全球医疗保险计划Benifits Schedule Quote 保障利益表及报价

1、.：.；全球医疗保险方案Benifits Schedule & Quote 保证利益表及报价发布时间：Benefit Items保证工程Basic根本Standard规范Select精选Elite精英Annual Maximum Aggregate Limit年度总限额RMB 2,000,000200万RMB 4,000,000400万RMB 8,000,000800万RMB 8,000,000800万Geographic Coverage Area保证区域Greater China大中华Asia亚洲Worldwide excluding North America全球除美加Worldwide

2、全球Inpatient Benefits住院医疗费用保险金Pre-authorization required需求预授权Room, Board and Nursing (up to private/single room)床位费、膳食费、护理费(上限为私人/单人病房)Fully Covered Max. 180 days/yr全额理赔最高180天/年Fully Covered Max. 180 days/yr全额理赔最高180天/年Fully Covered Max. 180 days/yr全额理赔最高180天/年Fully Covered Max. 180 days/yr全额理赔最高180天

3、/年Examination and laboratory tests, other inpatient treatment expenses检查检验费、治疗费Fully Covered 全额理赔Fully Covered 全额理赔Fully Covered 全额理赔Fully Covered 全额理赔Prescription Drugs, Doctors Fee including Surgeons, Physicians, Anaesthetist and Specialists药品费、医师费Non-organ Transplant Surgery and Organ Transplant

4、Surgery非器官移植手术费、器官移植手术费Companion Bed and Intensive Care Unit加床费、重症监护费In-patient Psychiatric Treatment (up to 90 days per year)精神病治疗最多90天/年Not Covered不提供RMB 50,000/yr5万元/年RMB 50,000/yr5万元/年RMB 100,000/yr10万元/年Family Care (up to 100 days per year)家庭护理最多100天/年Not Covered不提供Not Covered不提供Fully Covered全额

5、理赔Fully Covered全额理赔Hospice Care (up to 45 days per year)临终医疗费最多45天/年Not Covered不提供Not Covered不提供RMB 50,000/yr5万元/年RMB 50,000/yr5万元/年Ambulance救护车费Fully Covered全额理赔Fully Covered全额理赔Fully Covered全额理赔Fully Covered全额理赔B. No Claim Hospital Income / 住院无理赔日额补贴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).被保险人因疾病或不测损伤事故进展住院治疗而发生的医疗费用，如被保险人不向本公司进展索赔或已经过其他途径获得全部补偿的, 本公司按被保险人实践住院日数给付住院日额补贴。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 / 门诊医疗费用保险金Annual Limit年度总限额RMB 50,000/yr5万元/年RMB 100,000/yr10万元/年Fully Covered全额理赔Fully Covered全额理赔Consultation fees, Examinations and Laboratory Tests, Out-patient Surgery and Other Out-patient Treatment expenses医生诊疗费、检查检验费、

8、治疗费、门诊手术费Fully Covered全额理赔Fully Covered全额理赔Fully Covered全额理赔Fully Covered全额理赔Prescription Drugs处方药品费RMB 20,000/yr2万元/年Fully Covered全额理赔Fully Covered全额理赔Fully Covered全额理赔Physiotherapy and Other Alternative Therapies物理治疗及其他特殊疗法限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精神病治疗限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不测牙科治疗RMB 5,000/yr5000元/年RMB 10,000/yr1万元/年RMB 20,000/yr2万元/年RMB 40,000/yr4万元/年Diabetes Treatment糖尿病治疗用品费RMB 20,000/yr2万元/年RMB 40,000/yr4万元/年RMB

10、40,000/yr4万元/年RMB 40,000/yr4万元/年Hormone Replacement Therapy激素替代治疗RMB 50,000/yr5万元/年RMB 100,000/yr10万元/年Fully Covered全额理赔Fully Covered全额理赔Infant Check-up and Vaccinations婴儿免疫和检查费RMB 2000/yr2000元/年RMB 2000/yr2000元/年RMB 2000/yr2000元/年RMB 2000/yr2000元/年Ambulance救护车费Fully Covered全额理赔Fully Covered全额理赔Full

11、y Covered全额理赔Fully Covered全额理赔D. Special Out-patient Benefits / 特殊门诊保险金Outpatient Kidney Dialysis and Out-patient Cancer Treatment including Electrotherapy, Chemotherapy and Radiotherapy.门诊肾透析、门诊恶性肿瘤电疗、门诊化疗、门诊放疗RMB 150,000/yr15万元/年RMB 150,000/yr15万元/年RMB 200,000/yr20万元/年RMB 200,000/yr20万元/年E. Matern

12、ity(Optional) / 女性生育保险金Annual Limit年度总限额RMB 60,000/yr6万元/年RMB 60,000/yr6万元/年RMB 80,000/yr8万元/年RMB 80,000/yr8万元/年New-born infant care, treatment and immunizations新生儿护理费、治疗费、疫苗费14天内Fully Covered 全额理赔Fully Covered 全额理赔Fully Covered 全额理赔Fully Covered 全额理赔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、流产期间住院医疗费用以及孕期并发症的治疗费用，包括产前产后检查费、产前维生素、钙剂Type-B Ultrasonic InspectionB超检查费2次F. Dental Treatment (Optional)/ 牙科医疗保险金Annual Limit年度总限额RMB 2,0002000元RMB 4,0004000元RMB 6,0006000元RMB 8,0008

14、000元Basic Treatment根底修补治疗-Includes amalgams or composite fillings and simple extractions, periodontal scaling, and root planning包括简单补牙(包括银汞合金或复合树脂充填)、简单拔牙、牙周治疗(包括牙周刮治、牙根平整术等)80% Covered80%赔付80% Covered80%赔付80% Covered80%赔付80% Covered80%赔付Major Treatment艰苦修补治疗-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.包括根管治疗、牙冠修复、义齿包括化验和麻醉费用、智齿拔除费。对于年龄未满18周岁的被保险人，艰苦修补治疗费还包括牙齿矫正治疗费。50% Covered50%赔付50% Covered50%赔付50% Covered50%赔付50% Covered50%赔付G. Vision Benefits(Optional) / 眼科

16、保险金Routine Vision Examination眼科检查费RMB 600/yr600/年RMB 600/yr600/年RMB 600/yr600/年RMB 600/yr600/年Lens and Frames眼镜费框架眼镜或隐形眼镜任选其一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) / 紧急医疗保险金Emergency medical care services received outside the g

17、eographic coverage area due to accidental injuries or acute diseases被保险人在合同商定的保证区域以外的其他国家和地域游览时，因不测损伤事故或突发急性病而导致的紧急治疗的医疗费用Fully Covered Up to RMB 500,000/yr全额理赔 年限额50万元/年Fully Covered Up to RMB 500,000/yr全额理赔 年限额50万元/年Fully Covered Up to RMB 500,000/yr全额理赔 年限额50万元/年-I. Preventative Care(Optional) /

18、预防保健效力Health Check-up(Limit to one per year)安康体检(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.在指定体检机构的年度安康体检效力包括普通检查身高、体重、血压等、内科、外科、眼科、五官科、胸部X光检查、心电图、腹部超声波、小便常规、显微镜检查、大便常规、血常规、血糖空腹血糖、肝胆功能、肾功能、血脂、乙肝检测等。体检工程在不同方案中能够会有

20、差别。Preventative Dental Care(Limit to one per year)预防牙科保健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).根本工程包括口腔检查，洗牙，抛光。客户还可以从口腔全景片，喷砂，进口资料氟化治疗等三个工程中恣意选取一项。JWorldwide Emergency As

21、sistance / 全球紧急救援效力Emergency Assistance Services紧急救援效力Includes medical referral and emergency medical evacuation, accommodation for compassionate visit, repatriation to the country of residence安排就医和紧急医疗转送, 陪同住院, 转送回国RMB 500,000/yr50万元/年RMB 500,000/yr50万元/年RMB 500,000/yr50万元/年RMB 500,000/yr50万元/年Mort

22、al Remains Handling遗体安排Includes repatriation of mortal remains or ashes, local cremation or local burial.遗体转送回国, 遗体火化和骨灰转送回国, 就地安葬Not Covered不提供RMB 500,000/yr50万元/年RMB 500,000/yr50万元/年RMB 500,000/yr50万元/年KValue-added Services/ 安康增值效力Second Medical Opinion第二诊疗意见Medical opinions from domestic and inte

23、rnational experts for 18 specified major illnesses.对于指定30种艰苦疾病，我们会免费协助您联络全球相关领域的医学专家咨询疾病诊断及治疗意见Direct Billing直接结算效力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. 当您在我们的网络医院里就诊时，可以享用直接结算效力,

24、 省去了大量现金垫付和传统理赔提交各种资料所带来的费事。Out-patient Appointment 门诊约定效力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). 我们会根据您需求帮您约定

25、网络医院内适宜的医院和专家。目前仅限北京，上海，广州Care Facilitation导医导诊效力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.假设您不熟习医院环境或有言语妨碍，我们阅历丰富的安康专员可以协助您就医如取号、化验、取药、交费等。Health Consultation Service安康咨询效力I