Promo HB IsomanApril

Additional Benefit of COVID-19 Self-Isolation for Corporate Care Customers

1 April 2021

Oleh FWD Insurance


As a complement to the benefits provided for policies owned by Corporate Care customers, FWD Insurance provides additional benefit for COVID-19 self-isolation (isoman benefits) for both new and existing customers of Corporate Care. The benefit is valid for the period April 1st 2021 to September 30th 2021.
This ISOMAN benefit is applied for self-isolation treatment that is carried out in Indonesia only and this service will be guaranteed on hospitalization benefits, in accordance with the limit of benefits owned by the customer, written in the benefits table.

Self-Isolation Hotel Services
Terms and conditions:
1. Provide a recommendation letter from doctor and show a medical symptom for inpatient care
2. Provide a notification / official statement from the hospital that states the hospital room is in full capacity
3. PCR (+) swab and symptoms (does not apply to OTG).
4. The medical symptoms include:
a. General symptoms
Fever & dry cough.
b. Symptoms that are slightly uncommon
Discomfort and pain, sore throat, diarrhea, headache, loss of taste or smell, rash on the skin, or discoloration of fingers or toes.
c. Serious symptoms
Difficulty breathing or shortness of breath, chest pain or pressure in the chest, loss of ability to speak or move.
5. Invoices must be issued from the hospital that is partnered with the respective hotel
6. Medical treatment can be done cashless or reimbursement at the FWD Partner Hospital that is partnered with the respective hotel
7. Any excess of fees will follow TC / policy terms and conditions
Post Inpatient PCR Test
Post-hospitalization PCR test is guaranteed in a post-hospitalization benefit

Home isolation
1. Provide a recommendation from a doctor and show medical symptoms for independent isolation treatment at home
2. PCR (+) swab & no symptoms (no for OTG).
3. The medical symptoms include:
a. Common symptoms Fever, dry cough
b. Slightly unusual symptoms discomfort and pain, sore throat, diarrhea, headache, sensation of taste or smell, rash on the skin, or discoloration of fingers or toes.
c. Serious symptoms difficulty breathing or shortness of breath, chest pain or pressure, the ability to speak or move
4. Submission of all fees is submitted on a reimbursement basis while still following the applicable provisions in FWD Insurance
5. Post-ISOMAN PCR is guaranteed in post-hospitalization benefits (+/-) and is adjusted with the terms and conditions of the policy
CT Scan
1. COVID (+) PCR is guaranteed
2. COVID (-) PCR is not guaranteed, even though it is a hospital protocol for inpatient care.

Documents required to make a claim on ISOMAN Benefits:
a. Letter from the doctor explaining the symptoms, the results of the PCR Swab (+)
b. A letter of recommendation from a doctor for self-isolation and an estimate of the length of isolation required. If the length of isolation time exceeds the doctor's previous instructions / estimates, the Insured must provide an additional cover letter from the doctor explaining the reasons for the need for an extension of the isolation time, the latest PCR (+) swab and other supporting documents.
c. A statement letter from the hospital that states the hospital room is in full capacity (for self-isolation at the hotel)
d. Lab examination results (both copies and originals)
e. Original receipts from the hospital (for self-isolation in hotels), while for self-isolation at home, please provide original receipts for self-isolation services at home and details of medicines (if any).
Information on self-isolation facilities needed by Corporate Care FWD insurance customers can be received through the 24-hour COVID-19 Crisis Call Centre at +6221 299 789 19 to help customers obtain optimal services related to COVID-19.
The services we provide include:
· Information on room availability at the hospital for COVID-19 patients.
· Consultation regarding COVID-19 by telephone with a general practitioner.
· Assistance with information on self-isolation services, both at hotels and home.
· Information assistance on drug delivery
· Information assistance on the COVID-19 screening test (PCR Swab, Antigen Swab & Rapid Antigen).
· Information assistance on ambulances to transfer COVID-19 positive patients
· Assistance with teleconsultation information with pulmonary specialists & nutritionists / nutritionists

This COVID-19 Crisis Call Centre service is available to provide convenience to FWD Insurance Corporate Care customers who are covered by the benefits of their policies by the customer and all provisions attached to the policy remain valid. Everything related with the claim process will follow the provisions that apply to each policy from each Insured / Insurance Participant.


List of partner hospitals

1. Primaya Hospital Tangerang*
a. Price
· 7 days package IDR 6,000,000
· 14 days package IDR 8,500,000
b. Services & facilities
· Teleconsultation of general practitioners and specialists
· Visit a general practitioner
· PCR swabs, blood tests and RO. Thorax
· Digital oximetry and thermometer tools
· Medicines, vitamins & food supplements
*Unable to perform cost breakdown

2. Harapan Bunda Hospital
a. Price
· 7 days VIP package IDR 7,800,000 or SVIP IDR 15,200,000
· 14 days VIP package IDR 8,500,000 or SVIP IDR 16,600,000
b. Services & facilities
· Hospital
· General doctor consultations and visits
· Consultations and visits by pulmonary specialists
· Multivitamins
· PCR Swab (Package 7 days 1x and Package 14 days 2x)
· Hotel
· Room and board laundry

3. YARSI Hospital*
a. Price
· Executive 14 days IDR 17,500,000
b. Services & facilities
· Hospital
· Visit a specialist
· PCR examination 2 times
· VIP accommodation at the hotel (including meals and laundry)
· Multivitamins
· Hotel
· Room and board laundry
* Unable to perform cost breakdown
4. Primaya Hospital West Bekasi *
a. Price
· 10-day package IDR 4,500,000
· 17 days package IDR 7,000,000
b. Services & facilities
· Telemedicine with general practitioners and specialists
· Medicine for 20 days
· Ro thorax and laboratory
· Oximetry, digital thermometer & mask
· Medicine delivery fee
* Unable to perform cost breakdown

5. Primaya Hospital Evasari*
a. Price
• Silver Package IDR 2,500,000
• Gold Package IDR 3,500,000
• Platinum Package IDR 6,000,000 (14 Days)
b. Services & facilities
• General practitioner teleconsultation
• Teleconsultation of specialist doctors (Gold & Platinum Package)
• Visit a general practitioner
• PCR swabs, blood tests and RO. Thorax
• Digital oximetry and thermometer tools
• Medicines, vitamins & food supplements
* Unable to perform cost breakdown

6. Primaya Hospital Bekasi Timur*
a. Price
· 14 days package IDR 3,000,000
b. Services & facilities
· General practitioner teleconsultation
· Teleconsultation of specialist doctors (Gold & Platinum Package)
· PCR swabs, blood tests and RO. Thorax
· Digital medicines oximetry and thermometer
· Vitamins & dietary supplements
* Unable to perform cost breakdown

7. Primaya Hospital Bekasi Utara*
a. Price
· 14 days package IDR 3,250,000
b. Services & facilities
· General practitioner teleconsultation
· Teleconsultation Specialist Doctor (Gold & Platinum Package)
· PCR swabs, blood tests and RO. Thorax
· Oximetry and digital thermometer
· Medicines, vitamins & food supplements
* Unable to perform cost breakdown

8. RS. Premier Bintaro
a. Price
• Self Isolation at Home IDR 15,000,000
• Self isolation at the hotel IDR 25,000,000
b. Services & facilities
• Hospital
• General check up
• Thorax and CT Scan
• PCR swab 2 times
• Teleconsultation of general practitioners & oxymetry specialists and
• Digital medicine thermometer for 14 days
• Hotel
• R&B
• Eat
• Laundry
* Unable to perform cost breakdown

9. RS. PELNI
a. Price
• Safe House (Hotel Setara Star 2-3) IDR 15,000,000 up to IDR 17,000,000
• Safe House (Hotels equivalent to 4-5 stars) IDR 22,5000,000 - up to IDR 25,000,000
b. Services & facilities
• Hospital
• Screening to find out cases, if possible, do Self Isolation or must be treated in a hospital
• General practitioner teleconsultation
• Teleconsultation of specialist doctors (Gold & Platinum Package)
• PCR swabs, blood tests and RO. Thorax
• Digital oximetry and thermometer tools
• Medicines, vitamins & dietary supplements
• The price range depends on the patient's condition and drug use during Self Isolation
c. Hotel
• Room & laundry board
* Unable to do a breakdown of costs, the invoice will still be written as hotel isolation and not RI. There is also no LMA, only reporting of patients entering isolation

10. RS. St. Carolus Salemba*
a. Price
· Starting Package IDR 15,000,000 Price based on hotel rate)
b. Services & facilities
· Hotel Accommodation & Dining
· PCR Swab
· Visit a general practitioner
· Teleconsultation of a specialist
· Medicines and supplements
* Unable to perform cost breakdown

11. Siloam Hospital Surabaya*
a. Price
IDR 8,500,000 (15 days)
b. Services & facilities
· PCR Swab Examination, Blood Lab, X Ray Thorax
· Online consultation with general practitioners and pulmonary specialists
· Drug and supplement therapy
· Drug delivery service
* Cost breakdown can be done

12. Primaya Hospital Makassar*
a. Price
IDR 8,500,000 (14 days)
b. Services & facilities
· Visit general practitioners and nurses
· Teleconsultation of general practitioners & pulmonary specialists
· PCR swabs, blood tests and RO. Thorax
· Digital oximetry and thermometer tools
· Medicines, vitamins & food supplements
* Unable to perform cost breakdown

13. RS. Grestelina *
a. Price
· 7 Day Package IDR 10,999,000
· 14 Days Package IDR 19,999,000
b. Services & facilities
· Treatment room
· Specialist consultation
· Visit a general practitioner
· Medicines and supplements
· Complete blood lab rapid test
· Thorax X-ray
* Unable to perform cost breakdown



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