Outpatient Clinic
Outpatient Clinic
Outpatient Clinic
A tailor-made employee outpatient plan for organisations
Overview

Choose the ideal group plan for your business. Customise your Outpatient Clinical plan to meet the needs of your employees and size of your organisation.

Coverage

The benefit(s) payable under eligible product is protected by PIDM up to limits. Please refer to PIDM’s TIPS Brochure or contact Berjaya Sompo Insurance Berhad or PIDM (visit www.pidm.gov.my)

Additional Information

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.