GUIDE · HEALTH INSURANCE

The Additional Annual Benefit Limit: cover that doubles when it matters most

LAST UPDATED 5 JULY 2026 4 MIN READ REVIEWED AGAINST CURRENT ALLIANZ PRODUCT DOCUMENTS
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The Additional Annual Benefit Limit is a separate, on-top annual limit — equal to your plan’s base annual limit — that activates when the insured is diagnosed with one of three advanced-stage diseases: heart attack, invasive cancer or stroke. It effectively doubles your cover on Allianz Preferred Medical and AlliSya Preferred Medical: to Rp2 billion on Plan Standard, Rp30 billion on Plan Extra and Rp40 billion on Plan Premier, available from the diagnosis date until the next policy anniversary.

When it activates

The additional limit activates on a diagnosis of one of three advanced-stage diseases (Penyakit Tahap Lanjut): heart attack, invasive cancer or stroke. It is granted per policy year on diagnosis and stays active from the diagnosis date through to the next policy anniversary.

It applies only to the insured who has the advanced-stage disease — on a family policy, other insureds without the diagnosis keep their normal annual limit.

What it pays for

Once the base annual limit is fully used, care related either to the advanced-stage disease or to any other illness or injury is paid from the additional limit. It is not restricted to the diagnosed condition — a distinction that matters, because serious illness rarely arrives alone.

PER INSURED, PER POLICY YEAR
STANDARD
EXTRA
PREMIER
Annual Benefit Limit
Rp1 billion
Rp15 billion
Rp20 billion
Additional Annual Limit
Rp1 billion
Rp15 billion
Rp20 billion
Total when active
Rp2 billion
Rp30 billion
Rp40 billion
AN ILLUSTRATION
Rp30B
total available after diagnosis, Plan Extra
THE EVENT A 35-year-old on Plan Extra (Rp15 billion limit) is diagnosed with a heart attack and hospitalised for 5 days at a Preferred Network hospital; the Rp100 million claim is paid.
THE RESULT Her additional limit activates from the diagnosis date — Rp30 billion in total available for the heart condition or any other illness, until the next policy anniversary.

Illustrative example from the product materials — not a real claim, and no outcome is guaranteed. Your Benefit Table governs.

Questions about the additional limit

Which conditions trigger it?

Three advanced-stage diseases: heart attack, invasive cancer and stroke, diagnosed during the coverage period. The policy’s definitions of each condition govern — your advisor will walk you through them.

Does it apply to everyone on a family policy?

No — it applies only to the insured who has the advanced-stage diagnosis. Other insureds on the same policy keep their normal annual limit unless they receive a qualifying diagnosis themselves.

How long does it stay active?

From the diagnosis date until the next policy anniversary. It is granted per policy year on diagnosis of an advanced-stage disease.

Last updated 5 July 2026 · First published 5 July 2026 · Reviewed against current Allianz product documents. This guide is a summary for information only; the Policy Terms & Conditions and your Benefit Table govern. See our Disclosures.

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