1、100种重大疾病保险金 30万
重大疾病包括恶性肿瘤、急性心肌梗塞、终末期肾病等100种。在等待期(90天,意外伤害事故无等待期)后,经中华人民共和国境内(不包括香港、澳门、台湾地区)二级及以上公立医院确诊初次患有本合同约定的重大疾病,按照保单约定给付重大疾病保险金,同时本合同终止。
2、30种轻症疾病保险金 6万
轻症疾病包括冠状动脉介入手术、 轻度中风后遗症等30种。在等待期后(90天,意外伤害事故无等待期),经中华人民共和国(不包括香港、澳门、台湾地区)医院的专科医生初次确诊罹患本合同约定的轻症疾病,按照保单约定给付轻症疾病保险金,同时轻症责任终止。对于已符合重大疾病保险金给付条件的, 仅给付重大疾病保险金, 不再给付轻症保险金。
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发生保险事故后,众惠财产相互保险社将为您提供“365天╳24小时”报案渠道(工作日人工接听服务不少于8小时)。请参考以下流程申请理赔:
一、报案:
(1)拨打客服热线400-919-0505进行报案;
二、提供理赔材料
1、准备材料:
登录众惠官网(www.pubmi.cn),下载理赔申请书并填写。
(1)申请书上必须有被保险人签名(黑色水笔);
(2)下载路径:众惠官网→客户服务专区→资料下载→理赔申请书-个人意外健康险(2019版);
(3)根据保险条款规定提供理赔所需材料,通常包括但不限于身份证明;确认保险事故的性质、原因、损失程度等有关的其他证明和资料。
详细参考条款中“保险金申请与给付”部分。
2、提供理赔资料
将理赔申请书及理赔所需资料邮寄到(邮费由您负担):
北京市东城区安德里北街甲17号二层 众惠财产相互保险社 客服部收(理赔申请)
温馨提示:为避免邮件丢失等,建议您复印留存一份理赔资料,并保留快递单。
三、保险公司审核并理赔
1、保险公司审核
(1)我社收到被保险人或受益人完整的理赔申请书及有关证明和材料后,及时就是否属于保险责任做出核定;情况复杂的,我社将在30日内做出核定。
(2)对属于保险责任且理赔资料齐全的,我社在与保险金申请人达成有关给付保险金数额的协议后10日内履行给付保险金义务。
2、赔款支付
本社将理赔款支付给被保险人指定的本人账户或受益人指定本人账户。
理赔案例
案例一:
余先生,38岁,有社保。2020年2月购买了轻松保·重疾险。
2020年7月余先生感觉身体不适,前往当地医院就诊,确诊为肺癌,进行住院治疗。余先生拨打众惠相互客服电话400-919-0505进行报案,申请重大疾病理赔并提交相关病例记录和检查报告。经众惠审核符合重大疾病赔付条件,一次性赔付30万元理赔金。
赔付
余先生因罹患肺癌,符合重大疾病赔付条件,众惠一次性赔付30万元理赔金。
案例二:
李女士,52岁,有社保。2020年3月购买轻松保·重疾险。
李女士因发现乳房肿物,于2020年6月前往医院就诊,确诊为乳腺癌。
之后李女士拨打众惠相互客服电话400-919-0505进行报案,申请重大疾病理赔并提供相关病例记录和检查报告。
经众惠审核符合重大疾病赔付条件,一次性赔付30万元理赔金。
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投保前已经生病可以投保吗?"},{"answer":"被保险人因初次罹患重大疾病发生理赔,将不再续保。本产品最高可续保至被保险人100周岁;若被保险人超过100周岁或因监管规定等其他原因统一停售将不再接受续保申请。","question":"6. 曾经理赔过还可以续保吗?"},{"answer":"医院是指在中华人民共和国境内(不包括香港、澳门、台湾地区)经中华人民共和国卫生部门评审确定的二级或二级以上的公立医院,但不包括主要作为诊所、康复、护理、休养、静养、戒酒、戒毒等或类似的医疗机构。经医院确诊,被保险人初次罹患本产品约定的疾病,即可获得约定的保险金。","question":"7. 对医院选择有限制吗?"},{"answer":"本产品保险金受益人为被保险人本人,无法进行变更。","question":"8. 受益人是否可以变更?"},{"answer":"本产品为您提供电子形式保单,根据《中华人民共和国合同法》第十一条规定,数据电文是合法的合同表现形式,电子保单和纸质保单具有同等法律效力。","question":"9. 电子保单靠谱吗?"},{"answer":"本产品承保的人群仅限《众惠财产相互保险社职业分类表》1-4类的职业。职业类别不明请咨询400-919-0505。","question":"10. 怎么查看自己的职业是不是符合要求?"}],"title":"常见问题"},"index":9,"src":"ComQuestionNew","template_bg":null,"box_style":null,"theme_id":null,"theme_name":null,"title":null,"banner":null,"banner_src":null,"theme":null,"lists":null,"submitname":null,"tempalte_name":null,"template_name":"ComQuestionNew"},{"attr":{"theme":{"selectedBg":"","selectedColor":""}},"index":10,"src":"InsureCard","template_bg":null,"box_style":null,"theme_id":null,"theme_name":null,"title":null,"banner":null,"banner_src":null,"theme":null,"lists":null,"submitname":null,"tempalte_name":null,"template_name":"InsureCard"},{"attr":{},"index":11,"src":"ComProtocols","template_bg":"","box_style":null,"theme_id":null,"theme_name":null,"title":null,"banner":null,"banner_src":null,"theme":null,"lists":null,"submitname":null,"tempalte_name":null,"template_name":"ComProtocols"},{"attr":{"btnText":"立即投保","theme":{"btnBg":"","btnColor":""}},"index":12,"src":"MiddleBtn","template_bg":"","box_style":null,"theme_id":null,"theme_name":null,"title":null,"banner":null,"banner_src":null,"theme":null,"lists":null,"submitname":null,"tempalte_name":null,"template_name":"MiddleBtn"},{"attr":{"btnText":"立即投保","first_month_price":100,"month_price":700,"service_link":"","theme":{"btnBg":"","btnColor":""}},"index":13,"src":"BottomBtn","template_bg":null,"box_style":null,"theme_id":null,"theme_name":null,"title":null,"banner":null,"banner_src":null,"theme":null,"lists":null,"submitname":null,"tempalte_name":null,"template_name":"BottomBtn"}],"factor":{"banner":"https://cdn.qsebao.com/zbb/static/images/insurances/zhonghui-illness-2020/header-img-y.png","banner_style":"padding-top: 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