No | Manfaat | Plan H | Plan I | Plan J | Plan K | Plan L | Plan M |
|---|---|---|---|---|---|---|---|
1 | Biaya Kamar Per Hari (365hari/thn) | 500.000 | 600.000 | 700.000 | 800.000 | 900.000 | 1.000.000 |
2 | Intensive Care Unit (ICU) (max60hari/thn) | 1.000.000 | 1.200.000 | 1.400.000 | 1.600.000 | 1.800.000 | 2.000.000 |
3 | Dokter Umumi (max 1x/hari) | As Charge | As Charge | As Charge | As Charge | As Charge | As Charge |
4 | Dokter Spesialis (max 1x/hari) | As Charge | As Charge | As Charge | As Charge | As Charge | As Charge |
5 | Biaya Aneka Perawatan di RS | As Charge | As Charge | As Charge | As Charge | As Charge | As Charge |
6 | Biaya Aneka Operasi/Bedah | As Charge | As Charge | As Charge | As Charge | As Charge | As Charge |
7 | Biaya Pemeriksaan Lab & Tes Diagnostik (7hari sebelum Rawat Inap) | As Charge | As Charge | As Charge | As Charge | As Charge | As Charge |
8 | Biaya Konsultasi Lanjutan (30 hari setelah Rawat Inap) | As Charge | As Charge | As Charge | As Charge | As Charge | As Charge |
9 | Biaya Ambulance Menuju RS (darurat) | As Charge | As Charge | As Charge | As Charge | As Charge | As Charge |
USIA (Thn) | PLAN H | PLAN I | PLAN J | PLAN K | PLAN L | PLAN M |
|---|---|---|---|---|---|---|
15hari - 19 | 1.067.000 | 1.273.200 | 1.627.100 | 2.058.600 | 2.536.300 | 3.098.800 |
20-29 | 1.473.900 | 1.776.900 | 2.287.900 | 2.902.600 | 3.583.000 | 4.459.200 |
30-39 | 1.693.700 | 2.042.700 | 2.638.400 | 3.361.400 | 4.162.100 | 5.160.100 |
40-49 | 1.908.200 | 2.298.100 | 2.976.300 | 3.810.900 | 4.735.400 | 5.822.800 |
50-55 | 2.518.900 | 3.036.400 | 3.940.400 | 5.085.600 | 6.343.900 | 7.769.700 |
56-60 | 2.994.000 | 3.595.400 | 4.691.300 | 6.084.800 | 7.629.200 | 9.200.800 |
61-64 | 8.360.900 | 9.995.400 | 11.627.600 | 13.258.300 | 14.887.200 | 16.514.900 |