CHNG TRNH BO HIM SC KHE KT HP n v c bo him Ngi c Bo Him a ch lin h Thi hn bo him iu khon bo him Phm vi bo him (Chi

tit nh danh sch nh km) _ 12 thng k t ngy c yu cu (bao gm c hai ngy bin). Theo quy tc Bo Him Con Ngi Mc Trch Nhim Cao Bo him trong cc trng hp t vong, thng tt vnh vin hay b phn ca Ngi c Bo Him do tai nn hay bnh tt gy ra bi cc ri ro khng b loi tr ti cc iu khon ca n bo him v cc iu khon sa i b sung theo n: iu kin A - T vong hoc Thng tt vnh vin do tai nn Trong trng hp T vong hay Thng tt ton b vnh vin: thanh ton 100% S Tin Bo Him i vi Ngi c Bo Him. Trong trng hp Thng tt b phn vnh vin: thanh ton theo bng t l thng tt

iu kin B - T vong hoc Thng tt vnh vin do bnh tt Trong trng hp Cht hay Thng tt ton b vnh vin: thanh ton 100% S Tin Bo Him i vi Ngi c Bo Him. Trong trng hp Thng tt b phn vnh vin: thanh ton theo bng t l thng tt

iu kin C - Chi ph y t do tai nn Chi ph cp cu, chi ph phu thut v nm vin, chi ph thuc men v.v, theo Hn mc chi ph do Ngi c Bo Him chn iu kin D Nm vin v phu thut do bnh tt hay thai sn Thanh ton theo Hn mc chi ph do Ngi c Bo Him chn iu kin m rng iu kin I - Khm v iu tr ngoi tr do bnh tt Cc chi ph khm cha bnh, chi ph xt nghim y khoa, chp X quang, chi ph thuc men, vt l tr liu, chp hnh ct lp, iu tr rng, v.vda theo Hn mc chi ph do Ngi c Bo Him chn iu kin II - Vn chuyn cp cu trong Vit nam Gii hn : Mc min thng Gii hn a l Phm vi php l S tin bo him Phm vi bo him iu kin A T vong hoc Thng tt vnh vin do tai nn Gii hn US$ 10,000/nm Gii hn US$ 20,000/nm Vit Nam Khng p dng Vit nam Vit nam

AEGIS Company Limited, Unit 1503, 2A-4A Ton Duc Thang Street, District 1, Ho Chi Minh City, Vietnam. Tel: 84.8 827 5835 Fax: 84.8 821763 Email: enquiry@aegisrs.com

iu kin B - T vong hoc Thng tt vnh vin do bnh tt iu kin C Chi ph y t do tai nn iu kin D Nm vin v phu thut do bnh tt hay thai sn Tin vin ph (bao gm chi ph y t v dch v cn thit trong thi gian nm vin) - Tin phng - Thuc men v bng b - Chi ph bc s, iu tr chuyn khoa, y t - Chi ph chn on, xt nghim (CT, MRI ...) - Cc chi ph hp l v cn thit khc Chi ph iu tr trong vng 30 ngy trc khi nhp vin Chi ph iu tr trong vng 45 ngy sau khi xut vin Chi ph y t chm sc ti nh (ti a 15 ngy/nm) Phu thut (bao gm phu thut ngoi tr) Chi ph vn chuyn cp cu trong phm vi Vit nam

US$ 5,000/nm US$10,000/nm US$ 10,000/nm

US$ 10,000/nm US$20,000/nm US$20,000/nm

US$500/ngy

US$500/ngy

US$500/nm US$500/nm US$150/year n gii hn bi thng Tr theo chi ph thc t

US$1,000/nm US$1,000/nm US$150/year n gii hn bi thng Tr theo chi ph thc t US$5/ngy US$100 n gii hn bi thng

Tr cp mi ngy nm vin (n 60 ngy) Chi ph mai tng Thai sn ( loi tr khm nh k) a) Sanh kh b) Sanh thng (gm chi ph thuc, chi ph sinh thng, vin ph) iu kin m rng: I. Khm v iu tr ngoi tr do bnh tt Gii hn bi thng 1 nm Gii hn cho mt ln khm bnh S ln khm bnh trong nm Khm cha rng bao gm iu tr vim nu rng, trm rng (amalgam hoc composit), vim ty rng v nh rng h

US$5/ngy US$100 n gii hn bi thng

Gii hn US$ 500 US$50 15 ln/ngi/nm US$70 [ bao gm trong quyn li iu tr ngoi tr] US$20,000 US$ 312/ngi

Gii hn US$ 700 US$70 15 ln/ngi/nm US$70 [ bao gm trong quyn li iu tr ngoi tr] US$50,000 US$558/ngi

II. Vn chuyn cp cu trong Vit nam Ph hng nm Thi gian ch Bnh Bnh c sn v bnh c bit Thai sn Bin chng thai sn : : : :

30 ngy 365 ngy 270 ngy 90 ngy

Bnh c sn: L nhng bnh c t trc ngy bt u bo him v do bnh ny, Ngi c bo him: c iu tr trong vng 3 nm trc ngy bt u bo him, hoc Ngi c bo him, hoc ngi bnh thng trong tnh hung tng t nhn bit triu chng hoc s xut hin ca bnh ny t trc ngy bt u bo him.

AEGIS Company Limited, Unit 1503, 2A-4A Ton Duc Thang Street, District 1, Ho Chi Minh City, Vietnam. Tel: 84.8 827 5835 Fax: 84.8 821763 Email: enquiry@aegisrs.com

Bnh c bit: L cc bnh ung th, u bu cc loi, huyt p, tim mch (khng bao gm nhng ca cp tnh cn cu tr y t khn cp), vim lot d dy, vim a khp mn tnh, vim lot rut, vim gan, vim mng trong d con, tr, si cc loi trong h thng bi tit, lao phi, c nhn mt, vim xoang. iu khon m rng 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. iu khon t ng m rng thi hn bo him 30 ngy tnh ph ph iu khon t ng thm bt ngi (Cn c theo khai bo hng qu) iu khon v vic hy b hp ng trong vng 60 ngy iu khon m rng cho cc chi ph khm cha bnh ng y, vt l tr liu do bnh iu khon v tin t iu khon v ng c thc n v nc ung iu khon v khng tc iu khon v bnh ngh nghip iu khon v nh cng, bo lon v bo ng dn s iu khon v nhim c v nght th do khi thuc, kh c, kh gas iu khon v chuyn bay khng theo lch trnh iu khon v m st v git ngi v c

CNG TY CP BO HIM HNG KHNG CHI NHNH THNH PH H CH MINH

AEGIS Company Limited, Unit 1503, 2A-4A Ton Duc Thang Street, District 1, Ho Chi Minh City, Vietnam. Tel: 84.8 827 5835 Fax: 84.8 821763 Email: enquiry@aegisrs.com

DANH SCH NGI C BO HIM

Stt 1 2 3 4

H & Tn

Ngy sinh

S CMND

Ngy hiu lc

Ngy kt thc

Ph hng nm

Tng s ph