Your Health, Our Priority

Comprehensive Medical Coverage for Peace of Mind

Protect yourself and your loved ones with our reliable medical card. Enjoy access to quality healthcare whenever you need it, without the financial stress.

About Our Medical Card Plan

A medical card is your gateway to worry-free healthcare. It provides financial protection by covering medical expenses, including hospital stays, surgeries, outpatient treatments, and more. With our medical card, you can focus on recovery while we handle the costs.

Why Our Medical Card?

We stand out because we prioritize your health and peace of mind. With our medical card, you’ll enjoy:

How Does the Medical Card Work?

Hibah is a simple and transparent process. Here’s how it works:

1.

2.

3.

4. Flexible Plans for Every Budget

We offer affordable medical card plans to suit your needs:

Plan	Monthly	Quarterly	Half Yearly	Yearly
MediPlan Coop	RM 90	-	-	RM 1,080
Senior Care Plan Gold 270	RM 150 + Commitment Fee RM 150	RM 450	RM 900	RM 1,800
Senior Care Plan Diamond 370	RM 210 + Commitment Fee RM 210	RM 630	RM 1,260	RM 2,520

MediPlan Coop

Benefit	RM
Room & Board	250
Ambulance Fees	Included
Intensive Care Unt
Hospital Supplies & Services
Surgical Fees
Operating Theater Fees
Anesthetist Fees
In-hosptal Doctor Visit
Day Care & Day Surgery
Second Surgical / Treatment Opinion
Emergency Accidental Dental Treatment
Covid Test for Admission Purpose
Daily Cash Allowance in Government Hospital (Up to maximum of 120 days per yes)	100
Pre-Hospital Diagnostic Test & Consultation (Per admission, applicable 30 days prior to admission to hospital)	5,000
Accidental Injury Surgery / Treatment (Applicable for in-patent treatment and must frat be paid by the Member before their case can be submitted for claim during the Waiting Period Post Waiting Period, the standard in-patient medical cost of RM1,000,000 applies)	10,000
Bereavement (Upon death, RM10,000 will be paid to their appointed beneficiary as liated in the syslem)	10,000
Out-patient Cancer Treatment (Chemotherapy, Radiotherapy and Electrotherapy are eligible for sharing up to RM100,000, which is excluded from the RM1.000,000 In-Patient Hospitalization Medical Expenses Required to complete the 180-day Waiting Period)	100,000
Conditional Outpatient Benefits Specified clinical outpatient benefits for common medical conditions list	As Charged
ANNUAL LIMIT	1,000,000
Third Party Administrator - eMAS (Eximius Medical Administration Solutions)	250 Panel Hospital 4,000 Panel Clinics

Benefits

Room & Board: RM250 per day
Annual Limit: RM1,000,000 per year
Government Hospital Ward Allowance: RM100 per day
No Co-Insurance, No Co-Takaful, No Deductible
Death Benefit: RM10,000
RM100,000 per year for Outpatient Cancer Treatment
Conditional Outpatient Benefits (COB) - Specified clinical outpatient benefits for common medical conditions list
Collaboration with Kita Kongsi Sdn Bhd as the program operator and eMAS (Eximius Medical Administration Solutions) as the Third Party Administrator (TPA), responsible for managing Hospital Admission Guarantee Letters and Conditional Outpatient Benefits (COB). Over 250 panel hospitals and 4,000 panel clinics are available across Malaysia.

Terms & Conditions

Waiting Period

Plan Pricing Based on Payment Mode:

Senior Care Plan Gold 270

BENEFITS	RM
Hospital Room & Board (Daily max up to 180 days)	270
Intensive Care Unit (Daily max up 30 days)	Full Reimbursement subject to Overall Annual Limit provided the charges are within the recommendation of the MMA Guidelines and Reasonable and Customary Charges
Hospital Supplies and Services
Surgeon Fee
Anaesthetist Fee
Operating Theatre Charges
Daily in-Hospital Physician's Visit. (Max. 180 days)
Pre-Hospital Diagnostic Tests (Within 60 days before hospital confinement)
Pre-Hospitalization Specialist Consultation (Within 60 days before hospital confinement)
Second Surgical Opinion (Within 60 days before hospital confinement)
Post-Hospitalization Treatment (Within 60 days from hospital discharge)
Emergency Accidental Outpatient Treatment (Within 24 hours after the accident & follow-up up to 60 days)
Outpatient Cancer Treatment
Outpatient Kidney Dialysis Treatment
Daycare Procedure
Ambulance Charges (by road)
Government Service Tax
Government Hospital Daily Cash Allowance (Max. 180 days)	100
Medical Report Fee Reimbursement	80
Funeral Expenses - Accidental (Hospitalized)	10,000
OVERALL ANNUAL LIMIT	75,000
Panel Hospital - MiCare	148 Panel Hospital Nationwide

Contributions as low as RM5.00 Per Day

Terms & Conditions

Senior Care Plan Diamond 370

BENEFITS	RM
Hospital Room & Board (Daily max up to 180 days)	370
Intensive Care Unit (Daily max up 30 days)	Full Reimbursement subject to Overall Annual Limit provided the charges are within the recommendation of the MMA Guidelines and Reasonable and Customary Charges
Hospital Supplies and Services
Surgeon Fee
Anaesthetist Fee
Operating Theatre Charges
Daily in-Hospital Physician's Visit. (Max. 180 days)
Pre-Hospital Diagnostic Tests
Pre-Hospitalization Specialist Consultation
Second Surgical Opinion
Post-Hospitalization Treatment
Emergency Accidental Outpatient Treatment
Outpatient Cancer Treatment
Outpatient Kidney Dialysis Treatment
Daycare Procedure
Ambulance Charges (by road)
Government Service Tax
Government Hospital Daily Cash Allowance (Max. 180 days)	200
Medical Report Fee Reimbursement	80
Funeral Expenses - Accidental (Hospitalized)	10,000
OVERALL ANNUAL LIMIT	100,000
Panel Hospital - MiCare	148 Panel Hospital Nationwide

Contributions as low as RM7.00 Per Day

Terms & Conditions

Registration Form

MediPlan Coop

This field is hidden when viewing the form

Role

This field is hidden when viewing the form

Submitter Form ID

This field is hidden when viewing the form

Admin Form ID

Status Pesanan

Submission By

This field is hidden when viewing the form

Agent Form ID

This field is hidden when viewing the form

Upline 1 WP ID

This field is hidden when viewing the form

Upline 1 Form ID

This field is hidden when viewing the form

Upline 2 WP ID

This field is hidden when viewing the form

Upline 2 Form ID

This field is hidden when viewing the form

Upline 3 WP ID

This field is hidden when viewing the form

Upline 3 Form ID

This field is hidden when viewing the form

Upline 4 WP ID

This field is hidden when viewing the form

Upline 4 Form ID

Agent Code

This field is hidden when viewing the form

Agent Username

This field is hidden when viewing the form

Agent Email Address

This field is hidden when viewing the form

Agent Phone Number

This field is hidden when viewing the form

Agent Name

This field is hidden when viewing the form

Agent Bank Account Holder

This field is hidden when viewing the form

Agent Beneficiary Bank

This field is hidden when viewing the form

Agent Beneficiary Account Number

This field is hidden when viewing the form

Agent ID Type

This field is hidden when viewing the form

Agent NRIC / BRN Number

This field is hidden when viewing the form

Username Upline 1

This field is hidden when viewing the form

Email Upline 1

This field is hidden when viewing the form

Upline 1 Name

This field is hidden when viewing the form

Upline 1 Bank Account Holder

This field is hidden when viewing the form

Upline 1 Beneficiary Bank

This field is hidden when viewing the form

Upline 1 Beneficiary Account Number

This field is hidden when viewing the form

Upline 1 ID Type

This field is hidden when viewing the form

Upline 1 NRIC / BRN Number

This field is hidden when viewing the form

Username Upline 2

This field is hidden when viewing the form

Email Upline 2

This field is hidden when viewing the form

Upline 2 Name

This field is hidden when viewing the form

Upline 2 Bank Account Holder

This field is hidden when viewing the form

Upline 2 Beneficiary Bank

This field is hidden when viewing the form

Upline 2 Beneficiary Account Number

This field is hidden when viewing the form

Upline 2 ID Type

This field is hidden when viewing the form

Upline 2 NRIC / BRN Number

This field is hidden when viewing the form

Username Upline 3

This field is hidden when viewing the form

Email Upline 3

This field is hidden when viewing the form

Upline 3 Name

This field is hidden when viewing the form

Upline 3 Bank Account Holder

This field is hidden when viewing the form

Upline 3 Beneficiary Bank

This field is hidden when viewing the form

Upline 3 Beneficiary Account Number

This field is hidden when viewing the form

Upline 3 ID Type

This field is hidden when viewing the form

Upline 3 NRIC / BRN Number

This field is hidden when viewing the form

Username Upline 4

This field is hidden when viewing the form

Email Upline 4

This field is hidden when viewing the form

Upline 4 Name

This field is hidden when viewing the form

Upline 4 Bank Account Holder

This field is hidden when viewing the form

Upline 4 Beneficiary Bank

This field is hidden when viewing the form

Upline 4 Beneficiary Account Number

This field is hidden when viewing the form

Upline 4 ID Type

This field is hidden when viewing the form

Upline 4 NRIC / BRN Number

Jenis Sebut Harga

Jenis Mediplan

Maklumat Pendaftaran

This field is hidden when viewing the form

Membership No.

This field is hidden when viewing the form

Effective Date

Nama Penuh(Required)

No. Kad Pengenalan(Required)

Race(Required)

Height (cm)(Required)

Weight (kg):(Required)

Tarikh Lahir

No. Telefon(Required)

Email(Required)

Password(Required)

This field is hidden when viewing the form

Active User

Alamat

Street Address Address Line 2 City State Postcode Country

Lokasi Destinasi

Tarikh Pergi

Tarikh Balik

Tujuan Travel

Nama Nominee

Nombor IC

This field is hidden when viewing the form

Alamat Nominee

Street Address Address Line 2 City State Postcode Country

Adakah Anda Travel dengan Pasangan?

Tidak

Isi Maklumat Pasangan

Nama

Nombor IC

Adakah Anda Travel dengan Anak-anak?

Tidak

Jika Travel dengan Anak-anak bawah umur 21 Tahun

Senarai Ahli Keluarga (Bawah 21 Tahun)

Nama

Nombor IC

Smoker / Non Smoker

Maklumat Lain - Sila jawab samada Ya atau Tidak sahaja

Dalam tempoh 2 tahun yang lepas, adakah anda pernah berjumpa pakar, dimasukkan ke hospital, menjalani pembedahan, menjalani ujian diagnostik dengan keputusan yang tidak normal atau dinasihatkan untuk menjalani mana-mana perkara ini pada masa hadapan?(Required)

Tidak

Adakah anda pernah menerima diagnosis atau menunjukkan simptom seperti: Kanser atau tumor; Serangan jantung atau sakit dada; Tekanan darah tinggi, strok, atau diabetes; Hepatitis B atau C; HIV atau AIDS; Sebarang gangguan mental atau saraf; Penyalahgunaan alkohol atau dadah; Gangguan hati, paru-paru, buah pinggang, usus, saraf, atau muskuloskeletal; Sebarang penyakit serius yang lain?(Required)

Tidak

Adakah permohonan insurans/takaful anda pernah ditolak?(Required)

Tidak

Adakah anda pernah mengalami kecederaan serius (tidak termasuk luka kecil, lebam, calar, dan gigitan serangga) yang memerlukan kemasukan ke hospital atau tempoh pemulihan yang lama di rumah?(Required)

Tidak

Emergency Contact

Nama Per IC(Required)

Contact No(Required)

Relationship(Required)

Sila pastikan maklumat ini adalah selain dari penama di atas

Mod Bayaran

Harga Caruman (Mediplan Coop):(Required)

Bulanan (RM90)

Tahunan (RM1,080)

Harga Caruman (Senior Care Plan Gold 270):(Required)

Bulanan (RM150 + Commitment Fee RM150)

3 Bulan (RM450)

6 Bulan (RM900)

Tahunan (RM1800)

Harga Caruman (Senior Care Plan Diamond 370):(Required)

Bulanan (RM210 + Commitment Fee RM210)

3 Bulan (RM630)

6 Bulan (RM1260)

Tahunan (RM2520)

This field is hidden when viewing the form

Payment Plan

Jenis Kad Medikal pilihan(Required)

e-Medical Card

e-Medical Card & Fizikal Medical Card dengan fungsi NFC Touch n Go (RRP RM34.90)

Tambah Pelanggan Kedua

Jenis Mediplan (Pelanggan Kedua)(Required)

Nama Penuh (Pelanggan Kedua)(Required)

No. Kad Pengenalan (Pelanggan Kedua)(Required)

Race (Pelanggan Kedua)(Required)

Height (cm) (Pelanggan Kedua)(Required)

Weight (kg) (Pelanggan Kedua)(Required)

No. Telefon (Pelanggan Kedua)(Required)

Maklumat Lain - Sila jawab samada Ya atau Tidak sahaja

Tidak

Adakah permohonan insurans/takaful anda pernah ditolak?(Required)

Tidak

Mod Bayaran

Harga Caruman (Mediplan Coop): (Pelanggan Kedua)(Required)

Bulanan (RM90)

Tahunan (RM1,080)

Harga Caruman (Senior Care Plan Gold 270): (Pelanggan Kedua)(Required)

Bulanan (RM150 + Commitment Fee RM150)

3 Bulan (RM450)

6 Bulan (RM900)

Tahunan (RM1800)

Harga Caruman (Senior Care Plan Diamond 370): (Pelanggan Kedua)(Required)

Bulanan (RM210 + Commitment Fee RM210)

3 Bulan (RM630)

6 Bulan (RM1260)

Tahunan (RM2520)

This field is hidden when viewing the form

Payment Plan (Pelanggan Kedua)

Jenis Kad Medikal pilihan (Pelanggan Kedua)(Required)

e-Medical Card

e-Medical Card & Fizikal Medical Card dengan fungsi NFC Touch n Go (RRP RM34.90)

Tambah Pelanggan Ketiga

Jenis Mediplan (Pelanggan Ketiga)(Required)

Nama Penuh (Pelanggan Ketiga)(Required)

No. Kad Pengenalan (Pelanggan Ketiga)(Required)

Race (Pelanggan Ketiga)(Required)

Height (cm) (Pelanggan Ketiga)(Required)

Weight (kg) (Pelanggan Ketiga)(Required)

No. Telefon (Pelanggan Ketiga)(Required)

Maklumat Lain - Sila jawab samada Ya atau Tidak sahaja

Tidak

Adakah permohonan insurans/takaful anda pernah ditolak?(Required)

Tidak

Mod Bayaran

Harga Caruman (Mediplan Coop): (Pelanggan Ketiga)(Required)

Bulanan (RM90)

Tahunan (RM1,080)

Harga Caruman (Senior Care Plan Gold 270): (Pelanggan Ketiga)(Required)

Bulanan (RM150 + Commitment Fee RM150)

3 Bulan (RM450)

6 Bulan (RM900)

Tahunan (RM1800)

Harga Caruman (Senior Care Plan Diamond 370): (Pelanggan Ketiga)(Required)

Bulanan (RM210 + Commitment Fee RM210)

3 Bulan (RM630)

6 Bulan (RM1260)

Tahunan (RM2520)

This field is hidden when viewing the form

Payment Plan (Pelanggan Ketiga)

Jenis Kad Medikal pilihan (Pelanggan Ketiga)(Required)

e-Medical Card

e-Medical Card & Fizikal Medical Card dengan fungsi NFC Touch n Go (RRP RM34.90)

Tambah Pelanggan Keempat

Jenis Mediplan (Pelanggan Keempat)(Required)

Nama Penuh (Pelanggan Keempat)(Required)

No. Kad Pengenalan (Pelanggan Keempat)(Required)

Race (Pelanggan Keempat)(Required)

Height (cm) (Pelanggan Keempat)(Required)

Weight (kg) (Pelanggan Keempat)(Required)

No. Telefon (Pelanggan Keempat)(Required)

Maklumat Lain - Sila jawab samada Ya atau Tidak sahaja

Tidak

Adakah permohonan insurans/takaful anda pernah ditolak?(Required)

Tidak

Mod Bayaran

Harga Caruman (Mediplan Coop): (Pelanggan Keempat)(Required)

Bulanan (RM90)

Tahunan (RM1,080)

Harga Caruman (Senior Care Plan Gold 270): (Pelanggan Keempat)(Required)

Bulanan (RM150 + Commitment Fee RM150)

3 Bulan (RM450)

6 Bulan (RM900)

Tahunan (RM1800)

Harga Caruman (Senior Care Plan Diamond 370): (Pelanggan Keempat)(Required)

Bulanan (RM210 + Commitment Fee RM210)

3 Bulan (RM630)

6 Bulan (RM1260)

Tahunan (RM2520)

This field is hidden when viewing the form

Payment Plan (Pelanggan Keempat)

Jenis Kad Medikal pilihan (Pelanggan Keempat)(Required)

e-Medical Card

e-Medical Card & Fizikal Medical Card dengan fungsi NFC Touch n Go (RRP RM34.90)

Tambah Pelanggan Kelima

Jenis Mediplan (Pelanggan Kelima)(Required)

Nama Penuh (Pelanggan Kelima)(Required)

No. Kad Pengenalan (Pelanggan Kelima)(Required)

Race (Pelanggan Kelima)(Required)

Height (cm) (Pelanggan Kelima)(Required)

Weight (kg) (Pelanggan Kelima)(Required)

No. Telefon (Pelanggan Kelima)(Required)

Maklumat Lain - Sila jawab samada Ya atau Tidak sahaja

Tidak

Adakah permohonan insurans/takaful anda pernah ditolak?(Required)

Tidak

Mod Bayaran

Harga Caruman (Mediplan Coop): (Pelanggan Kelima)(Required)

Bulanan (RM90)

Tahunan (RM1,080)

Harga Caruman (Senior Care Plan Gold 270): (Pelanggan Kelima)(Required)

Bulanan (RM150 + Commitment Fee RM150)

3 Bulan (RM450)

6 Bulan (RM900)

Tahunan (RM1800)

Harga Caruman (Senior Care Plan Diamond 370): (Pelanggan Kelima)(Required)

Bulanan (RM210 + Commitment Fee RM210)

3 Bulan (RM630)

6 Bulan (RM1260)

Tahunan (RM2520)

This field is hidden when viewing the form

Payment Plan (Pelanggan Kelima)

Jenis Kad Medikal pilihan (Pelanggan Kelima)(Required)

e-Medical Card

e-Medical Card & Fizikal Medical Card dengan fungsi NFC Touch n Go (RRP RM34.90)

Tambah Pelanggan Keenam

Jenis Mediplan (Pelanggan Keenam)(Required)

Nama Penuh (Pelanggan Keenam)(Required)

No. Kad Pengenalan (Pelanggan Keenam)(Required)

Race (Pelanggan Keenam)(Required)

Height (cm) (Pelanggan Keenam)(Required)

Weight (kg) (Pelanggan Keenam)(Required)

No. Telefon (Pelanggan Keenam)(Required)

Maklumat Lain - Sila jawab samada Ya atau Tidak sahaja

Tidak

Adakah permohonan insurans/takaful anda pernah ditolak?(Required)

Tidak

Mod Bayaran

Harga Caruman (Mediplan Coop): (Pelanggan Keenam)(Required)

Bulanan (RM90)

Tahunan (RM1,080)

Harga Caruman (Senior Care Plan Gold 270): (Pelanggan Keenam)(Required)

Bulanan (RM150 + Commitment Fee RM150)

3 Bulan (RM450)

6 Bulan (RM900)

Tahunan (RM1800)

Harga Caruman (Senior Care Plan Diamond 370): (Pelanggan Keenam)(Required)

Bulanan (RM210 + Commitment Fee RM210)

3 Bulan (RM630)

6 Bulan (RM1260)

Tahunan (RM2520)

This field is hidden when viewing the form

Payment Plan (Pelanggan Keenam)

Jenis Kad Medikal pilihan (Pelanggan Keenam)(Required)

e-Medical Card

e-Medical Card & Fizikal Medical Card dengan fungsi NFC Touch n Go (RRP RM34.90)

Tambah Pelanggan Ketujuh

Jenis Mediplan (Pelanggan Ketujuh)(Required)

Nama Penuh (Pelanggan Ketujuh)(Required)

No. Kad Pengenalan (Pelanggan Ketujuh)(Required)

Race (Pelanggan Ketujuh)(Required)

Height (cm) (Pelanggan Ketujuh)(Required)

Weight (kg) (Pelanggan Ketujuh)(Required)

No. Telefon (Pelanggan Ketujuh)(Required)

Maklumat Lain - Sila jawab samada Ya atau Tidak sahaja

Tidak

Adakah permohonan insurans/takaful anda pernah ditolak?(Required)

Tidak

Mod Bayaran

Harga Caruman (Mediplan Coop): (Pelanggan Ketujuh)(Required)

Bulanan (RM90)

Tahunan (RM1,080)

Harga Caruman (Senior Care Plan Gold 270): (Pelanggan Ketujuh)(Required)

Bulanan (RM150 + Commitment Fee RM150)

3 Bulan (RM450)

6 Bulan (RM900)

Tahunan (RM1800)

Harga Caruman (Senior Care Plan Diamond 370): (Pelanggan Ketujuh)(Required)

Bulanan (RM210 + Commitment Fee RM210)

3 Bulan (RM630)

6 Bulan (RM1260)

Tahunan (RM2520)

This field is hidden when viewing the form

Payment Plan (Pelanggan Ketujuh)

Jenis Kad Medikal pilihan (Pelanggan Ketujuh)(Required)

e-Medical Card

e-Medical Card & Fizikal Medical Card dengan fungsi NFC Touch n Go (RRP RM34.90)

Tambah Pelanggan Kelapan

Jenis Mediplan (Pelanggan Kelapan)(Required)

Nama Penuh (Pelanggan Kelapan)(Required)

No. Kad Pengenalan (Pelanggan Kelapan)(Required)

Race (Pelanggan Kelapan)(Required)

Height (cm) (Pelanggan Kelapan)(Required)

Weight (kg) (Pelanggan Kelapan)(Required)

No. Telefon (Pelanggan Kelapan)(Required)

Maklumat Lain - Sila jawab samada Ya atau Tidak sahaja

Tidak

Adakah permohonan insurans/takaful anda pernah ditolak?(Required)

Tidak

Mod Bayaran

Harga Caruman (Mediplan Coop): (Pelanggan Kelapan)(Required)

Bulanan (RM90)

Tahunan (RM1,080)

Harga Caruman (Senior Care Plan Gold 270): (Pelanggan Kelapan)(Required)

Bulanan (RM150 + Commitment Fee RM150)

3 Bulan (RM450)

6 Bulan (RM900)

Tahunan (RM1800)

Harga Caruman (Senior Care Plan Diamond 370): (Pelanggan Kelapan)(Required)

Bulanan (RM210 + Commitment Fee RM210)

3 Bulan (RM630)

6 Bulan (RM1260)

Tahunan (RM2520)

This field is hidden when viewing the form

Payment Plan (Pelanggan Kelapan)

Jenis Kad Medikal pilihan (Pelanggan Kelapan)(Required)

e-Medical Card

e-Medical Card & Fizikal Medical Card dengan fungsi NFC Touch n Go (RRP RM34.90)

Tambah Pelanggan Kesembilan

Jenis Mediplan (Pelanggan Kesembilan)(Required)

Nama Penuh (Pelanggan Kesembilan)(Required)

No. Kad Pengenalan (Pelanggan Kesembilan)(Required)

Race (Pelanggan Kesembilan)(Required)

Height (cm) (Pelanggan Kesembilan)(Required)

Weight (kg) (Pelanggan Kesembilan)(Required)

No. Telefon (Pelanggan Kesembilan)(Required)

Maklumat Lain - Sila jawab samada Ya atau Tidak sahaja

Tidak

Adakah permohonan insurans/takaful anda pernah ditolak?(Required)

Tidak

Mod Bayaran

Harga Caruman (Mediplan Coop): (Pelanggan Kesembilan)(Required)

Bulanan (RM90)

Tahunan (RM1,080)

Harga Caruman (Senior Care Plan Gold 270): (Pelanggan Kesembilan)(Required)

Bulanan (RM150 + Commitment Fee RM150)

3 Bulan (RM450)

6 Bulan (RM900)

Tahunan (RM1800)

Harga Caruman (Senior Care Plan Diamond 370): (Pelanggan Kesembilan)(Required)

Bulanan (RM210 + Commitment Fee RM210)

3 Bulan (RM630)

6 Bulan (RM1260)

Tahunan (RM2520)

This field is hidden when viewing the form

Payment Plan (Pelanggan Kesembilan)

Jenis Kad Medikal pilihan (Pelanggan Kesembilan)(Required)

e-Medical Card

e-Medical Card & Fizikal Medical Card dengan fungsi NFC Touch n Go (RRP RM34.90)

Tambah Pelanggan Kesepuluh

Jenis Mediplan (Pelanggan Kesepuluh)(Required)

Nama Penuh (Pelanggan Kesepuluh)(Required)

No. Kad Pengenalan (Pelanggan Kesepuluh)(Required)

Race (Pelanggan Kesepuluh)(Required)

Height (cm) (Pelanggan Kesepuluh)(Required)

Weight (kg) (Pelanggan Kesepuluh)(Required)

No. Telefon (Pelanggan Kesepuluh)(Required)

Maklumat Lain - Sila jawab samada Ya atau Tidak sahaja

Tidak

Adakah permohonan insurans/takaful anda pernah ditolak?(Required)

Tidak

Mod Bayaran

Harga Caruman (Mediplan Coop): (Pelanggan Kesepuluh)(Required)

Bulanan (RM90)

Tahunan (RM1,080)

Harga Caruman (Senior Care Plan Gold 270): (Pelanggan Kesepuluh)(Required)

Bulanan (RM150 + Commitment Fee RM150)

3 Bulan (RM450)

6 Bulan (RM900)

Tahunan (RM1800)

Harga Caruman (Senior Care Plan Diamond 370): (Pelanggan Kesepuluh)(Required)

Bulanan (RM210 + Commitment Fee RM210)

3 Bulan (RM630)

6 Bulan (RM1260)

Tahunan (RM2520)

This field is hidden when viewing the form

Payment Plan (Pelanggan Kesepuluh)

Jenis Kad Medikal pilihan (Pelanggan Kesepuluh)(Required)

e-Medical Card

e-Medical Card & Fizikal Medical Card dengan fungsi NFC Touch n Go (RRP RM34.90)

Maklumat Penerima Hibah

Nama Penuh Penerima

NRIC Penerima

Hubungan dengan Penerima

Rekod Kesihatan

Penyakit, Pengambilan Ubat, Sejarah Kemasukan Wad

Tidak

Jika Ya, Nyatakan Penyakit Sedia Ada

Maklumat Lain

Pilihan Pelan

Kekerapan Pembayaran (Bulanan/Tahunan)

Bulanan

Tahunan

Untuk Tujuan Claim

No akaun Bank

Nama Bank

No. Plat

Model Kenderaan

Roadtax

Postcode

WhatsApp Box

1. Maklumat Asas Kumpulan yang Dilindungi

Nama Syarikat atau Organisasi

Bilangan Individu dalam Kumpulan

Skop Pekerjaan/Perniagaan

untuk menentukan tahap risiko pekerjaan

Lokasi Operasi

Contoh: pejabat, tapak pembinaan, atau lokasi antarabangsa

2. Maklumat Individu yang Dilindungi

Senarai Individu

Nama

Jantina

Umur

Gaji Bulanan atau Tahunan

Kewarganegaraan

3. Jenis Perlindungan yang Diminta

Jumlah Perlindungan Yang Diperlukan

Tambahan Faedah seperti

Trauma Counseling

Ambulance Fees

Hospital Income

Funeral Expenses

4. Maklumat Tambahan

Anggaran Bajet Syarikat (jika ada)

Adakah ada perlindungan semasa yang sedang digunakan?

Ada

Tidak Ada

Jenis pekerjaan yang berisiko tinggi

Tidak

(contoh: kerja ketinggian, pengendalian mesin berat, dll).

Pilih Jenis Pakej

Contractor All Risk1. Apakah Produk Kontraktor All Risk? Polisi ini direka untuk memenuhi keperluan insurans ditetapkan kepada kontraktor di bawah syarat kontrak. Polisi ini melindungi perjalanan kerja berkaitan dengan kontrak, kerja-kerja sementara, bahan-bahan, peralatan jentera yang digunakan ditapak binaan dan liabiliti yang terbit semasa perlaksanaan kontrak tersebut. Dengan tambahan premium, perlindungan polisi boleh diperluaskan meliputi loji dan peralatan pembinaan, pembuangan puing, fi professional dan harta berlokasi di premis prinsipal.2. Apakah Perlindungan/Manfaat Yang Disediakan? ● Seksyen 1 - Kerosakan Bahan Ia melindungi hampir kesemua barang kepada sebarang kemungkinan kerugian fizikal atau kerosakan berkaitan (kecuali yang telah dinyatakan dalam pengecualian polisi) kepada kerja tersebut/ harta benda / barangan yang telah diinsurans, semasa tempoh insurans● Seksyen 2 - Liabiliti Pihak Ketiga Seksyen ini mengambil kira liabiliti pihak ketiga yang mana secara tidak langsung sah dibayar akibat kerosakan tersebut di mana kami perlu bayar mengikut undang-undang pampasan akibat dari: (i) Kecederaan dan kesakitan badan akibat kemalangan kepada pihak ketiga (ii) Kehilangan atau kerosakan pada harta kepunyaan pihak ketiga. Tempoh perlindungan adalah berpadanan dengan tempoh perjanjian yang mana dinyatakan di dalam Surat Penganugerahan.3. Berapakah Premium Yang Saya Perlu Bayar? Jumlah premium yang anda perlu bayar adalah berbeza bergantung kepada risiko pendedahan dan keperluan pengunderaitan pihak kami :

Workmens Compensation1. Apakah Produk ini? Polisi ini melindungi anda sebagai seorang majikan berhubung dengan liability undang-undang anda di bawah Akta Pampasan Pekerja dan juga Common Law terhadap pekerja-pekerja anda yang biasanya tidak terlindung oleh SOCSO.2. Apakah perlindungan / manfaat yang disediakan? Polisi ini menanggung rugi anda terhadap semua jumlah yang harus tanggung untuk membayar pampasan kepada manamana pekerja ke atas kecederaan diri yang berpunca daripada kemalangan atau penyakit pekerjaan yang timbul dan di dalam tempoh penggajiannya di bawah:• Akta Pampasan Pekerja 1952 dan pindaan seterusnya pada Akta tersebut atau • Common Law. Had Common Law yang standard ialah RM1,000,000 setiap kemalangan dan dalam aggregate.Tempoh perlindungan ialah selama setahun (kecuali risiko projek). Anda dikehendaki membaharui polisi insurans anda setiap tahun.3. Dalam keadaan bagaimanakah saya perlu menanggung liabiliti? Anda perlu menanggung liabiliti ke atas: • Kecuaian peribadi • Gagal menyediakan tempat bekerja dan sistem bekerja yang selamat • Gagal memberi perhatian yang munasabah dalam pengambilan pekerja yang mahir • Gagal menyediakan mesin yang sesuai dan memastikan ia berfungsi dengan baik4. Bolehkah pekerja itu menyaman di luar Malaysia? Tidak, polisi ini adalah tertakluk kepada kuasa undang-undang Malaysia sahaja.5. Berapakah premium yang saya perlu bayar? Jumlah premium yang anda perlu bayar adalah berbeza bergantung kepada keperluan pengunderaitan pihak kami dan jumlah pembayaran gaji/upah tahunan yang anda isytiharkan kepada pihak kami.

Memerlukan Letter of Award Untuk Buat Proposal

Muat Naik Resit Bayaran

Max. file size: 20 MB.

E-Certificate

Max. file size: 20 MB.

This field is hidden when viewing the form

Nota Perlindungan Sedia Ada

Drop files here or

Max. file size: 200 MB.

Request

This field is hidden when viewing the form

1st atau 3rd party

This field is hidden when viewing the form

Add On Windscreen: Ya / Tidak

This field is hidden when viewing the form

Dengan Roadtax Digital: Ya / Tidak

This field is hidden when viewing the form

Penyedia Insurans

This field is hidden when viewing the form

Nilai Perlindungan (RM)

This field is hidden when viewing the form

Harga Insuran Sahaja (RM)

This field is hidden when viewing the form

Harga Siap Roadtax Digital (RM)

This field is hidden when viewing the form

Bonus Pelanggan Pertama

This field is hidden when viewing the form

Selected Payment Plan - Pertama

This field is hidden when viewing the form

Agent Bonus (RM) - Pertama

This field is hidden when viewing the form

Upline 1 Bonus (RM) - Pertama

This field is hidden when viewing the form

Upline 2 Bonus (RM) - Pertama

This field is hidden when viewing the form

Upline 3 Bonus (RM) - Pertama

This field is hidden when viewing the form

Upline 4 Bonus (RM) - Pertama

This field is hidden when viewing the form

Bonus Pelanggan Kedua

This field is hidden when viewing the form

Selected Payment Plan - Kedua

This field is hidden when viewing the form

Agent Bonus (RM) - Kedua

This field is hidden when viewing the form

Upline 1 Bonus (RM) - Kedua

This field is hidden when viewing the form

Upline 2 Bonus (RM) - Kedua

This field is hidden when viewing the form

Upline 3 Bonus (RM) - Kedua

This field is hidden when viewing the form

Upline 4 Bonus (RM) - Kedua

This field is hidden when viewing the form

Bonus Pelanggan Ketiga

This field is hidden when viewing the form

Selected Payment Plan - Ketiga

This field is hidden when viewing the form

Agent Bonus (RM) - Ketiga

This field is hidden when viewing the form

Upline 1 Bonus (RM) - Ketiga

This field is hidden when viewing the form

Upline 2 Bonus (RM) - Ketiga

This field is hidden when viewing the form

Upline 3 Bonus (RM) - Ketiga

This field is hidden when viewing the form

Upline 4 Bonus (RM) - Ketiga

This field is hidden when viewing the form

Bonus Pelanggan Keempat

This field is hidden when viewing the form

Selected Payment Plan - Keempat

This field is hidden when viewing the form

Agent Bonus (RM) - Keempat

This field is hidden when viewing the form

Upline 1 Bonus (RM) - Keempat

This field is hidden when viewing the form

Upline 2 Bonus (RM) - Keempat

This field is hidden when viewing the form

Upline 3 Bonus (RM) - Keempat

This field is hidden when viewing the form

Upline 4 Bonus (RM) - Keempat

This field is hidden when viewing the form

Bonus Pelanggan Kelima

This field is hidden when viewing the form

Selected Payment Plan - Kelima

This field is hidden when viewing the form

Agent Bonus (RM) - Kelima

This field is hidden when viewing the form

Upline 1 Bonus (RM) - Kelima

This field is hidden when viewing the form

Upline 2 Bonus (RM) - Kelima

This field is hidden when viewing the form

Upline 3 Bonus (RM) - Kelima

This field is hidden when viewing the form

Upline 4 Bonus (RM) - Kelima

Your Health, Our Priority

Comprehensive Medical Coverage for Peace of Mind

About Our Medical Card Plan

Cashless Hospital Admission

Comprehensive Coverage

Nationwide Network

Why Our Medical Card?

Affordable Premiums

Extensive Coverage

Hassle-Free Claims

24/7 Support

How Does the Medical Card Work?

1.

Choose Your Plan

2.

Register & Activate

3.

Enjoy Cashless Treatment

4.

Claim & Reimbursement

Flexible Plans for Every Budget

MediPlan Coop

Benefits

Terms & Conditions

Waiting Period

Plan Pricing Based on Payment Mode:

Senior Care Plan Gold 270

Contributions as low as RM5.00 Per Day

Terms & Conditions

Senior Care Plan Diamond 370

Contributions as low as RM7.00 Per Day

Terms & Conditions

Registration Form

MediPlan Coop

Bonus Pelanggan Pertama

Bonus Pelanggan Kedua

Bonus Pelanggan Ketiga

Bonus Pelanggan Keempat

Bonus Pelanggan Kelima