左侧为旧方案,右侧为新方案。此表格用于快速对齐客户疑问:保障额度、保障年龄、关键福利差异。
| 项目 / Benefit | 旧的医药卡 | 新的医药卡 | Remarks 备注 |
|---|---|---|---|
| 人寿 Basic Sum Assured (Death) | 100,000.00 | 100,000.00 | (可填写备注) |
| 终身残废 Total Permanent & Disability | 100,000.00 | 100,000.00 | (可填写备注) |
| 保障年龄 Coverage Age | 保到 69岁 | 保到 100岁 | (可填写备注) |
| 疾病 SMCC(188 CI, Multiple Claim, Until 100) | 60,000 | 61,000 | (可填写备注) |
| CIBR(50 CI, Lumpsum, Until 80) | - | 12,000 | (可填写备注) |
| CIPR(50 CI, Lumpsum, Until 80) | 120,000 | - | (可填写备注) |
| 医药卡每年限额 Annual limit | 3,000,000 | 150,000,000 | (可填写备注) |
| 医药卡终身限额 Overall lifetime limit | UNLIMITED | UNLIMITED | (可填写备注) |
| 住院病房 Room & Board (Limited per day, max 180 days per policy year) |
150 | 200(Unlimited) | (可填写备注) |
| 共同承担 Deductible / co-insurance | N/A | 500 | (可填写备注) |
| 入院前诊断 / 专科 / 第二意见 Pre-hospital (60 days) → (90 days) |
As Charged (Within 60 days) | As Charged (Within 90 days) | (可填写备注) |
| 出院后的治疗 Post-hospital | As Charged (Within 90 Days) | As Charged (Within 200 Days) | (可填写备注) |
| 政府医院住院津贴 Daily Government Hospitalization Cash Allowance |
50(Max 120 days/year) | 200(Max 120 days/year) | (可填写备注) |
| 每⽇监护⼈福利 Daily Guardian Benefit | N/A | 150(max 180 days/year) | (可填写备注) |
| 门诊治疗 Outpatient Treatment | N/A | As charged(5% co-insurance up to RM500/year) | (可填写备注) |
| 癌症 / 洗肾 / 化疗 Outpatient Cancer Treatment & Kidney Dialysis |
As Charged | As Charged | (可填写备注) |
| MRI / PET(per year) | - | 5,000.00 | (可填写备注) |
| 政府税费(马来西亚医院征收) | Not Covered | Covered(excludes non-MY hospital taxes / non-medical) | (可填写备注) |
| 先天性 / 遗传性疾病 | Not Covered | Covered(条件:17岁后首次诊断才赔付) | (可填写备注) |
| 额外医药卡每年限额 Additional Annual limit | 90,000.00 | 10,000,000.00 | (可填写备注) |
| Premium(月费) | RM 285.35 / MONTH | RM 250 / MONTH | (可填写备注) |
说明:以上为客户沟通摘要。实际条款与赔付以保险公司正式保单条款、核保结果与合理及惯常收费为准。
这些是客户常问但不适合放在主表格的"成交细节点"。你可以按需要展开说明。
✅ 出院后严重疾病额外 165 天(201–365 天)
当 200 天限额用完后,针对某些严重疾病,保险公司将继续报销额外 165 天内的合理及惯常费用。 条件:疾病/受伤发生于保单生效后;跟进治疗需同一主治医生;处方药报销不超过 165 天用量。
🧬 New Cancer Drug Benefit(晚期癌症实验药物)
晚期癌症(III/IV 期)实验药物使用,终身上限 RM50,000(需满足监管批准与医疗必要性)。 可参考:FDA / EMA / NPRA(马来西亚)/ NIH 等机构批准条件。
🏥 Reconstructive Surgery(癌症重建手术)
乳腺癌或头颈癌手术后的重建手术保障(终身上限 RM50,000),需 12 个月内完成,且仅限受影响部位。 不包括非癌症相关重建、疤痕修复与后续修复。
🧠 Psychological Counselling(心理辅导)
癌症治疗相关心理辅导:每次最高 RM500,终身最多 20 次(需马来西亚注册心理医生)。 不涵盖与癌症无关心理问题或药物引起精神障碍。
想要我把完整"所有项目"都整理进这个页面(包含每一个 benefit 逐条)也可以,我可以把它做成可搜索的目录与折叠分组。
and then