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  • PERSONAL MEDICAL CASE MANAGEMENT

    Personalised support from diagnosis to recovery for serious medical conditions.

    What is Personal Medical Case Management?

    Notification EXCLUSIVELY FOR AIA MAX VITALHEALTH A AND EXISTING AIA MAX ESSENTIAL A/A SAVER CUSTOMERS!

    To complement AIA Quality Healthcare Partners, which consists of more than 400 local qualified medical specialists, AIA has partnered with Medix to bring our healthcare solution to the next level – expanding on our comprehensive high-quality healthcare to providing you the best possible treatment experience. 

    Why Personal Medical Case Management?

    Our research* has found that while 68% of our customers feel that their current health insurance provides sufficient protection for them,

    34 %

    are concerned about unnecessary or incorrect diagnosis

    29 %

    are concerned about lack of on-going personal healthcare support

    27 %

    are concerned about lack of coordinated care and support

    *AIA’s Understanding Healthcare Needs and Expectations Study, April 2018

    We know how tough it can be to make critical, life changing decisions for serious medical conditions1. That is why AIA has partnered Medix to offer our AIA Max VitalHealth A and existing AIA Max Essential A/A Saver customers exclusive access to personal medical case management. This enables our customers to better understand and manage their medical condition, while being supported from diagnosis, treatment, all the way till recovery.

    • AIA-Medix Brochure AIA-Medix Brochure
    • How Does Medix Work? How Does Medix Work?
    • Am I Eligible? Am I Eligible?
    • Real Life Stories Real Life Stories
    • Frequently Asked Questions Frequently Asked Questions
    • Contact Medix Contact Medix

    WHAT DOES IT INCLUDE?

    Access to the world’s leading specialists

    Review and re-evaluate your medical condition

    Offer medical recommendation based on reviewed diagnosis

    Provide ongoing guidance and support for a minimum of 3 months

    24/7 hotline in English and Chinese - for accepted cases (excluding public holidays)

    how does it work?

    • accepted-2nd INITIATION OF SERVICE

      Appointment of a personal medical team, including a specialist and medical coordinator nurse

      Retrieval of medical documents2

      Review and re-evaluation of the medical condition and information

      Referral for further tests, if required3

    • current_step REVIEW, CONSULTATIONS & RECOMMENDATIONS

      Consultation by top specialists

      Review of all test results, including radiology and laboratory tests, by a Medix specialist

      Re-assessment of medical case by a multidisciplinary team

      Formulation of recommendations optimised for treatment plan

      Establish consensus on comprehensive treatment programme3 to ensure optimal care

      Ongoing communication with the medical team as needed

      Referral to a leading medical team to administer agreed treatment, if needed

    • current_step GUIDANCE, SUPERVISION & SUPPORT

      Coordination and support the treatment programme3

      Monitoring quality and efficiency of care

      Ongoing personalised support and medical information 24/7

      Guidance through rehabilitation and return to everyday life

      Written clinical summary for future use, as required

    FAQ

    + Expand All
    - Collapse All

    Why is AIA offering Personal Medical Case Management Services (PMCM) to our customers?

    We understand that customers who have serious medical conditions often feel uncertain about the best course of action, and face a lot of stress along the care journey. Through this service, we would like to help our customers get accurate diagnosis and select the best course of treatment, by providing them access to independent global expert medical advice, as well as on-going support throughout their medical journey. 


    How does PMCM differ from a second opinion?

    Most second opinion services review medical reports and information to provide an independent diagnosis and recommended treatment plan. Following the second opinion, a patient is often left with questions, as well as the need to find the best doctor and hospital to administer the treatment.

    With PMCM, the customer is never alone. This 24/7 service accompanies the customer at all times, throughout the journey of diagnosis, treatment, monitoring the treatment progress until recovery. 


    Who can have access to PMCM service?

    This service is exclusively available to our AIA Max VitalHealth A and existing AIA Max Essential A/A Saver policyholders, so they can receive support through their entire medical journey for serious medical conditions, with our compliments. 


    Is the PMCM service free?

    This optional service is provided complimentary for our AIA Max VitalHealth A and existing AIA Max Essential A/A Saver policyholders.

    However, additional charges may apply as any tests, treatments, procedures, devices or medication recommended by Medix will be subject to the overall benefit limits of your AIA HealthShield Gold Max A, AIA Max VitalHealth A and AIA Max Essential A/A Saver policies and may not be covered.


    What are the serious medical conditions that qualify for PMCM service?

    Please click here for the list of eligible medical conditions.


    How does Medix obtain my medical information and reports?

    When you choose to use the Medix service, you will be required to sign the service acceptance form and confidentiality waiver form, as well as submit all relevant medical information and reports at hand. This approval will also allow Medix to obtain any missing medical reports from various sources.

    AIA and Medix recognise the importance and sensitivity of such personal data, and will only share information that is required to accurately analyse the customer’s condition, and enable appropriate recommendations to be made.


    Will Medix refer me for treatment abroad?

    Medix’s assessment of treatment is based on medical necessity. As Singapore has a highly developed healthcare system, Medix does not expect that there will be a need to refer patients abroad. However, Medix will consider recommending consultation or treatment abroad in the rare instances where there is a lack of local expertise in relevant fields.

    Please note that the AIA HealthShield Gold Max A with AIA Max VitalHealth A and existing AIA Max Essential A/A Saver plans only cover emergency treatments abroad, subject to the overall benefit limits of the policies. Scheduled overseas treatment expenses will not be claimable.


    How does Medix complement AIA Quality Healthcare Partners (AQHP)?

    AQHP specialists are selected based on their qualifications and experience to deliver quality affordable healthcare.

    This partnership with Medix complements the AQHP, by providing patients with additional access to local and global expertise and ongoing support. Medix does not directly treat patients, but works in collaboration with the treating doctor to ensure that the best possible care is delivered. This enhances the ability of our panel to deliver quality care. 


    What if the treating doctor disagrees with Medix’s recommendation?

    In such a situation, with the patient’s permission, Medix will discuss the case with the treating doctor and collectively agree upon the best course of action for the patient. At the end of the day, the decision on how to proceed with the suggested treatment plan is the patient’s.


    What happens in the case of a wrong medical recommendation?

    The decision of treatment is always taken jointly with the patient’s treating doctor, together with the patient’s consent. It is important to note that Medix does not treat patients directly, nor prescribe medications, nor execute treatments or procedures. Hence, Medix would not be able to take on the responsibility of the treating doctor. However, Medix does have Professional Medical Liability Insurance and takes full responsibility for its medical recommendations.

    Since Medix’s establishment in 2006, Medix is proud to share that there have been no cases in which an incorrect recommendation was made.

    AIA Singapore is not involved in the recommendations that Medix provides as the intent is for Medix to provide independent medical advice. 


    Annex A:

    Medical conditions that are eligible for Medix Personal Medical Case Management Service

    1. Medical Conditions without Diagnosis 

    For medical conditions without diagnosis, the medical inquiry and consultation process must include a consultation with at least one specialist in a field related to the medical problem. 

    2. Medical Conditions in which the Diagnosis matches one of the following medical categories 

    Customers are eligible for personal medical case management services if they have one or more of the following conditions, provided they have already consulted at least one specialist in a field related to the medical problem.  

    1. Cancer;

    2. Liver diseases;

    3. Kidney diseases;

    4. Chronic gastroenterological diseases experienced during a period of at least 30 days;

    5. Cardiovascular diseases;

    6. Neurological diseases and invasive procedures into the central or peripheral nervous system;

    7. On-going Orthopedic diseases experienced; 

    8. Elective invasive procedues following disease with the intent of treating a disease/medical condition and excluding diagnostic reasons;

    9. Hematological diseases;

    10. Rheumatological diseases;

    11. Metabolic diseases;

    12. Endocrine diseases;

    13. Ear, nose and throat (ENT) diseases and related invasive procedures;

    14. Immunological diseases;

    15. Pulmonary diseases;

    16. Infectious diseases experienced during a period of at least 7 days;

    17. Ocular diseases;

    18. Orphan diseases;

    19. Combined pathologies: several diseases requiring multidisciplinary treatment and, consequently, coordination between at least two specialists from different fields of expertise;

    20. Any medical problem that requires hospitalisation or a medical problem that requires hospitalisation due to complications following a procedure or treatment, lasting more than 3 consecutive days; and

    21. In addition to the above-mentioned categories, a pediatric patient whose case matches one of the following descriptions is also eligible for the Service:

    • Elective surgery, i.e., a non-urgent procedure prescheduled following the recommendation of a specialist from a pediatric clinic (including outpatient clinics);
    • Chronic disease; 
    • Hereditary disease; 
    • Congenital anomaly; and
    • Developmental impairments following a period of at least 6 months of consultation and treatment at a pediatric development centre and consultation with at least two specialists in fields related to the medical problem.

    3. Excluded Medical Conditions

    Customers diagnosed with one of the following medical conditions are not eligible for the Service:

    1. Emergency care and or any medical conditions of urgent invasive and/or urgent surgical procedures; 

    2. Diabetes;

    3. Short Stature as sole medical condition; Medix will cover congenital syndroms that are represented by various medical conditions, which may include short stature but not as stand alone.

    4. Endocrine conditions that affect only fertility;

    5. Snoring surgery and sleep apnea 

    6. Cosmetic/Aesthetic surgery;

    7. Excluded medical conditions in the pediatric medical field: 

    Pediatric gastroenterological diseases of the following types: 

    • failure to thrive;
    • eating disorders (e.g. anorexia, bulimia);
    • attention deficit/hyperactivity disorder (ADHD); and
    • any medical condition pertaining to premature babies during initial hospitalisation after birth or during the first 6 months of life. 

    8. Excluded disorders:

    • ADHD;
    • Anorexia/Bulimia and other related eating disorders; and 
    • Sleeping disorders.  

    9. Fertility-related conditions or procedures, with the exception of cases of 3 or more consecutive miscarriages;

    10. Obstetrics;

    11. Child, youth, and adult psychiatric and/or mental diseases;

    12. Conditions related directly or indirectly to issues of looks and aesthetics, including obesity, with the exception of reconstructive breast surgery following a mastectomy;

    13. Medical conditions in the fields of dentistry;

    14. Fibromyalgia disease;

    15. Chronic fatigue syndrome;

    16. Complete and irreversible blindness;

    17. Acute Cerebrovascular accident (CVA); 

    18. Severe burns if patient is hospitalised;

    19. Allergies;

    20. Sexual diseases; STD

    21. HIV;

    22. Obesity; 

    23. Any condition that necessitates urgent medical attention; and

    24. Any condition resulting from substance, drug or alcohol addiction.   

     


    Am I eligible for Personal Medical Case Management?

    This service is exclusively available for our AIA Max VitalHealth A and existing AIA Max Essential A/A Saver policyholders, so you can be supported throughout your entire medical journey for serious medical conditions1, with our compliments.

    Not an AIA Max VitalHealth A policyholder? Find out more here

    Real Life Stories

    Mr Fenlon’s Story

    When an MRI scan revealed 3 new tumors, Mr Fenlon received urgent surgery to remove his abdominal tumor and required further treatment for the rest. See how Medix transformed Mr Fenlon’s condition by providing him with information on the newest medical research and treatment options available, thus enabling him to decide on his long-term treatment arrangement.

    Mr Zhang’s Story

    Discovering a lesion during a checkup, see how Medix helped expedite additional medical tests so Mr Zhang could obtain a confirmed diagnosis, and how he was supported through the decision to go for timely surgical treatment all the way to recovery.

    Want to know more?

    To access this exclusive service, please

    approach your Financial Services Consultant/Insurance Representative or

    call Medix at (65) 6228 6968 or
    email Medix at aiasg-cs@medix-asia.com

    IMPORTANT NOTES

    This Personal Medical Case Management service is not a contractual benefit. Medix is an independent third-party company. AIA shall not be responsible or liable for any medical service, product and solicitation effort provided by Medix, which is not sold or marketed by AIA. All Medix related statistics and service information stated have been verified by Medix only.

    1. Please click here for the full list of serious medical conditions that Medix accepts for case management. Eligibility for service is subject to evaluation by AIA and Medix and the services provided are subject to the terms and conditions of Medix. Please contact Medix for full details of the scope of the service.
    2. AIA will only release personal medical history of a customer to Medix, upon receipt of the “Informed Consent and Medical Confidentiality Waiver” form that has been signed by said customer.
    3. The Medix Personal Medical Case Management service itself is provided complimentary to AIA Max VitalHealth A and existing AIA Max Essential A/A Saver policyholders. However, additional charges may apply, as any tests, treatments, procedures, devices or medication recommended by Medix will be subject to the overall benefit limits of your AIA HealthShield Gold Max A, AIA Max VitalHealth A and AIA Max Essential A/A Saver policies and may not be covered.

    Insurance plans are underwritten by AIA Singapore Private Limited (Reg. No. 201106386R). All insurance applications are subject to AIA’s underwriting and acceptance. This is not a contract of insurance. You are advised to read the policy contract for the precise terms and conditions of the plan.

    Buying health insurance products that are not suitable for you may impact your ability to finance your future healthcare needs.

    This policy is protected under the Policy Owners’ Protection Scheme which is administered by the Singapore Deposit Insurance Corporation (SDIC). Coverage for your policy is automatic and no further action is required from you. For more information on the types of benefits that are covered under the scheme as well as the limits of coverage, where applicable, please contact your insurer or visit the GIA/LIA or SDIC web-sites (www.gia.org.sg or www.lia.org.sg or www.sdic.org.sg).

    The information is correct as at 7 June 2019.

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