中间带臻高端2023个人全球医疗保险(高端医疗)

中间带臻高端2023个人全球医疗保险(高端医疗)
价格:¥13818元/起

产品特色:
1688715973113.jpg

臻高端2023投保须知:

Veri Hicare Plan (Zhengaoduan) 2023 Insurance Instruction

1. 入保年龄为15天至69周岁,续保最高年龄至99周岁;投保年龄在55岁以上需提供近半年内的健康体检报告。需要的检查报告如下:常规血液和胆固醇检测、身高/体重指数检测、静态血压检测、尿检、心脏检查、心电图、其他主要器官功能检测,以及X光线胸透视。

Underwriting age for first year policy is from 15 days to 69 years old; renewal age is up to 99 years old; for enrolled member above 55 years old, the health check-up report within half a year is required. The required check-up reports are as follows: routine blood and cholesterol test, height/body mass index test, static blood pressure test, urine test, heart test, electrocardiogram, other major organ function test, and X-ray chest radiograph.

2. 主被保险人的父母、配偶或子女可作为本合同的附属被保险人;0-17岁子女只能以附属被保险人身份入保。

Parents, spouse and child of the primary insured can be enrolled as additional insured. Child aged from 0 to 17 years old can only be enrolled as additional insured.

3. 蓝鲸PLUS计划每一成年被保险人可免费携带一名未满15周岁的未成年子女(以核保结论为准)作为附属被保险人,该子女与成年被保险人共享保额。

Every adult insured of Whale-Plus-Plan can add one of his/her child under 15 years old into this plan as an additional insured for free after underwriting. The child shares coverage with the adult insured.

4. 在保险期间内,被保险人应当在中国大陆居住合计180天或以上时间,若被保险人停留于中国大陆以外的地区累计超过180日,投保人或被保险人应及时告知保险人,保险人对被保险人在中国大陆以外的地区居住累计超过180日后在中国大陆以外的地区产生的任何费用不承担给付保险金的责任。若投保时采用以下非常住中国大陆地区(港澳台及境外地区)承保规则,则不受此限制:(1)加费承保规则:欧洲、新加坡、日本、韩国费率上调50%,美国/加拿大费率上调100%,其他国家及地区费率上调20%;(2)医院选择范围:默认医院范围是包含昂贵医院,且不可更改;(3)对于在保险期间内在中国大陆以外多个地区居住累计超过180日的被保险人,加费承保费率按被保险人居住时间最长的地区中的最高费率来计算。

During the insurance period, the insured shall reside in the mainland of China for a total of 180 days or more. If the insured stays outside the mainland of China for more than 180 days in total, the applicant or the insured should notice the insurer in time, and the insurer is not liable to pay any expenses incurred outside of the mainland of China after the insured has stayed outside of the mainland of China for more than 180 days in total. If the following underwriting rules for resident out of the mainland of China (refers to Hong Kong, Macao, Taiwan, and overseas areas) are applied at the time of issuing, then domestic residence requirements above are not applicable:

(1) Rule of price increment: the rate for residents in Europe, Singapore, Japan, Korea will be increased by 50%, the rate for residents in the United States and Canada will be increased by 100%, and the rate for residents in other countries or regions will be increased by 20%. (2) Hospitals covered: the default choice of the covered hospitals has to include high-cost providers; (3) If the insured stays in multiple areas outside the mainland of China for more than 180 days in total during the insurance period, the price increment shall be the highest level among areas where the insured stays for the longest time.

5. 投保人或被保险人职业为律师、医疗机构从业人员、高风险职业从业者,需经核保确认后方可投保,否则不予承保。

The insurance is subject to underwriting confirmation if the policyholder or the insured is a lawyer, a medical practitioner, or a high-risk professional.

6. 若被保险人选择投保生育保障(可选),则保险人不承担自由保障保险责任;对于被保险人单胎跨越两个保单年度的,则该胎的累计赔偿限额以续保限额为限;若被保险人上一保险年度已生育,或上一保险年度的保障责任不含生育保障,则续保保单的生育保障按新保单计算。

Extra Benefit is not covered for the insured who chooses optional maternity coverage. Total sub-limit per pregnancy for Maternity Related Treatment Fee is equal to its consecutive year renewal limit when the fees occur in both first year and consecutive year; if the insured had delivered birth during last insurance period, or the insurance liability of last insurance period did not include maternity coverage, then maternity coverage of the renewal policy shall be regarded as maternity coverage of new policy.

7. 续保 Renewal
本合同保险期间届满前30日(含第30日)内,投保人可向保险人提出再次投保本合同的申请,保险人也可向投保人发送再次投保本合同的邀约。在保险合同期满后30日内,经投保人申请且保险人同意继续签发保单的,下一年度保单和上年度保单将在时间上相连续,保险人不再设置等待期。

The policyholder can apply for renewal within 30 days (including the 30th day) before the expiration of the insurance period. The insurer can also send an invitation to the insured for renewal. Within 30 days after the expiration of the insurance period, if the policyholder applies and the insurer agrees to renew, the next year's policy and the previous year's policy will be consecutive in time without waiting period.

8. 对连续投保的被保险人,从第二个保险年度起,既往症及其相关症状的治疗涵盖额度按前一年的50%递增。

For the insured who takes out this product in consecutive years, from the second insurance year, the sub-limit of pre-existing conditions and related symptoms shall be increased by 50%, compared with former year.

9. 退保规则:Surrender rules:

(1)未发生理赔:退还金额=未满期净保险费。其中,净保险费=(1-25%)*总保险费。

(2)发生理赔:退保不退费。

(1)If no claim settlement: refund amount = unearned net premium; net premium= (1-25%) *total premium.

(2)If with claim record: no refund for surrender.

10. 预先授权Pre-Authorization

保险计划中有些特殊的治疗项目需要事先授权。客户在获得这些治疗前需事先确认该项治疗费用是否能得到理赔以及理赔标准是多少。

Some special treatments in the insurance plan require Pre-authorization. Before receiving these treatments, customers need to confirm in advance whether the treatment can be covered and what the compensation standard is.
需要预先授权的治疗项目包括:Treatments requiring pre-authorization include:
(1)所有住院治疗(包括生育/分娩的住院);All inpatient treatment (Including those for maternity/delivery);
(2)任何需要全麻下进行的门诊手术;接受癌症治疗以及血液或腹膜透析;Outpatient surgeries requiring general anesthesia; Cancer treatment, hemodialysis or peritoneal dialysis;

(3)紧急医疗转运;Emergency medical evacuation;
(4)购买或者使用非一次性耐用医疗设备,包括但不限于胰岛素泵及其配套器械;Purchase or rental of durable medical equipment, including but not limited to insulin pumps and their associated equipment;
(5)牙科意外伤害修补治疗;Dental accident repair;
(6)每剂超过8,000元的药剂或疫苗;Drug or vaccine that costs more than ¥8,000 per dose.
(7)任何“康复治疗和专业护理费”、“赴异地就医交通费”、“睡眠检查和治疗费”、“临终关怀费”责任中包含的项目。Any treatment included in the benefit of “Rehabilitation and Extended Care”, “Transportation Expenses of Off-site Medical Treatment “, “Sleep Test and Treatment”, and “Hospice Care”.

客户在进行上述治疗前若未获得医疗服务中心书面许可回复,被保险人接受医疗的,保险人有权不承担保险责任。如遇紧急情况,被保险人只需在该紧急情况发生后48小时内通知即可。If the client does not obtain pre-authorization permission reply before carrying out the above medical treatments, the insurer reserves the right to deny the claims. In case of emergency, the insured only needs to notify within 48 hours of the emergency.

11. 本产品除外的医院、机构、设施、诊所等和医生(统称除外医疗网络)名单如下。保险人不接受任何由本名单内除外医疗网络提供的产品或服务所产生的理赔申请。

This is the restricted list of healthcare service providers, including hospitals, facilities, clinics and practitioners, etc. (called “Delisted Providers”). MediLink-Global will not process claims for the services or supplies obtained from providers on this list.

湖州瑞博同义堂中医门诊部 Huzhou Ruibo Tongyitang TCM Outpatient Department

北京太一同义堂 Beijing Tai-Tong Yitang

亚洲专科医生/运动内科医生 Asia Medical Specialists / Sports physicians (Sports performance) Ltd.

上海优仕美地门诊部 Shanghai Yosemite Clinic

上海优仕美地巨富里医院 Shanghai Yosemite Hospital

北京明经堂中医门诊部 Meridian TCM Clinic

颈医卫 HealthSAGE

北京昕光亮诊所 BEIJING DREAM LIGHT CLINIC

沈阳凯瑞全科医疗 Shenyang Kairui General Medical Service Co., Ltd.

毕再旺(中医) Bi Zaiwang (Chinese Medicine)

冯洁/周韵 上海唯涵儿科门诊部(唯儿诺新天地店)Feng Jie / ZhouYun Wellem Xintiandi outpatient department.

首先是这款灵活性非常强的产品臻荣耀,这款产品自发布以来凭借超高的灵活性受到了绝大多数家庭投保的客户青睐,因为对家庭成员的每一个被保人而言,他都能选择不同保障方案来满足自己对医疗的需求,这次升级,小编总结了以下几个亮点:中间带臻高端2023个人全球医疗保险(高端医疗)02中间带·臻高端中间带臻高端2023个人全球医疗保险(高端医疗)     第2个升级的产品就是臻高端了,相比臻荣耀而言,臻高端的定位会更高端一些。这是一款住院、门诊都没有等待期的产品,最快今天投保明天就能使用,保障责任覆盖非常的全面,涵盖了住院、门诊、体检、牙科、眼科、疫苗,最大的特色是还可以附加生育责任,并且臻高端的生育责任是没有等待期的,支持已孕和未孕的客户投保。这次升级亮点小编也给大家做了个总结:中间带臻高端2023个人全球医疗保险(高端医疗)     在这次升级当中,无论是臻荣耀还是臻高端,大家都能看到部分保障责任标记着:中间带医疗旗下机构就诊不受次数限制、中间带医疗旗下机构就诊不受额度限制等字样。这也再次反应了中间带的实力,中间带用自己旗下的医疗机构赋能着自营的高端医疗产品,让更多的客户享受更好的保障条件。并且对于既往症的额度也是开放了更高的限额,让亚健康人群的就医也能享有更高的保障及高端的服务,真的有被安利到了。理赔须知:

1.本产品由都邦财产保险股份有限公司承保,目前该公司在全国27个省级行政区域已开设分支机构,网点400多个。
2.为保证您的合法权益,您可以通过都邦财产保险股份有限公司全国统一客户服务热线95586进行投保咨询、保单查询、保单验真、理赔咨询、投诉建议等服务。
3.中间带联系方式:400 880 8820 电话咨询服务7*24*365 会员保险福利查询
4.中间带直付医院地址:http://provider.medilink-global.com.cn/m/zjd/hospitalList?from=groupmessage&isappinstalled=0

产品资料:

《产品条款》
《臻高端2023产品计划书》
《中间带会员服务手册》

中间带臻高端2023个人全球医疗保险在线官网购买地址(手机扫描二维码):中间带臻高端2023个人全球医疗保险(高端医疗)

中间带臻高端2023个人全球医疗保险(高端医疗)
(0)
上一篇 2023年7月5日 下午4:47
下一篇 2023年7月10日 下午2:18
手机号码:15336443757,投保链接在文章最后边,所有保险产品,在投保之后,邮箱里都会收到电子合同。大家可以拨保险官方电话,进行信息查询并验证保单真伪。如果发生疾病或意外状况需要进行出险理赔,请第一时间联系我们全程进行协助理赔。

相关推荐

二维码
分享本页
返回顶部
保险咨询手机微信号码:15336443757  投保链接文章最后边