PingAnGlobalHealthInsurancePlan-锦江国际理诺士酒店.PDFVIP

平安健康全球医疗使用指引 Ping An Health Insurance Plan Instruction 锦江国际理诺士外籍学生保障方案 LES ROCHES Foreign Students Insurance Manual 平安健康保险股份有限公司上海分公司 PingAn Health Insurance Company, Ltd. SH Branch 本手册内容仅作为保险计划内容的说明。若存在歧义和未完全说明的事项，请以正式保单合同和保险条款为准。 This instruction, along with your membership card (DB card), comprises your insurance plan. If there is any discrepancy between this instruction and the Contract, the latter will prevail. 被保险人应当遵守中国保险法相应之规定，履行最大诚信和守法的义务，获得良好服务。 To ensure good service quality, the insured members should observe the Chinese insurance regulations and maintain an honest relationship by fulfilling his/her lawful obligations. 目 录/Content FOREWORD 前言 2 平安 ABOUT PINGAN 3 预授权申请 PRE-AUTHORIZATION 4 福利说明 BENEFIT DESCRIPTION 5 保障内容 BENEFITS 6 【MEDICAL BENEFIT TABLE 医疗险保障福利表】 6 【NON-MEDICAL BENEFIT TABLE 非医疗险保障福利表】 7 事后理赔 REIMBURSEMENT 8 直接结算服务 DIRECT BILLING SERVICE 10 【OUR MEDICAL MANAGEMENT TEAM 我们的医疗服务团队】 10 【NETWORK HOSPITALS 直付医院网络】 10 【IN-PATIENT DIRECT BILLING PROCEDURE 住院直接结算服务流程】 11 保险责任详述 COVERAGE DESCRIPTIONS 14 免除责任 EXCLUSIONS 17 APPENDIX 1–全球紧急救援介绍 / INTRODUCTION TO GLOBAL EMERGENCY ASSISTANCE 20 APPENDIX 2– 网络医院 / NETWORK HOSPITALS 21 APPENDIX 3 –昂贵医院 / EXPENSIVE HOSPITALS 34 APPENDIX 4 –理赔申请书 / CLAIM APPLICATION FORM 37 APPENDIX 5–境外医疗证明表格 / MEDICAL CERTIFICAT E FOR OUTBOARD PRC USE 39 2015~2016 年度 平安健康全球医疗使用指引s 1 Foreword 前言 Dear Members, 亲爱的会员 Welcome to join Ping An Global Health Insurance Plan. In this year, Ping An Health will cooperate w ith LES ROCHES JIN JIANG INTERNATIONAL HOTEL MANAGEM