亞太財產保險有限公司 全球保個人與家庭醫療保險 (2015 版 ) 條款
2015 01. 1.......................................... 03 2........................................ 04 3........................................ 12 4.................................... 16 5........................................ 16 6....................................... 17 7............................. 18 8..................................... 19 9.................................. 20 10........................................ 21 11........................................ 23 12.......................................... 24......................................... 28
02
. 1. 2015 03 2015 79 1 2 a. b. 1828 30 3 4 5 9090 6 90
04 2. 3143 1 a. b. 6 2 (MRI)(PET) (CT) (PET) 3 4 18 5 3730 30 6 16 7
2015 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.
2015 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
2015 09 29 a. X 9 20% b. X 9 20% 50% 30 24 1 12 6.25 31 50% 32 1 10% 33 2 20%
10 2. 34 201581 35 36 30 24 37 1(a) 15% 38 20% 39
2015 11 40 a. b. 41 20222728 42 20% 43 12222329 1717
12 3. 6.1 6.2 6.3 6.4 6.5 6.6 6.7 6.8 10 18
2015 13 6.9 6.10 6.11 6.12 6.13 6.14 6.15 6.16 6.17 6.18 6.19 102,500
14 3. 6.20 (AIDS)( ARCS) (HIV) 6.21 18 6.22 6.23 6.24 1. 2. 6.25 6.26 6.27 6.28 6.29 6.30 6.31
2015 15 6.32 6.33 6.34 6.35 6.36
16 2015 4. 5. 1 2 3 4 5
2015 17 6. 30 10 3 60
18 2015 7. 30 30 30
2015 19 8. a. b. c. d. e f. 2
20 2015 9.
2015 21 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
22 2015 10. 1. 2 3. 4. 5. 6. 6.24 7. 8. 9. 10. 21
2015 23 11. 1. 2. 3. 60 4. 5. 6. 7. 8.
24 12. 1 2 3 4 11 1 5 6 7 8. 9 10 11 12 13 14 15 6
2015 25 16 17 18 19 1828 20 X 21 22 23 24 48 25 26 27 180 28 29 30 31
26 12. 32 33 34 35 36 WHO WHO 37 38 39 40 41 16 42 43 12 44 45 46 47 48 49 50 (DSM)(ICD)
2015 27 51 52 53 54 55 56 57 58 59 WHO WHO 60 61 62 12 63 64 65. 66. WHO
28. 2015 18500000 22000000 25000000 28000000 1. a) a) ( a) ( a) ( a) ( b) 6 b) 6,300 b) 6,300 b) 9,450 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.
2015 29 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 (
30 14. a) a) a) a) a) b) WHO b) 310,000 b) 310,000 b) 310,000 b) 310,000 15. 16. 17. ( ( ( ( a) b) c) d) a) b) c) d) 1,200 47,000 ( a) b) c) d) 1,200 47,000 ( a) b) c) d) 1,200 47,000 ( a) b) c) d) 1,800 63,000 ( 16
2015 31 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. 4,700 7,800 12,600 6.12 24. a) 30 b) a) b) a) 45 ( b) a) 60 ( b) a) 120 ( b) 25. 14 30 180 a) b) c) d)
32 26. 30 630,000 630,000 787,000 945,000 27. 94,000 126,000 220,000 28 15 28. 6 63,000 157,000 472,000 29. a) X a) a) a) 6,300 a) 9,400 9 20% b) X b) b) b) 12,600 b) 18,900 9 20% 50% 30. 24 1 6.25 94,000
2015 33 31. 50% ( 9,450,000 ( 9,450,000 ( 9,450,000 ( 9,450,000 32. 1 10% 33. 2 20% 34. 201581 35. 36. 30 24 150,000 150,000 220,000 310,000
34 2015 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. a. b. a) 28,350 b) 10 41. 20 22 2728 31,000 42. 20% 20% 63,000 20% 63,000 20% 63,000 43. 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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