Protection Details 

This Elite Health Plus provides comprehensive protection as per the insurance policy. It covers various aspects of medical care, ensuring that our policyholders receive the necessary support in times of illness or injury. 

Section 1: Inpatient Benefits
If the insured requires inpatient admission, the following benefits will be provided: 

Sub-category 1.1: The company will cover room and board expenses, including hospital service fees for inpatient stays. 

Sub-category 1.2: In cases where the insured stays in an Intensive Care Inpatient Room, the company will pay for room and board, including hospital service fees. 

Category 2: Medical Service Fees for Diagnosis or
Treatment

The company will provide benefits for medical services, including diagnosis and treatment costs, blood and blood component service fees, nursing service costs, medicine costs, parenteral nutrition costs, and medical supplies while the insured is admitted as an inpatient. This includes: 

• Subcategory 2.1: Benefits for laboratory diagnostic fees, pathological diagnosis fees, radiology diagnostic fees, medical imaging fees, radiology service fees for diagnosis, nuclear medicine service fees for diagnosis, electrocardiogram examination costs, physician fees for interpreting diagnostic test results, and other medical service fees for diagnosis. 
• Subcategory 2.2: Benefits for medical treatment services, encompassing radiotherapy, radiation therapy, nuclear medicine for treatment (including brachytherapy), physical therapy, occupational therapy costs, blood service fees, medical equipment service fees, prosthetic service fees (excluding equipment costs), service fees for medical treatment, and nursing service fees. Special nursing services are not included. 
• Subcategory 2.3: Benefits for medicine costs, parenteral nutrition costs, and medical supplies, excluding the cost of certain medical supplies and equipment like automated external defibrillators (AEDs), defibrillators, pacemakers placed externally, external prostheses, durable medical supplies, hearing aids, glasses, contact lenses, eyeglass lenses, oxygen equipment, vital signs monitors, braces, patient wheelchairs, and prosthetic organs. 
• Subcategory 2.4: Benefits for medicines and consumable medical supplies to be taken home for continued treatment after leaving the inpatient stay. 

Category 3: Medical Practitioner (Doctor) Fees for Examination and Treatment

The company will reimburse fees for medical professionals (doctors) who provide examination and treatment while the insured is an inpatient at the hospital. 

Category 4: Medical Expenses for Surgery (Surgery) and Procedures

Benefits will be paid for medical expenses incurred from surgeries and procedures performed during the insured's inpatient stay at the hospital, including: 

• Subcategory 4.1: Operating room expenses and operating room fees. 
• Subcategory 4.2: Medicine costs, parenteral nutrition costs, medical supplies costs, and costs for surgical equipment and procedures. 
• Subcategory 4.3: Fees for surgeons and procedures (including surgical assistant doctor) for surgeries and procedures. 
• Category Subsection 4.4: Anesthesiologist practitioner fees. 
• Subcategory 4.5: Medical expenses for organ transplant surgery, including liver, pancreas, kidney, heart, lung, and bone marrow transplantation using Haematopoietic Stem Cells after Bone Marrow Ablation. 

Category 5: Major Surgery (Day Surgery)

In cases where the insured undergoes major surgery no requiring an inpatient stay, the company will provide benefits as if the insured were an inpatient in a hospital. 

Category 6: Outpatient Medical Expenses Benefits

Benefits for various outpatient medical expenses, including direct diagnostic examinations, outpatient medical treatment after inpatient stays, and medical expenses for injuries occurring within 24 hours of each
accident, will be provided. 

Section 7: Rehabilitation Medicine Expenses After Inpatient
Treatment

Benefits for rehabilitation costs, physical therapy, occupational therapy, and related medical professional fees are covered after an injury or illness, such as a stroke, provided by a rehabilitation specialist in a hospital that offers rehabilitation services. 

Section 8: Treatment of Chronic Kidney Failure by Dialysis

The company provides benefits for the treatment of chronic kidney failure through intravenous dialysis. 

Section 9: Treatment of Tumors or Cancer by Radiotherapy,
Radiation Therapy, and Nuclear Medicine

Benefits for the treatment of tumors or cancer, including radiotherapy, radiation therapy, and nuclear medicine treatments, are covered. 

Section 10: Cancer Treatment by Chemotherapy

Benefits for cancer treatment, including chemotherapy and targeted therapy, are covered. 

Section 12: Emergency Ambulance Service Fees

Coverage includes benefits for emergency ambulance costs, including the cost of medicine, medical supplies, and medical professional
fees, in cases of emergency medical necessity. 

Section 13: Medical Expenses by Minor Surgery

Benefits for medical expenses incurred from minor surgery are provided. 

Protection Details of "Endorsement Record"

This extends the protection provided under the Elite Health Plus additional health insurance contract and includes various benefits such as coverage for medical equipment, specialist consultations, room costs for a
parent, rehabilitation expenses, and more, depending on the selected plan.