NHR採用列舉式條款 - 保險

By Ursula
at 2012-08-09T13:56
at 2012-08-09T13:56
Table of Contents
下列為富邦NHR條款:
四、「住院醫療費用保險金」:本公司按全民健康保險規定其保險對象應自行負擔及不屬
全民健康保險給
付範圍之下列各項費用核付,但以本附約約定的每次「住院醫療費用保險金」為最高限額
。
1.指定醫師。
2.醫師指示用藥。
3.血液(非緊急傷病必要之輸血)。
4.掛號費及證明文件。
5.來往醫院之救護車費。
6.下列超過全民健康保險給付之住院醫療費用。
a.醫師診查費(含會診費)。
b.手術室、治療室及其設備的使用。
c.主治醫師對症處方的藥品。
d.敷料、外科用夾板及石膏整形。
e.化驗室檢驗、心電圖、基礎代謝率檢查。
f.對症所必要的物理治療。
g.麻醉劑、氧氣的使用。
h X 光檢查。
i.靜脈輸注費及其藥液。
j.因急救經醫師診斷認為必要輸血之血液或血漿的輸注費。
k.義眼。但對同一隻眼,本公司對於本附約以給付一次為限,其給付金額不得超過本附約
約定的「每
日病房費用保險金」的十倍。
l.義肢。但對同一手或同一足,本公司對於本附約以給付一次為限,每一手或每一足給付
金額不得
超過本附約約定的「每日病房費用保險金」的十倍。
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
相信各位板大也都看過這條款,我的疑問是,當今天被保險人不幸住院申請理賠
這列舉式的範圍是否適用大部分的情況?
是否有醫療項目處於NHR列舉式範圍外 但是花費較為龐大的
以我們家經濟狀況為例 醫療費用超過1萬5負擔就很重了
個人是在思考,這不足的部分要找哪家的實支實付來補足。
全球XHR?
在此先行感謝各位板大解惑。
--
四、「住院醫療費用保險金」:本公司按全民健康保險規定其保險對象應自行負擔及不屬
全民健康保險給
付範圍之下列各項費用核付,但以本附約約定的每次「住院醫療費用保險金」為最高限額
。
1.指定醫師。
2.醫師指示用藥。
3.血液(非緊急傷病必要之輸血)。
4.掛號費及證明文件。
5.來往醫院之救護車費。
6.下列超過全民健康保險給付之住院醫療費用。
a.醫師診查費(含會診費)。
b.手術室、治療室及其設備的使用。
c.主治醫師對症處方的藥品。
d.敷料、外科用夾板及石膏整形。
e.化驗室檢驗、心電圖、基礎代謝率檢查。
f.對症所必要的物理治療。
g.麻醉劑、氧氣的使用。
h X 光檢查。
i.靜脈輸注費及其藥液。
j.因急救經醫師診斷認為必要輸血之血液或血漿的輸注費。
k.義眼。但對同一隻眼,本公司對於本附約以給付一次為限,其給付金額不得超過本附約
約定的「每
日病房費用保險金」的十倍。
l.義肢。但對同一手或同一足,本公司對於本附約以給付一次為限,每一手或每一足給付
金額不得
超過本附約約定的「每日病房費用保險金」的十倍。
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
相信各位板大也都看過這條款,我的疑問是,當今天被保險人不幸住院申請理賠
這列舉式的範圍是否適用大部分的情況?
是否有醫療項目處於NHR列舉式範圍外 但是花費較為龐大的
以我們家經濟狀況為例 醫療費用超過1萬5負擔就很重了
個人是在思考,這不足的部分要找哪家的實支實付來補足。
全球XHR?
在此先行感謝各位板大解惑。
--
Tags:
保險
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