SICOM

SICOM MyCare is a Medical Insurance cover providing both In-patient & Out-patient coverage, specially designed for your healthcare needs.

About this product

MyCare consists of 4 different plans you can choose from and offers a range of covers that best suits everyone’s basic needs. It also provide others benefits including Second Medical Opinion and Overseas Treatment when treatment is not available in Mauritius, amongst others.

Our extended benefit assistance now provides our insured members a Home Doctor on-site Assistance Service through our partnership with Red Kangaroo Health and also access to a network of overseas certified hospitals and medical centres for specialised treatment and surgery through our partners in India.

• In-patient Claims paid directly to the Clinic Concentrate on your treatment whilst we deal with the financing
• Overseas Treatment Expenses for medical treatment not available locally
• Tax Relief on Medical Premium Paid Claim back on your annual medical premium

Product Features

Why opt for SICOM MyCare?

• Healthcare Provider Freedom to choose your preferred healthcare provider in Mauritius
• In-patient Benefits Include room charges, surgery expenses and related charges, diagnostic tests and medications prescribed during your stay at a private hospital
• Out-patient Benefits Include physicians and specialists consultation, prescribed medicine, complementary tests and diagnostics, dental, optical, hearing aids and chronic diseases costs
• Coverage for Childbirth Cover for both normal or caesarean in a private hospital and receive a maternity cash benefit if delivery is done in a public hospital
• Funeral Expenses Cover for funeral costs to be incurred
• Overseas Treatment Cover for overseas treatment expenses for medical treatment not available in Mauritius

( Terms and conditions apply)*

Useful Information

Extended Benefits

Home Doctor On-site Assistance

Through our partnership with RED KANGAROO HEALTH, you can now avail of a Home Doctor On-Site Assistance Service. A specially trained team operates and coordinates in-home doctor visits whereby medical practitioners will attend minor medical concerns right in the comfort of your home, which may be extended to your workplace or any convenient location across Mauritius.

Benefits

• In-home doctor visits, you only pay the excess
• Available daily, between 8h to 19h, including public holidays
• Expert medical advice when required
• Dedicated hotline - 86333
• No appointment necessary
• Peace of mind, with no claims to file

HOTLINE: 86333

Overseas Treatment

This extended benefit under SICOM Health insurance plans allows our insured members to get access to a network of certified hospitals and medical centres overseas for specialised treatment and surgery, through our exclusive partnership with healthcare providers in India.

Benefits

• World class, wider and advanced range of medical expertise with quality treatment
• In-Patient Cashless service where Guarantee of Payment (GOP) will be provided directly by SICOM to the network hospital in India
• Members will not need to disburse any payment (except non-coverable amount)
• No scale of cost applicable on doctor fees (subject to cost estimate of treatment)
• Cost of air ticket and accommodation for insured member will be borne by SICOM

Insured persons under this cover can benefit from an advanced range of medical expertise and treatment from the following private hospitals in India.

• MIOT Hospital, Chennai
• Artemis Hospital, Delhi
• KIMS Hospitals, Hyderabad
• Wockhardt Hospital, Mumbai
• Rainbow Children’s Hospital, Bangalore and Hyderabad
• Apollo Hospitals, across India.

Click here to view our brochure

Eligibility

Individuals under 60 years of age at enrollment
(Acceptance of proposals may be subject to a satisfactory medical examination)

Required Documents

• Completed, signed and dated Proposal Form
• National Identity Card
• Recent Utility Bill (not more than 6 months old)

FAQ

Can I pay my premium by instalments?
Payment by instalments are available depending on the annual premium

What is the eligible age to get insured under this health insurance?
The eligibility age between 0 days up to 59 years

Will I be eligible for tax benefits if I buy health insurance?
Yes. Buying a health insurance will earn you the eligibility to claim tax benefit.

What if I already have a health insurance policy, but I just want to increase my sum insured?
If you already have an insurance policy but want to extend your cover, you can do so at the time of policy renewal.

I have been recently diagnosed with a medical condition. Will I be allowed health insurance?
If you have already been diagnosed with a medical condition, it will be considered a pre-existing disease which will not be covered under the policy.

What are excluded in this medical policy?
As per terms in conditions stipulated in the Policy documents and any other pre-existing disease.

How do I proceed in case I need to be hospitalized?
Planned Admissions
Send the below details at least 48 hours before your admission to [email protected]

Name of Clinic/ Private Hospital
Date of Admission
Medical Report
Treatment Plan
Quotation (If Available)

Emergency Admissions
A family member or you should advise us as soon as possible on 203 8452.

Can I make a claim as soon as my medical policy is issued?
There are various waiting period depending on the nature of treatment, as mentioned in our quotation, however in case of Accident, no waiting period shall be applied.

What is the timeframe to submit a claim?
You have 90 days to submit a claim along with all required documents.