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    Marsh PNG Local Medicare Plan: Details Commentary

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    Joe
    This document summarizes a local Medicare plan arranged by Marsh PNG for Digicel (PNG) Limited. The broker is Rachel Mark at Marsh Ltd and the insurer is Capital Life Insurance Company Ltd. The plan provides medical, hospitalization, evacuation and other benefits to employees in Papua New Guinea. Coverage is available for single, couple and family plans with sums insured ranging from K15,000 to K40,000. Claims are paid directly within 10 days by the insurer. Pre-existing conditions may be covered if approved by the insurer.

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    Marsh PNG Local Medicare Plan: Details Commentary

    Uploaded by

    Joe
    45 views1 page
    This document summarizes a local Medicare plan arranged by Marsh PNG for Digicel (PNG) Limited. The broker is Rachel Mark at Marsh Ltd and the insurer is Capital Life Insurance Company Ltd. The plan provides medical, hospitalization, evacuation and other benefits to employees in Papua New Guinea. Coverage is available for single, couple and family plans with sums insured ranging from K15,000 to K40,000. Claims are paid directly within 10 days by the insurer. Pre-existing conditions may be covered if approved by the insurer.

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    Original Title

    Marsh Medical Summary

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    This document summarizes a local Medicare plan arranged by Marsh PNG for Digicel (PNG) Limited. The broker is Rachel Mark at Marsh Ltd and the insurer is Capital Life Insurance Company Ltd. The plan provides medical, hospitalization, evacuation and other benefits to employees in Papua New Guinea. Coverage is available for single, couple and family plans with sums insured ranging from K15,000 to K40,000. Claims are paid directly within 10 days by the insurer. Pre-existing conditions may be covered if approved by the insurer.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    45 views1 page

    Marsh PNG Local Medicare Plan: Details Commentary

    Uploaded by

    Joe
    This document summarizes a local Medicare plan arranged by Marsh PNG for Digicel (PNG) Limited. The broker is Rachel Mark at Marsh Ltd and the insurer is Capital Life Insurance Company Ltd. The plan provides medical, hospitalization, evacuation and other benefits to employees in Papua New Guinea. Coverage is available for single, couple and family plans with sums insured ranging from K15,000 to K40,000. Claims are paid directly within 10 days by the insurer. Pre-existing conditions may be covered if approved by the insurer.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Marsh PNG Local Medicare Plan

    Level 3, Deloitte Haus, MacGregor Street, Port Moresby, NCD, Telephone: 309 8000 / 7373 0700 Email: rachel.mark@marsh.com
    Details Commentary
    The Broker Contact is: Rachel Mark @ Marsh Ltd, PO Box 920, Port Moresby. Summary of coverage arranged for
    Digicel (PNG) Limited
    The Insurer is: Capital Life Insurance Company Ltd, PO Box 254, Waigani.
    Territorial Limit: Papua New Guinea only This Policy is for Papua New Guinea
    domiciled employees only.
    The Policy Cover Benefits Single Plan Couple Plan Family Plan (+5 children)
    are; (per plan, per policy period) Sums Insured Sums Insured Sums Insured
    Medical & Hospitalisation Expenses K15,000 K25,000 K40,000
    Medical Evacuation within PNG only K50,000 K50,000 K50,000
    Internal Transfer within PNG only K2,500 K2,500 K2,500
    Maternity (3 months Waiting Period) K5,000 K5,000 K5,000
    Dental – 30 Days Waiting Period K1,500 K1,500 K1,500
    Optical – 30 Days Waiting Period K1,500 K1,500 K1,500
    Funeral Benefit K3,000 Member K3,000 Member & Spouse K3,000 Member & Spouse. Children K1,000
    Age Limit 65 years (cover ceases at 65 years) 65 years (cover ceases at 65 years) 65 years (cover ceases at 65 years)
    Emergency Evacuation Papua New Guinea only Papua New Guinea only Papua New Guinea only
    Excess / Deductible 10% each & every claim 10% each & every claim 10% each & every claim
    Life Insurance (Member only) K20,000 K20,000 K20,000
    Personal Accident (Member only) Capital Benefit K20,000 & Weekly Capital Benefit K20,000 & Weekly Capital Benefit K20,000 & Weekly Benefit
    Benefit K75 limited to 52 weeks & Benefit K75 limited to 52 weeks & K75 limited to 52 weeks & K3,900
    K3,900 K3,900
    Dependants 18 years up to 25 years (unmarried full time students require proof of studentship identifications before cover is bound). Natural Parents are not covered
    Coverage Benefits: (EFT) Claim Refund Payments directly deposited into individual personal accounts as nominated by the employee
    Direct Billing Excess payment only at selected Hospitals & clinics –
    Access to in Lae Lae International Hospital (LIH)
    GM Flores, and
    Wellness Centre
    Access to in Port Moresby Paradise Hospital - 3 Mile, Taurama, & Downtown
    Aspen Medical Clinic, and
    Nanga Medical - Next to SP Brewery, & Boroko
    Dental & Optical are excluded from Direct Billing, and to be paid 100%
    Claims Guarantee Immediate assessment, prompt and direct refund payable within 10 days by CLIC. If they fail, the claim excess will be waived.
    Overseas Medical Included under the Medical & Hospitalisation Expenses limit, Incurred whilst on holiday or business – excluding USA, Canada, and Japan.
    Pre-existing Medical Conditions Excluded Pre-existing Medical Conditions are excluded unless agreed by the Insurer. The individual needs to provide medical evidence confirming the condition is
    controlled e.g. asthma, hypertension, diabetes etc. The insurer then decides whether they will insure the condition.

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