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1. Materials required:
Bring all the documents such as ID card, insurance policy, bank card, medical records including laboratory tests, etc., which need to be verified in originals, and then the insurance company will make a copy of the record and return the original to you. In addition, you will need to fill out a claim form.
2. Report the case (95519** customer service center through the salesman).
How to report the case: 2. Go directly to the local service center;
3. Through salespeople.
3. Company audit.
If it is the insurance liability specified in the policy and does not belong to the exemption clause and the matters agreed in the special contract, the company will notify the owner to collect the payment or transfer the insurance money to the bank account designated by you by **, text message or letter.
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After the observation period of 180 days, the first diagnosis by a specialist is confirmed to one or more of the diseases specified in the contract. The insurance company pays the critical illness insurance benefit according to the contract.
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After 90 days of waiting, Ping An is diagnosed by a doctor as the first major illness, and only a doctor's diagnosis certificate is required to pay the sum insured in advance.
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Different companies, our company pays in advance based on the hospital medical certificate.
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Hello! The materials required for Chinese life critical illness insurance claims include: a critical illness diagnosis certificate issued by a specialist doctor from a specified hospital, a relevant pathological imaging report, an insurance contract (insurance policy), a claim application, an identity certificate of the insured and a copy of the passbook, etc.
Basic things to note when making a critical illness insurance claim:
1. Diagnosis: Diagnosis means that when the customer has a premonition that there are signs of a major illness in his physical condition, he will generally go to the hospital designated by the insurance company for treatment first. Conclusions about whether or not you have a major illness and which are specific are the diagnoses are called diagnosis.
Hospital diagnosis has a diagnosis certificate, which is very important and is a necessary material for insurance claims.
2. Report: After the customer is diagnosed with a critical illness, he or she needs to check the policy to see if it is a critical illness specified in the policy. Under normal circumstances, the critical illness of the customer is basically included in the insurance purchased by the customer, and of course, the possibility of diseases that are not included in the policy is not excluded.
Customers need to call the insurance company's customer service ** and report to the insurance company, whether it is before or after hospitalization, that is, before applying for a claim.
3. Prepare relevant information.
Extended reading: [Insurance] How to buy, which one is better, teach you to avoid these insurance"pits"
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Summary. Dear, the answer to this question is: life insurance, critical illness insurance, there are many types.
Taking China Life Corning Whole Life Critical Illness Insurance and China Life Fortune Supreme Edition as examples, the sum insured is 300,000 yuan, and the insurance company will compensate up to 300,000 yuan. There is a deductible of $100 for outpatient expenses, and expenses over $100 are reimbursed at a rate of 80%.
Let's say you spent $1,100. Subtract the deductible of 100 yuan, and the remaining 1,000 yuan, the insurance company can reimburse 800 yuan.
And dear, if you still have any questions that you don't understand, you can always ask me questions!
How does life insurance critical illness insurance pay.
Dear, the answer to this question is: life insurance, critical illness insurance, there are many types. For example, the sum insured is 300,000 yuan, and the insurance company will compensate up to 300,000 yuan.
There is a deductible of 100 yuan for outpatient expenses, and the expenses for grandchildren in excess of 100 yuan are reimbursed at a rate of 80%. Let's say you spent $1,100. Subtract the deductible of 100 yuan, and the remaining 1,000 yuan, the insurance company can reimburse 800 yuan.
And dear, if you still have any questions you don't understand, you can ask me questions at any time!
The Chinese Life Critical Illness Insurance claim process is:1If the insured is diagnosed with a disease specified in the critical illness insurance contract, he or she is usually required to undergo an examination at the medical institution specified in the insurance contract and obtain a disease diagnosis certificate issued by the hospital. 2.
Generally speaking, if it is cancer, that is, if it is a malignant tumor claim, you also need to provide a disease diagnosis, if it is a serious illness, you also need to prepare the corresponding information according to the type of disease, generally a hospital diagnosis report or other appraisal reports; 3.Submit the claim information to the insurance company; 4.The insurance company will conduct an audit, and if the audit is passed, the claim can be settled, and if the audit is not passed, the specific reason for the slip will also be informed.
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The information required for a critical illness insurance claim includes:
In the case of cancer claims, the insurance company will generally require the insured to provide a pathological diagnosis certificate, and in the case of other critical illnesses, the insurance company will usually require the insured to provide a hospital diagnosis report or other appraisal reports.
If it is a critical illness insurance that protects the death of the insured, the death benefit can be claimed by the insured, and the deceased beneficiary is usually required to provide three certificates of death of the insured, that is, the cremation certificate, the certificate of household registration cancellation by the public security organ, and the medical death certificate issued by the hospital. However, in order to simplify the claims process, many insurance companies may only need the deceased beneficiary to provide two of them.
It's best to consult the insurance company's customer service and ask for specifics.
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Summary. Hello dear! Glad to answer for you :
Chinese Life Critical Illness Insurance Claim Process: 1. The insured is diagnosed with a disease that meets the agreed requirements and needs to provide a disease diagnosis certificate issued by the hospital; 2. Report to the insurance company in a timely manner, and consult the specific claim materials that need to be prepared, and provide disease diagnosis, medical records, and relevant examination reports, which are subject to the regulations of the insurance company; 3. Submit the claim information to the insurance company, and the insurance company will review it; 4. If the claim information is approved, the insurance company can make a claim, and the claim will generally be directly credited to the bank account provided by the insured.
How to claim compensation for Chinese life critical illness insurance.
Hello dear! We are happy to answer for you: Chinese Life Critical Illness Insurance Claim Process:
1. If the insured is diagnosed with a disease that meets the agreed requirements, he or she needs to provide the disease diagnosis certificate issued by the hospital; 2. Report to the insurance company in a timely manner, and consult the specific claim materials that need to be prepared, and provide disease diagnosis, medical records, and relevant examination reports, which are subject to the regulations of the insurance company; 3. Submit the claim information to the insurance company, and the insurance company will review it; 4. If the claim information is approved, the insurance company can make a claim, and the claim will generally be directly credited to the bank account provided by the insured.
The compensation of pro-Chinese life critical illness insurance is generally divided into three situations, compensation upon diagnosis, compensation before the implementation of the agreed surgery, and compensation only when the agreed conditions are met, the basic sum insured in the event of a critical illness, 20% of the sum insured in the event of a mild serious illness, and 50% of the sum insured in the event of a moderate critical illness. Among them, the immediate compensation after diagnosis refers to the immediate compensation when the diagnosis of diseases such as malignant xing tumors is confirmed. The implementation of the agreed surgery refers to the adoption of specific ** means as the compensation standard, such as coronary artery bypass grafting with thoracotomy surgery, heart valve surgery, etc.
Reaching the agreed conditions means that a certain state can be claimed in order to make a claim, such as the sequelae of stroke, which must be caused by a lesion of the brain xue duct and embolism, and there must be permanent dysfunction of the nervous system.
Is this considered a disease?
Yes dear. Nasopharyngeal carcinoma is a serious cancer disease.
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1. Confirmed by the hospital.
If the insured feels unwell and has signs of a critical illness, he or she must first go to the hospital designated by the insurance company for an examination, and the hospital will diagnose the insured's physical condition. If the insured is diagnosed with any of the diseases listed in the contract terms, he or she can apply for compensation from Baoxiao Insurance Company with the diagnosis certificate issued by the hospital.
2. Report the case in a timely manner.
In order to get the compensation as soon as possible, the consumer should report to the insurance company in a timely manner after the accident. After receiving the claim application, the insurance company will first check with the policy to see if it is a type of illness specified in the policy, and review the documents submitted by the insured. If the review is confirmed, the insurance company will start the process of proceeding with the claim.
3. Prepare the claim information.
Critical illness insurance claim materials generally include:
Diagnosis certificate, outpatient medical record, discharge summary, hospitalization summary. If you have a medical record at more than one hospital, you need to provide diagnosis certificates from multiple hospitals at the same time.
Medical expense receipts, hospitalization receipts, and a detailed list of hospitalization expenses.
Pathology, laboratory tests, imaging, electrocardiogram and other examination reports validly signed and sealed by medical institutions.
Prepare the claim materials and submit them to the insurance company, and you can wait for the insurance company's review. For claims with complete information and clear responsibilities, the insurance company will generally complete the verification within 5 working days. If the insurance company finds that the applicant's information is incomplete during the review process, it will notify the applicant to complete and submit it as soon as possible; If the applicant's claim is pending further investigation and verification, the insurance company will also inform the applicant and complete the verification within 30 calendar days.
After the insurance company has completed all the claims review and confirmed that the claim can be made, the insurance money will usually be remitted to the bank account designated by the applicant within 3 working days.
Extended reading: [Insurance] How to buy, which one is better, teach you to avoid these insurance"pits"
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In the event of an accident, it is necessary to report the accident to the insurance company within 24 hours, and generally speaking, it is valid within two years, that is, in the case of a report, and the specific situation depends on the insurance company. After applying for a claim, the insured or the insured's representative needs to bring the prepared relevant materials to the local insurance company's store to handle the claim. After reviewing the relevant materials, the insurance company will generally provide the corresponding insurance compensation to the insured within 10 days.
Envy defeated. The procedures for accident insurance reimbursement are mainly as follows:
1. Report: After an accident or hospitalization, you should call the customer service of the insurance company in time to understand the documents that need to be prepared, so that the insurance company can quickly settle the claim, and generally report to the insurance company within 3 days.
2. Collection of documents: the procedures required for the insured to handle the claim due to accidental injury, such as medical diagnosis certificate, accidental injury certificate issued by relevant departments, original receipts and prescriptions for medical expenses, and copies of my ID card or household registration certificate.
4. Receiving compensation: After receiving the payment notice, the insured or beneficiary can go to the insurance company to receive compensation with his ID card and household registration certificate.
Extended reading: [Insurance] How to buy or chain, which is better, teach you to avoid these insurance"pits"
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