MIFG My Managed Care

Individual health insurance products are designed for Indonesians who need comprehensive health services including Promotive, Preventive, Curative, and Rehabilitative.

MIFG My Managed Care is an insurance product of PT Asuransi Jiwa IFG Life, which is licensed and supervised by the Financial Services Authority. Therefore, MIFG My Managed Care product is NOT a Bank BTN product and Bank BTN is not responsible for the policy issued by PT Asuransi Jiwa IFG.

Excellent Health Services

VIP class protection with comprehensive health services for outpatient care and premium hospital network

Excellent Health Services

VIP class protection with comprehensive health services for outpatient care and premium hospital network

Insurance Information

Insurance Benefits

Benefits
Primary Benefits	First Level Outpatient Treatment (RJTP)
	Advanced Outpatient Treatment (RJTL)
	Hospitalization (RI)
	Medication Services Inhealth medication and/ or hospital medication formulary (specifically for inpatient) Inhealth medication formulary for outpatient (RJTP & RJTL)
Optional Benefits	Optional benefits can be taken or not, depending on the requests and needs of the policyholder and/or the insured. The following are optional benefits on MIFG My Managed Care Joint Insurance Products: Death benefit due to illness or natural causes or accidents Daily hospitalization benefit at the hospital

Specification

Specification
Entry Age of Policyholder	18 - 60 years old
Insured Entry Age	5 - 55 years old
Insurance Period	Coverage period for 1 (one) year and can be renewed. Age plus maximum insurance period of 56 years Entry age above 55 years old, only applies to renewal policies with a maximum age of 60 years old
Sum Assured	According to the Benefit Table
Premium	Starting from IDR 12,170,000/year
Premium Payment Period	According to the insurance period
Premium Payment Method	Annual or Semesterly

Terms & Conditions

Terms

Complete the required data on the website IFG Life or through the nearest Bank BTN Branch Office, then complete the required documents
All information, statements, and notices provided are the basis for the Policy and are an integral part of the Policy
Correctness and completeness of the data is the responsibility of the Policyholder and/or Insured.

Conditions

1 Premium Payment Requirement

Prospective Policyholders are required to pay the Premium to the Insurer according to the Premium amount and Premium payment method as stated in the Policy
Premium payment is considered valid, if the funds have been received fully by the Insurer

2 Claim Submission

Prepare claim documents, fill out completely, and sign the claim submission form
The claim submission form can be downloaded from IFG Life's official website/media
Submit all claim documents according to the claim submission requirements to the Insurer's office or can directly visit the nearest Walk in Customer & Insurer Representative Office or BTN Branch Office
The Insurer receives, examines, and analyzes the submitted claim documents. To find out the claim status, the Policyholder / Insured can contact the Call Center 1500 176 or its revised number
If the claim is approved, the claim payment will be paid by the Insurer no later than 14 (fourteen) working days after the claim decision is approved.

Benefits Illustration

Illustration

Mr. Andi (35 years old) purchases MIFG My Managed Care Policy as follows
Policyholder Name	Andi
Insured Age	35 years old
Hospitalization Class	VIP Class
Plan	Platinum
Premium	IDR 19.080.000,-
Sum Assured	According to the benefit table
Premium Payment Method	Annual
Insurance Period	1 Year

Andi signs up for MIFG My Managed Care insurance with the main and optional benefits of death benefits due to illness or natural or accidental causes as well as daily hospitalization benefits at the hospital with the VIP Class Platinum Plan category.

1 Main Benefits

Main Benefits	Platinum
Main Benefits	VIP
First Level Outpatient Benefit (RJTP)
Medical consultation, examination, treatment, and simple medical actions performed by a general practitioner
Simple diagnostic examination
Medication prescribed according to the applicable provisions of the insurer
Referral to advanced health facilities/providers according to medical indications applicable to the insurer
Referral services from advanced facilities/providers as applicable to the insurer
Advanced Outpatient Benefits (RJTL)
Medical consultation, examination, and treatment by specialist/sub-specialist doctors
Simple to sophisticated diagnostic examination
Standard diagnostic examination, according to the medical service standards of the health facility/RJTL provider
Medical action
Medical rehabilitation
Medication according to the applicable provisions of the insurer
Consumable medical materials and equipment
Providing referrals to higher health facilities/providers as applicable to the insurer
Referral back to the first level
One-day service package
Post-hospitalization services
Hospitalization Benefits
Nursing and accommodation in the treatment room
Examination and treatment by general practitioners, specialists, and/or sub-specialists
Simple to sophisticated diagnostic examination
Diagnostic, therapeutic, and operative medical procedures
Medical rehabilitation
Emergency treatment due to accident
Medication according to the applicable provisions of the insurer
Consumable medical materials and devices
Blood transfusion services
Referral letter according to the applicable provisions of the insurer
Ambulance
Medical Evacuation & Repatriation

2 Optional Benefits

Optional Benefits
Death benefit due to illness and/or accident
Daily hospitalization benefit at the hospital

Illustration

Andi experiences an emergency case and undergoes treatment outside the selected provider, Andi submits a reimbursement claim as follows:

Service Type

Advanced outpatient consultation and medication

Claim Receipt

IDR 600,000 (*more than IDR 500,000)

Reimbursement Calculation

Minimum value of IDR 500,000 or 80% x IDR 600,000 = IDR 480,000
IDR 480,000.

Therefore, the reimbursement claim value to be paid for the claim receipt submission is IDR 480,000.

Description:
- There is no refund of the MIFG My Managed Care Joint Insurance Product, except for the policy cancellation made by the insurer (after deducting the costs arising from the insurance closure of the policyholder and/or insured).
- Changes in selected providers can only be made at each policy anniversary.

How to Register

1

Upload data

Complete the data and required documents on the IFG Life website or from the nearest BTN Branch Office.
2

Check the Statement

Ensure that the information, statements, and notices provided are the basis for procuring the Policy and an integral part of the Policy.
3

Complete the Registration

Correctness and completeness of the data is the responsibility of the Policyholder and/or the Insured.