MultiGuard
Critical Illness
Protection Plan
First in market: "Medical + Critical Illness" double protection
First in market: "Medical + Critical Illness" double protection
"Medical + Critical Illness" Double Protection
171 insured illnesses
Up to 600% of sum assured
Up to HKD200,000 extra protection on coronavirus*
Critical illnesses often strike without warning, and put you and your family in great stress all in a sudden. While worrying that the unforeseen financial burden of medical care will derail the future plans of your family, you also need experts’ advice from the diagnosis and start the appropriate medical treatment. Tahoe Life understands it and offers you MultiGuard Critical Illness Protection Plan (the “Plan”) with all-round protections against 171 critical illnesses. In addition to paying out a lump-sum benefit to ease your financial pressure, the Plan also covers multiple claims against cancer, stroke and heart attack, and reimburses you the medical expenses. You will also have access to timely professional advice and support throughout the journey of recovery. Even when there are challenges from time to time, we are standing by you and bringing you back to a brilliant life.
The Plan provides coverage for 171 critical illnesses, which include 74 major illnesses, 73 early stage critical illnesses and 24 severe child diseases, as well as 19 benign tumours. The commonly seen illnesses including cancers, stroke, heart attack, carcinoma-in-situ and angioplasty, etc., are covered.
As life expectancy increases steadily, it is not uncommon that illnesses may strike more than just one time. With the protection reset benefit under the Plan, you will be able to restore your coverage reduced by prior claims. In the unfortunate event that the insured is diagnosed with a covered major illness or passes away before age 75, the claimed amount paid under the early stage critical illness benefit and / or the severe child disease benefit will be reset once (up to 80% of the sum assured) and payable as part of the major illness benefit or death benefit. However, the related illnesses must be diagnosed one year or longer before the date of diagnosis of the major illness or the date of the death of the insured.
If the insured has undergone a complete surgical excision of one of the covered benign tumours, the Plan will provide a benign tumour benefit which covers 19 organs or tissues, with an amount up to 20% of the sum assured for up to two times. Please refer to the “Information at a glance” for details of each covered benign tumour and its maximum benefit.
If the insured is unfortunately diagnosed with cancer, stroke or heart attack, apart from the lump-sum payment from major illness benefit, the followings will be provided by the Plan to support you to go through the whole recovery journey.
This benefit is available upon the successful claim for cancer, stroke or heart attack in the first 20 policy years, and allowing you to reimburse the medical expenses for the related treatment, such as room and board charges, surgical fees, chemotherapy, radiotherapy, target cancer therapy, private nurse fee and so on (please refer to “Information at a glance” section for details). The maximum reimbursement amount will be 20% of the sum assured, up to USD62,500 / HKD500,000 per insured.
The Plan covers up to three additional claims on cancer, stroke or heart attack on or before the policy anniversary date on or immediately following the 85th birthday of the insured. The amount for each claim is equivalent to 100% of the sum assured.
The multiple benefits on designated major illnesses will be payable regardless of whether the subsequent claim for the cancer is a continuation, metastasis or recurrence of a cancer which was previously claimed and paid or a newly diagnosed cancer, subject to the fulfilment of the waiting period requirement.
The waiting period of a subsequent claim for cancer is:
The multiple benefits on designated major illnesses will be payable if the one-year waiting period requirement is fulfilled. If the preceding claim of major illness benefit or multiple benefits on designated major illnesses belongs to stroke or heart attack, the diagnosis of the subsequent stroke or heart attack must be certified by a specialist as a new stroke or heart attack.
In the first 20 years (for the insured’s issue age under 21) or the first 10 years of the policy (for the insured’s issue age 21 or above), the coverage booster benefit will be payable for one time when the major illness benefit or death benefit of the Plan becomes payable. The amount of coverage booster benefit will be:
|
Issue age of the insured |
Coverage booster benefit |
|
Under age 21 |
80% of the sum assured |
|
Age 21 or above |
60% of the sum assured |
In addition to all-round critical illness protection, the Plan also provides you with attentive Prestige Global Medical Assistance Services. You will have access to a 24-hour medical enquiry service and second medical opinion service supported by experienced medical professionals, worldwide medical network and global medical concierge services to take care of your health needs at all times.
Tahoe Life only covers the charges and / or expenses of the insured on “reasonable and customary charges” and “medically necessary” basis.
“Reasonable and customary charges” in relation to a fee, a charge or an expense, means any fee or expense which (a) is charged for treatment, supplies (inclusive of medication) or medical services that are medically necessary and in accordance with standards of good medical practice for the care of an injured or ill person under the care, supervision or order of a registered medical practitioner; (b) does not exceed the usual level of charges for similar treatment, supplies (inclusive of medication) or medical services in the locality where the expense is incurred, which for the avoidance of doubt, shall not exceed the level of such charges applicable to a semi-private room for treatment, supplies (inclusion of medication) or medical services provided during a confinement; and (c) does not include charges that would not have been made if no insurance existed. The Company reserves the right to determine whether any particular confinement / medical charge is a reasonable and customary charge with reference but not limited to any relevant publication or information made available, such as schedule of fees, by the government, relevant authorities and recognised medical association in the locality. The Company reserves the right to adjust any or all benefits payable in relation to any confinement / medical charges which in the opinion of the Company is not a reasonable and customary charge. For details of the principle of “medically necessary”, please refer to below “Key Product Disclosures” section regarding “Eligible medically necessary claims”.
