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COVID-19 Free Cover Initiative

From 1st July 2021 to 30th September 2021 (the ‘Campaign Period’), if you have become a Life Insured of any group and individual Prudential Myanmar Life Insurance Plans, you will be provided with the following benefits without any additional charge. All new customers onboarded within the Campaign Period are eligible for the 90-day free coverage from effective date of the policy, subject to the terms and conditions in this note. Those who became customers prior to campaign period and have an in-force policy with Prudential Myanmar Life Insurance Plans, shall enjoy the benefits of this campaign until 30 September 2021.

Benefit table 

This Covid-19 coverage provides for the following benefits. The total amount payable is based on severity of the Life Insured’s conditions, and net of any prior COVID-19 benefit pay-outs.(e.g. For Life Insured with a SA of 4 mil MMK and had claimed the Hospitalization Benefit of 1mil MMK, and subsequently claims a Severe Condition Benefit, we will pay another 1mil MMK. i.e. 2 mil MMK less the 1 mil MMK already paid)

 

Benefits

 

Conditions

 

Benefit Amount

 

Hospitalisation Benefit

 

If the Life Insured is hospitalised and diagnosed COVID-19 positive with mild­­­1 and moderate­2 symptoms,  

25% of SA up to 1,000,000 MMK.

Severe Condition benefit

 

If the Life Insured is hospitalised and diagnosed COVID-19 positive with severe­3 conditions,  

50% of SA up to 2,000,000 MMK.

ICU Benefit

 

If the Life Insured is diagnosed COVID-19 positive and admitted to ICU,  

100% of SA up to 10,000,000 MMK.

Death Benefit

 

 

If the Life Insured is diagnosed COVID-19 positive and admitted to ICU and subsequently passes away due to COVID-19  

100% of SA up to 15,000,000 MMK.

1. Mild Symptoms 

Symptomatic patient meeting the case definition for COVID-19 without evidence of viral pneumonia or hypoxia. Anosmia (loss of the ability to detect smells) Alone is not considered symptomatic.

2. Moderate Symptoms
Adolescent or adult with the clinical signs of pneumonia (fever, cough, dyspnoea and fast breathing)

3. Severe Symptoms
Adolescent or adult with the clinical signs of pneumonia (fever, cough, dyspnoea and fast breathing) plus one of the following:

  1. Respiratory rate >30
  2. Severe respiratory distress (or) SpO2 < 93% on room air.

Terms & Conditions  

  1. The benefits are applicable to Life Insured of policies issued by Prudential Myanmar Life Insurance Limited.

  2. For new policies issued in the Campaign Period, the period of the free COVID-19 coverage (the ‘Coverage Period’) is 90 days from the issue date of the policy.

  3. For inforce policies where the prior free COVID-19 coverage has expired, extension on the free coverage will be provided until 30 September 2021 following the new terms and conditions.

  4. The benefits will not be paid if the Life Insured’s COVID-19 diagnosis or the signs and symptoms thereof appeared before, or within 14 days after the respective policy becomes effective.

  5. For claims under this campaign offer, we may request relevant documents such as a medical report and death certificate. We may also request further documents or proof for claim evaluation.

  6. ‘COVID-19’ means confirmed Novel Coronavirus cases as defined by the World Health Organisation. The diagnosis must always be supported by laboratory test report from a government recognized hospital. Clinical diagnosis alone does not meet this standard.

  7. To be eligible for the benefits, the policy of the Life Insured has to be in force at the time of diagnosis or hospitalisation.

  8. Each benefit under this and previous COVID-19 related campaign offers can only be claimed once in respect of each Life Insured, regardless of number of policies purchased. If there had been prior claims admitted/paid in respect of any COVID-19 benefits, the maximum payable amount for other benefits will be reduced accordingly.

  9. We reserve the right to change any terms and conditions of this complimentary offer without issuing further notices. In the event of any disputes, we shall have the absolute discretion to make the final decision.

Addendum to COVID-19 Free Cover Initiative

Terms and conditions

This is an addendum to the ‘Free Covid Coverage’ initiative from Prudential Myanmar Life Insurance (PMLI). From 1st July 2021 to 30th September 2021 (the original ‘Campaign Period’), if you have become a Life Insured of any group and individual Prudential Myanmar Life Insurance Plans, or are an existing policyholder as on 1st July 2021, you will be provided with the following additional benefits without any additional charge.

This benefit is in addition to ‘hospitalisation benefit’ during this time of crisis in lieu of customers suffering with mild/moderate symptoms and are unable to get themselves hospitalised.

Benefit table

Benefits

Conditions

 

Benefit Amount*

 

Reimbursement Benefit

 

If the Life Insured is diagnosed COVID-19 positive with mild and moderate symptoms, and has not claimed ‘hospitalization’ benefit.

Actual expenses incurred with Maximum of 25% of base plan sum assured or up to 1,000,000 MMK whichever is lower

 

Terms & Conditions 

  1. The Terms & Conditions of the ‘Free Covid Coverage’ (or Original Campaign) are overriding and over-encompassing. (Please refer to the main document for this campaign’s full terms and conditions) The effective start and end date of coverage will be the same as the Original Campaign i.e. 1st July 2021 and will be applicable till 30th September 2021.
  2. The definition of ‘mild’, ‘moderate’ symptom is as per the original campaign and would need to be mentioned in a Government recognised Doctors’ prescription or medical record.
  3. Post diagnosis as COVID-19 positive, subject to suffering from ‘mild’ and ‘moderate’ symptom, the customer can claim reimbursement of expenses incurred towards the below, subject to providing adequate proof of expenditure incurred, –
    1. One COVID19 PCR[1] or RD[2] test for the Policyholder
    2. Medicines prescribed by a Government recognised Doctor for home treatment for COVID19, for up to 14 days, for the treatment of the Policyholder
    3. Oxymeter if prescribed by Government recognised Doctor for home treatment of COVID19
    4. Doctors fees or clinic fees paid as part of Covid19 treatment for the Policyholder
  4. The reimbursement of expenses is capped to the real eligible expenses incurred or 25% of Sum Assured up to 1,000,000MMK, whichever is lower. For e.g. If SA is 3,000,000MMK and total expenses incurred on Covid19 test and medicines for treatment is 200,000MMK, the amount to be reimbursed will be 200,000MMK. If the total expenses incurred on Covid19 test and medicines was 800,000MMK in the same case, the amount which will be reimbursed will be 750,000MMK (which is 25% of SA).
  5. The reimbursement amount for mild and moderate COVID19 symptom is coordinated with or in replacement of the hospitalization benefit amount. This is not separate or in addition to that amount.
  6. What is not covered –
    1. Medical Expenses not incurred for the policyholder, or Covid19 test not for the Policyholder
    2. Expenses incurred without formal bills in the name of the policyholder
    3. Expenses incurred towards oxygen cylinders or oxygen concentrators
    4. Other medicines which are not for treatment of Covid (e.g. routine medicines such as diabetes or blood pressure)
    5. Repeat Covid Tests
    6. Expenses incurred towards setting up of Home ICU facilities
  7. We reserve the right to change any terms and conditions of this complimentary offer without issuing further notices. In the event of any disputes, we shall have the absolute discretion to make the final decision.

[1] Polymerase Chain Reaction (PCR) Test

[2] Rapid Diagnosis Test