Title: What are the Illnesses NOT classified under 36 Critical Illness
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6What 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
7Breast 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
8Systemic 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
9Skin 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
10Facial 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
11Rheumatoid Arthritis
12Osteoporotic fracture
13PRUvantage 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
14Female Next Birthday 30 class 1 non-smoker
15Female Next Birthday 30 class 1 non-smoker
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18Waiting Period