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

全球医疗保险计划BenifitsSchedule&Quote保障利益表及报价发布时间：BenefitItems保障项目Basic基本Standard标准Select精选Elite精英AnnualMaximumAggregateLimit年度总限额RMB2,000,000200万RMB4,000,000400万RMB8,000,000800万RMB8,000,000800万GeographicCoverageArea保障区域GreaterChina大中华Asia亚洲WorldwideexcludingNorthAmerica全球除美加Worldwide全球oInpatientBenefits住院医疗费用保险金Pre-authorizationrequired需要预授权Room,BoardandNursing(uptoprivate/singleroom)床位费、膳食费、护理费(上限为私人/单人病房)FullyCovered（Max.180days/yr）全额理赔（最高180天/年）FullyCovered（Max.180days/yr）全额理赔（最高180天/年）FullyCovered（Max.180days/yr）全额理赔（最高180天/年）FullyCovered（Max.180days/yr）全额理赔（最高180天/年）Examinationandlaboratorytests,otherinpatienttreatmentexpenses检查检验费、治疗费FullyCovered全额理赔FullyCovered全额理赔FullyCovered全额理赔FullyCovered全额理赔PrescriptionDrugs,DoctorsFeeincludingSurgeons,Physicians,AnaesthetistandSpecialists药品费、医师费Non-organTransplantSurgeryandOrganTransplantSurgery非器官移植手术费、器官移植手术费CompanionBedandIntensiveCareUnit加床费、重症监护费In-patientPsychiatricTreatment(upto90daysperyear)精神病治疗（最多90天/年）NotCovered不提供RMB50,000/yr5万元/年RMB50,000/yr5万元/年RMB100,000/yr10万元/年FamilyCare(upto100daysperyear)家庭护理（最多100天/年）NotCovered不提供NotCovered不提供FullyCovered全额理赔FullyCovered全额理赔HospiceCare(upto45daysperyear)临终医疗费（最多45天/年）NotCovered不提供NotCovered不提供RMB50,000/yr5万元/年RMB50,000/yr5万元/年Ambulance救护车费FullyCovered全额理赔FullyCovered全额理赔FullyCovered全额理赔FullyCovered全额理赔B.NoClaimHospitalIncome/住院无理赔日额补贴Intheeventthattheinsuredhaventclaimedfromusorreceivesfullcompensationfromanythirdpartyforthehospitalexpenses,weshallprovideNoClaimHospitalIncomeaccordingtothedurationofhospitalstay(upto30daysperyear).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）RMB200/day200元/日RMB200/day200元/日RMB200/day200元/日RMB200/day200元/日C.Out-patientBenefits/门诊医疗费用保险金AnnualLimit年度总限额RMB50,000/yr5万元/年RMB100,000/yr10万元/年FullyCovered全额理赔FullyCovered全额理赔Consultationfees,ExaminationsandLaboratoryTests,Out-patientSurgeryandOtherOut-patientTreatmentexpenses医生诊疗费、检查检验费、治疗费、门诊手术费FullyCovered全额理赔FullyCovered全额理赔FullyCovered全额理赔FullyCovered全额理赔PrescriptionDrugs处方药品费RMB20,000/yr2万元/年FullyCovered全额理赔FullyCovered全额理赔FullyCovered全额理赔PhysiotherapyandOtherAlternativeTherapies物理治疗及其他特殊疗法（限10次/年）NotCovered不提供RMB500/visit500元/次RMB1,000/visit1000元/次RMB1,500/visit1500元/次Out-patientPsychiatricTreatment精神病治疗（限20次/年）NotCovered不提供RMB500/visit500元/次RMB1,000/visit1000元/次RMB1,500/visit1500元/次EmergencyDentalTreatment意外牙科治疗RMB5,000/yr5000元/年RMB10,000/yr1万元/年RMB20,000/yr2万元/年RMB40,000/yr4万元/年DiabetesTreatment糖尿病治疗用品费RMB20,000/yr2万元/年RMB40,000/yr4万元/年RMB40,000/yr4万元/年RMB40,000/yr4万元/年HormoneReplacementTherapy激素替代治疗RMB50,000/yr5万元/年RMB100,000/yr10万元/年FullyCovered全额理赔FullyCovered全额理赔InfantCheck-upandVaccinations婴儿免疫和检查费RMB2000/yr2000元/年RMB2000/yr2000元/年RMB2000/yr2000元/年RMB2000/yr2000元/年Ambulance救护车费FullyCovered全额理赔FullyCovered全额理赔FullyCovered全额理赔FullyCovered全额理赔D.SpecialOut-patientBenefits/特殊门诊保险金OutpatientKidneyDialysisandOut-patientCancerTreatmentincludingElectrotherapy,ChemotherapyandRadiotherapy.门诊肾透析、门诊恶性肿瘤电疗、门诊化疗、门诊放疗RMB150,000/yr15万元/年RMB150,000/yr15万元/年RMB200,000/yr20万元/年RMB200,000/yr20万元/年E.Maternity(Optional)/女性生育保险金AnnualLimit年度总限额RMB60,000/yr6万元/年RMB60,000/yr6万元/年RMB80,000/yr8万元/年RMB80,000/yr8万元/年New-borninfantcare,treatmentandimmunizations新生儿护理费、治疗费、疫苗费（14天内）FullyCovered全额理赔FullyCovered全额理赔FullyCovered全额理赔FullyCovered全额理赔Hospitalexpensesrelatedtodelivery,abortionandpregnancycomplicationsincludingpre-natalandpost-natalexaminations,pre-natalvitaminsandcalciumtonic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-BUltrasonicInspectionB超检查费（2次）F.DentalTreatment(Optional)/牙科医疗保险金AnnualLimit年度总限额RMB2,0002000元RMB4,0004000元RMB6,0006000元RMB8,0008000元BasicTreatment基础修补治疗-Includesamalgamsorcompositefillingsandsimpleextractions,periodontalscaling,androotplanning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MajorTreatment重大修补治疗-Includesrootfillings,crownsandinlays,bridges(includinglaboratoryandanestheticfees),wisdomteethextractions.Toothalignmentisalsoincludedfortheinsuredunder18.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%Covered50%赔付50%Covered50%赔付50%Covered50%赔付50%Covered50%赔付G.VisionBenefits(Optional)/眼科保险金RoutineVisionExamination眼科检查费RMB600/yr600/年RMB600/yr600/年RMB600/yr600/年RMB600/yr600/年LensandFrames眼镜费（框架眼镜或隐形眼镜任选其一）RMB1,000/yr1000/年RMB1,000/yr1000/年RMB1,000/yr1000/年RMB1,000/yr1000/年H.EmergencyMedicalBenefits(Optional)/紧急医疗保险金EmergencymedicalcareservicesreceivedoutsidethegeographiccoverageareaduetoaccidentalinjuriesoracutediseasesFullyCoveredUptoRMB500,000/yr全额理赔FullyCoveredUptoRMB500,000/yr全额理赔FullyCoveredUptoRMB500,000/yr全额理赔年-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年限额50万元/年年限额50万元/年限额50万元/年I.PreventativeCare(Optional)/预防保健服务HealthCheck-up(Limittooneperyear)健康体检(1年1次)Includesgeneralexamination(height,weight,andbloodpressure),routinephysicalexaminationofinternalmedicine,eye,ear,noseandthroat,EKG,abdominalultra-sonography,urineroutine,stoolroutine,bloodroutine,bloodsugar(AC),liverfunction,renalfunct