i-Am Care

This is a pure protection medical and health takaful plan that caters for your medical needs. It pays your medical, hospitalisation and surgical expenses.

There is only 1 plan available under i-Am Care, which is based on RM200 Room & Board.

You may refer to the Schedule of Benefits for all the benefit payable under this plan.

Individual who is aged 18 to 50 years old may participate in the plan. Age is defined as age next birthday.

You will be covered up to 55 years old. This plan is guaranteed yearly renewal so long you pay the annual contribution within grace period.

Your annual contribution will depends on your attained age (next birthday), gender and occupation class. The annual contribution will increase according to your attained age (next birthday) at certificate anniversary. Please refer to Product Disclosure Sheet for the amount of contributions that you have to pay.

You are required to pay the annual contribution throughout the certificate term.

The details of the charges or fees are as follows:

• Wakalah Fee: RM60 fixed wakalah plus 30% of contribution after nett of fixed wakalah.

• Tabarru: Tabarru’ amount is the contribution amount less Wakalah Fee. The tabarru’ amount will be allocated into Participants' Risk Fund (PRF).

You only need to answer our health questionnaires without undergo any medical examination.

Your coverage will take effect upon the successful application and payment of the first contribution. There is no waiting period for any claims related to accidents. For medical conditions not relating to accidents, an initial 30 days waiting period from the effective date of the plan coverage will apply. For specific illnesses, such as Hypertension, Cancers etc., the waiting period is 120 days.

This plan does not charge any co-takaful if you stay at your eligible room and board. However, if you stay at a higher room and board than your entitlement, you will need to bear the excess of room & board rate plus 20% of the other eligible benefits or expenses.

1. Wakalah

This plan applies wakalah (agency) concept, where all certificate holders appoint AmMetLife Takaful Berhad (AmMetLife Takaful) to act on behalf of them to invest and manage the Participant Risk Fund (PRF). AmMetLife Takaful is entitled to a wakalah fee for managing and investing the funds.

2. Tabarru’ 

This plan applies tabarru’ concept, where all certificate holders agree to donate a specified portion from the contribution paid into the PRF for the purpose of mutual aid and assistance to all participants in times of misfortune.

3. Qardh

An interest-free loan from AmMetLife Takaful in the event that the PRF is in deficit. The loan will be paid from the future surplus arising from the PRF.

Participants Risk Fund:
PRF is made up of the tabarru’ which is a portion of your contributions, to assist you and the fellow participants in need, through the benefits they are entitled to i.e. we will pay your eligible benefits from this fund.

Should there is any surplus arising from the PRF, it will be allocated back into the PRF.

Please refer to Product Disclosure Sheet which is available to be downloaded in the website for information on the exclusions applicable to the benefit under this plan.

You should contact our service provider, CompuMed at 03-2089 3818 or email to cpmd_callcentre@compumed.com.my who will assist you for the issuance of guarantee letter for cashless hospital admission at our panel hospital provided that the illness/accident is covered under this plan.

Yes, a waiting period of 30 days for illness other than specific illnesses shall apply from the effective date or reinstatement date, whichever is the later. For specific illnesses, a 120-day waiting period is applicable. This waiting period is not applicable to accidental causes.

Specific Illnesses means the following disabilities and its related complications, occurring within the first 120 days from the cover date:

1. Hypertension, diabetes mellitus and cardiovascular disease;
2. All tumours, cancers, cysts, nodules, polyps, stones of the urinary system and biliary system;
3. All ear, nose (including sinuses) and throat conditions;
4. All benefits will exclude the cost of transportation to the place of treatment.
5. Hernias, haemorrhoids, fistulae, hydrocele, varicocele;
6. Endometriosis including disease of the female reproduction system;
7. Vertebro-spinal disorders (including disc) and knee conditions.

This shall not be applicable after the first year of cover.

Yes, you will be covered under this plan if you travel or reside outside Malaysia for not more than 90 consecutive days.

If you seek treatment outside Malaysia, benefits shall be covered subject to the exclusions, limitations and conditions specified in the certificate and all benefits will be payable based on the official exchange rate ruling on the claims approval date and shall exclude the cost of transport to the place of treatment provided that;

1. You are traveling abroad for a reason other than for medical treatment, needs to be confined to a hospital outside of Malaysia as a consequence of a medical emergency; or
2. You, upon recommendation of a physician and has to be transferred to a Hospital outside of Malaysia due to the specialized nature of the treatment, aid, information or decision required can neither be rendered nor furnished nor taken in Malaysia.

Overseas treatment of a sickness, disease or injury which is diagnosed in Malaysia and non-emergency or chronic conditions where treatment can reasonably be postponed until return to Malaysia are excluded.

Reasonable and customary charges means medically necessary charges for medical care which is considered reasonable. We will adjust any hospital charges which in opinion of our medical officer is considered as excessive. Such charges should not exceed the general level of charges being made by the hospital of similar standing in the same locality where the charges are incurred, taking into consideration similar or comparable treatment, services or supplies to individual of the same sex and of comparable age for a similar illness, sickness, disease or Injury and in accordance with accepted medical standards and practice which could not have been omitted without adversely affecting the your medical condition.

You can refer to the list of panel hospitals administered under CompuMed.

You may be admitted into a non-panel hospital. Payment will be on reimbursement basis and you are required to submit the completed claim form together with the relevant supporting documents to us. The Hospital and Surgical claim form can be obtained from our corporate website.

Please click here for the claims guide.