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医疗保险
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来华保险理赔指南
 

REIMBURSEMENT

Dear customers:

If you want to learn about the services of settlement of claim of comprehensive insurance for people coming to China of Ping An Endowment Insurance Co., Ltd., please read this guide carefully.

Procedure of claim settlement:

Standard procedures of insurance claims after occurrence of insurance accident:

1. Please call directly 4008105119 EXT 1 for medical consultation due to disease or accident. The rescue doctor will consult, diagnose, and provide medical guidance and precautions for insurance claim. After consulting diagnosis and outpatient treatment, if the doctor confirms that further hospitalization is required, the insured can apply for advanced payment of medical expense for hospitalization to the rescue company. After communication and confirmation of the rescue company and hospital, it will be decided whether the advanced payment procedures shall be started. If the insured is directly hospitalized without consulting, diagnosis and recording of doctor of the rescue company and outpatient treatment (including those whose conditions do not meet the requirements of hospitalization but require the outpatient doctor to agree with hospitalization), the rescue company will not be responsible for advanced payment of medical expense for hospitalization. If advanced payment for medical expenses is made without the above procedures, the insured will not be able to get compensation.

2. Major accident can be reported with the following contact information

Telephone number for claim consultation and reporting: 4008105119 EXT 1. You can call 010-67185217 in the areas without telephone number beginning with 400.

You cannot get compensated without reporting through the 400 call or following the standard procedures.

Document to be presented for settlement of claims:

1).One-year term life insurance

A Copy of passport and visa page of the Insured

B Disability certificate when the Insured is disabled (an evaluation report shall be issued by the assigned evaluation body)

C Death certificate of the Insured

D Certificate of relationship between the Insured and all the beneficiaries, and copy of identification proof of the beneficiaries

E Certificate of accident, in case of an accident (in case of traffic accident, the traffic unit should issue a liability confirmation of traffic accident)

F Copy of valid insurance certificate

2).Medical treatment for accidental injuries

A Copy of passport and visa page of the Insured

B Course and certificate of accident (in case of traffic accident, the traffic unit should issue a liability confirmation of traffic accident)

C Original of receipt

D Medical record, detailed expenditure sheet and copy of examination report and laboratory test report of each respective treatment

F Copy of valid insurance certificate

3).Medical treatment for outpatient and emergency

A Copy of passport and visa page of the Insured

B Original of receipt

C Medical record, detailed expenditure sheet and copy of examination report and laboratory test report of each respective treatment

D Copy of valid insurance certificate

If the fees have exceeded the minimum payment line of RMB2000 Yuan, then the medical record, detailed expenditure sheet and copy of examination report and laboratory test report of treatment that costs below 2000 Yuan are also required to be presented.

4).Hospitalization

A Copy of passport and visa page of the Insured

B Certificate of accident, in case of an accident (in case of traffic accident, the traffic unit should issue a liability confirmation of traffic accident)

C Original of receipt and detailed expenditure sheet for hospitalization

D Copy of hospital discharge summary or medical record of hospitalization

E Copy of valid insurance certificate

Special instructions to item 2) to item 4) above:

(1) Besides, the Insured’s bank account with signature or school-assigned bank account with school stamp must be attached to the claim settling documents. ( Specific content please dial 4008105119 transfer 1 )

(2). Where in one insured incident, the Insured has to be treated in two or more hospitals, relevant documents such as diagnosis certificate and medical record from relevant hospitals shall be presented.

(3). Hospitals for treatment are limited to the public hospitals within the territory of the Chinese mainland, and items and expenses that can be reimbursed should in accordance with the scope of local regulations of social basic medical insurance.

5). Application for nursing fee

A Original Invoices of nursing fee issued by hospital or by nursing service company

B The application for nursing fee issued by the nursing unit shall be signed by the Insured him/herself and stamped with the official seal of the unit.

校外医院(You can get the reimbursement from the Insurance Company from the following hospitals)

报销医院

Hospitals

地址

Address

电话

Telephone No.

陕西省人民医院

Shaanxi Provincial People’s Hospital

陕西省西安市碑林区友谊西路256号

No. 256, West Youyi Road, Xi’an, Shaanxi Prov.

029-85249600

029-85251331

西安交通大学第一附属医院

First Affiliated Hospital of Xi’an Jiaotong University

陕西省西安市雁塔西路277号

No. 227, West Road Yanta, Xi’an, Shaanxi Prov.

029-85323217

029-85323338

西安交通大学第二附属医院

Second Affiliated Hospital of Xi’an Jiaotong University

陕西省西安市西五路157号

No. 157 Xiwu Road, XI”an, Shaanxi Prov.

029-87679000

87679323(门诊)

陕西省西安市中心医院

Xi’an Center Hospital of Shaanxi Prov.

陕西省西安市北大街后宰门4号

No. 4 Houzaimen, Beidajie, Xi’an, Shaanxi Prov.

029-87218916

陕西省西京医院

Xijing Hospital, Shaanxi Prov.

陕西省西安市长乐西路15号

No. 15 West Road Changle, Xi’an, Shaanxi Prov.

029-84774114

029-83215321

陕西省西安市急救中心

First Aid Center Xi’an City, Shaanxi Prov.

陕西省西安市解放路24号

No. 24 Jiefang Road, Xi’an, Shaanxi Prov.

029-87410460

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