一、個人產(chǎn)品計劃書費率招商信諾cigna mainland china

1、保障利益表神州計劃List of BenefitsPlan醫(yī)療保障Core Medical Benefit住院及日間醫(yī)療責(zé)任賠付限額Benefit LimitInpatient and Day-patient Medical Benefit每一保險期間內(nèi)每一被保險人的賠付限額Annual Benefit um per Benefiry 3,000,000Up to 3 million period of cover住院或日間的醫(yī)療費modation for Inpatient or Day-Patient Treatment每晚以 1,200 為限Up to 1,200 per night外科

2、手術(shù)室及麻醉復(fù)蘇室費用Operating Theatre and Recovery Room Costs涵蓋Included處方藥及敷料費Prescribed Medicines and Dressings涵蓋Included重癥監(jiān)護室費用ensive Care涵蓋Included父母或監(jiān)護人陪護床位費Hospitalmodation for a Parentuardian每一保險期間以 6,000 為限Up to 6,000 period of cover外科醫(yī)生及麻醉師費用Surgeons and Anesthetists Fees涵蓋Included?？漆t(yī)生診療費Spelists Con

3、sulion Fees涵蓋Included、骨髓及干細胞移植費用Transplant Serviforan, Bone Marrow and Stem Cell Transplants涵蓋Included腎透析費用Kidney Dialysis涵蓋Included病理檢測、放射學(xué)檢查及其他性檢查化驗費用Pathology, Radiology and Other Diagnostic Tests涵蓋Included物理治療/補充治療及中醫(yī)/針灸治療費Physiotherapy / Complementary Therapies and ChiMedicine / Acupunctures每一保

4、險期間以 20,000 為限，每一保險期間內(nèi)以 30 天為限Up to 20,000 period of cover, up to 30 days period of cover康復(fù)治療費用Rehabiliion Treatment核磁、計算機斷層掃描及正電子發(fā)射斷層掃描費用MRI, CT and PET scans每一保險期間以 30,000 為限Up to 30,000 period of cover家庭護理費用Horsing無e臨終及治療費用無保障區(qū)域Area of Cover陸醫(yī)療服務(wù)網(wǎng)絡(luò)Medical Service Network公立醫(yī)院及優(yōu)選醫(yī)療機構(gòu)Public hospital

5、 and Selected Medical Provider您可選擇的免賠額Your Deductible Options擴展醫(yī)療保障（可選保障）賠付限額Benefit LimitExtenal Medical Benefit Option每一保險期間內(nèi)的賠付限額Annual Benefit um costs 50,000Up to 50,000 period of cover執(zhí)業(yè)醫(yī)生及專科醫(yī)生診療費Consulions with Medical Practitioners and Spelists每次以 600 為限Up to 600 per visit門診性檢查化驗費用Outpatient

6、 Diagnostic Testing每一保險期間以 15,000 為限Up to 15,000 period of cover核磁、計算機斷層掃描及正電子發(fā)射斷層掃描費用MRI, CT and PET Scans每一保險期間以 30,000 為限Up to 30,000 period of cover物理治療/補充治療費用Physiotherapy / Complementary Therapies每一保險期間內(nèi)以 10 次為限，每一保險期間以 5,000 為限Up toum of 10 visits per period of cover, up to 5,000 per period o

7、f cover中醫(yī)/針灸治療費用ChiMedicine / Acupunctures每一保險期間以 2,000 為限Up to 2,000 period of cover言語復(fù)健治療費用Restorative Speech Therapy每一保險期間以 10,000 為限Up to 10,000 period of cover處方藥及敷料費每一保險期間以 15,000 為限免賠額Deductible 0 / 10,000 / 20,000 / 50,000Hospice and Palliative Caree內(nèi)置修復(fù)體、設(shè)備及裝置費用ernal Prosthetic, Deviand App

8、lian涵蓋Included外置修復(fù)體、設(shè)備及裝置費用External Prosthetic, Deviand Applian每一假體設(shè)備以 20,000 為限 Up to 20,000 for each prosthetic device當(dāng)?shù)鼐茸o車費用Local Ambulance涵蓋Included住院緊急牙科治療費用Inpatient Emergent Dental Treatment涵蓋Included治療費用Psychiatric Treatment每一保險期間以 10,000 為限，每一保險期間內(nèi)以 30 天為限Up to 10,000 period of cover, up to

9、 30 days period of cover成癮性嗜好治療費用Addiction Treatment治療費用Cancer Treatment涵蓋Included性疾病治療費用Congenital Conditions無ePNSR0221801 醇享人生您可選擇的自負(fù)比例Your Copay Options綜合牙科保障（可選保障）Comprehensive Dental Benefit Option牙科治療費用Dental Treatment賠付限額Benefit Limit每一保險期間內(nèi)每一被保險人所有保險責(zé)任賠付限額Annual Benefits -um per Benefiry每一保險

10、期間以 10,000 為限Up to 10,000 period of cover預(yù)防性牙科治療費用Prevenive Dental Treatment每一保險期間以 1,000 為限Up to 1,000 period of cover常規(guī)牙科治療費用Routine Dental Treatment按 80%賠付 80% Refund牙科治療費用Major Restorative Dental Treatment按 50%賠付 50% Refund非公立醫(yī)院自負(fù)比例Copay for-public Providers0%Prescribed Medicines and DressingsUp to 15,000 period of cover耐用醫(yī)療設(shè)備租賃費Rental of Durable Medical Equipment涵蓋Included成人旅行接種費用Adult Travel Vaccinations涵蓋I