BERJAYA SOMPO INSURANCE BERHAD provides a tailor-made comprehensive Outpatient Clinical plan for any company/organisation who ensures that their employees are sufficiently protected. In certain instances, the Company may extend coverage to the employee's family for the benefit of the employees' welfare.
No benefits shall be payable for the following services or conditions:
- Traditional and alternative therapy such as Acupuncture, Homone Replacement Therapy, Homeopathy, Chiropractic Services, Bomoh or Sinseh treatment by any person other than a legally registered medical practitioner.
- Treatment for congenital, hereditary disease/deformities.
- Drugs or medicine purchased without doctor prescription and X-Ray Examination or Laboratory Tests without panel doctor's recommendation.
- Any treatment by physical therapy or any routinary medical check-ups and screening profiles, blood and topical allergy testing.
- Preventive vacinnation or immunisation, Travel immunisation and Adult immunisation including Hepatitis, Nerve disorders/Degenerative diseases, Endometriosis, Transverse Myelitis or any form of preventive treatment.
- Pregnancy or resulting childbirth (including pre-natal and post-natal visits), abortion or miscarriage; infertility.
- Any self-inflicted injury regardless whether is sane or insane at the time of commission.
- Treatment of any functional disorder of the physics or mental constitution, such as neuropsychosis, schizophrenia and others to improve the psychological, mental or emotional well-being.
- Any treatment arising from alcoholic or drug addiction.
- Vitamins, Food Supplements, Herbal Cures and Anti Obesity/Weight Reducing Agents, Acne treatment or Cosmetic treatment.
- Sonotron Therapy, Heart Scan and other new modalities not recognised by academic or government health institutions.
- Catastrophic diseases including out-patient cancer therapies including chemotherapy, radiotherapy and immunotherapy, organ transplant,anti-rejection and related treatment including cyclosporin and out-patient renal dialysis and erythropoeitin treatment.
- Pre-employment check-up / Dental Treatment.
- Long term medication for the following conditions are excluded:
Arthritis, Asthma, High Blood Pressure, Coronary Artery Disease, Cerebrovascular Disease, Cerebrovascular Accident, Diabetes Mellitus, Epilepsy, Gout, Hyperlipidemia, Parkinson's, Peptic Ulcer, Psoriasis, and Thyroid.