Case Management Service will:
Teladoc Health, Inc is a third-party service provider engaged by Prudential Assurance Malaysia Berhad (PAMB). Teladoc Health is a global virtual care leader in telehealth services with over 25 years in business serving millions of customers in Asia and around the world.
Your case will be handled by Malaysian Licensed doctors who are familiar with the Malaysian private healthcare landscape.
We understand our customers who have serious medical conditions often feel uncertain and doubt regarding treatment options and the appropriate course of action to take. Through this service, we would like to help you get a second opinion on the medical condition faced and choose the appropriate treatment, so that you can discuss with the doctor and receive continuous support throughout your medical journey.Teledoc is a third party service provider and is contracted with PAMB.
Case Management Service is available exclusively for PAMB customers who have active policies for the following products:
No, you do not need to pay any additional fee to use the Case Management Service. You can use Case Management Service as many as you want as long as your policy is in force.
Most second opinion services review medical reports and information to provide an independent diagnosis and recommended treatment plan. After getting a second opinion, customers often still have questions, and need to find the suitable doctor to carry out the treatment.
The Case Management Service not only provides a second medical opinion but also offers comprehensive support. Led by a Physician Case Manager, the team supports customers throughout their medical journey - from obtaining independent medical reports and second opinions from global experts, to arranging referrals and doctor’s appointments for appropriate treatment, explaining medical reports, and providing follow‑up support based on the customer’s medical needs.
It is natural that medical opinions from different doctors can vary. Teladoc Health provides an independent opinion with the purpose of helping you to make an informed decision. You are encouraged to discuss the Teladoc Health report with your treating doctor. Teladoc Health does not directly treat patients or prescribe medication. Customers shall make treatment decisions in consultation with his/her treating doctor. The aim is to empower you to make the best decision for your health.
Prudential’s customers who have an active insurance plan for selective Medical Booster and Critical Illness products are automatically eligible for the Case Management. If you wish to use Case Management Service, you will need to enroll via Prudential’s website.
Once enrolment is completed and if you are confirmed to be eligible for this service, an assigned Physician Case Manager will then contact you via phone or email and provide guidance at every step of your medical journey.
As an information security policy and to protect customer privacy so that personal data is not exposed, registration cannot be done through Case Management hotline. You can only do the enrolment through enrolment portal or email.
When you choose to use Case Management Service, you will be required to provide your consent and agree to the terms of Case Management Service for medical record collection via secure channels.
Prudential and Teladoc Health recognise the importance and sensitivity of such personal data and will only share information that is required to accurately analyse your condition and enable appropriate recommendations to be made.
The assessment of treatment is based on medical necessity. Generally, you will be referred to available treatment locally based on expertise in relevant fields.
Please note that if you decide to proceed with the treatment plan as recommended by Teladoc Health, the cost of medical treatment may or may not be covered by Policy with Prudential Assurance Malaysia Berhad. Customers are advised to confirm your policy coverage with Prudential before performing the treatment.
Yes. If you agree to the referral, Teladoc Health will assist you in making an appointment with the right physician at the earliest convenience, and you will receive appointment confirmation within 3 business days on average.
Medical Conditions that are eligible for Case Management Service
Excluded Medical Conditions
Customers diagnosed with one of the following are not eligible for the Service:
Notes:
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