南山理賠明細疑問請教 - 保險
By Hedy
at 2011-08-04T23:00
at 2011-08-04T23:00
Table of Contents
我因為呼吸中止的問題,所以在100/6/17~6/19。
住進亞東醫院,也做了懸雍垂軟顎咽成型手術。
底下是南山的理賠金通知書。
南山在 6/30 受理。然後我在 8/4 收到理賠金。
底下是我的明細:
項目 保額/計劃 日/次/月 申請金額 賠償金額
-----------------------------------------------------------------------
南山人壽住院醫療保險附約(HS30AQ) 30
住院及膳食(手術) 3天 6,080 6,080
醫院各項雜費 8,622 8,622
門診費用 310 310
證明書 200 200
證明書費 320 非給付範圍
其他 30 非給付範圍
小計 15,212
南山人壽新手術醫療保險附約(SIR751Q) 20
住院手術醫術保險金給付 2,000 20,000
小計 20,000
--------------------------------------------------------------------------
賠償金額總計 35,212
延滯利息 193
總計 35,405
但我有兩個疑問
一、依南山人壽住院醫療保險附約。我是住院三天,而且有動手術。
這是否符合以每日住院金額 4500/日 的條件?
二、我的住院費用確實是 6000,亞東單人病房補三千差額。
6/17 晚上八點入院,6/19 早上九點出院。
剩下八十是膳食費。
難道住院賠償金也是實支實付?而不是9000?
謝謝。
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Tags:
保險
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