PACIFIC ROADSIDE ASSISTABOUT THIS POLICY
Product Overview
This policy provides Domestic Assistance and/or International Assistance should the insured person (Malaysians and Permanent Residents of Malaysia) suffers from a serious medical condition.
Coverage
- International Assistance
- Emergency Medical Evacuation, Emergency Medical Repatriation, Repatriation of Mortal Remains, Compassionate Visit, Return of Minor Children and Others Assistance (Telephone Medical Advice and Evaluation, Referral to English-Speaking Lawyer/Bail Bond Referral to Interpreter Service, Despatch of Doctors, Medicine and Hospital Admission Guarantee, Emergency Message Transmission and Inoculation and Visa Requirement Information)
- Domestic Assistance
- Emergency Medical Evacuation and Emergency Medical Repatriation
- Ambulance Services
For more information on Emergency Medical Assistance, please refer to the Brochure and Product Disclosure Sheet.
The benefit(s) payable under eligible certificate/policy/product is(are) protected by PIDM up to limits. Please refer to PIDM’s TIPS Brochure or contact The Pacific Insurance Berhad or PIDM (visit www.pidm.gov.my).
DOWNLOAD PRODUCT FORMS
DOWNLOAD GENERAL FORMS
Questionnaires and Forms
- Application Form Extension to Cover Treatment in Singapore and Brunei
- Asthma Questionnaire
- Automatic Termination of Cover and Local Treatment Clauses Letter
- Confirmation on Cancellation of the Preceding Policy Letter
- Enrolment Form
- GHS Quotation Requisition Form
- Group Proposal Form - Jun 2016
- Hypertension Questionnaire
- Nomination Form (New Application)
- Nomination Form
- PHD Form - Group and Corporate Individual
- PHD Form - Individual
- Revocation of Nomination Form
- Succeeding Policyholder Letter
Medical Claim Forms
350+
PANEL PARTNERS ACROSS MALAYSIA
