時刻在您身旁 portaprotection - hsbc hong kong ... ·...

8
滙安心 時刻在您身旁 PortaProtection stands beside you

Upload: nguyenmien

Post on 26-Jul-2018

265 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: 時刻在您身旁 PortaProtection - HSBC Hong Kong ... · 為您及摯愛提供隨身的健康保障 Portable health protection for you and your loved ones 「滙安心」是一項隨身的醫療保障計劃,即使您

滙安心時刻在您身旁

PortaProtectionstands beside you

Page 2: 時刻在您身旁 PortaProtection - HSBC Hong Kong ... · 為您及摯愛提供隨身的健康保障 Portable health protection for you and your loved ones 「滙安心」是一項隨身的醫療保障計劃,即使您

為您及摯愛提供隨身的健康保障Portable health protection for you and your loved ones

「滙安心」是一項隨身的醫療保障計劃,即使您將來轉工或退休,您和家人仍可繼續享有醫療保障。您亦可為自己及摯親增加額外的醫療保障。已參加本公司的團體醫療保障計劃至少連續12個月的現有成員,「滙安心」提供的保障將包括受保前已存在的有關疾病。不論您以後日子怎麼樣,身在何處,又或境況有何改變,甚至不幸長期患病,「滙安心」都會時刻在您身旁,給您支援和保障。

主要特色* Unique Features*• 終身保障 保證續保

Lifelong cover and guaranteed renewal您一旦參加了「滙安心」,不論您健康狀況如何,都享有每年續保的終身保證†。Once you have joined PortaProtection, you can enjoy a lifetime guarantee of annual renewal† irrespective of your health condition.

• 可由本公司的團體醫療保障計劃轉到「滙安心」Portability of membership from our group medical scheme to PortaProtection即使您轉換新工作,您不但可繼續享有這項隨身的醫療保障計劃,更可為您在新公司的團體醫療計劃之上,加添額外保障。When you move on to a new career, it allows you to continuously enjoy the medical coverage underthis portable plan and add extra coverage for yourself on top of your employer’s group medicalschemes.

• 承保受保前已存在的疾病Cover pre-existing conditions凡連續參加本公司的團體醫療保障計劃至少連續12個月的現有成員,其受保前已存在的疾病(任何列明於本公司的團體醫療保障計劃下有關現有成員的不受保項目除外)將可獲承保。Pre-existing conditions (except any exclusions relevant to existing members stated under theour Company’s group medical scheme) will be covered for any existing members who have beencontinuously insured under an our Company’s group medical scheme for at least 12 consecutivemonths.

• 無分地域 覆蓋全球Worldwide coverage without geographical limitation無論您身在何處,「滙安心」都伴隨您左右,全面照顧您。Wherever you are, PortaProtection will be there to take care of you.

其他主要保障包括 Additional Key Benefits include• 提供總額住院及手術保障選項

Choice of lump sum hospital and surgical benefits coverage• 門診保障涵蓋由註冊西醫提供的精神病治療

Out-patient benefits that cover mental illness treated by western registered medical practitioners• 免費額外總額保障涵蓋化療、放射治療或腎透析治療的住院或門診服務

Free additional lump sum coverage for either in-patient or out-patient treatment involving chemotherapy, radiotherapy or renal dialysis

* 詳情請參閱下頁之「參加資格」。Please refer to the Enrolment Guidelines on the next page for more information.

† 續保保費將因應續保時的年齡而決定。安盛保險有限公司保留權利隨時調整收費表。Renewal premium will be determined based on your age at the time of renewal. AXA General Insurance Hong Kong Limited reserves the right to adjust the premium table applicable from time to time.

PortaProtection is a portable medical scheme, which makes it easy for you and your dependants to continue enjoying medical benefits even when you change jobs or retire. With this plan, you can add extra coverage for yourself or your dependants. PortaProtection will cover relevant pre-existing conditions for any existing members who have been continuously insured under our group medical scheme for at least 12 consecutive months. No matter where life takes you or how your circumstances may change, PortaProtection will be there to support and protect you, even in the face of chronic long-term illness. Important Note: Applicants wishing to apply through HSBC must be an HSBC credit card/account holder.注意:申請人若透過滙豐投保必須為滙豐信用卡/戶口持有人。

Page 3: 時刻在您身旁 PortaProtection - HSBC Hong Kong ... · 為您及摯愛提供隨身的健康保障 Portable health protection for you and your loved ones 「滙安心」是一項隨身的醫療保障計劃,即使您

任何65歲以下及已參加本公司的團體醫療保障計劃的現有成員均可在以下情況參加「滙安心」:

• 參加本公司的團體醫療保障計劃時;或

• 該團體醫療保障計劃其後的保單周年日;或

• 當他們離職,而其於本公司的團體醫療保障計劃的會籍被終止時。

若申請人曾終止「滙安心」保單,申請將不會被接納。Any existing members who are under the age of 65 and are currently covered by our group medical scheme can apply for PortaProtection:

• when they join our group medical scheme; or

• at any subsequent policy anniversary date of our group medical scheme; or

• when they cease employment and their membership in our group medical scheme is being terminated.

Application will not be accepted if any applicant has cancelled PortaProtection policy previously.

「滙安心」保單生效日期必須為每月的第一日。如成員不是於某月的第一日參加本公司的團體醫療保障計劃,「滙安心」保單生效日期將為隨後一個月的第一日。同樣地,如成員於本公司的團體醫療保障計劃的最後受保日並非某月的最後一日,「滙安心」保單生效日期將為成員於本公司的團體醫療保障計劃的會籍被終止的該月的第一日,以確保保障得以持續。The effective date for PortaProtection must be the first day of a month. In the event that the member is not joining our group medical scheme on the first day of a month, the effective date for PortaProtection will be the first day of the following month. Likewise, if the member’s last day of coverage in our group medical scheme is not the last day of a month, the effective date for PortaProtection will be the first day of the month in which the membership is terminated in our group medical scheme in order to ensure continuous coverage.

如您在「滙安心」保障生效當日正在住院,「滙安心」的保障將會在您出院後首日開始生效。 If you happen to be hospitalised on the day your benefit would otherwise become effective, your PortaProtection benefits will commence on the first day after you are discharged from the hospital.

現有成員不需經由核保部審批。凡參加本公司的團體醫療保障計劃至少連續12個月的現有成員,其受保前已存在的疾病(任何列明於本公司的團體醫療保障計劃下有關現有成員的不受保項目除外)將可獲承保。No underwriting is required for existing members. Pre-existing conditions (except any exclusions relevant to existing members stated under our group medical scheme) will be taken over for any existing members who have been continuously insured under our group medical scheme for at least 12 consecutive months.

本公司的團體醫療保障計劃內現有成員的近親家屬可參加此項醫療保障計劃。近親家屬包括現有成員的配偶和子女、父親、母親,兄弟和姊妹。近親家屬必須滿15日,但年齡在65歲以下,而其申請必須在現有成員於本公司的團體醫療保障計劃內的會籍仍生效時作出。Immediate families of the existing members of our group medical scheme may also apply for this medical scheme. Immediate families include the existing members’ spouse and child(ren), father, mother, brother and sister. Immediate families must reach 15 days’ old and under the age of 65, and their applications must be made when the existing members are still in active membership under our group medical scheme.

近親家屬必須填寫健康申報表,並經由核保部審批,並可能附加不受保項目。Health declaration is required for immediate families and subject to underwriting approval. Exclusions may be applied.

所有申請必須於「滙安心」保障預計生效日期之前的30日內提交。All applications should be submitted within 30 days prior to the intended effective date of coverage for PortaProtection.

為確保您和摯親都享有周全的醫療保障,請即登記參加「滙安心」!Ensure you and your loved ones always enjoy the comprehensive medical protection.Enrol in PortaProtection today!

詳情請致電客戶服務中心2519 1280查詢,或瀏覽我們的網頁 For more details, please call our Client Servicing Centre on 2519 1280 or visit our commercial banking website

參加資格 Enrolment GuidelinesImportant Note: Applicants wishing to apply through HSBC must be an HSBC credit card/account holder.注意:申請人若透過滙豐投保必須為滙豐信用卡/戶口持有人。

Page 4: 時刻在您身旁 PortaProtection - HSBC Hong Kong ... · 為您及摯愛提供隨身的健康保障 Portable health protection for you and your loved ones 「滙安心」是一項隨身的醫療保障計劃,即使您

傳統住院及手術保障(必選項目)Traditional Hospital and Surgical Benefits (Mandatory)

保障範圍 Summary of Benefits

每名受保人的最高賠償限額 (港元)Maximum Limit

per Insured Person (HK$)

計劃 1Plan 1

計劃 2Plan 2

計劃 3Plan 3

(1) 病房及普通護理費每日最高賠償限額每症最高可達日數

Room and General Nursing Care Daily limitMaximum days per disability

700100

1,750100

3,500100

(2) 膳食費‡

每日最高賠償限額每症最高可達日數

Meal Allowance‡

Daily limitMaximum days per disability

200100

250100

300100

(3) 深切治療費每症最高賠償限額

Intensive CareMaximum limit per disability 14,000 28,000 42,000

(4) 住院醫生診療費(非手術性的治療)每日最高賠償限額每症最高可達日數

In-patient Physician’s Fees (non-surgical)Daily limitMaximum days per disability

700 100

1,750100

3,500100

(5) 醫療服務費

每年最高賠償限額

Hospital Services Charge(excluding advanced diagnostic imaging test)Maximum limit per year 15,000 30,000 45,000

(6) 住院專科醫生費每症最高賠償限額

In-patient Specialist’s FeesMaximum limit per disability 7,000 17,500 35,000

(7) 手術費(包括醫生巡房費)每症最高賠償限額• 繁複手術(包括診所進行手術)§ • 大型手術(包括診所進行手術)§

• 中型手術(包括診所進行手術)§ • 小型手術

Surgical Fees (including ward attendance fees) Maximum limit per disability• Complex (including clinical operation)§

• Major (including clinical operation)§

• Intermediate (including clinical operation)§

• Minor

50,00025,00012,5006,250

75,00037,50018,7509,375

100,00050,00025,00012,500

(8) 麻醉科醫生費每症最高賠償限額• 繁複手術• 大型手術• 中型手術• 小型手術

Anaesthetist’s FeesMaximum limit per disability• Complex• Major• Intermediate• Minor

15,0007,5003,7501,875

22,50011,2505,6252,813

30,00015,000

7,5003,750

(9) 手術室費每症最高賠償限額• 繁複手術• 大型手術• 中型手術• 小型手術

Operating Theatre ChargeMaximum limit per disability• Complex• Major• Intermediate• Minor

15,0007,5003,7501,875

22,50011,2505,6252,813

30,00015,000

7,5003,750

(10) 手術後診症

病理學上的檢驗) 每症最高賠償限額

Post-operative Consultation(after discharge from hospital including diagnostic/pathology exam)Maximum limit per disability 2,500 3,750 5,000

(11) 額外診所進行的小型手術§

每症最高賠償限額

Additional Minor Clinical Operation at Doctor’s Clinic§

Maximum limit per disability 6,250 9,375 12,500

(12) 先進診斷掃描

• 磁力共振造影• 電腦斷層掃描• 正電子釋放斷層掃描每症最高賠償限額

Advanced Diagnostic Imaging Test(including test performed in out-patient settings)• Magnetic Resonance Imaging• Computerised Tomography Scan• Positron Emission Tomography ScanMaximum limit per disability 5,000 7,500 10,000

‡ 膳食費以每日計算,不能作累積計算。Meal allowance is counted on a daily basis and cannot be accumulated.§ 診所進行的手術包括進行手術當日及手術後治療的所有有關門診及藥物治療的費用。

Clinical operation includes all related consultation and medication incurred on the date of operation and post-operative therapy.

(不包括先進診斷掃描)

(包括出院後診斷性�

(包括在門診進行)

Page 5: 時刻在您身旁 PortaProtection - HSBC Hong Kong ... · 為您及摯愛提供隨身的健康保障 Portable health protection for you and your loved ones 「滙安心」是一項隨身的醫療保障計劃,即使您

總額住院及手術保障(必選項目)Lump Sum Hospital and Surgical Benefits (Mandatory)

保障範圍 Summary of Benefits

每名受保人的最高賠償限額 (港元)Maximum Limit per Insured Person (HK$)

計劃 4Plan 4

計劃 5Plan 5

計劃 6Plan 6

病房類別

由(1)至(12)項目的每年最高賠償限額(不設每項限額)賠償百分率

Room Type Entitlement

Maximum limit per year for items (1) to (12) (no item limit is applied)Reimbursement %

普通房Ward

150,00080%

雙人房Semi-private

300,00080%

私家房Private

600,00080%

計劃 7Plan 7

計劃 8Plan 8

計劃 9Plan 9

病房類別

由(1)至(12)項目的每年最高賠償限額(不設每項限額)賠償百分率

Room Type Entitlement

Maximum limit per year for items (1) to (12) (no item limit is applied)Reimbursement %

普通房Ward

150,000 90%

雙人房Semi-private

300,00090%

私家房Private

600,00090%

如住院病房等級超出受保人所屬病房類別,將根據以下百分率作出賠償:The amount payable will be paid in the following percentages if the incurred room type is higher than insured person’s entitlement:

計劃所屬病房類別Room type entitlement

接受治療所屬病房類別Received treatment in

賠償百分率 Reimbursement %

普通房 Ward 雙人房 Semi-private 50%

普通房 Ward 私家房 Private 25%

雙人房 Semi-private 私家房 Private 50%

免費附加的癌症�透析治療Free Top Up Cancer/Dialysis Treatment

化療�放射治療�腎透析治療Chemotherapy/Radiotherapy/Renal Dialysis Treatment適用於住院¶ 和門診¶

Apply to in-patient¶ and out-patient settings¶

每名受保人的最高賠償限額 (港元)Maximum Limit per Insured Person (HK$)

計劃 1Plan 1

計劃 2Plan 2

計劃 3Plan 3

計劃 4Plan 4

計劃 5Plan 5

每症最高賠償限額賠償百分率

Maximum limit per disabilityReimbursement %

100,00080%

200,00080%

300,00080%

100,00080%

200,00080%

計劃 6Plan 6

計劃 7Plan 7

計劃 8Plan 8

計劃 9Plan 9

每症最高賠償限額賠償百分率

Maximum limit per disabilityReimbursement %

300,00080%

100,00090%

200,00090%

300,00090%

¶ 須於必選項目的「住院及手術保障」限額耗盡後才適用。 Applicable after the limit of ‘Hospital and Surgical Benefits’ under the mandatory plan is exhausted.

Page 6: 時刻在您身旁 PortaProtection - HSBC Hong Kong ... · 為您及摯愛提供隨身的健康保障 Portable health protection for you and your loved ones 「滙安心」是一項隨身的醫療保障計劃,即使您

門診保障(自選項目) Out-patient Benefits (Optional)

保障範圍 Summary of Benefits

每名受保人的最高賠償限額 (港元)Maximum Limit

per Insured Person (HK$)

計劃 1Plan 1

計劃 2Plan 2

計劃 3Plan 3

計劃 4Plan 4

(1) 普通科醫生門診

每次最高賠償限額1至10次內每次賠償百分率第10次以後每次賠償百分率

General Medical Practitioner(including western medication) Maximum limit per visitReimbursement % per visit between 1 and 10 visitsReimbursement % per visit after the tenth visit

15080%60%

20080%60%

30080%60%

35080%60%

(2) 專科醫生門診**

每次最高賠償限額 每年最高次數1至5次內每次賠償百分率第5次以後每次賠償百分率

Specialist**(including western medication)Maximum limit per visitMaximum visits per yearReimbursement % per visit between 1 and 5 visitsReimbursement % per visit after the fifth visit

38010

80%60%

50010

80%60%

75010

80%60%

85010

80%60%

(3) 物理治療**�脊骨療法** 每次最高賠償限額每年最高次數1至8次內每次賠償百分率第8次以後每次賠償百分率

Physiotherapy**/Chiropractic Treatment**Maximum limit per visitMaximum visits per yearReimbursement % per visit between 1 and 8 visits Reimbursement % per visit after the eighth visit

22020

80%60%

26020

80%60%

38020

80%60%

42020

80%60%

(4) 註冊中醫門診

每次最高賠償限額每年最高次數每次賠償百分率

Registered Chinese Medicine Practitioner(including Chinese medicine)Maximum limit per visitMaximum visits per yearReimbursement % per visit

15010

80%

20010

80%

30010

80%

35020

80%

(5) 精神病††�情緒失調門診††

每年最高賠償限額每次賠償百分率

Consultation for Mental Illness†† and Emotional Disorder††

(including western medication)Maximum limit per yearReimbursement % per visit

2,500 80%

3,00080%

4,00080%

5,00080%

(6) X光診斷及化驗** 每年最高賠償限額每次賠償百分率

Diagnostic X-Ray and Laboratory Test** Maximum limit per yearReimbursement % per visit

3,000 80%

3,00080%

4,00080%

4,00080%

(7) 長期處方西藥**於註冊藥房購買(醫生及醫院診所以外)每年最高賠償限額每次賠償百分率

Long Term Western Medication**From licensed medical dispensary (other than doctor’s and hospital’s clinic)Maximum limit per yearReimbursement % per visit

3,00080%

3,00080%

4,00080%

5,00080%

(1) + (2) + (3) + (4) = 每保單年度最多50次 Maximum 50 visits per policy year

** 需有普通科西醫轉介信。 Referral letter from a general medical practitioner is required.†† 門診服務必須為註冊西醫所提供。 Consultation must be rendered by a western registered medical practitioner.

(包括西藥費)

(包括西藥費)

(包括中藥費)

(包括西藥費)

Page 7: 時刻在您身旁 PortaProtection - HSBC Hong Kong ... · 為您及摯愛提供隨身的健康保障 Portable health protection for you and your loved ones 「滙安心」是一項隨身的醫療保障計劃,即使您

保費表‡‡

Premium Table‡‡

每名受保人每年保費(港元)Annual Premium per Insured Person (HK$)住院及手術保障§§

Hospital and Surgical Benefits§§

計劃 1Plan 1

計劃 2Plan 2

計劃 3Plan 3

計劃 4Plan 4

計劃 5Plan 5

計劃 6Plan 6

計劃 7Plan 7

計劃 8Plan 8

計劃 9Plan 9

年齡組別 Age Group

0 - 1920 - 2930 - 3940 - 4950 - 5960 - 64 65 - 69¶¶

≥ 70¶¶

1,5011,6852,1712,2573,1104,5685,778

11,804

2,4082,7223,5423,6835,1307,6039,655

19,861

3,4563,9105,1195,3247,452

11,09214,11629,128

1,0581,1771,5011,5552,1283,0893,8997,895

1,9332,1712,8082,9274,0615,9947,592

15,584

3,6614,1475,4325,6487,927

11,79415,00130,985

1,1121,2311,5771,6312,2363,2514,1048,316

2,0202,2792,9593,0784,2776,3188,014

16,448

3,8564,3745,7245,9628,348

12,43115,82232,692

門診保障(自選項目)Clinical/Out-patient Benefits (Optional)

計劃 1Plan 1

計劃 2Plan 2

計劃 3Plan 3

計劃 4Plan 4

年齡組別 Age Group

0 - 1920 - 2930 - 3940 - 4950 - 5960 - 6465 - 69¶¶

≥ 70¶¶

3,2723,1213,1213,1213,1213,5423,8234,784

3,9103,7263,7263,7263,7264,2344,5585,724

5,5515,2925,2925,2925,2926,0056,4698,122

6,2215,9295,9295,9295,9296,7187,2479,094

每名受保人每月保費(港元)Monthly Premium per Insured Person (HK$)住院及手術保障§§

Hospital and Surgical Benefits§§

計劃 1Plan 1

計劃 2Plan 2

計劃 3Plan 3

計劃 4Plan 4

計劃 5Plan 5

計劃 6Plan 6

計劃 7Plan 7

計劃 8Plan 8

計劃 9Plan 9

年齡組別 Age Group0 - 19

20 - 2930 - 3940 - 4950 - 5960 - 6465 - 69¶¶

≥ 70¶¶

139156201209288423535

1,093

223252328341475704894

1,839

320362474493690

1,0271,3072,697

98109139144197286361731

179201260271376555703

1,443

339384503523734

1,0921,3892,869

103114146151207301380770

187211274285396585742

1,523

357405530552773

1,1511,4653,027

門診保障(自選項目)Clinical/Out-patient Benefits (Optional)

計劃 1Plan 1

計劃 2Plan 2

計劃 3Plan 3

計劃 4Plan 4

年齡組別 Age Group0 - 19

20 - 2930 - 3940 - 4950 - 5960 - 6465 - 69¶¶

≥ 70¶¶

303289289289289328354443

362345345345345392422530

514490490490490556599752

576549549549549622671842

‡‡ 安盛保險有限公司保留權利隨時調整收費表。 AXA General Insurance Hong Kong Limited reserves the right to adjust the premium table applicable from time to time.

§§ 包括附加的癌症�透析治療。 Including top up cancer/dialysis treatment.¶¶ 只適用於保單續保。 Applicable to policy renewal only.注意: Note:

如保單於保單周年日自然屆滿前終止或取消,保費(全部或部分)將不會被退回。 No premium (in full or in proportional) will be refunded for termination or cancellation of policy before the natural expiry of the policy anniversary date.

Page 8: 時刻在您身旁 PortaProtection - HSBC Hong Kong ... · 為您及摯愛提供隨身的健康保障 Portable health protection for you and your loved ones 「滙安心」是一項隨身的醫療保障計劃,即使您

由安盛保險有限公司刊發Issued by AXA General Insurance Hong Kong Limited P

P v

07/S

EP

2014

A以上保單由安盛保險有限公司(「安盛」)承保,安盛已獲香港保險業監理專員授權並受其監管。安盛將負責按保單條款為您提供保險保障以及處理索償申請。香港上海滙豐銀行有限公司乃根據保險公司條例(香港法例第41章)註冊為安盛於香港特別行政區分銷一般保險產品之授權保險代理商。The above policy is underwritten by AXA General Insurance Hong Kong Limited (“AXA”), which is authorised and regulated by the Commissioner of Insurance of the Hong Kong SAR. AXA will be responsible for providing your insurance coverage and handling claims under your policy. The Hongkong and Shanghai Banking Corporation Limited is registered in accordance with the Insurance Companies Ordinance (Cap. 41 of the Laws of Hong Kong) as an insurance agent of AXA for distribution of general insurance products in the Hong Kong SAR.