1、.：.；全球醫(yī)療保險(xiǎn)方案Benifits Schedule & Quote 保證利益表及報(bào)價(jià)發(fā)布時(shí)間：Benefit Items保證工程Basic根本Standard規(guī)范Select精選Elite精英Annual Maximum Aggregate Limit年度總限額RMB 2,000,000200萬RMB 4,000,000400萬RMB 8,000,000800萬RMB 8,000,000800萬Geographic Coverage Area保證區(qū)域Greater China大中華Asia亞洲Worldwide excluding North America全球除美加Worldwide

2、全球Inpatient Benefits住院醫(yī)療費(fèi)用保險(xiǎn)金Pre-authorization required需求預(yù)授權(quán)Room, Board and Nursing (up to private/single room)床位費(fèi)、膳食費(fèi)、護(hù)理費(fèi)(上限為私人/單人病房)Fully Covered Max. 180 days/yr全額理賠最高180天/年Fully Covered Max. 180 days/yr全額理賠最高180天/年Fully Covered Max. 180 days/yr全額理賠最高180天/年Fully Covered Max. 180 days/yr全額理賠最高180天

3、/年Examination and laboratory tests, other inpatient treatment expenses檢查檢驗(yàn)費(fèi)、治療費(fèi)Fully Covered 全額理賠Fully Covered 全額理賠Fully Covered 全額理賠Fully Covered 全額理賠Prescription Drugs, Doctors Fee including Surgeons, Physicians, Anaesthetist and Specialists藥品費(fèi)、醫(yī)師費(fèi)Non-organ Transplant Surgery and Organ Transplant

4、Surgery非器官移植手術(shù)費(fèi)、器官移植手術(shù)費(fèi)Companion Bed and Intensive Care Unit加床費(fèi)、重癥監(jiān)護(hù)費(fèi)In-patient Psychiatric Treatment (up to 90 days per year)精神病治療最多90天/年Not Covered不提供RMB 50,000/yr5萬元/年RMB 50,000/yr5萬元/年RMB 100,000/yr10萬元/年Family Care (up to 100 days per year)家庭護(hù)理最多100天/年Not Covered不提供Not Covered不提供Fully Covered全額

5、理賠Fully Covered全額理賠Hospice Care (up to 45 days per year)臨終醫(yī)療費(fèi)最多45天/年Not Covered不提供Not Covered不提供RMB 50,000/yr5萬元/年RMB 50,000/yr5萬元/年Ambulance救護(hù)車費(fèi)Fully Covered全額理賠Fully Covered全額理賠Fully Covered全額理賠Fully Covered全額理賠B. No Claim Hospital Income / 住院無理賠日額補(bǔ)貼In the event that the insured havent claimed fro

6、m us or receives full compensation from any third party for the hospital expenses, we shall provide No Claim Hospital Income according to the duration of hospital stay (up to 30 days per year).被保險(xiǎn)人因疾病或不測損傷事故進(jìn)展住院治療而發(fā)生的醫(yī)療費(fèi)用，如被保險(xiǎn)人不向本公司進(jìn)展索賠或已經(jīng)過其他途徑獲得全部補(bǔ)償?shù)? 本公司按被保險(xiǎn)人實(shí)踐住院日數(shù)給付住院日額補(bǔ)貼。限30天/年RMB 200/day200元/日R

7、MB 200/day200元/日RMB 200/day200元/日RMB 200/day200元/日C. Out-patient Benefits / 門診醫(yī)療費(fèi)用保險(xiǎn)金Annual Limit年度總限額RMB 50,000/yr5萬元/年RMB 100,000/yr10萬元/年Fully Covered全額理賠Fully Covered全額理賠Consultation fees, Examinations and Laboratory Tests, Out-patient Surgery and Other Out-patient Treatment expenses醫(yī)生診療費(fèi)、檢查檢驗(yàn)費(fèi)、

8、治療費(fèi)、門診手術(shù)費(fèi)Fully Covered全額理賠Fully Covered全額理賠Fully Covered全額理賠Fully Covered全額理賠Prescription Drugs處方藥品費(fèi)RMB 20,000/yr2萬元/年Fully Covered全額理賠Fully Covered全額理賠Fully Covered全額理賠Physiotherapy and Other Alternative Therapies物理治療及其他特殊療法限10次/年Not Covered不提供RMB 500/visit500元/次RMB 1,000/visit1000元/次RMB 1,500/visi

9、t1500元/次Out-patient Psychiatric Treatment精神病治療限20次/年Not Covered不提供RMB 500/visit500元/次RMB 1,000/visit1000元/次RMB 1,500/visit1500元/次Emergency Dental Treatment不測牙科治療RMB 5,000/yr5000元/年RMB 10,000/yr1萬元/年RMB 20,000/yr2萬元/年RMB 40,000/yr4萬元/年Diabetes Treatment糖尿病治療用品費(fèi)RMB 20,000/yr2萬元/年RMB 40,000/yr4萬元/年RMB

10、40,000/yr4萬元/年RMB 40,000/yr4萬元/年Hormone Replacement Therapy激素替代治療RMB 50,000/yr5萬元/年RMB 100,000/yr10萬元/年Fully Covered全額理賠Fully Covered全額理賠Infant Check-up and Vaccinations嬰兒免疫和檢查費(fèi)RMB 2000/yr2000元/年RMB 2000/yr2000元/年RMB 2000/yr2000元/年RMB 2000/yr2000元/年Ambulance救護(hù)車費(fèi)Fully Covered全額理賠Fully Covered全額理賠Full

11、y Covered全額理賠Fully Covered全額理賠D. Special Out-patient Benefits / 特殊門診保險(xiǎn)金Outpatient Kidney Dialysis and Out-patient Cancer Treatment including Electrotherapy, Chemotherapy and Radiotherapy.門診腎透析、門診惡性腫瘤電療、門診化療、門診放療RMB 150,000/yr15萬元/年RMB 150,000/yr15萬元/年RMB 200,000/yr20萬元/年RMB 200,000/yr20萬元/年E. Matern

12、ity(Optional) / 女性生育保險(xiǎn)金Annual Limit年度總限額RMB 60,000/yr6萬元/年RMB 60,000/yr6萬元/年RMB 80,000/yr8萬元/年RMB 80,000/yr8萬元/年New-born infant care, treatment and immunizations新生兒護(hù)理費(fèi)、治療費(fèi)、疫苗費(fèi)14天內(nèi)Fully Covered 全額理賠Fully Covered 全額理賠Fully Covered 全額理賠Fully Covered 全額理賠Hospital expenses related to delivery , abortion

13、and pregnancy complications including pre-natal and post-natal examinations, pre-natal vitamins and calcium tonic分娩、流產(chǎn)期間住院醫(yī)療費(fèi)用以及孕期并發(fā)癥的治療費(fèi)用，包括產(chǎn)前產(chǎn)后檢查費(fèi)、產(chǎn)前維生素、鈣劑Type-B Ultrasonic InspectionB超檢查費(fèi)2次F. Dental Treatment (Optional)/ 牙科醫(yī)療保險(xiǎn)金Annual Limit年度總限額RMB 2,0002000元RMB 4,0004000元RMB 6,0006000元RMB 8,0008

14、000元Basic Treatment根底修補(bǔ)治療-Includes amalgams or composite fillings and simple extractions, periodontal scaling, and root planning包括簡單補(bǔ)牙(包括銀汞合金或復(fù)合樹脂充填)、簡單拔牙、牙周治療(包括牙周刮治、牙根平整術(shù)等)80% Covered80%賠付80% Covered80%賠付80% Covered80%賠付80% Covered80%賠付Major Treatment艱苦修補(bǔ)治療-Includes root fillings, crowns and inlay

15、s, bridges (including laboratory and anesthetic fees), wisdom teeth extractions. Tooth alignment is also included for the insured under 18.包括根管治療、牙冠修復(fù)、義齒包括化驗(yàn)和麻醉費(fèi)用、智齒拔除費(fèi)。對(duì)于年齡未滿18周歲的被保險(xiǎn)人，艱苦修補(bǔ)治療費(fèi)還包括牙齒矯正治療費(fèi)。50% Covered50%賠付50% Covered50%賠付50% Covered50%賠付50% Covered50%賠付G. Vision Benefits(Optional) / 眼科

16、保險(xiǎn)金Routine Vision Examination眼科檢查費(fèi)RMB 600/yr600/年RMB 600/yr600/年RMB 600/yr600/年RMB 600/yr600/年Lens and Frames眼鏡費(fèi)框架眼鏡或隱形眼鏡任選其一RMB 1,000/yr1000/年RMB 1,000/yr1000/年RMB 1,000/yr1000/年RMB 1,000/yr1000/年H. Emergency Medical Benefits(Optional) / 緊急醫(yī)療保險(xiǎn)金Emergency medical care services received outside the g

17、eographic coverage area due to accidental injuries or acute diseases被保險(xiǎn)人在合同商定的保證區(qū)域以外的其他國家和地域游覽時(shí)，因不測損傷事故或突發(fā)急性病而導(dǎo)致的緊急治療的醫(yī)療費(fèi)用Fully Covered Up to RMB 500,000/yr全額理賠 年限額50萬元/年Fully Covered Up to RMB 500,000/yr全額理賠 年限額50萬元/年Fully Covered Up to RMB 500,000/yr全額理賠 年限額50萬元/年-I. Preventative Care(Optional) /

18、預(yù)防保健效力Health Check-up(Limit to one per year)安康體檢(1年1次)Includes general examination(height, weight, and blood pressure), routine physical examination of internal medicine, eye, ear, nose and throat, EKG, abdominal ultra-sonography, urine routine, stool routine, blood routine, blood sugar(AC), liver f

19、unction, renal function, lipid profile, hepatitis B etc. at designated check-up institutions with a comprehensive evaluation report provided. Items may vary in different packages.在指定體檢機(jī)構(gòu)的年度安康體檢效力包括普通檢查身高、體重、血壓等、內(nèi)科、外科、眼科、五官科、胸部X光檢查、心電圖、腹部超聲波、小便常規(guī)、顯微鏡檢查、大便常規(guī)、血常規(guī)、血糖空腹血糖、肝膽功能、腎功能、血脂、乙肝檢測等。體檢工程在不同方案中能夠會(huì)有

20、差別。Preventative Dental Care(Limit to one per year)預(yù)防牙科保健1年1次-Includes basic items: Oral examination, ultrasonic scaling, and polishing. Optional Items: Panoramic X-ray, sand blasting and topical fluoride (one in three only).根本工程包括口腔檢查，洗牙，拋光。客戶還可以從口腔全景片，噴砂，進(jìn)口資料氟化治療等三個(gè)工程中恣意選取一項(xiàng)。JWorldwide Emergency As

21、sistance / 全球緊急救援效力Emergency Assistance Services緊急救援效力Includes medical referral and emergency medical evacuation, accommodation for compassionate visit, repatriation to the country of residence安排就醫(yī)和緊急醫(yī)療轉(zhuǎn)送, 陪同住院, 轉(zhuǎn)送回國RMB 500,000/yr50萬元/年RMB 500,000/yr50萬元/年RMB 500,000/yr50萬元/年RMB 500,000/yr50萬元/年Mort

22、al Remains Handling遺體安排Includes repatriation of mortal remains or ashes, local cremation or local burial.遺體轉(zhuǎn)送回國, 遺體火化和骨灰轉(zhuǎn)送回國, 就地安葬Not Covered不提供RMB 500,000/yr50萬元/年RMB 500,000/yr50萬元/年RMB 500,000/yr50萬元/年KValue-added Services/ 安康增值效力Second Medical Opinion第二診療意見Medical opinions from domestic and inte

23、rnational experts for 18 specified major illnesses.對(duì)于指定30種艱苦疾病，我們會(huì)免費(fèi)協(xié)助您聯(lián)絡(luò)全球相關(guān)領(lǐng)域的醫(yī)學(xué)專家咨詢疾病診斷及治療意見Direct Billing直接結(jié)算效力Direct billing service is available at our widely located network hospitals to save your large-sum cash payment and the trouble of submitting claim materials. 當(dāng)您在我們的網(wǎng)絡(luò)醫(yī)院里就診時(shí)，可以享用直接結(jié)算效力,

24、 省去了大量現(xiàn)金墊付和傳統(tǒng)理賠提交各種資料所帶來的費(fèi)事。Out-patient Appointment 門診約定效力Our customer service specialist will help you make out-patient appointment with our network hospitals and specialists according to your medical needs. (currently available at network hospitals in Beijing, Shanghai and Guangzhou). 我們會(huì)根據(jù)您需求幫您約定

25、網(wǎng)絡(luò)醫(yī)院內(nèi)適宜的醫(yī)院和專家。目前僅限北京，上海，廣州Care Facilitation導(dǎo)醫(yī)導(dǎo)診效力Our experienced health personnel may accompany you to facilitate your medical services such as registration, examination, getting drugs and making payment if you are not familiar with the hospitals or if you have language problems.假設(shè)您不熟習(xí)醫(yī)院環(huán)境或有言語妨礙，我們閱歷豐富的安康專員可以協(xié)助您就醫(yī)如取號(hào)、化驗(yàn)、取藥、交費(fèi)等。Health Consultation Service安康咨詢效力I