2. 经保险业监督管理机构批准设立,并依法登记注册的财产保险公司;
3. 营业执照的经营范围涵盖本项目招标采购内容;
4. 具有在本市开展相关保险业务资格;
7. 本项目不接受联合体投标,但接受有资质的保险经纪人公司代替符合上述资质的保险公司竞标。
(1)基本保障计划 |
Benefit Item 保障内容 | 保障计划 |
Coverage(RMB) 保额(元) |
Accident Death and Disability意外身故及重残 | Accident Death 意外身故 | 1. 100% reimbursement rate 1.意外身故按100%比例赔付; | 200,000 |
Accident Disability 意外残疾 | 2. reimbursed rate is according to disability level 2.意外残疾按伤残等级及比例赔付 |
3. 24 hours globally 3.全球24小时 |
Medical 医疗 | Inpatient 住院 | 1. Inpatient medical cost caused by accident or illness 1.住院:因意外或疾病而发生的住院医疗费用 | 20,000 |
1.1 Within social insurance coverage: 70% reimbursement rate 1.1社保范围:70%给付 |
1.2 Daily Room and Borad: accord to social insurance level 1.2住院床位费日限额:参照社保标准 |
1.3 Deductible: 100/visit 1.3. 次免赔额:100元 |
Outpatient 门诊 | 2. Outpatient medical cost caused by accident or illness 2.门诊:因意外或疾病而发生的门诊医疗费用 | 10,000 100% Reimbursement Rate 100%给付 |
2.1 Within social insurance coverage: 100% reimbursement rate(including outpatient surgery and day-patient 2.1社保范围:100%给付(包括门诊手术和留院观察费) |
2.2 Deductible: Nil 2.2 次/年免赔额:0 |
Dental 牙科 | 3. Dental treatment (cleaning, implant, prosthesis, filling, Porcelain teeth are all excluded) 3..牙科疾病(因任何原因所致的洗牙、洁齿、种植牙、牙移植、义齿修复(包括桩牙、套冠、安装义齿)、镶牙、牙体缺损修复、烤瓷牙等发生的医疗费用为除外责任) | 400 |
Coverage Area 保障区域 | Mainland China 中国大陆地区 |
Critical Illness 重大疾病 | 18 kinds of critical illness 18种基本重大疾病 | 1.重疾种类及是否有生存期 | To Be Confirmed 待确认 |
2. 100% reimbursement rate 2.重大疾病按100%比例赔付 | 40,000 |
3. 24 hours globally 3.全球24小时 |
(2)子女保障计划(自选项目) |
Benefit Item 保障内容 | Plan Details/Copayment 责任简述/赔付比例/免赔 | 保障计划 |
Coverage(RMB) 保额(元) |
Medical 医疗 | Inpatient 住院 | 1. Inpatient medical cost caused by accident or illness 1.住院:因意外或疾病而发生的住院医疗费用 | 10,000 50% Reimbursement Rate, Nil deductible (50%给付,无免赔额) |
1.1 Within social insurance coverage: 50% reimbursement rate 1.1社保范围:50%给付 |
1.2 Daily Room and Borad: accord to social insurance level 1.2住院床位费日限额:参照社保标准 |
1.3 Deductible: Nil 1.3. 次免赔额:0 |
门诊 | 2. Outpatient medical cost caused by accident or illness 2.门诊:因意外或疾病而发生的门诊医疗费用 |
2.1 Within social insurance coverage: 50% reimbursement rate(including outpatient surgery and day-patient 2.1社保范围:50%给付(包括门诊手术和留院观察费) |
2.2 Deductible: Nil 2.2 次/年免赔额:0 |
Dental 牙科 | 3. Dental treatment (cleaning, implant, prosthesis, filling, Porcelain teeth are all excluded) 3..牙科疾病(因任何原因所致的洗牙、洁齿、种植牙、牙移植、义齿修复(包括桩牙、套冠、安装义齿)、镶牙、牙体缺损修复、烤瓷牙等发生的医疗费用为除外责任) |
Coverage Area 保障区域 | Mainland China 中国大陆地区 |
(3)配偶保障计划(自选项目) |
Benefit Item 保障内容 | Plan Details/Co-payment 责任简述/赔付比例/免赔 | 保障计划 |
Coverage(RMB) 保额(元) |
Accident Death and Disability意外身故及重残 | Accident Death 意外身故 | 1. 100% reimbursement rate 1.意外身故按100%比例赔付; | 100,000 |
Accident Disability 意外残疾 | 2. reimbursed rate is according to disability level 2.意外残疾按伤残等级及比例赔付 |
3. 24 hours globally 3.全球24小时 |
Medical 医疗 | Inpatient 住院 | 1. Inpatient medical cost caused by accident or illness 1.住院:因意外或疾病而发生的住院医疗费用 | 20,000 |
1.1 Within social insurance coverage: 70% reimbursement rate 1.1社保范围:70%给付 |
1.2 Daily Room and Borad: accord to social insurance level 1.2住院床位费日限额:参照社保标准 |
1.3 Deductible: 100/visit 1.3. 次免赔额:100元 |
Outpatient 门诊 | 2. Outpatient medical cost caused by accident or illness 2.门诊:因意外或疾病而发生的门诊医疗费用 | 10,000 |
2.1 Within social insurance coverage: 95% reimbursement rate(including outpatient surgery and day-patient 2.1社保范围:95%给付(包括门诊手术和留院观察费) |
2.2 Deductible: Nil 2.2 次/年免赔额:0 |
Coverage Area 保障区域 | Mainland China 中国大陆地区 |