GROUP PRIVATE MEDICAL INSURANCE ASIA PACIFIC REGION. A REASONABLE AND AFFORDABLE GLOBAL HEALTHCARE BY AETNA AND ADRIAN PAMBUDI

ASIA PACIFIC RIM EMPLOYEE BENEFITS AND HEALTHCARE PROGRAM 

 rewritten by Adrian Pambudi Pakar Agen Asuransi Kesehatan Internasional di Indonesia

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 We make it our business to understand your business, as well as the unique needs of your employee population. With more than 160 years of experience, covering over 500,000 members around the world, we are well-positioned to provide regional health benefit solutions to help meet your ever-changing business needs

Your business and the health of your employees and their families lie at the centre of everything we do. Through our first-class approach to service, we are a valued partner, working to provide you with innovative products and services that make a positive impact on your business.

We take our collaboration to heart. That’s why we’ve established a strong global presence, with a local footprint that touches key areas all over the world. With employees located in

10 countries, we are deeply embedded in the global marketplace. This enables us to best meet the needs of our valued customers with confidence and compassion.

The member experience

The 24/7 Aetna International Member Service Centre is committed to making sure our members get the care they need, when they need it.

Members can receive assistance with:

•                    Questions on claims, benefit levels and cover

•                    Claims processing in many languages

•                    General benefit and plan inquiries

The International Member Service Centre is a member’s one-stop resource, both day and night. Taking personalised service one step further, we can easily connect members to our International Health Advisory Team (IHAT). IHAT is our dedicated, clinical team that interacts one-on-one with our members to provide:

•                    Pre-trip planning

•                    24/7 support that’s tailored to the individual’s specific health needs

•                    Identification of providers and specialists

•                    Coordination of routine and urgent medical care

•                    Assistance with obtaining prescription medications and medical devices

•                    Coordinating second opinions for complex cases

•                    Benefit coordination

•                    Coordination of care for return to home country after assignment completion

•                    Discharge planning

•                    Clinical claim and international standards of care reviews

•                    Maternity management

 

Innovative tools and resources

Our first-class service philosophy extends far beyond our organisational capabilities. We are committed to providing valuable information through technological innovation.

With their cover, members have access to tools and resources via the Aetna International secure member website at www.aetnainternational.com to help them navigate their health care experience more easily, including:

•                    Doctor and medical facility search tool that allows members to find screened and approved physicians and medical facilities

•                    Online claims submission and claims lookup to manage and keep track of claims status

•                    Health and wellness information to help members improve or maintain their health

•                    Health and security news with the latest risk ratings and security alerts

•                    City profiles inclusive of travel information such as vaccination requirements and emergency phone numbers

•                    Drug and medical phrase translation services with features that allow members to search for medication availability by country

•                    Mobile doctor directory applications helping members to find direct-settlement facilities in their city

•                    More mobile applications coming soon

 

An innovative, flexible solution offering for locally-hired employees* and expatriates

No two companies are alike. That’s why we offer a rich inpatient plan, which can be complimented by the addition of outpatient cover, chronic condition management cover and other optional benefits so you can maximise your health care investment and manage costs based on your varied employee

Employers taking advantage of this flexibility can provide different cover for different groups of employees within the same policy. For example, based on their location, you may want to select a different area of cover and/or different benefits.

Area of cover

Regional area options include:

•                    Asia and Pacific Rim:

Bangladesh, Bhutan, Brunei, Cambodia, Cook Islands, Fiji, India, Indonesia, Kiribati, Korea (South) Laos, Malaysia, Maldives, Marshall Islands, Federated States of Micronesia, Mongolia, Myanmar, Nauru, Nepal, Niue, Pakistan, Palau, Papua New Guinea, Philippines, Samoa, Solomon Islands, Sri Lanka, Thailand, Timor-Leste, Tonga, Tuvalu, Vanuatu and Vietnam. Excluded countries: Australia, Hong Kong, Japan, Macau, Mainland China, New Zealand, Singapore and Taiwan.

 

•                    Asia, Pacific Rim and Singapore:

The countries included under “Asia and Pacific Rim” and Singapore. Excluded countries: Australia, Hong Kong, Japan, Macau, Mainland China, New Zealand and Taiwan.

 

•                    Worldwide, excluding the USA: Elective treatment is excluded in the USA.

 

Maximum annual aggregate limit

6 options ranging from: up to US$100,000 or SG$125,000 to up to US$1,600,000 or SG$2,000,000 per insured person per period of cover

No Pre-Existing Condition will apply only for member above 10 members.

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re described and re written by Adrian Pambudi, Pakar Agen Asuransi Kesehatan Internasional, Pakar Agen Asuransi Perjalanan, Pakar Agen Asuransi Kesehatan Global, Expert in International Health Insurance.