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Marsh PNG Local Medicare Plan

Level 3, Deloitte Tower, Douglas Street, Port Moresby, NCD , Telephone: 309 8000 / 321 1811 Facsimile: 321 1324 Email: rachel.mark@marsh.com
Details Commentary
The Broker Contact is: Rachel Mark @ Marsh Limited, PO Box 920, Port Moresby. Proposal submitted for (Insert prospect
The Insurer is: Capital Life Insurance Limited, PO Box 254, Waigani – Tisa Haus. name) to consider for its Employees.
Territorial Limit: Covering Expenses in PNG and Worldwide (If Applicable).

The Policy Cover Benefits’ Single Plan Couple Plan Family Plan (+5)
are ; Sums Insured Sums Insured Sums Insured
Medical & Hospitalisation Expenses K25,000 K30,000 K45,000
Medical Evacuation within PNG only K30,000 K30,000 K30,000
Internal & External Transfers – By Dr’s K5,000 K5,000 K5,000
Referrals only
Medivac K100,000.00 K100,000.00 K100,000.00
Pregnancy (3 months waiting period) K3,000 K3,000 K3,000
Dental K2,500 K2,500 K2,500
Optical K2,500 K2,500 K2,500
Funeral K3,000 K3,000 member / spouse K3,000 member / spouse & Children K1,000
Natural Parents cover K2,000 K1,000 K1,000
(unemployed) (K1000 Medical / K1000 Funeral) (K1000 Medical / K1000 Funeral) (K1000 Medical / K1000 Funeral)
Age Limit 65 years 65 years 65 years
Emergency Evacuation PNG Only PNG Only PNG Only
Excess / Deductible 20% each & every claim 20% each & every claim 20% each & every claim
Max K750 per claim Max K750 per claim Max K750 claim
PA / Disability (member) Member Only, Capital Benefit Member Only, Capital Benefit Member Only, Capital Benefit
K15,000 & Weekly Benefit K75 K15,000 & Weekly Benefit K75 limited K15,000 & Weekly Benefit K75 limited to
limited to 52 weeks & K2,000 to 52 weeks & K2,000 52 weeks & K2,000
Life / Death (member) Member – K20,000 Member – K20,000 Member – K20,000
Providers /Accredited ISOS/PIH/Paradise/4Mile/City ISOS/PIH/Paradise/4Mile/City ISOS/PIH/Paradise/4Mile/City
Doctors/Hospitals Specialist/Ela Med/Jacobis/and Specialist/Ela Med/Jacobis/and Specialist/Ela Med/Jacobis/and selected
selected outside centres selected outside centres outside centres
Dependants 18 years up to 25 years (unmarried full time students require proof of studentship identifications before cover is bound).
Coverage Benefits: (EFT) Claim Refund Payments directly deposited into individual personal accounts as nominated by the employee
Claims Review Immediate assessment, prompt and direct refund payable within 7 days.

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