Danamon Privilege Medical Benefit Program

These General Terms and Conditions for the Danamon Privilege Health Benefit (“Program Terms and Conditions”) apply to Danamon Privilege Customers who participate in and enjoy the Danamon Privilege Health Benefit program (“Program”) organized by PT Bank Danamon Indonesia Tbk (“Bank Danamon”).
By participating in the Program, the Customer agrees to and is bound by all provisions set forth in these Danamon Privilege Health Benefit Terms and Conditions:
 

The Danamon  Privilege Health Benefit  period runs from May 1, 2025 to June 30, 2025 ("Program Period").

This Program is available exclusively to Customers who are registered under the Danamon Privilege Service and maintain a minimum combined average total balance of IDR 5,000,000,000 (five billion rupiah). The combined average balance includes the average balances of Savings, Current Accounts, Deposits, Investment Products, and Unit-linked Bancassurance Products held by the Customer.
  1. Customers who meet the Customer Criteria are entitled to receive a Medical Check-Up Package, which consists of the following two service options:
    1. Walk-In Medical Check-Up – a medical examination conducted at Siloam Hospital or Prodia Clinic, in collaboration with Bank Danamon.
    2. Home Service Medical Check-Up – a medical examination performed at the Customer’s residence, where medical personnel will visit the Customer's location directly. 
  2. Each eligible Customer may choose one (1) of the two service options per year: One (1) Walk-In Medical Check-Up Package at Siloam Hospital or Prodia Clinic, or One (1) Home Service Medical Check-Up Package with Prodia Clinic.These services must be conducted exclusively through Siloam Hospital or Prodia Clinic, as appointed by Bank Danamon, and must be utilized during the Program Period.
  3. The Customer will not be charged for participation in the Program.
  4. The Medical Check-Up Package available to the Customer will follow the scheme outlined below (there are differences in the types of Medical Check-Up examinations at Siloam Hospital and Prodia Clinic):

    Important Notes:

    Minimum Asset Under Management (In Rupiah)

    Medical Check-Up Package

    Types of Medical Check-Up Services

    Types of Inspections

    in Siloam Hospital

    Types of Inspections

    at Prodia Clinic

    5 Billion - ≤ 10 Billion

    Special Package

    Walk In      

    • MCU Consulting
    • Urinalysis
    • Creatinine
    • Urea
    • Uric Acid
    • Complete Hematology
    • Alcaline Phosphatase
    • Bilirubin Total – Direct
    • Gamma GT (GGT)
    • SGOT – SGPT
    • Total Cholesterol
    • HDL – Cholesterol Direct
    • LDL – Cholesterol Direct
    • Trigliseride
    • Glucose Fasting
    • Rontgen Thorax
    • ECG (Electrocardiogram)
    • USG Whole Abdomen
    • Physical Examination
    • Urinalysis
    • Creatinine
    • Urea
    • Uric Acid
    • Complete Hematology
    • Alcaline Phosphatase
    • Bilirubin Total – Direct
    • Gamma GT (GGT)
    • SGOT – SGPT
    • Total Cholesterol
    • HDL – Cholesterol Direct
    • LDL – Cholesterol Direct
    • Trigliseride
    • Glucose Fasting
    • Rontgen Thorax
    • ECG (Electrocardiogram)

    ≥ 10 Billion

    Remarkable Package

    Walk In

    All Examinations in the Special Package at Siloam Hospital + the following Types of Examinations:

    • AFP (Lever)
    • MAMMAE Ultrasound – for Women only
    • PAP SMEAR – for Women only
    • PSA (Prostate) – for Men only
    • CEA – specifically for Men

    All Examinations in the Special Package at Prodia Clinic + the following Types of Examinations:

    • USG Whole Abdomen
    • AFP (Lever)
    • MAMMAE Ultrasound or PAP SMEAR – for Women only
    • PSA (Prostate) – for Men only

    5 Billion - ≤ 10 Billion

    Special Package

    Home Service

    None

    • Urinalysis
    • Creatinine
    • Urea
    • Uric Acid
    • Complete Hematology
    • Alcaline Phosphatase
    • Bilirubin Total – Direct
    • Gamma GT (GGT)
    • SGOT – SGPT
    • Total Cholesterol
    • HDL – Cholesterol Direct
    • LDL – Cholesterol Direct
    • Trigliseride
    • Glucose Fasting
    • HbA1c
    • Vitamin D Total (25-OH)

    ≥ 10 Billion

    Remarkable Package

    Home Service

    None

    • Urinalysis
    • Creatinine
    • Urea
    • Uric Acid
    • Complete Hematology
    • Alcaline Phosphatase
    • Bilirubin Total – Direct
    • Gamma GT (GGT)
    • SGOT – SGPT
    • Total Cholesterol
    • HDL – Cholesterol Direct
    • LDL – Cholesterol Direct
    • Triglyceride
    • Glucose Fasting
    • HbA1c
    • Vitamin D Total (25-OH)
    • TSH Sensitive
    • HbsAg
    • Anti Hbs

    Important Notes:

    1. The Health Benefit Package is available only to Customers who meet the General Terms and Conditions. Each Customer is entitled to one (1) package per year. If the Customer does not utilize the benefit in 2025 (during the Grant Period), and Bank Danamon subsequently extends or renews the Health Benefit service in 2026, any unused quota from 2025 will not carry over or be applicable during the 2026 extension period.
    2. The deduction of the Health Benefit Package quota is based on the Customer’s submission date to Bank Danamon. Example: In December 2025, the Customer submits a request for a Medical Check-Up (MCU) with a referral letter valid from December 25, 2025 to January 25, 2026, and the planned check-up is scheduled for January 1, 2026. In this case, the MCU request will be counted against the Customer's 2025 quota.
       
This benefit is only valid at the following Siloam Hospital and Prodia Clinic:

SILOAM HOSPITALS

No

Hospital Name

City

Address

1

Siloam Hospitals Banjarmasin

Banjarmasin

Jl. A. Yani, Sungai Baru, Kec. Banjarmasin Tengah, Kota Banjarmasin, Kalimantan Selatan 70122

2

Siloam Hospitals Kebon Jeruk

Jakarta

Jl. Raya Pejuangan Kav.08, Kebon Jeruk, Jakarta 11530

3

MRCCC Siloam Hospitals Semanggi

Jakarta

Jl. Garnisun Kav. 2-3, Karet Semanggi-Setiabudi, Jakarta Selatan 12930

4

Siloam Hospitals TB Simatupang

Jakarta

Jl. RA Kartini No. 8 Cilandak, Jakarta Selatan 12430

5

Siloam Hospitals Makassar

Makassar

Jl. Metro Tanjung Bunga Kav 9, Makassar 90134

6

Siloam Hospitals Manado

Manado

Jl. Sam Ratulangi No. 22 Manado 95111

7

Siloam Hospitals Dhirga Surya Medan

Medan

Jl. Imam Bonjol No. 6, Kel. Petisah - Medan 20112

8

Siloam Hospitals Sriwijaya Palembang

Palembang

Jl. POM IX Kel. Lorok Pakjo Kec. Ilir Barat I Palembang

9

Siloam Hospitals Semarang

Semarang

Jl. Kompol Maksum 296 Kel. Peterongan, Kec. Semarang Selatan, Kota Semarang

10

Siloam Hospitals Surabaya

Surabaya

Jl. Raya Gubeng No.70, Surabaya 60281

11

Siloam Hospitals Lippo Village

Tangerang

Jl. Siloam No.6, Lippo Karawaci 1600, Tangerang 15811

12

RSU Siloam Lippo Village

Tangerang

Jl. Siloam No.6, Karawaci, Kec. Tangerang, Banten 15811 (Gedung B)

 
KLINIK PRODIA

No

Prodia Clinic Name

City

Address

1

Klinik Prodia Balikpapan

Balikpapan

Komp. Pertokoan Bandar Klandasan Blok D-11, Jl. Jend. Sudirman, Balikpapan 76113, Kalimantan Timur

2

Klinik Prodia Bandung

Bandung

Jl. Wastukencana No. 38, Bandung 40116

3

Klinik Prodia Buah Batu

Bandung

Jl. Buah Batu No. 160, Bandung 40265

4

Klinik Prodia Banjarmasin

Banjarmasin

Jl. Jend. Achmad Yani Km 3.5 No. 131-133, Banjarmasin 70235, Kalimantan Selatan

5

Klinik Prodia Batam

Batam

Kompleks Mahkota Raya Blok E No. 12A-12B, Jl. Engku Putri, Batam Centre - Batam 29432

6

Klinik Prodia Bekasi

Bekasi

Jl. K.H Noer Ali No. 90, Kayuringin, Bekasi Selatan 17144

7

Klinik Prodia Bogor

Bogor

Jl. Jend. Sudirman No. 38 B, Bogor 16143

8

Klinik Prodia Bogor 2

Bogor

Jl. Raya Pajajaran No.70 Blok F-G, Baranangsiang, Bogor Tim., Kota Bogor, Jawa Barat 16143

9

Klinik Prodia Cirebon

Cirebon

Jl. R.A. Kartini No. 37, Cirebon 45122

10

Klinik Prodia Denpasar

Denpasar

Jl. Pupuan No 56, Renon, Denpasar

11

Klinik Prodia Gorontalo

Gorontalo

Jl. Nani Wartabone 37, (Samping Bank Indonesia), Gorontalo 96115

12

Klinik Prodia Cideng

Jakarta

Jl. Cideng Timur No. 48, Jakarta Pusat 10150

13

Klinik Prodia Kelapa Gading

Jakarta

Jl. Boulevard Raya Blok H 4 No. 15, Kelapa Gading Permai, Jakarta Utara 14240

14

Klinik Prodia Health Care Kramat

Jakarta

Jl. Kramat Raya No. 150, Jakarta Pusat 10430

15

Klinik Prodia Pluit

Jakarta

Jl. Pluit Kencana Raya No. 118-120, Pluit, Penjaringan, Jakarta Utara 14450

16

Klinik Prodia Health Care Kebayoran

Jakarta

Jl. Wolter Monginsidi No. 02, Kebayoran Baru, Jakarta Selatan

17

Klinik Prodia Puri Indah

Jakarta

Komplek Sentra Niaga Puri Indah Blok T6/28, Jl. Puri Lingkar Dalam, Jakarta Barat 11610

18

Klinik Prodia Kediri

Kediri

Jl. Kartini No. 18, Kediri 64123

19

Klinik Prodia Kudus

Kudus

Jl. Wachid Hasyim No. 75, Kudus 59313

20

Klinik Prodia Pahoman Lampung

Lampung

Jln Jend Sudirman no 120 Pahoman. Bandar Lampung 35127

21

Klinik Prodia Makassar Sudirman

Makassar

Jl. Jenderal Sudirman no 74-76, Makassar 90113

22

Klinik Prodia Makassar Panakkukang

Makassar

Jl. Boulevard Blok F No. 5 E F Makassar, 90231

23

Klinik Prodia Malang

Malang

Jl. Jakarta No. 60, Malang

24

Klinik Prodia Manado

Manado

Jl. Sam Ratulangi No. 72, Manado 95111

25

Klinik Prodia Mataram

Mataram

Jl. Pejanggik No. 107, Mataram 83231

26

Klinik Prodia Medan S Parman

Medan

Jl. S. Parman No.17/223G, Medan 20153

27

Klinik Prodia Palembang

Palembang

Jl.Basuki Rahmat No.801, Palembang

28

Klinik Prodia Health Care (PHC) Pekanbaru

Pekanbaru

Jalan Jendral Sudirman No 203 L-M, Pekanbaru, Riau 28112

29

Klinik Prodia Pontianak

Pontianak

Jl. Jendral Ahmad Yani No. 6C-D, Pontianak, Kalimantan Barat 78122

30

Klinik Prodia Samarinda

Samarinda

Komp. Cendrawasih Trade Center Blok A-6, Jl. Jend. A. Yani, Samarinda, Kalimantan Timur 75242

31

Klinik Prodia Semarang

Semarang

Jl. M.T. Haryono No. 902, Semarang 50242

32

Klinik Prodia Solo

Solo

Jl. Ronggowarsito 143, Timuran- Banjarsari,Solo 57131

33

Klinik Prodia Surabaya

Surabaya

Gedung Grha Prodia Surabaya, Jl. Diponegoro 149-150, Surabaya 602411

34

Klinik Prodia Bintaro

Tangerang

Ruko Kebayoran Arcade 2 Sektor 7 Blok B3 No. 33-35, Bintaro, Pondok Aren, Tangerang Selatan

35

Klinik Prodia Gading Serpong

Tangerang

Jl. Boulevard Gading Serpong Blok M5 No. 63-65, Gading Serpong, Tangerang

36

Klinik Prodia Bintaran Yogyakarta

Yogyakarta

Jl. Bintaran Kulon No. 28, Yogyakarta 55151

  1. The Customer is required to read and understand the General Terms and Conditions of the Program.
  2. Bank Danamon reserves the right to refuse or cancel the Customer's participation in the Program if the Customer does not meet the Program's General Terms and Conditions.
  3. The Customer shall bear full responsibility for any risks, losses, demands, lawsuits, and/or claims arising from their participation in or cancellation from the Program.
  4. The benefits provided under this Program are exclusively intended for Customers who meet the Customer Criteria. These benefits are non-transferable and may not be converted into cash under any circumstances.
  5. To utilize the Program benefits, the Customer must submit a request to Bank Danamon through their designated Relationship Manager at the registered Bank Danamon branch office, for the issuance of a cover letter as outlined in Clause E.6 of these General Terms and Conditions.
  6. Customers who have submitted a request and met all General Terms and Conditions of the Program will receive a Cover Letter from Bank Danamon, enabling them to submit a Medical Check-Up claim. This Cover Letter will be issued within a maximum of 7 (seven) Business Days from the date the request is submitted.
  7. Customers who have received the Cover Letter can independently register  for the Medical Check-Up  Walk In service by contacting 1500181 (Siloam Call Center Service) or 1500830 (Prodia Call Center Service) or 0855100830 (Prodia Whatsapp Service) and following the instructions and directions from Siloam Hospital or Prodia Clinic.
  8. The Cover Letter ssued by Bank Danamon will be valid for thirty (30) calendar days from the date of issuance (the maximum validity date will be clearly stated in the Letter). The Medical Check-Up must be scheduled and conducted within the validity period specified in the Cover Letter. Illustration:
    1. The Cover Letter s valid from May 8, 2025, to June 7, 2025
    2. The Medical Check-Up Walk-In or Home Service appointment scheduled with Siloam Hospital or Prodia Clinic must occur within this validity period (e.g., not on April 15, 2025).
      If the scheduled medical check-up falls outside the validity period, the Customer must resubmit a request for a new Cover Letter, in accordance with the provisions of Item F.11 of the General Terms and Conditions of the Program
  9. When undergoing a Medical Check-Up at Siloam Hospital, Prodia Clinic, or through the Home Service Medical Check-Up service, the Customer is required to present a valid Cover Letter from Bank Danamon.
  10. If the Cover Letter has expired and the Customer has not yet undergone the Medical Check-Up, the Customer may reapply through their Relationship Manager at the registered Bank Danamon branch office to request a new Cover Letter—provided that the Customer continues to meet all applicable General Terms and Conditions of the Program.
  11. If, at the time of resubmission, the Customer no longer meets the Customer Criteria, Bank Danamon will not issue a new Cover Letter.
  12. Customers who do not possess a valid Cover Letter from Bank Danamon are not eligible to claim benefits under the Program.
  13. Any costs incurred outside the scope of the Medical Check-Up Package provided by Bank Danamon are the sole responsibility of the Customer.
  14. The results of the Medical Check-Up are entirely the property of the Customer. Bank Danamon will not collect or store this information for any reason or purpose.
  15. By submitting a request through their Relationship Manager and receiving a Cover Letter from Bank Danamon in accordance with the Program’s General Terms and Conditions, the Customer is deemed to have read, understood, and agreed to participate in the Program. The Customer also agrees to the provision of their personal data by Bank Danamon to Siloam Hospital or Prodia Clinic solely for the purpose of facilitating the Health Benefit. The submission and issuance of the Cover Letter constitutes valid proof of the Customer’s participation in the Danamon Privilege Health Benefit Program.
  1. The verification of the Customer’s eligibility is solely at the discretion of Bank Danamon.
  2. The products and/or services provided by Siloam Hospital and Prodia Clinic are not products of, nor the responsibility of, Bank Danamon. Therefore, any issues and/or complaints related to such products or services should be directed to the respective institution—Siloam Hospital or Prodia Clinic.
  3. The Customer declares that there are no ongoing or planned transactions that indicate money laundering and/or any other activity prohibited under applicable laws and regulations in Indonesia.
  4. If there are indications of fraud, transaction irregularities, unauthorized activities, money laundering, or any other actions that violate prevailing laws and regulations, Bank Danamon reserves the right to cancel the transaction, revoke the Customer’s participation in the Program, or withhold the provision of benefits. The Customer remains fully obligated to fulfill any outstanding liabilities to Bank Danamon, if any.
  5. These Program Terms and Conditions form an integral part of the General Terms and Conditions for Bank Accounts and Services of PT Bank Danamon Indonesia Tbk, the General Terms and Conditions of Sharia Banking Accounts and Services, and the General Terms and Conditions of Danamon Privilege Services. In the event of any discrepancy or conflict between these documents, the Program Terms and Conditions shall prevail.
  6. The Customer hereby acknowledges and agrees that Bank Danamon reserves the right to revise, amend, or supplement these Program Terms and Conditions from time to time. Any such changes will be communicated through Bank Danamon’s official communication channels. If the changes involve adjustments to benefits, risks, fees, or other relevant terms and conditions, the Customer has the right to submit a written objection within 30 (thirty) Business Days from the date of notification. If no objection is received within this period, the Customer is deemed to have accepted the changes. If the Customer objects, they may withdraw from the Program after fulfilling any outstanding obligations to Bank Danamon (if any).
  7. The customer hereby understands that there is a risk to the investment product. Investment products are not Bank Danamon's deposit products and therefore are not guaranteed by Bank Danamon and are not covered by the Deposit Insurance Corporation's guarantee program. Investment products contain investment risks where the Customer may lose part or all of the value invested.
  8. Insurance products (Bancassurance) are not deposit products at Bank Danamon so they are not guaranteed by Bank Danamon and are not covered by the Deposit Insurance Corporation guarantee program. 
  9. Customers may submit complaints related to banking transactions or services either verbally or in writing through the nearest Bank Danamon branch office, by calling Hello Danamon at 1-500-090, or via email at hellodanamon@danamon.co.id.
  10. The procedures for handling Customer complaints can be accessed on the following website: https://www.danamon.co.id/id/Personal/Lainnya/Proses-Penanganan-Keluhan-Nasabah.
  11. PT Bank Danamon Indonesia Tbk is licensed and supervised by the Financial Services Authority (OJK) and Bank Indonesia, and is a participating institution in the Deposit Insurance Corporation (LPS).
  12. The General Terms and Conditions of this Program have been aligned with applicable laws and regulations, including those issued by the Financial Services Authority.

NOTICE

Customers are advised to remain vigilant against fraud committed by individuals claiming to represent Bank Danamon and offering prizes in any form. Any fraudulent or criminal acts committed by third parties in connection with or under the name of the Danamon Privilege Health Benefit are beyond the responsibility and authority of Bank Danamon.


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