5 Questions to Ask About Your Corporate Insurance

One of the things we all look for and rely on when getting a sickness or accident is insurance. Despite more people are increasingly aware of the importance of this protection in their life, more often than not, people still rely on their companies for medical cost.

Some companies even seem like they are ‘competing’ to offer attractive insurance packages to their employees. Some offer BPJS, inpatient care, outpatient care, medical check-up, reimbursement, etc.

As insurance benefits vary across companies, there are important things you need to ask your HR department. What are they?

1. Is It from a Private Insurance Company or BJPS Health?

According to Pancanita Manalu, a human resources staff at a digital communication agency, BPJS came as an option since the Indonesian government made it mandatory for every private institutions to register their employees to BPJS Health program in 2014. The reason behind it was that many companies only paid out salary and did not provide insurance benefit for their employees.

Therefore, you can ask which kind of insurance the company provides you with – is it private insurance, BPJS Health, or both?

“BPJS Health can be an additional protection in case of accident or death,” said Pancanita.

This information will then help determine the amount and type of protection you need outside of the one provided by the company. If you are only covered by private insurance, you can pay your own BPJS premium and vice versa. In any case, you cannot rely fully on the insurance provided by your company – you do not plan to work your entire life, right? 

2. What is the Coverage and Limit?

“Many people focus only on how to claim insurance when they’d need it, but ignore the coverage,” says Raesimonth from AXA Indonesia.

This may prove to be fatal, e.g. you may claim the wrong medical treatments – the ones not covered by the company.

“Many still claim dental treatment, when the company actually does not cover it,” he says.

According to Raesimonth, a lot of people think they are “safe” from any kind of misfortunes and potential diseases just because they have been covered by company insurance. However, every institution sets a limit for protection based on each employee’s title and status.

If you have never ask about the benefit and limit of the insurance provided by the company, it will be hard for you to estimate your personal insurance needs.

When you fall ill or are involved in an accident and need to get inpatient care , there is a possibility your company’s insurance limit does not cover the overall cost spent. You will need to pay that excess hospital bill, either from you own wallet or your additional insurance.

Aside from the excess cost, Pancanita explains that the most common mistake employees do is treating their insurance cards like an unlimited credit card, which means they just swipe the card without thinking further.

Insurance limit is made based on a company’s budget and this is why there is a limit for both outpatient and inpatient care, whether it is for monthly or yearly use.

“For example, although the total limit of outpatient care is Rp10 million, it doesn’t necessarily mean that the whole limit can be used to cover medication. There may be inner limit, in which the limit is allocated, as an example, Rp3 million for medication, Rp1 million for laboratory test and so on,” Pancanita explains, based on her previous experience.

[Read: How to Pick a Good Insurance Agent]

3. Who Can Receive the Insurance Benefit?

According to Pancanita, a multinational company with 150-200 employees may have a budget as much as Rp1.5 billion for their corporate insurance.

“The ones who are surely covered are the male employee himself, his legal wife and up to three children. The same is applied to a female employee, except that her insurance does not cover her husband,” she explained.

For singles out there, once you get married, it is important to provide a copy of your marriage certificate and let the HR department knows of your change of status as soon as possible.

In addition to this, if you and your partner are planning to have kids, it would be good to ask about the amount of birth allowance.

[Read: Maternity Insurance for Planning a Pregnancy]

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