中國人壽為了確保保戶在海外旅行遭遇困難時,能獲得迅速、安全、便利的保障,提供保戶海外旅遊的緊急救援服務。凡中國人壽的保戶在台、澎、金、馬以外的地區,發生急需救助的情況,可以直接電話聯絡海外緊急救援組織,依下列海外急難救助服務辦法,請求立即的服務。
海外急難救助辦法
一、服務流程
提供服務
二、海外急難救助-電話使用方式
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服務熱線 | 『當地國際冠碼』+ 886-2-2536-0077 | ||
直撥電話範例 | 如您從美國打直撥電話回台灣台北 | 步驟1: | 先撥 011(美國的國際冠碼) |
步驟2: | 再撥 886(台灣的國碼) | ||
步驟3: | 最後撥 2(台北的城市碼)及服務中心電話號碼 2536-0077 |
- 提醒您出國前務必查詢旅遊當地之國際冠碼!
- 與海外急難救助中心聯絡時請提供被保險人姓名、身分證號碼、出生年月日、發生急難地點、緊急聯絡人姓名、電話號碼及簡單說明狀況及所需援助。
三、服務對象
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用戶一 | 鑽石卡 |
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鈦金卡 |
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白金卡 |
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金 卡 |
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用戶二 | 普 卡 |
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附註
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四、服務資格
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個人險 | 保戶於「本國或經常居住國(台灣、澎湖、金門、馬祖)」境外地區每次停留出境天數不超過180天始得享有服務。 |
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旅行平安險 | 保戶於「本國或經常居住國(台灣、澎湖、金門、馬祖)」境外地區每次停留出境天數不超過180天始得享有服務。 |
《使用「自動查驗通關系統」注意事項》
提醒您~出國時如使用該系統通關,請於通關後閘門右方加蓋出境章於護照或需留存登機證,以便如有海外急難救助服務需求時確認出境期間之用。
五、服務內容簡介
本辦法之適用對象可獲得下列服務(案件發生時,用戶資格認定須以當時本公司所訂辦法適用之。本公司得有調整用戶資格之權利,調整時不另行通知) 。
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項次 | 項目 | 普卡(用戶二) | 金卡以上(用戶一個人險)、金卡(用戶一旅平險) 【註】符合除外條款之保戶,如依推薦或安排辦理而產生之費用,需由保戶自行負擔之。 |
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醫療協助 | 旅遊保健電話諮詢服務 | 依推薦或安排辦理者而產生之費用,由保戶負擔之 | 依推薦或安排辦理者而產生之費用,由保戶負擔之 | |
推薦醫療服務機構 | ||||
安排就醫/住院 | ||||
醫療轉送或轉送回國前之住院期間病況觀察 | ||||
醫療傳譯服務 | ||||
旅遊協助 | 接種及簽證等資訊之提供 | |||
通譯/秘書服務推薦 | ||||
遺失行李之協尋 | ||||
遺失護照之協尋 | ||||
遺失信用卡之協尋 | ||||
緊急旅遊協助 | ||||
緊急傳譯服務 | ||||
使領館資訊 | ||||
緊急資訊或文件傳送 | ||||
安排簽證延期 | ||||
國外租車安排 | ||||
法律協助 | 法律服務之推薦 | |||
安排預約律師 | ||||
保釋金之代轉 (以USD5,000為限) |
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緊急協助 | 緊急醫療轉送 (「醫院」至「醫院」) |
依推薦或安排辦理者而產生之費用,由保戶負擔之 |
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緊急轉送回國 (「醫院」至「醫院」) |
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遺體或骨灰運送回國或當地禮葬 | ||||
救護車安排服務 | 「用戶一旅平險、個人險」有安排救護車需求時,Intl. SOS將依據實際狀況協助安排。若非為「用戶一旅平險、個人險」的緊急援助案件需求,衍生費用則由「用戶一旅平險、個人險」自行支付。 | |||
安排復原期間住宿 |
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安排配偶(限一名)及/或未成年子女(限一名)返國 | 「用戶一旅平險、個人險」因突發疾病、意外或緊急醫療轉送致其隨行配偶及/或二十歲以下之未成年子女乏人照料時,Intl.SOS將協助安排其配偶及/或未成年子女搭乘航空定期班機(單程經濟艙機票)返回其「本國或經常居住國」。必要時,Intl.SOS並將安排適合之人員護送該未成年子女返國。 | |||
安排親友探視及其住宿事宜(限一名) |
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安排親友處理後事及其住宿事宜(限一名) |
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人道救援 | 「用戶一旅平險、個人險」之同行家屬或友人因意外傷害或突發疾病致需緊急救援服務者,Intl. SOS將按件收費並於收到相關費用全額後,提供所列項目之服務。 | |||
代墊住院醫療費用及保證金 | 無 | 上限 USD5,000( 保戶應於還款通知送達之日起十五日內返還代墊住院醫療費用) | ||
附註 除緊急醫療轉送、緊急轉送回國、遺體或骨灰運送回國或當地禮葬費用外,每一位「用戶一旅平險、個人險」於每一單一事件上述各項費用之補助總額上限為USD10,000。 |
六、除外條款
就下列處置、事故及相關費用均不負責:
- 因既存病況 (用戶於「服務」發生前十二個月內即曾因之住院或「服務」發生前六個月內曾因之經醫師診斷或治療之病情)所生之一切費用。
- 於「本國或經常居住國」地區內所發生的任何事件。
- 於保險期間(保險期間較一年長者以一年計)內,就單一醫療事故發生一次以上緊急醫療轉送或轉送回國服務,就超過一次之部分所生一切費用。
- 未明定應由Intl. SOS負擔之費用及非由Intl. SOS提供或安排之服務所生之費用,除Intl. SOS事前書面同意外,Intl. SOS不予負擔。但於難與Intl. SOS事前聯絡之偏遠或落後地區,基於合理之預期,為避免用戶生命或身體之傷害,而採取緊急醫療轉送者,不在此限。
- 用戶違背醫藥專業人員之建議,或為出國就醫,或為前一事故、疾病或「既存病況」之休養,而至「本國或經常居住國」境外,因此所生之一切費用。
- 用戶並未發生「嚴重病況」(指Intl. SOS依用戶所在地點、醫療急迫性及當地醫療設施等情事綜合判斷,認定應採取緊急醫療處理以避免造成用戶死亡或對其健康造成立即或長期重大傷害之情況。),或經Intl. SOS醫師考量當地主治醫師之意見認定其病情可於當地獲得充分醫療照顧或其病情並非急迫可俟回國後再行就醫者,而仍要求醫療轉送或轉送回國之服務者,其因此所生之一切費用。
- 用戶經Intl. SOS醫師認定可於無醫療伴護之情況下正常旅行者,仍要求醫療轉送或轉送回國之服務者,其因此所生之一切費用。
- 用戶因生產、流產或懷孕所需之一切處置及相關費用,但在懷孕期間的前廿四週內因異常懷孕或嚴重之懷孕併發症有危及孕婦及/或胎兒生命之虞者,不在此限。
- 因心神喪失、心理疾病及精神失常所引起的任何費用。
- 因自殘、自殺、蓄意過量服用某藥物或服用非法藥物成癮或藥物濫用、飲酒過量或性病所致之一切費用。
- 用戶從事角力、摔角、柔道、空手道、跆拳道、馬術、拳擊、特技表演、汽車、機車及自由車等的競賽或表演,致生意外或傷害者,其因此所生之一切費用。
- 用戶作為現役武裝部隊或警察因執行工作相關之勤務,或參與戰爭(不論是否正式宣戰)、入侵、外國敵人之活動、敵對行為、內戰、叛亂、暴動、革命或造反,所生之一切費用。
- 用戶從事或意圖從事不法行為所致之一切費用。
- 事故發生時用戶已逾八十五歲者(含八十五歲),因該事故所生之一切費用。
- 不符當地醫療法規之人員所為或所指揮之醫療行為所生之一切費用。
- 用戶非以乘客身份搭乘航空器具,或搭乘非經當地政府登記許可之民用飛行客機,致生意外或傷害者,其因此所生之一切費用。
- 因核子反應或輻射之直接傷害所生之一切費用。
- 於船舶、鑽油平台等海上設施上之一切行為所致之一切費用。
- 用戶因涉及核生化武器、裝置之使用、釋放或威脅(包括但不限於直接或間接因恐怖行動或戰爭所致者)所生之一切費用。
- 如用戶因確診新冠肺炎(Covid-19)病況所生之一切費用。
七、約定條款
- 保戶若因接受任何服務,而接受中國人壽或Intl. SOS代墊費用或其他情形之欠款(包括但不限於代墊住院期間醫療費用、保證金及Intl. SOS所收取之各項案件處理費),應於中國人壽通知還款日起十五日內,向中國人壽清償全部費用。
- 保戶同意,若未依前項約定償付欠款,中國人壽得將依保險契約約定應給付予被保險人金額(如:保險契約之解約金、保單價值準備金,或各項保險金),先行扣抵「用戶一旅平險、個人險」之欠款,如有餘額,始將餘額給付予應受領之人,無須另為通知。
- 「海外急難救助」中國人壽得於必要時修改或終止本服務內容,且不另行通知。
- 當享有「海外急難救助服務」之保戶,不幸發生意外傷害或突發疾病之緊急情況時,請盡速以適當方式前往就醫治療,並立即通知海外急難救助服務中心處理。若保戶已先行入院,則請保戶於發生急難狀況三日內通知海外急難救助服務中心。(若未於三日內通知,致救助成本增加,則被保險人必須自行負擔增加之費用。)
- 倘保戶於服務過程中經查有詐欺行為、不實陳述或提供不實資訊或數據則將立即終止保戶之服務。
八、不可抗力免責條款
若直接或間接因天災、政府當局或軍事當局之命令、內亂、戰爭、自然災害或巨災、罷工或其他形式之停工等不可抗力因素,致超出Intl. SOS得正常提供服務之範圍,造成服務延遲履行、無法履行或中斷,則中國人壽或Intl. SOS不需負責。
「海外急難救助係中國人壽委託協助廠商提供之服務,非保險契約之一部份,中國人壽得於必要時修改或終止本服務內容,且不另行通知。以上海外急難救助服務項目僅供參考,實際內容以中國人壽企業網站公告為準。但有下表商品之一者,不在此限。」
- 瑞泰家家寶健康保險附約
- 瑞泰家家寶配偶健康保險附約
- 瑞泰家家寶子女健康保險附約
- 瑞泰子女住院醫療保險附約(實支實付型)
- 瑞泰健康保險(實支實付型)甲型
- 瑞泰健康保險(實支實付型)乙型
- 瑞泰健康保險(定額給付型)
For ensuring policy holders obtain rapidly, safe and convenient safeguard, China Life insurance partner with the overseas emergency assistance company in providing emergency service to those policy holders travel abroad.
Overseas Emergency Service Conditions
A.Service Flow
policy holder
B.How to Reach Us
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Service Hotline | local international prefix code + 886-2-2536-0077 | ||
Example of using direct call | If you are dialing from U.S.A. to Taipei, Taiwan | Step 1: | Dial 011(International prefix code of U.S.A.) |
Step 2: | Then dial 886(country of Taiwan) | ||
Step 3: | Then dial 2(city code of Taipei) and China life OEA line:2536-0077 |
- When contact with Overseas Emergency Center, please provide insured's name, ID number, date of birth, incident location, emergency contact person name, contact number and briefly state the situation and assistance required.
C.Eligibility
Policy holders who holds valid one year above personal life. Travel insurance policy holders are also eligible.
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Diamond |
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Titanium |
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Platinum |
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Gold |
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Normal |
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Notes The formula of single premium for personal life is as following:The single premium / 10 ; The regular premium / regular payment period |
D.Service Qualification
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Personal Life Insurance | Above member shall be eligible for Services when he/she travels outside the Home Country of Usual Country of Residence (means Taiwan) for periods not exceeding 180 days each time. |
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Travel Insurance | Above member shall be eligible for Services when he/she travels outside the Home Country of Usual Country of Residence (means Taiwan) for periods not exceeding 180 consecutive days per trip. |
E.Scope of Service Introduction
Service eligible member are entitle below services. (When incident happens, qualification of eligible member is to follow the rules at the time. China life has right to change or adjust qualification of eligible member. No notice will be sent for the change or adjustment. )
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Subject | Item | Normal | Gold 、Platinum、Titanium and Diamond 【Annotation】For those insured who falls in exclusion, If there's any cost incurred due to referral or service arrangement, the cost will be borne by policyholders. |
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Medical assistance | Health consultation when overseas traveling | Insured is borne with all 3rd party cost that's incur when receive the service. | Insured is borne with all 3rd party cost that's incur when receive the service. |
Medical service provider referral | |||
Arrangement of in-patient and medical consultation services | |||
Medical monitoring before medical evacuation or repatriation | |||
Medical interpreting assistance over the phone | |||
Travel Assistance | Inoculation and Visa requirement information | ||
Interpreter/secretarial service referral | |||
Lost luggage assistance | |||
Lost passport assistance | |||
Lost Credit Card Assistance | |||
Emergency travel service assistance | |||
Emergency interpreting assistance | |||
Embassy referral | |||
Emergency document delivery | |||
Arrangement of visa extension | |||
Overseas Car Rental Arrangement | |||
Legal assistance | Legal referral | ||
Arrangement of appointment with lawyers | |||
Arrangement of bail bond (Upper limit of USD5,000) |
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Emergency Assistance | Arrangement of emergency medical evacuation(from hospital to hospital) | Insured is borne with all 3rd party cost that's incur when receive the service. |
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Arrangement of emergency medical repatriation(from hospital to hospital) | |||
Arrangement of local cremation, burial or return of mortal remain | |||
ambulance arrangement |
When there is a need to arrange an ambulance, Intl. SOS will assist in the arrangement according to the actual medical situations. If it is not for the insured's medical emergency assistance, the insured is borne with all cost incurred. |
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Arrangement of convalecence expenses |
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Arrangement of return or spouse(up to one person) or minor child (up to one person) | International SOS will arrange and one economy class one-way airfare for the return of minor child [aged 20 years old and below] and/or spouse to the Home Country or Usual Country of Residence if he/she is left unattended as a result of the accompanying User’s illness, accident or Emergency Medical Evacuation. Escort will be provided, when required. | ||
Arrangement of compassionate visit (up to one person) |
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Arrangement for relative to handle funeral fair in local accommodation (up to one person) |
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emergency rescue services | If the insured's travel companion including family members and friends needs emergency rescue services due to accidental injury or sudden critical illness, Intl. SOS will charge by case and provide the services listed after receiving the full amount of the relevant fees. User is borne with all 3rd party cost that's incur when receive the service. | ||
Guarantee of Medical expenses during hospitalization and deposit | Not applicable | Upper limit of USD5,000 (Insured should return the fund within days after receive payment notice of guaranteed medical expenses) | |
Other than emergency medical evacuation, repatriation, mortal remain, urn repatriation or local burial, for every Gold Card Member, the maximum sum coverage of each single item shall not exceed USD10,000. |
F.Exclusions
The following treatment, items, conditions, activities and their related or consequential expenses are excluded:
- Any expense incurred as a result of a Pre-existing conditions (Insured has been hospitalized twelve months before receive the service and the diagnosis is related to previous hospitalization)
- Any event occurring when the user is within the territory of his/her home country and usual country of residence (means Taiwan).
- More than one emergency evacuation and/or repatriation for any single medical condition of a insured subject to insurance coverage period maximum of one year.
- Any cost or expense not expressly covered by the International SOS program and not approved in advance and in writing by International SOS and/or not arranged by International SOS. This exception shall not apply to Emergency Medical Evacuation from remote or primitive areas when International SOS cannot be contacted in advance and delay might reasonably be expected in loss of life or harm to the insured.
- Any expense for insured who are travelling outside their home country or usual country or residence contrary to the advice of a medical practitioner, or for the purpose of obtaining medical treatment or for rest and recuperation following any prior accident, illness or pre-existing condition.
- Any expense for medical evacuation or repatriation if the insured is not suffering from a Serious Medical Condition (refers to a condition which in the opinion of International SOS constitutes a serious medical emergency requiring urgent remedial treatment to avoid death or serious impairment to the User's immediate or long-term health prospects. The seriousness of the medical condition will be judged within the context of the User's geographical location, the nature of the medical emergency and the local availability of appropriate medical care or facilities.), and/or in the opinion of the SOS physician, the insured can be adequately treated locally, or treatment can be reasonably delayed until the insured returns to his/her Home Country or Usual Country of Residence.
- Any expense for medical evacuation or repatriation where the User, in the opinion of the SOS physician, can travel as an ordinary passenger without a medical escort.
- Any treatment or expense related to childbirth, miscarriage or pregnancy. This exception shall not apply to any abnormal pregnancy or vital complication of pregnancy which endangers the life of the mother and/or unborn child during the first twenty-four (24) weeks of pregnancy.
- Any expense incurred for emotional, mental or psychiatric illness.
- Any expense incurred as a result of a self-inflicted injury, suicide, drug addiction or abuse, alcohol abuse, sexually transmitted diseases.
- Any expense related to accident or injury occurring while the User is engaged in caving, mountaineering or rock climbing necessitating the use of guides or ropes, potholing, skydiving, parachuting, bungee-jumping, ballooning, hang gliding, deep sea diving utilizing hard helmet with air hose attachments, martial arts, rallying, racing of any kind other than on foot, and any organized sports undertaken on a professional or sponsored basis.
- Any expense incurred as a result of the User engaging in active service in the armed forces or police of any nation; active participation in war (whether declared or not), invasion, act of foreign enemy, hostilities, civil war, rebellion, riot, revolution or insurrection.
- Any expense related to the User engaging in the commission of, or the attempt to commit, an unlawful act.
- Any expense in respect of the User more than or equal to 85 years old at the date of intervention.
- Any expense related to treatment performed or ordered by a non-registered practitioner not in accordance with the standard medical practice as defined in the country of treatment.
- Any expense related to the User engaging in any form of aerial flight except as a passenger on a scheduled airline flight or licensed charter aircraft over an established route.
- Any expense which is a direct result of nuclear reaction or radiation.
- Any expense incurred for or as a result of any activity required from or on a ship or oil-rig platform, or at a similar off-shore location.
- Any expense, regardless of any contributory cause(s), involving the use of or release or the threat thereof of any nuclear weapon or device or chemical or biological agent, including but not limited to expenses in any way caused or contributed to by an Act of Terrorism or war.
G.Terms and Conditions
- For any service that insured received and accept China life or International SOS proceed to guarantee payment or any other situation result in arrears (the situation is include but not limited to guarantee of medical expenses during hospitalization, deposit or case fee charged by International SOS), insured shall return the full amount of arrears to China life in 15 days after receive payment notice.
- Insured agreed, if insured does not follow the previous condition and return the full amount of arrears to China life, China life will deduct amount from insured's claim (i.e. insurance termination payment, policy value reserved fund or any other claim amount). If there's any remaining sum after deduction, China life will pay the remaining sum to insured without notice.
- Overseas Emergency Assistance is a free service provided by China life. China life has right to change, amend or terminate the service without notice. The above listed Overseas Emergency Assistance items are only for reference, the actual content depends on the actual overseas emergency assistance service contract at the time the service is activated.
- For the insured that are entitle to overseas emergency services, insured shall seek medical assistance locally when incident happens and notify overseas emergency assistance center at soonest possibility. After insured is admitted, insured shall notify overseas emergency assistance center within 3 days about the distress situation and seek assistance.
- Fraud committed by or misrepresentation made by the insured or any fake information or data given by the insured, the service will be terminated immediately.
H.Disclaimer
In the incidence that nature disaster, order of local government or military, civil war, war, labor strike or any other cause that is not controllable that result in service delay, interrupt or not able to proceed, China life and International SOS are free of responsibility