PDF《Preface》

Preface Every day is the best day in the year.

-Emerson Dear Customer: Welcome to Taiping Shengshi Worldwide Group Health Plan. Your insurance protection plan is : Select Premier Elite Customized We designed this guide to guarantee you convenient and effective health protection. Please read this guide carefully. Please contact us by phone or email if you need further information. Dedicated Service Helpline: (0086) 400-650-2280 E-mail: [email protected] Fax: (0086) 10-8461-1175 Topic Information Website: http://www.tppension.com/txfw/ zgdjkxfw/hqyl/default.shtml Kindly Reminder: The above contact information is very important. We have printed this on the back of your Health Insurance Card. Please keep this card with you at all times so that you may obtain immediate Preface ?

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2 What is forever? Merely the extension of a moment. Because we are living in an amazing, contradictory, unpredictable age, every day when we awake, we must face a world which is slightly different. On the other hand, some of us utilize our innate intelligence: relying on our aware- ness, the sum total of our infinite life experiences, we nurture our innate ability to pursue wisdom.This innate ability leads us to flee from the various limitations placed on us by our human nature and evokes in us a great love for nature and health, for security and respect, for understanding, love, and affection. It ultimate leads us to find a kingdom of freedom in which our body and spirit may rest. Content Plan Features Treatment and Claims What liabilities are not covered? FAQs AbouttheHealthcareandTravelAssistanceSupplier AboutTaiping Pension Insurance Co., Ltd Worldwide Group Health Plan Hospital Network

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27 This insurance plan is one of the products under our medium-to-high-end health insurance brand Supreme Healthcare . We will be committed to provide customers with our high standard health insurance services in the brand spirit that aims high-end positioning, superior quality, cherishing, and good health . These instructions are provided only for the purpose of understanding the relevant products. The details thereof are subject to the policy terms and the Insurance Contract. TaipingSupremeHealthcareCharityAction: After you purchase this Health Protection Plan, China Taiping will contribute an amount as 3‰ of your premium to charitable causes for the health of children living in impoverished areas of central and western China.We will also provide you with scheduled reports on the performance and achievements of such charitable activities. Taiping Supreme Healthcare Environmental ProtectionAdvocacy: Care the green forest, care the source of life on earth and reduce the paper consumption. We will try our best to promote paperless operations. We sincerely hope you could support us by providing your valid email address. Preface ?

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4 24 -7 Worldwide Assistance Our multi-lingual customer service hotline and Rapid Response Emergency Assistance Center (RREAC) is open

365 days a year,

24 hours round the clock to provide you with reliable medical advice, to help you to identify the most appropriate treatment or physician and to provide you with emergency assistance services anytime, anywhere. Highly-valued Protections We are able to pay up to RMB 16,000,000 coverage per year per insured, based on your personalized protection requirements. This will guarantee you ample cash support whenever or wherever a disease or an accident occurs. (Note: please refer to the terms of your insurance contract for the amount of your personal protection and insurance benefits) Comprehensive and Detailed Benefits Schedule We provide comprehensive coverage for inpatient, outpatient and daycare expenses, offer emergency medical transfer/evacuation, maternity care and routine health care. In addition, Premier Plan and Elite Plan provide coverage for treatment of chronic illnesses. Exclusive Cashless Settlement If you call our hotline

4 hours before your treatment, go to one of our designated direct-billing network hospitals in mainland China for treatment and sign the claim form, you don'

t need to pay the amount of the bill which is in excess your co-payment or deductible. We will directly settle with the hospital for the amount which exceeds the co-payment or deductible. If you need to be hospitalized or to visit the hospital for major outpatient treatment or overseas inpatient treatment, you must contact us

48 hours in advance, in order for us to arrange advance pre-authorization and direct payment settlement with the hospital. Providing meticulous care for your family To give your family the comprehensive care it deserves, with your employer'

s permission, you can include your spouse and children as insured dependents under this plan. They will receive the same benefits coverage as you. Emergency Medical Transfer and Evacuation If you are in a life-threatening condition that requires treatment, you only need to make one phone call to us and we will evacuate you to the nearest, best- qualified medical center to ensure that you receive prompt treatment and satisfactory care. We will also arrange for your children who are left alone at home to a be sent to a designated location or will arrange for professional staff to go to your home to take care of them. We will also pay for the relevant expenses. Plan Features Preventive and Routine Care It is said that prevention is better than cure. We couldn'

t agree more. We provide you with up to RMB 16,000 per year for Routine Dental, Optical and Hearing care in our Elite Plan. In this way, you can define your own health care program in accordance with your personal needs. Selected Medical Treatment Evacuation If you must undergo special treatment under a specific medical item designated in your treatment plan, we will arrange and pay for your medical transfer to the country stipulated in the insurance voucher. Select Your Geographical Coverage Area We offer two geographical coverage options: 1. Worldwide in countries and regions excluding the United States and Caribbean Countries. 2. All countries and regions worldwide. Plan Features ?

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6 Treatment and Claims We have prepared the following guidelines for you to assist you to receive appropriate treatment and to assist you to promptly file your claim. Outpatient If you go for treatment to a hospital which is a member of our direct billing hospital network, you only need to pay the deductible or co-payment indicated in your policy (or insurance voucher). Other expenses will be directly settled by us with the hospital. If you go to a doctor in Mainland China, please contact our Worldwide Customer Service Helpline

4 hours in advance to confirm whether the hospital to which you are going for treatment is a member of our direct billing hospital network. If you go to a hospital which is outside Mainland China, you must call our World- wide Customer Service Helpline

48 hours in advance. If you go to a medical provider outside of our direct billing hospital network, you must pay all the costs in full at the time of treatment, and then submit a claim to us for reimbursement. Pre-authorization To ensure that we provide you timely and accurate services, we must be contacted

48 hours in advance for pre-authorization before the treatment under the following circumstances: ? Hospitalization ? Outpatient surgery ? Outpatient tumor treatment ? Kidney failure and peritoneum outpatient dialysis ? Accidental dental treatment (for emergency treatment of natural teeth which have been accidentally damaged, which have never under- gone any treatment and were previously intact.) ? Amniocentesis (for pregnant women less than

35 years old) ? Home nursing care ? Other procedures including CT, PET-CT, MRI, Stereotactic Conformal Radiotherapy (Gamma Knife) ? Purchase or rental of crutches, walkers, wheelchairs and basic orthopedic prosthesis and equipment ? Any scheduled procedures or any series of treatments or treatments which requires two or more treatment sessions/consultations If you fail to contact us in time, you must bear an additional 25% of the expenses incurred for treatment and hospital services under the claim. Treatment and Claims ?

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8 Taiping Shengshi Worldwide Group Health Plan: Exclusive Service Helpline: (0086) 400-650-2280 Topic Information Website: http://www.tppension.com/txfw/zgdjkxfw/hqyl/ default.shtml Euro-Alarm (Beijing) Co., Ltd. Address: 601,Bld.C,East Lake Villas,35 Dongzhimen- wai Dajie,Dongcheng District ,Beijing,China Postal code:

100027 Fax: (0086) 10-8461-1175 E-mail: [email protected] Hospitalization When you need to be hospitalized for treatment, please contact our Worldwide Customer Service Helpline

48 hours before hospitalization. You need to provide full details of your condition, proposed treatment (including dates and names of procedure if known), name(s) of specialist(s) and hospital details. ? If you provide sufficient information, our service staff will advise you of the range of coverage which you may obtain. If not, they will advise you that further detailed information is required. ? Before your hospitalization, our customer service staff will clarify your benefits coverage verball........