一、个人产品计划书费率招商信诺cigna mainland china

1、保障利益表神州计划List of BenefitsPlan医疗保障Core Medical Benefit住院及日间医疗责任赔付限额Benefit LimitInpatient and Day-patient Medical Benefit每一保险期间内每一被保险人的赔付限额Annual Benefit um per Benefiry 3,000,000Up to 3 million period of cover住院或日间的医疗费modation for Inpatient or Day-Patient Treatment每晚以 1,200 为限Up to 1,200 per night外科

2、手术室及麻醉复苏室费用Operating Theatre and Recovery Room Costs涵盖Included处方药及敷料费Prescribed Medicines and Dressings涵盖Included重症监护室费用ensive Care涵盖Included父母或监护人陪护床位费Hospitalmodation for a Parentuardian每一保险期间以 6,000 为限Up to 6,000 period of cover外科医生及麻醉师费用Surgeons and Anesthetists Fees涵盖Included专科医生诊疗费Spelists Con

3、sulion Fees涵盖Included、骨髓及干细胞移植费用Transplant Serviforan, Bone Marrow and Stem Cell Transplants涵盖Included肾透析费用Kidney Dialysis涵盖Included病理检测、放射学检查及其他性检查化验费用Pathology, Radiology and Other Diagnostic Tests涵盖Included物理治疗/补充治疗及中医/针灸治疗费Physiotherapy / Complementary Therapies and ChiMedicine / Acupunctures每一保

4、险期间以 20,000 为限，每一保险期间内以 30 天为限Up to 20,000 period of cover, up to 30 days period of cover康复治疗费用Rehabiliion Treatment核磁、计算机断层扫描及正电子发射断层扫描费用MRI, CT and PET scans每一保险期间以 30,000 为限Up to 30,000 period of cover家庭护理费用Horsing无e临终及治疗费用无保障区域Area of Cover陆医疗服务网络Medical Service Network公立医院及优选医疗机构Public hospital

5、 and Selected Medical Provider您可选择的免赔额Your Deductible Options扩展医疗保障（可选保障）赔付限额Benefit LimitExtenal Medical Benefit Option每一保险期间内的赔付限额Annual Benefit um costs 50,000Up to 50,000 period of cover执业医生及专科医生诊疗费Consulions with Medical Practitioners and Spelists每次以 600 为限Up to 600 per visit门诊性检查化验费用Outpatient

6、 Diagnostic Testing每一保险期间以 15,000 为限Up to 15,000 period of cover核磁、计算机断层扫描及正电子发射断层扫描费用MRI, CT and PET Scans每一保险期间以 30,000 为限Up to 30,000 period of cover物理治疗/补充治疗费用Physiotherapy / Complementary Therapies每一保险期间内以 10 次为限，每一保险期间以 5,000 为限Up toum of 10 visits per period of cover, up to 5,000 per period o

7、f cover中医/针灸治疗费用ChiMedicine / Acupunctures每一保险期间以 2,000 为限Up to 2,000 period of cover言语复健治疗费用Restorative Speech Therapy每一保险期间以 10,000 为限Up to 10,000 period of cover处方药及敷料费每一保险期间以 15,000 为限免赔额Deductible 0 / 10,000 / 20,000 / 50,000Hospice and Palliative Caree内置修复体、设备及装置费用ernal Prosthetic, Deviand App

8、lian涵盖Included外置修复体、设备及装置费用External Prosthetic, Deviand Applian每一假体设备以 20,000 为限 Up to 20,000 for each prosthetic device当地救护车费用Local Ambulance涵盖Included住院紧急牙科治疗费用Inpatient Emergent Dental Treatment涵盖Included治疗费用Psychiatric Treatment每一保险期间以 10,000 为限，每一保险期间内以 30 天为限Up to 10,000 period of cover, up to

9、 30 days period of cover成瘾性嗜好治疗费用Addiction Treatment治疗费用Cancer Treatment涵盖Included性疾病治疗费用Congenital Conditions无ePNSR0221801 醇享人生您可选择的自负比例Your Copay Options综合牙科保障（可选保障）Comprehensive Dental Benefit Option牙科治疗费用Dental Treatment赔付限额Benefit Limit每一保险期间内每一被保险人所有保险责任赔付限额Annual Benefits -um per Benefiry每一保险

10、期间以 10,000 为限Up to 10,000 period of cover预防性牙科治疗费用Prevenive Dental Treatment每一保险期间以 1,000 为限Up to 1,000 period of cover常规牙科治疗费用Routine Dental Treatment按 80%赔付 80% Refund牙科治疗费用Major Restorative Dental Treatment按 50%赔付 50% Refund非公立医院自负比例Copay for-public Providers0%Prescribed Medicines and DressingsUp to 15,000 period of cover耐用医疗设备租赁费Rental of Durable Medical Equipment涵盖Included成人旅行接种费用Adult Travel Vaccinations涵盖I