INSURANCE BENEFITS TABLE

Object of insurance:

This policy will cover Cambodia citizens and foreigners lawfully residing in Cambodia from full 1 year (12 months) to full 65 years of age at the effective date of insurance.

Exclude:

People with mental illness, tuberculosis, leprosy, hereditary cancer, congenital disease;
Those who are 50% or more permanently disabled (in case the Insured does not have an Injury Certificate issued by a competent authority, the infirmity rate confirmation will be based on (Viet Nam Ministry of Health's current "Injury percentage table").
Those who are undergoing treatment for an illness or injury;

This Policy may be renewed from year to year on the basis of the mutual agreement of the parties, but in any event this Policy will terminate for the Insured Person at the end of the term. insurance for which the Insured Person reaches 65 years of age.

Timeout:

Common illness: 30 days
Chronic illness, pre-existing condition: 6 months or 1 year, depending on the category of illness, details in the Personal Accident and Health Insurance Rules.
Maternity: normal delivery or caesarean section: 01 year; maternity complications: 280 days; ectopic pregnancy: 90 days.
Teeth: 30 days.

The scope and benefits of CVI TAM AN (applied from 01/08/2018)

Currency: USD

Insurance plan	COPPER	SILVER	YELLOW	METAL PLATE	BIRTHDAY
Territorial range	Cambodia	Cambodia	Cambodia	Cambodia	Cambodia
BASIC BENEFITS
001. Accidental death or permanent disability	300,000,000	500,000,000	600,000,000	700,000,000	1,000,000,000
002. Accidental medical expenses (including inpatient and outpatient treatment)	30,000,000	50,000,000	80,000,000	100,000,000	150,000,000
003. 01-day benefit during inpatient treatment due to accident - Maximum 60 days/year - only applicable to public hospitals	50,000	100,000	200,000	300,000	400,000
003.1. Number of benefit days/year	60	60	60	60	60
004. Expenses for inpatient surgery and treatment due to illness or disease	45,000,000	65,000,000	110,000,000	160,000,000	200,000,000
004.1. Hospital fees / day (Hospital fees, expenses incurred during hospitalization, special care room charges)	2,000,000	3,500,000	5,500,000	8,000,000	10,000,000
004.2. Cost for 01 surgery (including one-day surgery)	45,000,000	65,000,000	110,000,000	160,000,000	200,000,000
004.3. Pre-admission treatment costs (30 days) and post-discharge treatment costs (30 days)	3,000,000	4,500,000	6,500,000	10,000,000	15,000,000
004.4. Cost of home care nurse after discharge (Maximum 15 days / year)	1,000,000	1,500,000	2,000,000	3,000,000	5,000,000
004.5. Maximum limit for ambulance service/year	3,000,000	4,500,000	6,500,000	10,000,000	15,000,000
004.6. The cost of active resuscitation - Up to 30 days/year	45,000,000	65,000,000	110,000,000	160,000,000	200,000,000
004.7. Expenses for organ transplant surgery (excluding costs to purchase and donate organs)	45,000,000	65,000,000	110,000,000	160,000,000	200,000,000
005. Outpatient medical expenses due to illness or disease	5,000,000	6,000,000	6,000,000	10,000,000	15,000,000
005.1. Number of exams/year	10 lần	10 lần	10 lần	10 lần	10 lần
005.2 Cost for 1 outpatient treatment	1,000,000	1,100,000	1,300,000	2,000,000	3,000,000
005.3 Expenses for physical therapy, radiotherapy, light therapy/day	50,000	50,000	50,000	70,000	100,000
005.3.1. Number of days of physical therapy, radiation therapy, and light therapy/year	20 days	20 days	30 days	30 days	30 days

ADDITIONAL OPTIONAL BENEFITS
006. Additional maternity benefits (not including the cost of routine pregnancy check-ups)	Not sold	Not sold	Not sold	21,000,000	31,500,000
006.1. Normal delivery: According to limited hospitalization/day	Not sold	Not sold	Not sold	8,000,000	10,000,000
006.2. Complications of pregnancy/ Caesarean section	Not sold	Not sold	Not sold	21,000,000	31,500,000
007. Additional dental treatment benefits	2,000,000	2,000,000	5,000,000	10,000,000	15,000,000
007.1 Cost for 1 dental examination	1,000,000	1,100,000	3,000,000	5,000,000	7,500,000
007.2. Cost of tartar/year	200,000	200,000	400,000	500,000	600,000

Scope and benefits of 04 new CVI TAM AN packages (applied from February 15, 2020)

Currency: USD

Insurance plan	STANDARD	BASIC	KIM PLUS	BEAUTY PLUS
Territorial range	Cambodia	Cambodia	Cambodia	Cambodia
BASIC BENEFITS
001. Accidental death or permanent disability	200,000,000	300,000,000	700,000,000	1,000,000,000
002. Accidental medical expenses (including inpatient and outpatient treatment)	20,000,000	30,000,000	100,000,000	150,000,000
003. 01-day benefit during inpatient treatment due to accident - Maximum 60 days / year - only applicable to public hospitals	50,000	50,000	300,000	400,000
003.1. Number of benefit days/year	60	60	60	60
004. Expenses for inpatient surgery and treatment due to illness or disease	20,000,000	30,000,000	160,000,000	200,000,000
004.1. Hospital fees/day (Hospital fees, expenses incurred during hospitalization, special care room charges)	1,000,000	1,500,000	8,000,000	10,000,000
004.2. Cost for 01 surgery (including one-day surgery)	20,000,000	30,000,000	160,000,000	200,000,000
004.3. Pre-admission treatment costs (30 days) and post-discharge treatment costs (30 days)	2,000,000	2,000,000	10,000,000	15,000,000
004.4. Cost of home care nurse after discharge (Maximum 15 days/year)	1,000,000	1,000,000	3,000,000	5,000,000
004.5. Maximum limit for ambulance service/year	2,000,000	2,000,000	10,000,000	15,000,000
004.6. The cost of active resuscitation - Up to 30 days/year	20,000,000	30,000,000	160,000,000	200,000,000
004.7. Expenses for organ transplant surgery (excluding costs to purchase and donate organs)	20,000,000	30,000,000	160,000,000	200,000,000
005. Outpatient medical expenses due to illness or disease	Do not apply	3,000,000	10,000,000	15,000,000
005.1. Number of exams/year	Do not apply	10 lần	10 lần	10 lần
005.2 Cost for 1 outpatient treatment	Do not apply	600,000	2,000,000	3,000,000
005.3 Expenses for treatment of therapies, radiotherapy, light therapy/day	Do not apply	50,000	70,000	100,000
005.3.1. Number of days of physical therapy, radiation therapy, and light therapy/year	Do not apply	20 days	30 days	30 days

ADDITIONAL OPTIONAL BENEFITS
006. Additional maternity benefits (not including the cost of routine pregnancy check-ups)	Not sold	Not sold	25,000,000	39,500,000
006.1. Normal delivery: According to limited hospitalization/day	Not sold	Not sold	10,000,000	15,000,000
006.2. Complications of pregnancy/ Caesarean section	Not sold	Not sold	25,000,000	39,500,000
007. Additional dental treatment benefits	Do not apply	Do not apply	15,000,000	20,000,000
007.1 Cost for 1 dental examination	Do not apply	Do not apply	5,000,000	7,500,000
007.2. Cost of tartar/year	Do not apply	Do not apply	500,000	600,000

INTERIOR CVI INSURANCE STATEMENT

Currency: USD

Insurance plan	COMMON	BASIC	ADVANCED	HIGHLIGHT	PREMIUM PLUS
Territorial range	Cambodia	Cambodia	Cambodia	Cambodia	Cambodia
BASIC BENEFITS
001. Death or permanent injury caused by an accident	40,000,000	60,000,000	100,000,000	150,000,000	300,000,000
002. Accidental medical expenses (including inpatient and outpatient treatment)	10,000,000	20,000,000	30,000,000	40,000,000	80,000,000
003. Expenses for inpatient surgery and treatment due to illness or disease	15,000,000	40,000,000	80,000,000	120,000,000	140,000,000
003.1. Hospital fees/day (Hospital fees, expenses incurred during hospitalization, special care room charges)	750,000	2,000,000	4,000,000	6,000,000	7,000,000
003.2. Cost for 01 surgery (including one-day surgery)	15,000,000	40,000,000	80,000,000	120,000,000	140,000,000
003.3. Pre-admission treatment costs (30 days) and post-discharge treatment costs (30 days)	1,200,000	3,200,000	6,400,000	9,600,000	11,200,000
003.4. Cost of home care nurse after discharge (Maximum 15 days/year)	450,000	1,200,000	2,400,000	3,600,000	4,200,000
003.5. Maximum limit for ambulance service/year	1,200,000	3,200,000	6,400,000	9,600,000	11,200,000
003.6. The cost of active resuscitation - Up to 30 days/year	15,000,000	40,000,000	80,000,000	120,000,000	140,000,000
003.7. Expenses for organ transplant surgery (excluding costs to purchase and donate organs)	15,000,000	40,000,000	80,000,000	120,000,000	140,000,000
ADDITIONAL OPTIONAL BENEFITS
004. Additional maternity benefits (not including the cost of routine pregnancy check-ups)	Not sold	Not sold	Not sold	Not sold	10,000,000
004.1. Normal delivery: According to limited hospitalization/day	Not sold	Not sold	Not sold	Not sold	4,000,000
004.2. Complications of pregnancy/Caesarean section	Not sold	Not sold	Not sold	Not sold	10,000,000

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INSURANCE BENEFITS TABLE

Object of insurance:

Timeout:

The scope and benefits of CVI TAM AN (applied from 01/08/2018)

Scope and benefits of 04 new CVI TAM AN packages (applied from February 15, 2020)

INTERIOR CVI INSURANCE STATEMENT

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