Prudential PRUShield Panel Doctor

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Insurance Partners

Prudential PRUShield Panel Doctor

At G&L Surgical Clinic, your health and well-being are our top priorities.

With our membership in the distinguished Prudential PRUShield Panel, one of Singapore’s most all-encompassing specialist networks, you can embark on your health journey knowing you’re in safe and trusted hands.

Your Coverage with Prudential PRUShield

Understand your coverage with a Prudential PRUShield plan and the benefits you can experience if you choose to have your treatment with Dr Ganesh, a Prudential panel doctor. For more information, visit the Prudential website. Alternatively, reach out to our team and we will be happy to assist you.

In-patient Treatment: This relates to medical care provided when you’re admitted to a hospital. With PRUShield, you’re covered for hospital stays, including the cost of the room, medications, and any necessary surgical procedures.

Out-patient Treatment: This encompasses medical care where hospital admission isn’t required. Common examples include specialist consultations, diagnostic procedures, and day surgeries.

Pre-post Hospitalisation Treatment: PRUShield provides coverage for medical expenses incurred before your hospitalisation (pre-hospitalisation) and after your discharge (post-hospitalisation). This can include consultations, medications, and follow-up treatments related to the condition for which you were hospitalised.

  • PRUShield does not cover outpatient procedures conducted at private clinics, short-stay wards in public hospitals, community hospitals, or any treatments obtained overseas.
  • The policy does not provide coverage for treatments related to pregnancy, cosmetic surgeries, and conditions such as HIV infection or AIDS. It’s crucial to consult the policy contract for a comprehensive list of exclusions.

While PRUShield offers comprehensive coverage, there is a billable sum of minimum 5% co-payment. This means you’re required to bear at least 5% of the billable amount, ensuring policyholders play a part in managing their healthcare costs and minimising potential over-consumption.

For assistance on your insurance plan, feel free to contact G&L Surgical.

In-patient Treatment: PRUShield provides a cashless experience for in-patient treatments with a Letter of Guarantee (LOG). This means that, in most cases, you won’t need to pay upfront; the costs will be directly settled with the medical provider.

Out-patient & Pre-post Hospitalisation Consultations: These scenarios typically refer to medical care before you’re admitted to a hospital (like consultations leading to a surgery) and after you’ve been discharged (such as follow-up appointments). For these treatments, you’ll need to pay upfront. Once the treatment is completed, you can then submit a claim to Prudential for reimbursement. At G&L Surgical, we are happy to assist you with your insurance claims.

Letter of Guarantee

A Letter of Guarantee (LOG) is an official assurance provided by an insurance company, like Prudential’s PRUShield, to a healthcare institution. This letter confirms the insurer’s commitment to cover specific medical expenses on behalf of the policyholder up to an agreed amount.

Essentially, it provides a cashless hospitalisation experience, ensuring the policyholder doesn’t have to bear the financial burden upfront and facilitates direct settlement between the medical institution and the insurer.

With the enhanced Letter of Guarantee, policyholders of Prudential PRUShield have a maximum amount issued of up to $30,000.

To request a LOG for treatment at G&L Surgical, you’d typically need to:

  • Arrange for a consultation at our clinic
  • Complete the financial counselling with our staff to understand charges for your procedure and highlight your insurance policies available
  • Our staff will assist you to contact Prudential on the issuance of the LOG
  • Await confirmation from Prudential regarding the issuance of the LOG
  • Proceed with treatment once the LOG has been received by our clinic

The LOG will usually be issued to the hospital 2-3 days after the request is made, provided all criteria are met.

How To Make A Claim For Your Prudential PRUShield Plan

Understand the steps needed to submit your insurance claim. Contact our clinic and we will be happy to assist you with your claim.

For inpatient procedures: Patients who are hospitalised during the course of their procedure will be assisted via the hospital’s administration to do an e-filing for your insurance claims. 

For outpatient procedures: Patients can submit their claims and the necessary documents through various channels:

  • Online: Use Prudential’s online claims submission portal.
  • By Mail: Send the completed forms and necessary documents to Prudential’s mailing address.

Alternatively, feel free to reach out to the G&L Surgical team and we will assist you with your claims.

Once Prudential receives your claim and the necessary documentation, they’ll begin processing it. The duration can vary based on the complexity of the claim, but generally, claims are processed within a few days to a few weeks.

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