Bao hiem suc khoe VBI Care Online.pdf
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Bi畛u ph鱈 v Quy畛n l畛i B畉o hi畛m s畛c kh畛e VBI Care 叩p d畛ng t畛 ngy 1/9/2022 畉y 畛 v chi ti畉t nh畉t
Bao hiem suc khoe VBI Care Online.pdf
- 1. myvbi.vn 1900 1566 /baohiem.vbi Gi炭p b畉n lu担n ch畛 畛ng trong cu畛c s畛ng tr動畛c c叩c r畛i ro s畛c kho畉 B畉o hi畛m S畛c kh畛e Ph鱈 b畉o hi畛m 畛i t動畛ng tham gia Ng動畛i 達, ang trong t狸nh tr畉ng th動董ng t畉t v挑nh vi畛n tr棚n 50%. Ng動畛i ang trong th畛i gian i畛u tr畛 n畛i tr炭 do b畛nh ho畉c tai n畉n. * * * * 董n v畛: VN 365NGY B畉O V畛 365NGY B畉O V畛 VBICare VBICare * Ch動董ng tr狸nh 叩p d畛ng t畛 01/9/2022 G坦i b o hi m ng B c TiTan Vng B ch Kim Kim C ng PH B O HI M QUY N L I CHNH (b t bu c) 60 ngy tu i - d i 1 tu i 1,065,000 2,130,000 4,260,000 8,681,250 17,152,500 54,480,000 1-3 tu i 710,000 1,420,000 2,840,000 5,787,500 11,435,000 36,320,000 4-6 tu i 425,200 850,400 1,700,800 3,495,750 6,851,500 21,368,000 7-9 tu i 390,000 780,000 1,560,000 3,212,500 6,285,000 19,520,000 10-18 tu i 374,000 748,000 1,496,000 3,083,750 6,027,500 18,680,000 19-30 tu i 358,000 716,000 1,432,000 2,955,000 5,770,000 17,840,000 31-40 tu i 390,000 780,000 1,560,000 3,212,500 6,285,000 19,520,000 41-50 tu i 406,000 812,000 1,624,000 3,341,250 6,542,500 20,360,000 51-60 tu i 422,000 844,000 1,688,000 3,470,000 6,800,000 21,200,000 61-65 tu i 550,000 1,100,000 2,200,000 4,500,000 8,860,000 27,920,000 O HI M QUY N L I B SUNG (tham gia k竪m quy n l i ch鱈nh) PH B畉 Thai s n 19-50 tu i - 1,150,000 2,000,000 4,000,000 7,800,000 12,480,000 Ngo i tr炭 60 ngy tu i - d i 1 tu i - 1,771,875 3,543,750 6,300,000 12,600,000 20,160,000 1-3 tu i - 1,181,250 2,362,500 4,200,000 8,400,000 13,440,000 4-6 tu i - 680,625 1,361,250 2,420,000 4,840,000 7,744,000 7-9 tu i - 618,750 1,237,500 2,200,000 4,400,000 7,040,000 10-18 tu i - 590,625 1,181,250 2,100,000 4,200,000 6,720,000 19-30 tu i - 562,500 1,125,000 2,000,000 4,000,000 6,400,000 31-40 tu i - 618,750 1,237,500 2,200,000 4,400,000 7,040,000 41-50 tu i - 646,875 1,293,750 2,300,000 4,600,000 7,360,000 51-60 tu i - 675,000 1,350,000 2,400,000 4,800,000 7,680,000 61-65 tu i - 900,000 1,800,000 3,200,000 6,400,000 10,240,000 Nha Khoa 60 ngy tu i - d i 1 tu i - 425,250 850,500 1,701,000 3,402,000 8,505,000 1-3 tu i - 283,500 567,000 1,134,000 2,268,000 5,670,000 4-6 tu i - 163,350 326,700 653,400 1,306,800 3,267,000 7-9 tu i - 148,500 297,000 594,000 1,188,000 2,970,000 10-18 tu i - 141,750 283,500 567,000 1,134,000 2,835,000 19-30 tu i - 135,000 270,000 540,000 1,080,000 2,700,000 31-40 tu i - 148,500 297,000 594,000 1,188,000 2,970,000 41-50 tu i - 155,250 310,500 621,000 1,242,000 3,105,000 51-60 tu i - 162,000 324,000 648,000 1,296,000 3,240,000 61-65 tu i - 216,000 432,000 864,000 1,728,000 4,320,000 Tr c p n m vi n do tai n n T 60 ngy tu i d i 1 tu i 22,500 45,000 90,000 180,000 270,000 1,500,000 T 1 tu i - 65 tu i 15,000 30,000 60,000 120,000 180,000 1,000,000 L働U : - Tr畉 em t畛 60 ngy tu畛i 畉n 6 tu畛i c坦 th畛 tham gia b畉o hi畛m c湛ng b畛/m畉 ho畉c tham gia 畛c l畉p nh動ng ph鱈 b畉o hi畛m s畉 tng 30%. 畛i v畛i tr動畛ng h畛p con tham gia c湛ng b畛/m畉: G坦i b畉o hi畛m c畛a b畛/m畉 l g坦i b畉o hi畛m c坦 quy畛n l畛i t動董ng 動董ng ho畉c cao h董n g坦i b畉o hi畛m c畛a con. B畛/m畉 v con tham gia c湛ng h畛p 畛ng b畉o hi畛m v c湛ng th畛i h畉n b畉o hi畛m. - Ph鱈 b畉o hi畛m = Ph鱈 b畉o hi畛m quy畛n l畛i ch鱈nh + Ph鱈 b畉o hi畛m quy畛n l畛i b畛 sung c畛a g坦i t動董ng 畛ng (n畉u c坦) - Ph鱈 b畉o hi畛m s畉 動畛c lm tr嘆n 畉n hng ngh狸n t畉i th畛i i畛m thanh to叩n
- 2. T坦m t畉t quy畛n l畛i B畉o hi畛m s畛c kh畛e 董n v畛: VN V狸 sao n棚n l畛a ch畛n VBICare? (*) 畛i v畛i c叩c b畛nh/t狸nh tr畉ng c坦 s畉n, b畛nh l箪 nghi棚m tr畛ng theo danh s叩ch: 畛ng chi tr畉 50:50 (VBI Chi tr畉 50%) s畛 ti畛n b畉o hi畛m (**) 畛i v畛i c叩c b畛nh/t狸nh tr畉ng c坦 s畉n, b畛nh l箪 nghi棚m tr畛ng theo danh s叩ch: 畛ng chi tr畉 50:50 (VBI Chi tr畉 50%) chi ph鱈 thu畛c ph畉m vi b畉o hi畛m c畛a c叩c l畉n kh叩m ho畉c 畛t i畛u tr畛 t畛 l畉n th畛 3 tr畛 i (c叩c l畉n kh叩m ho畉c 畛t i畛u tr畛 ny s畉 動畛c t鱈nh tr棚n t畉t c畉 c叩c GCNBH m Ng動畛i 動畛c b畉o hi畛m 達 tham gia ch動董ng tr狸nh b畉o hi畛m s畛c kho畉 VBICare t畉i VBI). (***) 畛i v畛i s畛 ki畛n thai s畉n x畉y ra t畛 sau 270 ngy 畉n 365 ngy k畛 t畛 ngy b畉t 畉u th畛i h畉n b畉o hi畛m: 畛ng chi tr畉 50:50 (VBI chi tr畉 50%) chi ph鱈 y t畉 thu畛c ph畉m vi b畉o hi畛m t畉i t畉t c畉 c叩c c董 s畛 y t畉. 畛i v畛i s畛 ki畛n thai s畉n x畉y ra t畛 sau 365 ngy k畛 t畛 ngy b畉t 畉u th畛i h畉n b畉o hi畛m: 畛ng chi tr畉 70:30 (VBI chi tr畉 70%) chi ph鱈 y t畉 thu畛c ph畉m vi b畉o hi畛m t畉i c董 s畛 y t畉 t動 nh但n/qu畛c t畉. (****) 畛ng chi tr畉 70:30 (VBI chi tr畉 70%) chi ph鱈 y t畉 thu畛c ph畉m vi b畉o hi畛m t畉i c董 s畛 y t畉 t動 nh但n/qu畛c t畉. 畛i v畛i tr畉 em tham gia b畉o hi畛m t畛 60 ngy tu畛i 畉n 3 tu畛i t畉i ngy b畉t 畉u th畛i h畉n b畉o hi畛m. 畛ng chi tr畉 70:30 (VBI chi tr畉 70%) chi ph鱈 y t畉 thu畛c ph畉m vi b畉o hi畛m t畉i c董 s畛 y t畉 t動 nh但n/qu畛c t畉, khoa qu畛c t畉 c董 s畛 y t畉 c担ng l畉p. 畛ng chi tr畉 70:30 v畛i tr畉 em t畛 60 ngy 3 tu畛i 畛i v畛i chi ph鱈 y t畉 do Tai n畉n v/ho畉c B畛nh (ch畛 叩p d畛ng t畉i c董 s畛 y t畉 t動 nh但n/qu畛c t畉, khoa qu畛c t畉 c畛a c董 s畛 y t畉 c担ng l畉p) 畛i v畛i B畛nh/t狸nh tr畉ng c坦 s畉n, m畛t s畛 b畛nh l箪 nghi棚m tr畛ng 畛ng chi tr畉 50:50 v畛i Quy畛n l畛i T畛 vong tn t畉t ton b畛 v挑nh vi畛n do b畛nh; chi ph鱈 thu畛c ph畉m vi b畉o hi畛m c畛a c叩c l畉n kh叩m ho畉c 畛t i畛u tr畛 t畛 l畉n th畛 3 tr畛 i v畛i Quy畛n l畛i i畛u tr畛 n畛i tr炭 ho畉c ngo畉i tr炭 QUY畛N L畛I A D畉NG V V働畛T TR畛I, b畉o v畛 s畛c kh畛e hng tri畛u kh叩ch hng Tr畉 em t畛 畛 60 ngy tu畛i c坦 th畛 THAM GIA 畛C L畉P D畛ch v畛 b畉o l達nh vi畛n ph鱈 動u vi畛t 24/7 t畉i h董n 300 C S畛 Y T畉 tr棚n ton qu畛c Th畛i gian ch畛 30ngy 畛i v畛i i畛u tr畛 b畛nh th担ng th動畛ng 90ngy 畛i v畛i b畛nh l箪 ph叩t sinh khi mang thai, t畛 vong do 畛m au, b畛nh th担ng th動畛ng 270 ngy 畛i v畛i sinh 畉, sinh m畛, sinh kh坦, tai bi畉n s畉n khoa 365 ngy 畛i v畛i i畛u tr畛 ho畉c t畛 vong do b畛nh 畉c bi畛t, b畛nh c坦 s畉n, t狸nh tr畉ng c坦 s畉n Xem h動畛ng d畉n s畛 d畛ng app t畉i www.myvbi.vn Hotline: 1900 1566 Qu辿t m達 QR t畉i App MyVBI VBICare VBICare PH M VI LNH TH C B O HI M Vi t Nam Vi t Nam Vi t Nam Vi t Nam Vi t Nam Vi t Nam (M r ng ph m vi b o hi m Tai n n ton c u) A QUY N L I B O HI M CHNH NG B C TITAN VNG B CH KIM KIM C NG I B O HI M T VONG, TH NG T T TON B V NH VI N DO TAI N N 50,000,000 100,000,000 200,000,000 500,000,000 1,000,000,000 2,000,000,000 II B O HI M T VONG, TH NG T T TON B V NH VI N DO B NH (*) 25,000,000 50,000,000 100,000,000 250,000,000 500,000,000 1,000,000,000 III B O HI M CHI PH Y T I U TR TAI N N 5,000,000 10,000,000 20,000,000 50,000,000 100,000,000 200,000,000 IV B O HI M I U TR N I TR, PH U THU T DO B NH (**) 12,500,000 25,000,000 50,000,000 125,000,000 250,000,000 400,000,000 1 Chi ph鱈 n m vi n/ngy (t i a 60 ngy/n m) 625,000 1,250,000 2,500,000 6,250,000 12,500,000 20,000,000 2 Chi ph鱈 ph u thu t 12,500,000 25,000,000 50,000,000 125,000,000 250,000,000 400,000,000 3 C叩c quy n l i kh叩c 12,500,000 25,000,000 50,000,000 125,000,000 250,000,000 400,000,000 B QUY N L I B O HI M B SUNG NG B C TITAN VNG B CH KIM KIM C NG I B O HI M CH M SC THAI S N (***) Kh担ng b o hi m 5,000,000 10,000,000 20,000,000 40,000,000 64,000,000 II B O HI M I U TR NGO I TR DO B NH (**) Kh担ng b o hi m 2,500,000 5,000,000 10,000,000 20,000,000 32,000,000 1 Chi ph鱈 m畛t l畉n kh叩m (Chi ph鱈 th畛c t畉) kh担ng qu叩 500,000 /1 l n kh叩m, t i a 5 l n/n m kh担ng qu叩 1,000,000 /1 l n kh叩m, t i a 10 l n/n m kh担ng qu叩 1,200,000 /1 l n kh叩m, t i a 10 l n/n m kh担ng qu叩 2,000,000 /1 l n kh叩m, t i a 10 l n/ n m kh担ng qu叩 6,400,000 /1 l n kh叩m, t i a 10 l n/ n m III B O HI M I U TR NHA KHOA (****) 500,000 1,000,000 2,000,000 4,000,000 10,000,000 1 1 Chi ph鱈 m畛t l畉n kh叩m (Chi ph鱈 th畛c t畉) t i a 5 l n/ n m kh担ng qu叩 500.000 /1 l n kh叩m, t i a 5 l n/n m kh担ng qu叩 1.000.000 /1 l n kh叩m, t i a 5 l n/n m kh担ng qu叩 2.000.000 /1 l n kh叩m, t i a 5 l n/ n m kh担ng qu叩 4.000.000 /1 l n kh叩m, t i a 5 l n/ n m IV TR C P N M VI N DO TAI N N (t i a 60 ngy/n m) 1,500,000 3,000,000 6,000,000 12,000,000 18,000,000 60,000,000 Tr c p/ngy (t i a 60 ngy/n m) 25,000 50,000 100,000 200,000 300,000 1,000,000 V D CH V B O LNH VI N PH Kh担ng b o l達nh N i tr炭 (bao g m Thai s n n i tr炭) N i tr炭 (bao g m Thai s n n i tr炭) N i tr炭 (bao g m Thai s n n i tr炭) N i tr炭, ngo i tr炭, thai s n v nha khoa N i tr炭, ngo i tr炭, thai s n v nha khoa