Supplementary Insurance for Student Group Medical
Part I::Receive treatment at a designated hospital
1. Designated hospitals are the hospitals which are designated by social security, or school clinic, except the foreign guests ward, priority ward and special treatment ward.
2. The insurance company refuses to compensate if receiving treatments at a non designated hospital in a non emergency situation.
3. For accessing health service in other regions, the insured should go to a secondary or above public hospital.
Part II:Range of compensation for supplementary medical insurance:
1. Outpatient for accidental injuries;
2. Hospitalization for accidental injuries;
3. Hospitalization for illness (only for the disease occurred after admission to school).
Part III: Operation standard for supplementary medical insurance:
1. Guangzhou Basic Medical Insurance Drug Directory
2. Guangzhou Basic Medical Insurance Treatment Items Range
3. Guangzhou Basic Medical Insurance Service Facility Range and Payment Standard for Urban Employees
Claims has to be within the reimbursement range according to the above
Part IV:Compensation regulations for outpatient for accident
1. The medical expenses should be reimbursed at school first; the insurance will compensate the insured students of basic social medical insurance with the remaining balance.
2. For the uninsured students of basic social medical insurance, insurance company will compensate them under the standard of medical insurance, which is the total expenses deduct the payment from basic social medical insurance that is calculated based on compensation standard. The remaining balance will be paid by insurance company.
3. Medical expenses (including the domestic vaccine cost) is caused by accidental injuries by cats, dogs, rats and etc. that are fitted into the payment range.
Part V:Compensation regulations for hospitalization
The insured students of Guangzhou resident medical insurance is required to pay the expenses with social security card or medical insurance card, otherwise insurance company refuses to compensate. For the uninsured students of basic social medical insurance, insurance company will compensate them under the standard of medical insurance, which is the total expenses deduct the medical cost of social pool that is calculated based on compensation standard. Insurance company will pay the remaining balance.
Part VI:Note for settlements
1. The following documents are needed for settlements on outpatient for accidental injuries:
1.1. Student identity card, copy of bank card (both sides are needed)
1.2. Invoice and invoice list
1.3. Copy of outpatient medical record (including the cover)
1.4. Medical record of medical insurance (apply at school clinic)
2. The following documents are needed for settlements on hospitalization for accidental injuries:
2.1. Student identity card, copy of bank card (both sides are needed)
2.2. Original invoice of hospitalization and original statement of hospitalization fee by medical insurance.
2.3. List of particular items for hospitalization fee
2.4. Copy of outpatient medical record (include the cover, admission record and summary of discharge)
2.5. Discharged aegar (with hospital chop)
3. The following documents are needed for settlements on hospitalization for illness:
3.1. Student identity card, copy of bank card (both sides are needed)
3.2. Original invoice of hospitalization and original statement of hospitalization fee by medical insurance.
3.3. List of particular items for hospitalization fee
3.4. Copy of outpatient medical record (include the cover, admission record and summary of discharge)
3.5. Discharged aegar (with hospital chop)
Part VII:Special Instructions
1. Insurance company collects information for claims every week (that means your information for claims may takes maximum 5-7 business days at school for summarizing)
2. For the claims with complete documents and within the coverage, CLIC will send the compensation to the banks within 10 business days, the amount will be transfer to corresponding student accounts by the banks (it may takes 2-10 business days for the banks to transfer). Notice will be sent out to students for the claims that are rejected if they are not in coverage. If information for claims is missing, students will be noted to reclaim after they have the complete documents.
3. China Life Insurance Company Ltd. service personnel/ telephone/mobile phone
Gao Jie/020-86380493/13826486662 Fax:020-86375909