Coverage at Heartology
What to Confirm
before Your Visit.
Check the terms that apply to your membership and services. The information on this page helps you prepare the paperwork.
A partnership is not claim approval. Coverage, benefit limits, and the costs you pay follow your policy and the insurer's decision.
Benefits and Limits
Service coverage and benefit limits in your policy.
Service Network
Whether the hospital network matches your membership.
Prior Approval
Whether a referral or authorization is needed before services.
Out-of-Pocket Costs
Costs that are not covered or that exceed your benefits.
Administrative process
Understand Your Claim Process.
Fullerton Health's TPA service is supported by a 24-hour call center managed by doctors and medical professionals, and by mobile apps that let members check benefits and find health facilities.
The claim method is not listed yet. Before you come, ask our team whether your visit with Fullerton Health uses cashless or reimbursement.
Visit preparation
Documents to Prepare.
Use this list as a reminder. The administration team or your insurer may ask for additional documents.
0 of 3 reminders checked
This list is your own preparation note, not a verification. You do not need to send photos of documents for an initial question.
About and contacting the insurer
Contact Fullerton Health.
Fullerton Health Indonesia is part of Fullerton Health, a healthcare group headquartered in Singapore that has operated in Indonesia since 2014. In Indonesia, the group runs Tirta Medical Centre clinics, medical check-up services, medical assistance and evacuation, and TPA services that manage authorization, cashless and reimbursement claims, and membership data on behalf of insurers and client companies. As a TPA, Fullerton Health does not underwrite the benefits.
For claim administration, contact PT Fullerton Health Indonesia. Your policy benefits still follow the insurer or employer that covers you.
CIBIS Nine (CIBIS Business Park), Lantai 5 - Jl. TB Simatupang No. 2, RT 001 / RW 05, Cilandak Timur, Pasar Minggu, Jakarta Selatan, DKI Jakarta 12560, Indonesia
The insurer's contacts are separate from the Heartology help team. Links to the insurer's site open in a new tab.
Frequently asked
Questions before Your Visit.
Does cashless mean all costs are covered?
Not always. Covered services, benefit limits, and the costs you pay follow your policy and the insurer's approval.
Is a health checkup package part of my insurance benefits?
Checkup coverage differs between policies. Confirm the package and tests with your insurer before you schedule.
I use a company or TPA card. Who should I contact?
Start with the instructions on your member card or your company's HR department. The Heartology team can help explain the administrative process for your visit.