picc高端医疗保险利益表

1、保卓高端医疗保Benefits Schedule 币种 福利 Core )，)Worldwide China ernational 年度总赔偿限额 - 保卓高端医疗保Benefits Schedule 币种 福利 Core )，)Worldwide China ernational 年度总赔偿限额 - 保障1-4部Part1：Hospitalization自付比率 Co-无 Daily Room & Board Limit Per Day Standard Private Room重症监护ensive Care Full Hospital Miscellaneous Expenses (Pre

2、scription drugs, inpatient diagnostic住院物理治疗InpatientSurgeonsFee,AnesthetistsFee,Inpatientns 家庭看护* （每一病症最高赔偿期为90天） rsing* (Max 90 days per disability)近亲属陪宿费用* （每一病症最高赔偿期为90天Immediate modation*(Max90daysper入院前或日间手术前医生求诊费用（住院前90天内Pre-hospitalization or Pre-day Surgery listConsul ion(Upto90入院前或日间手术前检查检验

3、费用（住院前90天内Pre-hospitalizationorPre-day Surgery Diagnostic (Upto90days 离院后或日间手术后治疗(离院后90天内t-hospitalization t-day Surgery Treatment: Within 90 days immedia Inpatient Psychiatric Treatment: Up to 30 days policyyearafter12months continuous cover under the plan; Lifetime limit of 100 days第二部分：非住院肾透析治Par

4、t2：OutpatientKidneyDialysisandCancer年度最高赔偿限额 BenefitLimitPer第三部分移植 Part3：an TransplantInpatient Psychiatric Treatment: Up to 30 days policyyearafter12months continuous cover under the plan; Lifetime limit of 100 days第二部分：非住院肾透析治Part2：OutpatientKidneyDialysisandCancer年度最高赔偿限额 BenefitLimitPer第三部分移植 Pa

5、rt3：an Transplant Full CoveragePart 4： Outpatient 自付比率 Co-免赔额/次 无 普通门诊费用、专科门诊费用、处方药物ClinicalConsul ion,listConsul ion,PrescriptionDrugs& Full Coverage物理治疗及脊骨治疗* （每年最多10次Physiotherapy & Chiropractic Treatment* (Max 10 visits per X-Ray and Laboratory Fees*中医,跌打及针灸治疗tter,and Outpatient Emergency Dental

6、 Treatment (Due to accidents Full CoverageOutpatient Emergency Treatment (Due to accidents 第五部分：24小时紧急支援服Part5： Emergencyerviceand 可选福利 Optional 可选项1：可否使用列表中的昂贵医疗机构Optional1：UsageofHighCost Full Coverage可选项2（在选择住院以及门诊的基础上附加自付比率 Co-牙齿治疗,Naturedentaltreatment，Preventive&Oral* Dentures * Max limit per

7、可选项3 Routine physical examinations,health screening & health check-可选项保障（在选择住院以及门诊的基础上附加Optional 4：Maternity Cover (Optional based on IP+OP 2020人（含）以上团单已保障，20WaitingPeriod12个12自付比Routine physical examinations,health screening & health check-可选项保障（在选择住院以及门诊的基础上附加Optional 4：Maternity Cover (Optional b

8、ased on IP+OP 2020人（含）以上团单已保障，20WaitingPeriod12个12自付比率 Co-无 顺产产*,堕胎*,产前并发症和分娩时并发症*,15 Full CoverageNormal arean*,Abortion*,Miscarriage*,Complicationsduring the antenatal period and childbirth*, Medically nesarycostsfornew born baby for 15 days upon birth可选项5：受保区域以外的紧急治疗(每次旅程最多四十五天-赔付 ￥600,000;其它国家 O

9、ptional5：EmergencyMedical(Max45daysforsingletrip- Coverage for the other 注释所有费用必须合理且必需。Allexpensesmustbereasonable,sary and 和住院医疗费用担保服务需签妥同意书方可生效,且对于计算错误或不被理赔的金额,您有义务配合进行相关理赔金额的调整。Cashless Payment and inpatient guarantee letter can be provided subject to indemnification.全额赔付及各项保险金均受限于各险种的年度总赔偿限额。 Fu

10、ll coverage and all benefits payable shall be bject to Annual * 需由主治医或配mended or referred by the attending #包括所有手术室费用、麻醉师费用、手术费用及医院杂项费用等进行肾脏、心脏、肝脏、肺或骨髓移植手术的全部合理且必需的医疗费用。Includeallexpensesofoperatingtheatre&materials, anesthetists, surgeon and hospital service relating to the transplan ion of heartkidneyliverg or bone marrow.昂贵医疗机List of high cost (1). 和睦家所有医院或诊所All the United Family Hospitals and clinics; (2). 国际(SOS)救援中心诊所SOSernational Clinics; (3).东方国际医疗中心Shanghai Easternational Medical Center; (4).天坛普华医院St. Michael Hospital and Beijing TIANTAN PUHUA hospital;