What is the the deductible in Oyen Takaful Kucing?

What is a deductible?

A deductible is an amount that you must pay out of pocket for a claim, while the remaining is compensated by the takaful operators. According to your takaful certificate, you have either a 10% deductible or an RM100 deductible, whichever is higher, for every claim.

Understanding Single Condition Claim

Example 1:

Let’s say your cat, Comel, needs treatment that costs RM1,000.

Here’s what happens:
Cost of Treatment: RM1,000
10% Deductible: RM100
RM100 Deductible: RM100

Since the 10% deductible and the RM100 deductible are the same, you will pay RM100. 

Claim Submitted: RM1,000
Deductible: RM100
Claim Reimbursement To You: RM900

Understanding Per-Condition Deductibles
The deductible is applied once per condition. If Comel has multiple treatments for the same condition, you only pay the deductible once* (unless the claim is more than RM1,000, then the deductible will be recalculated & you will pay for any excess).

Example 2:

If Comel has two visits for the same condition (for e.g. skin infection):

First Visit for Skin Infection: RM500 

Total Claim Submitted: RM500
Deductible: RM100
Claim Reimbursement To You: RM400

Second visit for Skin Infection: RM700

Total Claim Submitted: RM1,200 (including first visit) 
10% Deductible: RM120
Deductible: RM100 
Claim Reimbursement To You: RM700 - RM20 (excess of deductible) = RM680

For Claims Below RM100

Example 3:

For a minor treatment costing RM80, the RM100 deductible is higher, so you pay the full bill amount.

Claim Submitted: RM80
10% Deductible: RM8
Deductible: RM100 
Claim Reimbursement To You: RM0

For Claims Above RM1,000

Example 4:
For a treatment costing RM1,500, the 10% deductible is higher, so you are reimbursed RM1,350.

Claim Submitted: RM1,500
10% Deductible: RM150
Deductible: RM100
Claim Reimbursement To You: RM1,350

In the event of follow-ups, compile all receipts together to apply the deductible only once for the same illness within 60 days of your first visit.

Certificate terms and conditions applies