SERVICES

Participants are groups / business entities with a minimum number of employees of 25 people and have been registered with the law with the existence of a Company Certificate, SIUP, TDP, and NPWP.

Mandiri Inhealth Card can be obtained if the participant has been registered and the Policy is signed by both parties. If after the policy is issued, the card has not been received then it can be confirmed at the nearest Mandiri Inhealth Life Insurance Operational Office.

Participants can request a new card with the correct data if the print error is made by Mandiri Inhealth. Data errors include participant name, date of birth, family doctor, product / plan and class of care. Requirements for card replacement are to bring the old participant card, attach supporting documents (ID card, birth certificate etc.) and fill out the form of change in participant data. Participants can submit a replacement card at the nearest Operational Office and will receive a new card after 14 working days. While waiting for the issuance of a new card, participants can still obtain health services using a certificate issued by the Operational Office.

For participants who move the Family Physician before 6 (six) months are charged a card printing fee of Rp. 15,000, - (fifteen thousand rupiah). Except in certain circumstances which require participants to replace Inhealth doctors before 6 (six) months (among others: Doctor Inhealth is no longer active etc.), the participants are not charged Card printing fees. Participants can submit a replacement card at the nearest Operational Office and will receive a new card after 14 working days. While waiting for the issuance of a new card, to obtain health services can use a certificate issued by the Operational Office.

The requirements for replacing a lost card are by submitting a new card issuance accompanied by a certificate from the police and subject to an administration fee of Rp. 15,000. Participants can submit a replacement card at the nearest Operational Office and will receive a new card after 14 days. While waiting for the issuance of a new card, to obtain health services can use a certificate issued by the Operational Office.

If the participant wants to replace the card due to changes in plan and class, then it must be accompanied by a mutation report from the HRD of the company where the participant works as well as a certificate of promotion to Inhealth. A new card will be received after 14 working days. While waiting for the issuance of a new card, to obtain health services can use a certificate issued by the Operational Office.

If the family doctor does not have a race, then the participant can contact the nearest Operational Office of PT Asuransi Jiwa Inhealth Indonesia or contact the PT Asuransi Jiwa Inhealth Indonesia call center to get information on other nearby family doctors.

To obtain health care at the hospital, participants must have a referral letter from the family doctor. If in an emergency, participants can go directly to the hospital emergency emergency room by showing an Inhealth card.

Medicines can be obtained by participants after obtaining letters from general practitioners and specialists by prescribing drugs and showing the Inhealth card at pharmacies or pharmacy installations that have collaborated with PT Asuransi Jiwa Inhealth Indonesia. Drug administration refers to FOI (Inhealth Drug Formulary) and other applicable provisions.

Participants who need further laboratory examinations need to consult with a family doctor first and ask for a referral letter as an introduction to the laboratory that has collaborated with PT Asuransi Jiwa Inhealth Indonesia.

List of Partner Hospitals PT Inhealth Life Insurance Indonesia.

List of Partner Pharmacies PT Inhealth Life Insurance Indonesia.

List of Partner Laboratories PT Inhealth Life Insurance Indonesia.

Managed Care Product:

• Attach a letter of application containing the chronology of the disease
• Include original stamped receipts according to the provisions with details of costs and drugs.
• Fill out the claim submission form.
• Photocopy of Inhealth card.
• Attach a letter of reference / emergency information and / or a letter of guarantee for hospitalization.
• Attach detailed types of services (for inpatient cases).
• Copy of birth certificate and copy of marriage certificate / marriage certificate (labor).
• Guarantee Letter of Service and / or referral letter, original prescription from a hospital specialist who works with PT Inhealth Indonesia Insurance or a certificate from the doctor concerned (additional services).
• Other documents required by the insurer in connection with the claim payment process.

Indemnity Product:

• Completion of the complete claim form by the doctor who carries out the treatment.
• A copy of the medical resume from the treating doctor or hospital.
• Copy of participant card / insurance policy holder.
• Original receipt from doctor or hospital that explains:
  • Name of participant / policy holder who is seeking treatment.
  • Diagnosis of treated diseases.
  • Treatment date.
  • Details of costs incurred in connection with treatment and / or medical treatment.
  • Copies of prescriptions of medicines given
• Original receipts from pharmacies.
• Original receipt and cover letter from the doctor for diagnostic examination and details of the name of the diagnostic examination and details of the name of the examination.
• Cover letter from general practitioner / specialist if further examination is necessary.
• Other documents required by the insurer in connection with the claim payment process.