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  Ping An VIP In-Patient Expenses Medical Insurance

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Contact Information:
Name: 白琳 Yolanda Mobile:13521260801 Email: yolanda.bo316 @ gmail.com


Benifits Schedule & Quote / 保障利益表及报价



Benefit Items
保障项目
Basic
基本
Standard
标准
Select
精选
Elite
精英
Annual Maximum Aggregate Limit
年度总限额
RMB 2,000,000
200万
RMB 4,000,000
400万
RMB 8,000,000
800万
RMB 8,000,000
800万
Geographic Coverage Area
保障区域
Greater China
大中华
Asia
亚洲
Worldwide excluding North America
全球除美加
Worldwide
全球
  1. Inpatient Benefits
    住院医疗费用保险金
Pre-authorization required
需要预授权
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/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, Doctor’s Fee including Surgeons, Physicians, Anaesthetist and Specialists
药品费、医师费
Non-organ Transplant Surgery and Organ Transplant 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/yr
5万元/年
RMB 50,000/yr
5万元/年
RMB 100,000/yr
10万元/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/yr
5万元/年
RMB 50,000/yr
5万元/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 haven’t claimed from 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).
被保险人因疾病或意外伤害事故进行住院治疗而发生的医疗费用,如被保险人不向本公司进行索赔或已通过其他途径取得全部补偿的, 本公司按被保险人实际住院日数给付住院日额补贴。(限30天/年)
RMB 200/day
200元/日
RMB 200/day
200元/日
RMB 200/day
200元/日
RMB 200/day
200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/yr
5万元/年
RMB 100,000/yr
10万元/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、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/yr
2万元/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/visit
500元/次
RMB 1,000/visit
1000元/次
RMB 1,500/visit
1500元/次
Out-patient Psychiatric Treatment
精神病治疗(限20次/年)
Not Covered
不提供
RMB 500/visit
500元/次
RMB 1,000/visit
1000元/次
RMB 1,500/visit
1500元/次
Emergency Dental Treatment
意外牙科治疗
RMB 5,000/yr
5000元/年
RMB 10,000/yr
1万元/年
RMB 20,000/yr
2万元/年
RMB 40,000/yr
4万元/年
Diabetes Treatment
糖尿病治疗用品费
RMB 20,000/yr
2万元/年
RMB 40,000/yr
4万元/年
RMB 40,000/yr
4万元/年
RMB 40,000/yr
4万元/年
Hormone Replacement Therapy
激素替代治疗
RMB 50,000/yr
5万元/年
RMB 100,000/yr
10万元/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/yr
2000元/年
RMB 2000/yr
2000元/年
RMB 2000/yr
2000元/年
RMB 2000/yr
2000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
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/yr
15万元/年
RMB 150,000/yr
15万元/年
RMB 200,000/yr
20万元/年
RMB 200,000/yr
20万元/年
E. Maternity(Optional) / 女性生育保险金
Annual Limit
年度总限额
RMB 60,000/yr
6万元/年
RMB 60,000/yr
6万元/年
RMB 80,000/yr
8万元/年
RMB 80,000/yr
8万元/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 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 Inspection
B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 2,000
2000元
RMB 4,000
4000元
RMB 6,000
6000元
RMB 8,000
8000元
Basic Treatment
基础修补治疗
-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% Covered
80%赔付
80% Covered
80%赔付
80% Covered
80%赔付
80% Covered
80%赔付
Major Treatment
重大修补治疗
-Includes root fillings, crowns and inlays, 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,重大修补治疗费还包括牙齿矫正治疗费。
50% Covered
50%赔付
50% Covered
50%赔付
50% Covered
50%赔付
50% Covered
50%赔付
G. Vision Benefits(Optional) / 眼科保险金
Routine Vision Examination
眼科检查费
RMB 600/yr
600/年
RMB 600/yr
600/年
RMB 600/yr
600/年
RMB 600/yr
600/年
Lens and Frames
眼镜费(框架眼镜或隐形眼镜任选其一)
RMB 1,000/yr
1000/年
RMB 1,000/yr
1000/年
RMB 1,000/yr
1000/年
RMB 1,000/yr
1000/年
H. Emergency Medical Benefits(Optional) / 紧急医疗保险金
Emergency medical care services received outside the geographic coverage area due to accidental injuries or acute diseases
被保险人在合同约定的保障区域以外的其他国家和地区旅行时,因意外伤害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) / 预防保健服务
Health Check-up(Limit to one per year)
健康体检(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 function, 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健康体检服务包括一般检查(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。体检项目在不同计划中可能会有差异。
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).
基本项目包括口腔检查,洗牙,抛光。客户还可以从口腔全景片,喷砂,进口材料氟化治疗等三个项目中任意选取一项。
J.Worldwide Emergency Assistance / 全球紧急救援服务
Emergency Assistance Services
紧急救援服务
--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/yr
50万元/年
RMB 500,000/yr
50万元/年
RMB 500,000/yr
50万元/年
RMB 500,000/yr
50万元/年
Mortal 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/yr
50万元/年
RMB 500,000/yr
50万元/年
RMB 500,000/yr
50万元/年
K.Value-added Services/ 健康增值服务
Second Medical Opinion
第二诊疗意见
--Medical opinions from domestic and international experts for 18 specified major illnesses.
对于指定30种重大疾病,我们会免费协助您联系全球相关领域的医学专家咨询疾病诊断及治疗意见
Direct Billing
直接结算服务
--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,可以享受直接结算服务, 省去了大量现金垫付和传统理赔提交各种材料所带来的麻烦。
Out-patient Appointment
门诊预约服务
--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预约网络医院内合适的医院和专家。(目前仅限北京,上海,广州)
Care Facilitation
导医导诊服务
--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.
如果您不熟悉医院环境或有语言障碍,我们经验丰富的健康专员可以协助您就医如取号、化验、取药、交费等。
Health Consultation Service
健康咨询服务
--Includes hospital and specialist information, guidance on the usage of common drugs, explanation of check-up items and professional opinions on disease prevention, first-aid measures, etc.
我们为客户开通免费的“一对一”的健康咨询服务,包括医院和专家信息,常用药品用药指导,检验常识咨询,疾病防治知识和急救措施等。
Health Forum
专家健康讲座
--Health forum by specialists on various health topics such as disease prevention is available to help your employee form a better lifestyle and improve their health conditions.
我们可以邀请专家为您的员工举行专家健康讲座,讲授健康知识与疾病防治知识,帮助他们形成良好的生活习惯,改善他们的健康状况。
L. Percentage of Reimbursement At Designated Hospitals
特定医院赔付比例
60%70%80%100%

 
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