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.
Members can use the MP One app to view benefit information, a digital card (eCard), provider search, and claim submission. The administration service is supported by a 24-hour helpline and doctor service.
The claim method is not listed yet. Before you come, ask our team whether your visit with Medika Plaza Indonesia 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.
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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 Medika Plaza Indonesia.
PT Kartika Bina Medikatama (Medika Plaza) is a healthcare provider established on 18 December 1997, offering occupational health services for the mining, oil, and gas industries, Medika Plaza International Health Care clinics, on-site medical services, and medical evacuation. Through its Medical Administration Service, Medika Plaza acts as a TPA that administers employees' health benefits on a cashless basis on behalf of client companies, and it does not underwrite the benefits.
For claim administration, contact PT Kartika Bina Medikatama. Your policy benefits still follow the insurer or employer that covers you.
Beltway Office Park, Tower C, Lantai 2 - Jl. TB Simatupang Kav. 41, Ragunan, Pasar Minggu, Jakarta Selatan, DKI Jakarta 12550, 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.