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