三峡大学英文网

REGULATIONS
Guideline for Insurance Claim of International Student
Release date:2021-09-06 14:34:03   publisher:   office viewed:

Time:

Weekdays, 8:30am-12:00am; 13:30pm-17:30pm

 

Documents Needed:

Passport Copy;

Student Card Copy or other Identification Papers;

Insurance Sheet Copy;

Application for Insurance Claims (with the signature and stamp of the college);

Original Invoice and List of Fees and Charges;

Diagnosis Certificate (original), Discharge Summary (original), Medical Records (original), Inspection and Analysis Report (copy ) from the hospital;

Patient Diary (Records of Doctor’s Advice);

Bank Card No.

Special Additional Documents:

If the accident happens to the student, the student is required to provide accident proof, such as the Road Traffic Accident Certificate, Criminal Identification Certificate, etc.

If the student is accidentally disabled, the student is required to provide Disability Identification Certificate issued by identification institutions, which shall be approved by the insurance company.

The original invoice of nursing fees during hospitalization or the application of nursing fees issued by the university is needed.

If the student accepts the ambulatory treatment and emergency treatment, the student is required to provide the visa copy.

If the student is accidentally dead, the medical death certificate or a death certificate issued by the ministry of public security, the beneficiary relationship certificate and the ID photocopy of the student’s relatives are needed.

If the repatriation service of remains is required, the unit certificate of the student and the relevant reasonable invoice are required. The international round trip air tickets copies of maximum two family members are also included in the claims.

 

Case Report & Enquiry:

Yichang Gezhouba Branch, PICC (People's Insurance Company of China):

0717-6737992; Mr. Tian Xiaolong: 15572766669.

 

Insurance Coverage:

Fees of ambulatory treatment, emergency treatment & hospitalization;

Compensations of accidental injury and death;

 

Process:

Report the accident or disease case to the insurance company and your college at the earliest possible time (within 48 hours) after it happens;

Collect all the documents needed at your earliest time;

The Insurance collect the information from the hospital and the doctor;

Submit all documents needed and apply for the insurance claims;

Wait for the result for at least one week and check your claim amount of bank account;

 

Tips:

Report your accident or disease case at the earliest possible time (within 48 hours) after it happens.

The insurance claim of ambulatory treatments starts from RMB 2000 Yuan. The ambulatory treatment that charges less than RMB 2000 Yuan will not be included in this insurance. The maximum amount of one day claims is RMB 600 Yuan.

The medical expenses cause by some specific situations will not included into the insurance claims, such as intentional injury, plastic surgery, driving without a driving license, HIV/AIDS and STDS and anamnesis. And the treatment of diseases having been diagnosed and confirmed before buying the insurance, including heart disease, tuberculosis, chronic liver disease, etc., will not included in the insurance claims.

The hospital that received the patients should be in the list of Yichang Public Hospital, such as Yichang Central Hospital(宜昌市中心医院), The First People’s Hospital of Yichang(宜昌市第一人民医院), The Second People's Hospital of Yichang(宜昌市第二人民医院), the affiliated hospitals of CTGU(三峡大学附属医院). The student can enquire about the detailed list from the college.

Keep all the original documents issued by the hospital properly.

 

 


留学生保险赔付须知

1\保险办理时间:工作日时间830-1200 1330-1730

2、保险赔付所需材料:

被保险人护照复印件;

学院出具的学生的学生证等关系证明复印件;

保险单复印件;

赔付申请(需学院学工办老师签字并加盖学院学工办公章);

原始发票及费用明细清单;

医院诊断证明、出院小结原件、病历及检查、化验报告复印件;

住院日志(住院医院医生的医嘱记录);

学生个人校园卡卡号。

特殊附加资料:

发生意外事故的需提供事故证明(如道路交通事故认定书或刑事鉴定证明书等);

被保险人伤残的需提供伤残鉴定证明(保险公司认可的鉴定机构残疾程度认定书);

住院治疗时需护工费发票原件或学校开具的护工费申请;

门急诊治疗的还需提供签证页复印件;

发生死亡的需提供医学死亡证明或公安部出具的死亡证明、受益人关系证明及亲属的身份证复印件;

遗体遣送需提供被保险人单位证明,与善后处理有关合理的发票,国际往返机票可使用复印件(限两名家属)。

 

3、保险报案及咨询电话:

中国人民财产保险公司宜昌葛洲坝分公司:0717-6737992;田小龙15572766669

 

保费涵盖内容:门急诊住院费、意外伤害死亡补偿金。

 

5、保险受理流程:

凡发生疾病或意外事故,需要在48小时内出险报案;

尽快收集整理所需材料;

保险公司派人收集材料;

递交相关材料申请理赔;

等待理赔结果,至少一周,检查银行账号,查收理赔金额;

 

注意事项:

凡发生疾病或意外事故,需要在48小时内出险报案;

门、急诊疾病医疗2000元起付线,报销比例85%,日限额600元;住院医疗都能上报。其中门、急诊限额20000元,意外伤害20000元,身故、残疾100000元。

一些情形造成的医疗费用支出,保险公司是不给付保险金的,例如故意伤害,整形,无证驾驶,爱滋病及性病以及既往症(投保前已明确诊断为已有疾病就诊的:含心脏病、结核病、慢性肝病等)。

建议前往市内的公立医院就诊,例如宜昌市中心医院、宜昌市第一、第二人民医院、三峡大学附属医院等,如果不清楚可以向主管老师咨询,医疗费用可以按正常报销。

治疗结束后,需要准备理赔资料:护照复印件、学生证复印件、银行柜台开具的银行卡帐号信息及医院提供的费用发票、清单、病历、诊断证明等材料;材料准备齐全后,保险公司可及时赔付。

 




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