In addition to exclusive partnership with tele-medicine provider WhiteCoat, Pre-authorisation and a panel of healthcare partners are also amongst AIA’s key initiatives to provide its policyholders with peace of mind and continued access to quality healthcare
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SINGAPORE
- Media OutReach - 17 March 2020 - AIA Singapore
today announced that the insurer will cover the costs of
50,000 video medical consultations[1] provided by WhiteCoat,
an on-demand tele-medicine provider, for all policyholders of AIA HealthShield
Gold Max -- a MediSave-approved Integrated Shield
Plan (IP). This is the latest in a series of proactive initiatives from AIA
Singapore to protect individuals and families from the Coronavirus Disease 2019
(COVID-19).
Individuals who require professional medical advice can
engage WhiteCoat's Singapore-registered doctors from the comfort of their own
home, exclusively via the AIA Healthcare App. After 50,000 video medical consultations
have been utilised by AIA HealthShield Gold Max policyholders in Singapore, they
can continue to engage WhiteCoat's services at a pre-negotiated rate of S$12
per consultation[2].
First to provide policyholders Pre-authorisation of
medical claims at all private hospitals and healthcare providers nationwide
AIA Singapore also announced today other enhancements for AIA
HealthShield Gold Max plans,
including the extension of claims pre-authorisation to cover all non-emergency admissions
and day surgeries at all private hospitals and healthcare providers across
Singapore. Pre-authorisation
is already available for policyholders seeking treatment with AIA
Quality Healthcare Partners, a curated panel of
private specialist doctors.
This extended service will be provided to all AIA
HealthShield Gold Max policyholders -- representing approximately 1 in 5
Singapore Residents[3]
-- effective 15 April 2020. The initiative is aligned with the recommendations of
the 2016 Health Insurance Task Force's report[4] on managing the cost of
health insurance in Singapore.
Policyholders will be able to obtain a Certificate of Pre-authorisation
prior to admission or day surgery at any private hospital and/or healthcare
provider. Requests for pre-authorisation should be submitted at least 3 working
days prior to the intended date of admission. Policyholders will be notified
via SMS and/or email once the request has been approved.
Pre-authorisation is not required for emergency treatments
including COVID-19 cases, as eligible claims will be accepted automatically.
Key
benefits of Pre-authorisation include:
- No
bill shock: Policyholders get assurance and peace of
mind that their procedure will be covered and are informed of the amount AIA
will cover -- all before the admission or surgery.
- Minimal
cash outlay: Policyholders will not have to make a
deposit and cash outlay will be limited to applicable deductible and co-insurance.
Remaining charges will be directly settled between AIA and the
hospital/healthcare provider[5].
- Ensuring
that charges are reasonable and that treatment is in line with norms:
Pre-authorisation will allow AIA to ensure that proposed charges are reasonable
and customary based on national fee benchmarks and agreed fee schedules with
panel doctors (if applicable). It will also allow AIA to ensure that the proposed
treatment is in line with norms and advise policyholders if this is not the
case.
- Continued
access to quality healthcare: Policyholders, by going
through the pre-authorisation process, are supporting long-term efforts to
mitigate health claims inflation so that all IP insurers, including AIA, can
continue providing medical coverage to Singapore Residents.
"Even as we tackle the immediate challenge of COVID-19, we
also need to take steps to manage the longer-term challenge of rising
healthcare costs. Pre-authorisation
was a key recommendation put forth by the Health Insurance Task Force and
complements AIA's other efforts such as our panel of AIA
Quality Healthcare Partners, and AIA
Vitality -- our comprehensive health and wellness
programme. As an industry leader, we need to help moderate healthcare inflation,
and ensure that people have assurance regarding the coverage of their medical
costs," said Dr Alan Ong, Medical Director, AIA Singapore.
In 2018, Singapore's medical inflation was 10%[6], more than 20 times the
nation's average inflation rate of 0.44 percent[7]. In a recent survey
conducted by AIA Singapore[8], 90% of respondents were concerned
about the cost of healthcare, and more than 80% highlighted concerns about being
charged more than necessary for their medical treatment. In addition, 87% were
concerned about being fully reimbursed for their medical bills.
The expansion of pre-authorisation to cover all other
private providers will help address these pain points so that policyholders can
focus on recovery.
"When your health is called into question, it can be a
worrying and unsettling time. The last thing a person needs is additional
uncertainty around the pay-out of a claim or high medical charges, when they
should be focusing on getting better. It's positive to see steps being taken,
so we can have the assurance that our healthcare needs are taken care of," said
Mr Chong Jee Leck, 31 years old, an AIA HealthShield Gold Max policyholder.
Simple
and hassle-free pre-authorisation process for policyholders
Going forward, AIA
HealthShield Gold Max
policyholders will be able to easily activate
pre-authorisation in 3 simple steps, accessible via multiple channels. These
include the My AIA SG mobile app and the
AIA
Singapore website. AIA will also be setting up
a dedicated 24/7 AIA HealthShield Gold Max hotline -- 1800-248-8000, which would
be available from 15 April 2020[9], to provide
round-the-clock assistance to policyholders regarding pre-authorisation and
other aspects of their AIA HealthShield Gold Max policies.
Step 1: Customer activates pre-authorisation
Multiple channels: My AIA SG app, AIA Singapore website or call HealthShield hotline.
Step 2: Doctor fills up form and submits to AIA
Upon successful activation, an email will be sent to the doctor for completion of medical details.
Step 3: AIA assesses the request and informs customer of the outcome
AIA assesses the request and replies within 3 working days from receipt of form with complete information. Once approved, a Certificate of Pre-authorisation will be issued.
Requirement
for pre-authorisation -- applicable only to non-emergency treatments
Policyholders should activate Pre-authorisation for any
non-emergency admission or day surgery[10] in order to ensure full insurance
coverage[11].
Pre-authorisation is not required for emergency treatment[12].
For treatment at public hospitals / institutions, policyholders
do not need to activate pre-authorisation. AIA Singapore is working towards enabling
automatic pre-authorisation in public hospitals for AIA policyholders, and will
announce further information on this in due course.
For treatment by AIA Quality Healthcare Partners, policyholders
are only required to activate a pre-authorisation request, and where necessary,
AIA Singapore will work directly with the healthcare provider to ensure submission
of the required information to AIA. Once approved, policyholders will be
notified and receive a Certificate of Pre-authorisation.
For treatment by other private healthcare providers, policyholders
will need to activate the request and follow up with the doctor to ensure that
the doctor submits the required information. A Certificate of Pre-authorisation
will be issued for approved requests. Treatment which is not pre-authorised may
be subject to pro-ration, where policyholders will need to bear a percentage of
the bill.
For a
smooth transition when claims pre-authorisation service is extended, and in
view of the ongoing COVID-19 situation, a grace period will be provided until 30
June 2020 before pro-ration comes into effect for
non-panel AIA HealthShield Gold Max A cases[13] without pre-authorisation.
The application of pro-ration factor will be based on the date of admission /
day surgery. AIA Singapore will continue to monitor the COVID-19 situation as
it unfolds and may extend this grace period for pro-ration as required.
For all AIA HealthShield Gold Max claims related to the COVID-19,
AIA Singapore will continue to monitor the evolving COVID-19 situation and will
provide updates in accordance with the latest guidelines from the relevant
authorities.
|
AIA HealthShield Gold
Max --
plan type
|
Hospital ward
|
Coverage*
|
|
With pre-authorisation
|
Without
pre-authorisation
|
|
A
|
Private Hospital
-- Panel Treatment(s)
|
100%
of the eligible claims will be covered.
|
|
Private
Hospital -- Non-Panel Treatment(s)
|
100%
of the eligible claims will be covered.
|
Eligible
claims will be subject to 85% Pro-ration Factor -- policyholders will need to
bear 15% of the eligible bill -- except for emergencies and specified common
minor clinic procedures**.
|
|
B
|
A Class
Ward in Government / Restructured Hospital
|
100%
of the eligible claims will be covered***.
|
|
B Lite
|
B1 Class
Ward in Government / Restructured Hospital
|
100%
of the eligible claims will be covered***.
|
* Subject
to the applicable deductible and co-insurance, after applying the Pro-ration
Factor.
** Pro-ration
will not apply for claims related to COVID-19. Refer to AIA
Singapore website for more information.
*** If
the AIA HealthShield Gold Max B / B Lite Insureds are admitted to Private Hospital
(Panel / Non-Panel), the existing Pro-ration Factors will apply with or without
pre-authorisation.
Coverage
provided for COVID-19
AIA
HealthShield Gold Max plans will continue to
provide local hospitalisation coverage for policyholders seeking treatment for
COVID-19[14].
Any claims relating to COVID-19 will be expedited by a
dedicated customer care team contactable via email at SG.ClaimsQN@aia.com.
Alternatively, policyholders may also call AIA Customer Care Hotline at 1800-248-8000.
As the COVID-19 local situation evolves, AIA Singapore will
continue to review measures and provide updates in accordance with guidelines
from all relevant authorities including the Ministry of Health (MOH).
For more information on the latest AIA coverage terms
related to COVID-19 in Singapore, please visit www.aia.com.sg.
AIA Healthcare App is available on the Apple
App Store for iOS and the Google
Play Store for Android. For more information on pre-authorisation, please
visit: https://www.aia.com.sg/en/announcements-pre-authorisation.html.
[1] Consultation fees covered by AIA Singapore
exclude medication and treatment costs.
[2] Consultation fees exclude medication and
treatment costs, which would be borne by customers.
[5] Subject to hospital's policies.
[8] Survey of over 800 people in Singapore including both AIA and non-AIA
policyholders.
[10] With the exception of specified common minor clinic procedures such as
nasal endoscopy and mammotome biopsy.
[11] Items or expenses that are not covered by the
Certificate of Pre-authorisation will need to be borne by the patient. We shall
pay eligible expenses incurred, subject to any Pro-ration Factor, deductible
and/or co-insurance, any other benefit limits as stated in the benefit table,
and terms and conditions of the policy contract.
[12] 100% of the eligible claims
will be covered.
[13] For customers with AIA HealthShield Gold Max A
policy receiving care from a non-panel doctor, claims that are not
pre-authorised may be subject to a pro-ration factor of 85%, which means that
AIA would cover 85% of the eligible bill for the purpose of claim assessment,
while the remaining 15% would be borne by the customer. To illustrate, if the
bill is S$1,000, applying 85% pro-ration means that AIA would treat this as a S$850
bill for the purpose of claim assessment.
[14] Policyholders are advised to review their respective policies when in
doubt whether claims are covered.
About AIA
AIA
Group Limited and its subsidiaries (collectively "AIA" or the "Group") comprise
the largest independent publicly listed pan-Asian life insurance group. It has
a presence in 18 markets in Asia-Pacific -- wholly-owned branches and
subsidiaries in Hong Kong SAR, Thailand, Singapore, Malaysia, Mainland China,
South Korea, the Philippines, Australia, Indonesia, Taiwan (China), Vietnam,
New Zealand, Macau SAR, Brunei, Cambodia, Myanmar, a 99 per cent subsidiary in
Sri Lanka, and a 49 per cent joint venture in India.
The
business that is now AIA was first established in Shanghai a century ago in
1919. It is a market leader in the Asia-Pacific region (ex-Japan) based on life
insurance premiums and holds leading positions across the majority of its
markets. It had total assets of US$284 billion as of 31 December 2019.
AIA
meets the long-term savings and protection needs of individuals by offering a
range of products and services including life insurance, accident and health
insurance and savings plans. The Group also provides employee benefits, credit
life and pension services to corporate clients. Through an extensive network of
agents, partners and employees across Asia-Pacific, AIA serves the holders of
more than 36 million individual policies and over 16 million participating
members of group insurance schemes.
AIA
Group Limited is listed on the Main Board of The Stock Exchange of Hong Kong
Limited under the stock code "1299" with American Depositary Receipts (Level 1)
traded on the over-the-counter market (ticker symbol: "AAGIY").
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