What are the Illnesses NOT classified under 36 Critical Illness - PowerPoint PPT Presentation

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What are the Illnesses NOT classified under 36 Critical Illness

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Breast reconstructive surgery. Rheumatoid arthritis with complication ... Cosmetic breast surgery is excluded. Systemic Lupus Erythematosus with lupus nephritis (SLE) ... – PowerPoint PPT presentation

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Title: What are the Illnesses NOT classified under 36 Critical Illness


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What are the IllnessesNOT classified under36
Critical Illness
  • Breast reconstructive surgery
  • Rheumatoid arthritis with complication
  • Facial reconstructive surgery due to accident
  • Skin grafting due to burns or skin cancer
  • Osteoporotic fracture

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Breast Reconstructive Surgery
  • Plastic or reconstructive surgery of the breast
    during or after mastectomy following the
    diagnosis of invasive breast cancer
  • Cosmetic breast surgery is excluded

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Systemic Lupus Erythematosus with lupus nephritis
(SLE)
  • It is a multisystem, multifactorial,autoimmune
    disorder
  • Characterised with development of autoantibodies
    that fight against the normal cells
  • Affects females more than men - female-to-male
    ratio of 91
  • Age - aged 20-40 years
  • Characteristic features
  • Poly arthropathy
  • Fever
  • Abnormal skin response to light
  • Hair Loss
  • Pericarditis
  • Psychosis
  • Neuropathy
  • Kidney disease

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Skin Grafting due to Skin Cancer
  • Skin grafting due to removal of a invasive skin
    cancer
  • Non invasive cancers in situ are excluded
  • Diagnosis must be confirmed by a consultant
    pathologist
  • Skin melanomas with less than 1.5 mm thickness
    using Breslows method or less than Clark 3 are
    excluded

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Facial reconstruction Surgery due to Accident
  • Restoration or reconstruction of the shape and
    appearance of facial structures above the neck
    which are defective, missing or damaged
  • This reconstruction must be medically necessary
    for the treatment as a result of a direct result
    of accident

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Rheumatoid Arthritis
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Osteoporotic fracture
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PRUvantage PRUlady
Solutions
Total Female Illness RM 75,000 Death/TPD/36
CI RM 25,000 Hospital Income RM 150/daily (Max
100days/year) RM 15,000 Policy Account 20 years
(Age 50) RM 22,335 30 years (Age 60) RM
43,084 40 years (Age 70) RM 73,810 50 years
(Age 80) RM 126,447
For a female next birthday is 30 (non-smoker)
RM 105/m only
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Female Next Birthday 30 class 1 non-smoker
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Female Next Birthday 30 class 1 non-smoker
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Waiting Period
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