民安財產保險有限公司 全球保團體醫療保險 2014版 條款
2014 01. 1.......................................... 03 2........................................ 04 3........................................ 12 4.................................... 15 5........................................ 15 6....................................... 16 7............................. 17 8..................................... 18 9.................................. 19 10........................................ 20 11........................................ 22 12.......................................... 23......................................... 27
02
. 1. 2014 03 2014 5 3 1 2 a. b. 1828 30 30 3 4 5 9090
04 2. 3145 1 a. b. 6 2 (MRI)(PET) (CT) (PET) 3 4 18 5 3730 30 6 16 7
2014 05 8 10 a. b. c. 9 10 11 3030 24 12 3030 6.12
06 2. 13 (HIV) HIV (AIDS) (ARCS) (HIV) (HIV) (HIV) (HIV)(HIV) 12(HIV) 14 a. 26 14 b. WHO 15 16 a. b. c. d. e. f. g. h. i.
2014 07 17 a i. ii. iii. iv. b. 16 18 a. b. 19 20 20 a. b. 21
08 2. 22 6.12 23 6.12 24 a. 30 b. 25 14 a. b. c. d. 26 30 5 27 28 15 28
2014 09 29 a. X 9 20% 6.12 b. X 9 20% 50% 6.12 30 24 12 6.23 31 50% 32 20 20% 33
10 2. 34 a. b. c. 3 35 10 36 30 24 37 1(a) 15% 38 20% 39 40 20222728
2014 11 41 30 10 42 29 10 43 10 29 44 20% 45 12222329 17 17
12 3. 6.1 6.2 6.3 6.4 6.5 6.6 6.7 6.8 10 18 6.9 6.10 6.11
2014 13 6.12 6.13 6.14 6.15 6.16 6.17 6.18 6.19 (AIDS)( ARCS) (HIV) 6.20 6.21 6.22 1. 2. 6.23 6.24
14 2014 3. 6.25 6.26 6.27 6.28 6.29 6.30 6.31 6.32 6.33 6.34
4. 5. 2014 15 1 2 3 4 5
16 2014 6. 30 10 3 60
2014 17 7. 30 2
18 2014 8. a. b. c. d. e f. 2
2014 19 9.
20 10. 14 14 14 14 a. b. c. d. 30 24.1 24.2 24.3 15 24.4 15 24.5 24.6 24.7
2014 21 1. 2 3. 4. 26 5. 6. 7. 8. 9. 21
22 2014 11. 1. 2. 3. 60 4. 5. 6. 7. 8.
2014 23 12. 1 2 3 4 11 1 5 6 7 X 8 9 10 11 12 13 14 15 6
24 12. 16 17 18 19 1828 20 X 21 22 23 24 48 25 26 27 180 28 29 30 31 32 33
2014 25 34 35 36 37 WHO WHO 38 39 40 41 42 16 43 44 12 45 46 47 48 49 50 51 (DSM) (ICD) 52 53
26 2014 12. 54 55 56 57 58 59 WHO WHO 60 61 62 12 63 64. 65. 66. WHO
. 2014 2014 27 18500000 22000000 25000000 28000000 1. a) b) 6 a) ( b) 6,300 a) ( b) 6,300 a) ( b) 9,450 a) ( b) 12,600 2. (MRI) (PET)(CT) ( ( ( ( 3. 4. 18 5. 37 30 30 630,000 630,000 780,000 940,000 6. 16 7.
28 8. 10 a. b. c 9. 30 ( 30 ( 30 ( 30 ( 10. 310,000 310,000 470,000 630,000 11. 3030 24 150,000 150,000 220,000 310,000 12. 3030 630 945 1,260 1,575 6.12 13. (HIV) HIV (AIDS)(ARCS) (HIV) (HIV) (HIV) (HIV) HIV 12 (HIV) 150,000 ( 150,000 ( 250,000 ( 310,000 (
2014 29 14. a) b) WHO a) b) 310,000 a) b) 310,000 a) b) 310,000 a) b) 310,000 15. 16. 17. ( ( ( ( a) a) a) a) a) b) c) d) b) c) d) 1,200 47,000 ( b) c) d) 1,200 47,000 ( b) c) d) 1,200 47,000 ( b) c) d) 1,800 63,000 ( 16
30 18. a) b) ( a) b) 63,000 ( a) b) 63,000 ( a) b) 94,000 ( a) b) 126,000 19. 20 20. a) a) 15 30 12,600 a) a) a) b) b) b) 10 b) 15 b) 20 10 ( 10 ( 21. 15,000 31,000 47,000 22. 15 315 15 630 15 945 6.12 23. 6.12 4,700 7,800 12,600 24. a) 30 b) a) 45 ( a) 60 ( a) 120 ( 25. 14 30 180 a) b) c) d)
2014 31 26. 30 5 630,000 630,000 787,000 945,000 27. 28 15 94,000 126,000 220,000 28. 6 63,000 157,000 472,000 29. a) a) 6,300 a) 9,400 X 9 20% 6.12 b) X b) 12,600 b) 18,900 9 20% 50% 6.12 30. 24 12 94,000 6.23
32 31. 50% ( 9,450,000 ( 9,450,000 ( 9,450,000 ( 9,450,000 32. 20 20% 33. 34. 3 a) 3,100 1,850 3,100 1,850 3,100 1,850 b) c) 35. 10 36. 30 24 150,000 150,000 220,000 310,000
2014 33 37. 1(a) 15% 15% 47,000 15% 47,000 15% 47,000 15% 47,000 38. 20% 20% 63,000 20% 63,000 20% 63,000 39. 40. 20 22 27 28 31,000 41. 10 30 44,000 20% 63,000 42. -1 a) b) a) 3,100 b) 6,300 29 29-2 a) b) a)b) 5,000 29 29 9 20% 10 43. 10 29
34 2014 44. 20% 20% 63,000 20% 63,000 20% 63,000 45. 630 630 630 12 22 2329 17 17 6,300 15700 300 300 300 31500 1500 1500 1500 63000 3100 94500 6300 15700
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