Guide for Foreigners on Comprehensive Insurance Claims | |||
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Guide for Foreigners on Comprehensive Insurance Claims Do be sure to firstly call 4008105119 EXT 1 to make a diagnosis
inquiry before you go to see a doctor. 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. (1)Procedures for insurance claims: 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. (2)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)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 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 If the fees have exceeded the minimum payment line of RMB650 Yuan,
then the medical record, detailed expenditure sheet and copy of
examination report and laboratory test report of treatment that
costs below 650 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 Special instructions to item 2 to item 4 above: 1) Besides, the Insured’s bank account opened in the mainland of
China and accurate information in relation to the account must be
attached to the claim settling documents; (For details, please call
4008105119 EXT 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 Original Invoices of nursing fee issued by hospital or by nursing
service company. Materials for claims of settlement sent to:
北京市朝阳区东三环中路55号双子座B座303室(邮编100022) Addressee: 来华项目理赔部 电话: 4008105119转1键 Please Dial: 4008105119 转 1 Chinese explanation prevails in case of contradiction arising out
of the aforementioned contents.