診斷說明書與理賠申請疑問 - 保險
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By Yedda
at 2022-03-02T10:00
at 2022-03-02T10:00
Table of Contents
我在工地扭傷造成右腳副舟狀骨周韌帶撕裂,醫師判斷需要手術治療,目前住院等待手術中
。
本身只有公司團保和透過保經保的富邦產險,我打算用團保和產險的傷害醫療(意外險)來
幫忙負擔手術費用。
目前遇到的狀況:產險的部分有先跟保經聯絡,被提醒在診斷說明書上要有扭傷、挫傷之類
的說明文字來佐證,而且寫扭傷很大機率會被打槍,挫傷比較不會有問題;但經醫師說明,
在診斷說明書他是不會寫這些的,只能寫他看到的,上網查了一下也得確有文章支持這樣的
說法,如下:
https://reurl.cc/AKzVkj
另外也有文章認為,有外力的扭傷就是意外,直接送即可
https://reurl.cc/7eWGed
我的疑問:
1. 這種爭議我想在保險業界應該很常見,想請教有經驗的各位是怎麼處理的?(診斷說明上
沒有前因後果)
2. 因為看起來過的機率不大,我擔心保經幫我送件的意願不高,我能自己處理理賠事宜嗎?
直接聯絡富邦?
3. 如果是我自己處理理賠流程、醫師僅會在診斷書註明他觀察到的東西,在這個狀況下,?
位會建議補充什麼資料提高成功理賠的機率?
4. 診斷說明書到底能不能請醫師註明原因?
誠心請教,沒有針對任何人的意思,還請有經驗者分享一下心得
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