PROCEDURE OF INSURANCE CLAIM
PROCEDURE OF INSURANCE CLAIM
时间:2019-04-02    栏目:留学生招生

If you want to learnabout the services of settlement of claim, please read following guidecarefully.

1Procedures for insurance claims:

Standard procedures of insurance claimsafter occurrence of insurance accident:

1. Please call directly 4008105119 EXT 1for medical consultation due to disease or accident. The rescue doctor willconsult, diagnose, and provide medical guidance and precautions for insuranceclaim. After consulting diagnosis and outpatient treatment, if the doctorconfirms that further hospitalization is required, the insured can apply foradvanced payment of medical expense for hospitalization to the rescue company.After communication and confirmation of the rescue company and hospital, itwill be decided whether the advanced payment procedures shall be started. Ifthe insured is directly hospitalized without consulting, diagnosis andrecording of doctor of the rescue company and outpatient treatment (includingthose whose conditions do not meet the requirements of hospitalization butrequire the outpatient doctor to agree with hospitalization), the rescuecompany 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 withthe following contact information

Telephone number for claim consultationand reporting: 4008105119 EXT 1. You can call 010-67185217 in the areas withouttelephone number beginning with 400.

You cannot get compensated withoutreporting through the 400 call or following the standard procedures.

2Document to be presented for settlementof claims:

Please offer yourbank account information including the opening branch name, account name andaccount number for reimbursement. 

1).One-year term life insurance

A Copy of passport and visa page of theInsured

B Disability certificate when theInsured is disabled (an evaluation report shall be issued by the assignedevaluation body)

C Death certificate of the Insured

D Certificate of relationship betweenthe Insured and all the beneficiaries, and copy of identification proof of thebeneficiaries

E Certificate of accident, in case of anaccident (in case of traffic accident, the traffic unit should issue aliability confirmation of traffic accident)

 

2).Medical treatment for accidentalinjuries

A Copy of passport and visa page of theInsured

B Course and certificate of accident (incase of traffic accident, the traffic unit should issue a liabilityconfirmation of traffic accident)

C Original of receipt

D Medical record, detailed expendituresheet and copy of examination report and laboratory test report of eachrespective treatment (date of examination and date of invoice shall becorresponding).

 

3).Medical treatment for outpatient andemergency

A Copy of passport and visa page of theInsured

B Original of receipt

C Medical record, detailed expendituresheet and copy of examination report and laboratory test report of eachrespective treatment (date of examination and date of invoice shall becorresponding).

If the fees have exceeded the minimumpayment line of RMB650 Yuan, then the medical record, detailed expendituresheet and copy of examination report and laboratory test report of treatmentthat costs below 650 Yuan are also required to be presented.

 

4).Hospitalization

A Copy of passport and visa page of theInsured

B Certificate of accident, in case of anaccident (in case of traffic accident, the traffic unit should issue aliability confirmation of traffic accident)

C Original of receipt and detailedexpenditure sheet for hospitalization

D Copy of hospital discharge summary ormedical record of hospitalization

 

Special instructions to item 2) to item4) above:

(1) Besides, the Insured’s bank accountopened in the mainland of China and accurate information (account No. name,opening bank information), which can be obtained from copy of deposit book andbank costumer table, in relation to the account must be attached to the claimsettling documents for each request for compensation; (For details, please call4008105119 EXT 1 )

(2). Where in one insured incident, theInsured has to be treated in two or more hospitals, relevant documents such asdiagnosis certificate and medical record from relevant hospitals shall bepresented.

(3). Hospitals for treatment shall belimited to the public hospitals within the territory of the Chinese mainland,and requested items and expenses that can be reimbursed should in accordancewith the scope of local regulations of social basic medical insurance.

5). Application for nursing fee

Original Invoices of nursing fee issuedby hospital or by nursing service company.

 

Please send the scan-copies all the requireddocuments to the program coordinator of UCAS, Lily Wang wangshuolei@ucas.ac.cn, and mail the hardcopies to the following address:

Materials for claims settlement sent to 北京市西城区金融街23号平安大厦9层(邮编100033)

Addressee: 来华项目组

Please Dial: 4008105119-1


This program is an insurance product mix

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This material is for your information; the final right ofinterpretation of the above content belongs to Ping An Annuity InsuranceCompany, Ltd.

Chinese explanationprevails in case of contradiction arising out of the aforementioned contents.


Settlement of claims, or get more informations, please click on Download for more information:

APPLICATION FORM FOR CLAIM OF PINGAN HEALTH INSURANCE

Procedure of Insurance Claim

Ping An Insurance Coverage

Common Q&A on Ping An Insurance

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