Page 23 - LGB Group
P. 23

23.  HOSPITALISATION INSURANCE SCHEME

                     a)  The  Company  shall  insure  all  Employees  under  its  Group  Hospitalisation
                         Insurance scheme. The hospitalisation benefit for each Employee is subject
                         to  the  limit  of  coverage  under  the  respective  plan  which  the  Employee  is
                         insured. The Employee shall be responsible to pay for any medical expenses
                         exceeding  the  limit  provided  in  the  insurance  policy,  or  for  any  medical
                         expenses which are not covered under the insurance policy.

                     b)  If an Employee elects to stay in a ward where the ward charges are higher
                         than his entitlement, he shall be responsible to pay for the difference in ward
                         charges and the additional 20% of the total medical expenses as imposed by
                         the insurance company.

                     c)  Employees are encouraged to ascertain their eligibility of the hospitalisation
                         benefits  first  before  they  proceed  to  be  admitted  to  any  particular  private
                         hospital.  They  should  contact  the  insurance  call  centre  to  obtain  the
                         necessary clearance.


                     23.1  Procedure for Hospital Admission

                            a)  For  non-emergency  hospital  admission,  contact  the  insurance
                                company’s call centre and provide the insurance policy number and
                                the Employee’s hospital plan.

                            b)  Briefly explain the nature of illness and the medical treatment / surgery
                                required.

                            c)  Indicate  the  date  of  admission  and  the  preferred  hospital  (for  non-
                                emergency cases)

                            d)  Obtain the clearance / approval from the call centre and thereafter the
                                call  centre  will  arrange  with  the  hospital  concerned  regarding  the
                                admission.

                            e)  On the appointed date, proceed to the hospital admission counter and
                                provide the relevant details (e.g. medical card, doctor’s appointment,
                                nature of treatment etc.). Please note that the admission process may
                                take 1 to 2 hours.

                            f)  In the event the required treatment is not covered under the medical
                                insurance, the Employee has to settle the medical expenses on his
                                own accord. The Employee may be required to pay a deposit to the
                                hospital prior to admission.

                            g)  For emergency cases, proceed directly to the hospital and provide the
                                medical card to the admission counter. This process may take a few
                                hours as the hospital may need to get confirmation from the insurance
                                company. In some instances, the hospital may  require some deposit
                                payment. Employees are advised to make the payment first in order to
                                expedite admission.

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