Healthactive

Asuransi SimpleCare

A health insurance plan from Sompo Insurance, sold through agents and banks and directly.

Summary

SimpleCare adalah asuransi kesehatan individu dan keluarga dari Sompo Insurance bersama Now Health International, tersedia tiga plan: CORE (rawat inap saja, limit USD 1.000.000), 100 (tambah rawat jalan ko-asuransi 20%), dan 250 (tambah gigi), limit tahunan USD 1.500.000 untuk 100 dan 250. Area default Asia Tenggara kecuali Singapura, opsi worldwide excluding USA.

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Last checked Oct 17, 2026

Waiting period

9 bulan untuk perawatan gigi (plan 250)

Cashless

Yes

What it covers

2 benefits

Benefit limits

Dental

Hanya plan 250: USD 300 dengan ko-asuransi 20%, masa tunggu 9 bulan, tidak termasuk ortodontik & implan gigi

Inpatient

Full refund untuk biaya rumah sakit & operasi; biaya tambahan hingga USD 1.500 per kondisi medis

Outpatient

CORE: tidak ditanggung; 100: hingga USD 1.000/tahun (ko-asuransi 20%); 250: hingga USD 2.500/tahun (ko-asuransi 20%)

Hospital cash

SimpleCare 100

USD 250 per malam, hingga 30 malam

SimpleCare 250

USD 250 per malam, hingga 30 malam

SimpleCare CORE

USD 125 per malam, hingga 30 malam

1 product tableSign up free to read

Benefit	SimpleCare CORE	SimpleCare 100	SimpleCare 250
Annual Maximum Plan Limit / Batas Maksimum Polis Tahunan	USD 1,000,000	USD 1,500,000	USD 1,500,000
Co-insurance Rawat Inap & Rawat Sehari	Nihil	Nihil	Nihil
Co-insurance Rawat Jalan	Nihil	20% hingga USD 1,000	20% hingga USD 2,500
Hospital & Surgery Charges	Full refund	Full refund	Full refund
Ancillary Charges	Up to USD 1,500 per medical condition	Up to USD 1,500 per medical condition	Up to USD 1,500 per medical condition
Diagnostic Procedures (MRI/PET/CT)	Full refund (in-patient pre/post-op scans)	Full refund	Full refund
Renal Failure/Dialysis (In-Patient)	Up to six weeks or USD 10,000	Up to six weeks, full refund	Up to six weeks, full refund
Renal Failure/Dialysis (Day/Out-Patient)	Not covered	USD 35,000	USD 35,000
Organ Transplant	Up to USD 100,000	Up to USD 150,000	Up to USD 150,000
Cancer Treatment	Full refund	Full refund	Full refund
New Born Cover	Up to USD 25,000	Up to USD 35,000	Up to USD 35,000
Congenital Disorder	Up to USD 25,000	Up to USD 35,000	Up to USD 35,000
Rehabilitation	Full refund up to 30 days per medical condition	Full refund up to 90 days per medical condition	Full refund up to 90 days per medical condition
Nursing Care at Home	Not covered	Full refund up to 30 days per medical condition	Full refund up to 30 days per medical condition
Emergency Ambulance Transportation	Full refund	Full refund	Full refund
Evacuation and Repatriation	Combined limit USD 100,000	Combined limit USD 100,000	Combined limit USD 100,000
Emergency Non-Elective Treatment outside Area of Cover (Illness)	Up to USD 25,000	Up to USD 35,000	Up to USD 35,000
Hospital Cash Benefit	USD 125 per night, up to 30 nights	USD 250 per night, up to 30 nights	USD 250 per night, up to 30 nights
Annual Out-Patient Limit	N/A	USD 1,000	USD 2,500
Out-Patient Physiotherapy & Alternative Therapy	Not covered	USD 60 per visit, combined max 10 visits	USD 80 per visit, combined max 10 visits
Dental Care	Not covered	Not covered	USD 300 subject to 20% co-insurance, 9-month waiting period

Policy terms

Grace period

30 hari untuk pembayaran premi

Sum insured

Batas Maksimum Polis Tahunan berbeda per plan: USD 1.000.000 untuk SimpleCare CORE, dan USD 1.500.000 untuk SimpleCare 100 dan 250, dengan sub-limit tersendiri untuk tiap jenis manfaat sesuai tabel manfaat.

Covered for

Tahunan (Batas Maksimum Polis Tahunan, polis diperbaharui tahunan)

Distribution

Agency, Bank, Direct

Target segment

Perorangan dan keluarga, serta grup karyawan perusahaan (minimum 3 karyawan) termasuk melalui bancassurance

Insured object

Biaya pengobatan kesehatan perorangan dan keluarga (rawat inap, rawat jalan, dan gigi) sesuai plan yang dipilih

How Asuransi SimpleCare compares

Similar plans from other insurers, side by side.

Product	Entry age	Premium	Sum insured
Asuransi SimpleCareSompo Insurance	Not stated	Not stated	Batas Maksimum Polis Tahunan berbeda per plan: USD 1.000.000 untuk SimpleCare CORE, dan USD 1.500.000 untuk SimpleCare 100 dan 250, dengan sub-limit tersendiri untuk tiap jenis manfaat sesuai tabel manfaat.
Generali Lite HealthCare SyariahGenerali Indonesia	31 hari - 70 tahun (ulang tahun terdekat)	—
Generali Lite HealthCareGenerali Indonesia	Not stated
FWD Hospital Care Protection \| FWD IndonesiaFWD Insurance	Not stated	—

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