Nursing Care As Charged As Charged As Charged
Not Applicable
Maximum Home Nursing Care Days (per lifetime) 180 days 250 days 365 days
Additional Annual Limit due to Cancer, Heart Attack or Kidney Failure RM100,000 RM150,000 RM200,000 RM400,000
Additional Lifetime Limit for Organ Transplant Not Applicable Not Applicable RM100,000 RM200,000
RM100 per day RM100 per day RM100 per day RM100 per day
Treatment Allowance for Chemotheraphy, Radiotherapy,
(max RM500 per year) (max RM1,000 per year) (max RM1,500 per year) (max RM2,000 per year)
Kidney dialysis, Heart-Attack Follow Up Care
(max RM5,000 per lifetime) (max RM10,000 per lifetime) (max RM15,000 per lifetime) (max RM20,000 per lifetime)
Second Medical Opinion
RM500 per year RM1,000 per year
• Consultation and Diagnosis in Malaysia Not Applicable Not Applicable
• Consultation with World Leading Experts Yes Yes
If you are in an emergency
Maternity Complications Not Applicable RM6,000 per year RM10,000 per year RM20,000 per year
Emergency Treatment for Accidental Injury RM1,500 per year RM2,000 per year RM3,000 per year RM5,000 per year
Worldwide Emergency Medical Assistance Yes Yes Yes Yes
Overall Annual Limit RM100,000 RM150,000 RM200,000 RM400,000
Total Annual Limit due to Cancer, Heart Attack
RM200,000 RM300,000 RM400,000 RM800,000
or Kidney Failure
Lifetime Limit RM1,000,000 RM1,500,000 RM2,000,000 RM4,000,000
Note: You must first pay a fixed amount of RM300 out of the total Reasonable and Customary Charges of eligible benefits for any one disability. Items that are not subjected to the RM300 Deductible include Hospital Room and Board,
Dedicated Daily Medical Attendant, Day Surgery, Second Medical Opinion, Treatment Allowance, Cancer Treatment, Kidney Dialysis Treatment and Organ Transplant.
What you need to know about HE+
What is HE+? What are the charges and deductions involved in HE+?
HE+ is a regular contribution medical rider that reimburses major medical expenses
incurred in the event of hospitalisation, surgery or eligible outpatient treatment. HE+ is Charges &
Details
a rider and needs to be attached to one of our investment linked plans. Deductions
This charge allows us to pay commission and distribution related expenses as well as
How much contribution do I need to pay? management expenses. The percentage below is based on term 20 years or more.
The contribution that you pay is based on your entry age. The contribution rates are For term less than 20 years, you may refer to the Plan Illustration.
available in Appendix 2. Upfront
Wakalah 1 2 3 4 5&6 7 & Above
What are the options available for HE+? Charge
Upfront
Wakalah 60% 60% 50% 30% 20% 0%
Options HE+ Vital HE+ Select HE+ Advanced HE+ Premier Charge
Entry Age 20 gestational weeks 20 gestational weeks
(Age Next 1 to 70 years old 1 to 70 years old
Birthday)
to 70 years old to 70 years old
Expiry Age Fund for the purpose of mutual aid and assistance among fellow participants according
(Age Next 25, 70 or 80 years old Tabarru’
Birthday) Protection Unit Account (PUA) based on your age, gender, sum covered, occupational
class and smoking status.
Important Notes
1. This brochure does not form a contract between you and Prudential BSN Takaful 11.
Berhad (PruBSN) and contains only a brief description of the plan and is not exhaustive. Fund for the purpose of mutual aid and assistance among fellow participants according
It is recommended that you request for a copy of the Plan Illustration and Product
Disclosure Sheet or reach out to PruBSN Takaful Consultants to obtain the full details 12.
before participating in the plan.
participants, you are entitled to 50% of the surplus and PruBSN will receive the balance
2.
of 50% as incentive for managing the Tabarru’ Fund. Your portion of the distributable
sample of the Terms and Conditions should you need detailed information in the plan.
surplus will be placed back into your PUA. The exact amount of distributable surplus will
3. For HE+ you may be entitled to medical tax relief in respect of your contributions of up to be determined annually and is subject to approval by both the Shariah Committee and
RM3,000 a year. Any tax relief is subject to the terms and conditions of the Inland the Board of Directors of PruBSN.
Revenue Board (IRB).
4. HE+
5. You should continue paying your contributions regularly until the maturity of your plan
to ensure that you are fully protected under the plan at all times. If you cease or miss
paying a contribution, your coverage might lapse prematurely. Coverage to expiry age
7. Preferred Hospitals are selected hospitals that will provide value-added services to
preferred customers who take up plan HE+ Advanced or HE+ Premier.
8. Please refer to www.prubsn.com.my or download PruBSN Navigator application for
free at Google Play and Apple App Store to view the list of Panel Hospitals and Preferred
Hospitals.
9. You can only seek Second Medical Opinion when you are diagnosed with one of the
covered critical illnesses.
10. HE+ is based on Wakalah Bil Ajr model which is an arrangement for PruBSN to
manage your takaful plan. Your contribution will be placed into the PUA after deducting
a wakalah charge which constitutes the fee for the overall management services
provided. The takaful protection comes from the Tabarru’ Fund.
Exclusions
No benefits will be payable under HE + if the hospitalisation, surgery or charges of (m)Ionising radiation or radioactive contamination from any nuclear fuel or waste from
the Covered Person are directly or indirectly, wholly or partly caused by any of the
following. This is a brief description of the exclusions. For more details, please refer
(n) Expenses incurred by donor or covered person for donation of any body organ and all
to the certificate contract.
costs of organ acquisition and its complications.
(o) Investigation and treatment of sleep and snoring disorders, treatment of abnormal
perspiration, therapy or hormone replacement, stem cells, hyperbaric oxygen therapy,
(a) Pre-existing condition. chiropodist consultation and treatment, chiropractic services, aromatherapy and any
(b) form of alternative therapies.
(c) (p) Care or treatment for which payment is not required or to the extent which is payable
of the date of coverage, date of revival or date of endorsement (whichever is the latest) by any other takaful operators or indemnity covering under the Workman’s Compensation
except for accidental injuries. Takaful Contract.
(d) Cosmetic surgery, circumcision, eye examination, glasses, lens, Radial Keratotomy/Lasik (q) Psychiatric, mental or nervous disorders and those due to senile disorders.
and the use of external prosthetic appliances or medical devices. (r) Expenses of non-medical services including but not limited to television, telephone,
(e) Dental conditions including dental treatment or oral surgery to natural teeth except as
necessitated by accidental injuries. document.
(f) Experimental surgery or elective procedures except as a result of an accidental injury, (s)
surgery or illness. except as a crew member or a fare-paying passenger, or on a licensed passenger-
carrying commercial aircraft operating on a regular scheduled route.
(g) Bed rest, illegal drugs, intoxication, sterilisation, AIDS, HIV, all sexually transmitted
diseases and any communicable diseases requiring quarantine by law. (t) Expenses incurred for sex changes or gender transformation.
(h) Any treatment or surgical operation for congenital conditions including hereditary (u) Any insect bite including mosquito bites and worm infestation during the Waiting
conditions. Period.
(i) Treatments or procedures relating to pregnancy or childbirth and its complications, (v) Charges which are not within Reasonable and Customary Charges or charges incurred
after the expiry date.
miscarriage, abortion, any contraceptive methods of birth control, treatments pertaining (w) If Covered Person is still in womb or under 14 days old, and diagnosed with an illness
to infertility or erectile dysfunction and impotence. caused by birth defects, birth trauma and complications resulting from the illness.
(j) Routine medical examinations, hospitalisation solely for investigatory purposes/
diagnostic imaging not coincidental to treatment of covered disability or any treatments,
medicines or examinations deemed not medically necessary or preventive in nature and
sleeve gastrectomy.
(k)
(l) Any injury or illness caused by any act of war, any violation or attempted violation of
the law or to resist arrest, direct participation in riot, strike or civil commotion.
Appendix 1 Appendix 2 Annual contribution rates for HE+Vital with Expiry Age of 70.
Annual Contribution Annual Contribution
List of Maternity Complications Entry Entry
Age SmartSaver30 (RM) Age SmartSaver30 (RM)
1 1,308 31 1,414
2 1,100 32 1,159
3 989 33 1,505
1 Disseminated Intravascular Coagulation
4 989 34 1,554
2 Ectopic Pregnancy 5 989 35 1,605
6 989 36 1,659
3 Hydatidiform Mole 7 989 37 1,716
8 989 38 1,776
4 Postpartum Hemorrhage Requiring Hysterectomy
9 989 39 1,839
10 989 40 1,904
5 Eclampsia
11 989 41 1,969
6 Amniotic Fluid Embolism 12 989 42 2,034
13 989 43 2,101
7 Pulmonary Embolism of Pregnancy 14 989 44 2,169
15 1,048 45 2,241
8 Toxaemia of Pregnancy 16 1,048 46 2,316
17 1,048 47 2,396
18 1,048 48 2,481
19 1,146 49 2,571
20 1,200 50 2,666
21 1,200 51 2,766
22 1,200 52 2,850
23 1,200 53 2,937
24 1,200 54 3,027
25 1,200 55 3,121
26 1,200 56 3,417
27 1,254 57 3,517
28 1,291 58 3,621
29 1,330 59 3,871
30 1,371 60 3,847
The contributions rate shown above are for standard risk only and are subject to underwriting. Your actual contribution
amount shall depend on your age (based on Age Next Birthday), health status, occupation class, plan type and duration
coverage. For HE+ contribution rates with other combinations of plan, expiry age and plan options, please refer to
www.prubsn.com.my.
HealthEnrich+ is a Shariah-compliant product.
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facebook.com/prubsn
in linkedin.com/company/prudential-bsn-takaful-berhad
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