中信HNRB門診手術有包含"雜費"嗎? - 保險
By Frederic
at 2015-01-11T08:31
at 2015-01-11T08:31
Table of Contents
根據最新的中信HNRB附約條款:103/05/01
並無看到以下相關描述:雜費
煩請各位大大解惑,謝謝
第六條 【外科手術費用保險金之給付】
被保險人因第三條之約定而以全民健康保險之保險對象身分接受外科手術診療時,本公司
按被保險人住院期間內或接受門診外科手術時所發生,且依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手術費核付,但每次各項外科手術費用以不超
過其投保計劃所列之「外科手術費用保險金限額」乘以「手術名稱及費用表」中所載各項
百分率所得之數額為限。
被保險人同一住院期間接受兩項以上手術時,其各項手術費用保險金應分別計算。但同一
次手術中於同一手術位置接受兩項器官以上手術時,按手術名稱及費用表中所載百分率最
高一項計算。
被保險人所接受的手術,若不在附表「手術名稱及費用表」所載項目內時,由本公司與被
保險人協議比照該表內程度相當的手術項目給付比率,核算給付金額。
本公司給付的一次住院外科手術費用合計總額,不得超過其投保計劃所列之「外科手術費
用保險金限額」。
--
並無看到以下相關描述:雜費
煩請各位大大解惑,謝謝
第六條 【外科手術費用保險金之給付】
被保險人因第三條之約定而以全民健康保險之保險對象身分接受外科手術診療時,本公司
按被保險人住院期間內或接受門診外科手術時所發生,且依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手術費核付,但每次各項外科手術費用以不超
過其投保計劃所列之「外科手術費用保險金限額」乘以「手術名稱及費用表」中所載各項
百分率所得之數額為限。
被保險人同一住院期間接受兩項以上手術時,其各項手術費用保險金應分別計算。但同一
次手術中於同一手術位置接受兩項器官以上手術時,按手術名稱及費用表中所載百分率最
高一項計算。
被保險人所接受的手術,若不在附表「手術名稱及費用表」所載項目內時,由本公司與被
保險人協議比照該表內程度相當的手術項目給付比率,核算給付金額。
本公司給付的一次住院外科手術費用合計總額,不得超過其投保計劃所列之「外科手術費
用保險金限額」。
--
Tags:
保險
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