保險內容Coverage
門(急)診醫療保險金
被保險人於本契約有效期間內（如於本契約生效後加保之被保險人，則係指加 保之翌日起）因疾病或傷害，而於醫院或診所接受門(急)診診療者，本公司按 醫院或診所實際收取之門(急)診醫療費用（包含診察、處方、醫藥、檢驗或Ｘ 光檢查等之全部費用），給付「門(急)診醫療保險金」，但每次最高給付金額以 1000 元為限。
Outpatient/Emergency treatment benefit
While this Policy is still effective, if the Insured suffers an illness or injury and receives (emergency) treatment at a hospital/clinic as an outpatient, the company will reimburse all medical expenses incurred. However, the payment of benefit shall not exceed the limit of 1,000 NTD (per visit).
每日病房費用保險金
被保險人於本契約有效期間內（如於本契約生效後加保之被保險人，則係指加 保之翌日起）因疾病或傷害而住院診療時，本公司按該被保險人住院期間內所 發生之下列各項費用核付「每日病房費用保險金」，但每日最高給付金額以 1000 元為限：
1.超等住院之病房費差額。
2.管灌飲食以外之膳食費。
3.特別護士以外之護理費。
Daily hospital room benefit
While this Policy is still effective, if the Insured suffers an illness or injury and receives treatment at a hospital as an inpatient, the company will reimburse the following expenses incurred.
1. Balance billing on hospital rooms.
2. Food, except for nutrients provided through tube feeding.
3. Nursing care fee excluding special nurse fee.
However, the payment of benefit shall not exceed the limit of 1,000 NTD (per day).
住院醫療費用保險金
被保險人於本契約有效期間內（如於本契約生效後加保之被保險人，則係指加 保之翌日起）因疾病或傷害而住院診療時，本公司按該被保險人住院期間內所 發生之下列各項費用核付「住院醫療費用保險金」，但被保險人同一次住院最 高給付金額以 12 萬元為限：
1.指定醫師。
2.醫師指示用藥。
3.血液(非緊急傷病必要之輸血)。
4.掛號費及其證明文件。
5.來往醫院的救護車費。
6.手術費用。
7.手術室、手術後恢復室或急救室及其設備之應用。
8.材料費。
9.化驗室檢驗、心電圖、基礎代謝率檢查。
10.復健治療。
11.麻醉劑、氧氣及其應用。
12.放射線診療費。
13.血液透析費。
14.注射技術費及其藥液。
15.檢驗費。
16.治療費。
Hospital miscellaneous benefit
While this Policy is still effective, if the Insured suffers an illness or injury and receives treatment at a hospital as an inpatient, the company will reimburse the following expenses incurred.
1.Designated physician
2.Physician instructions medication.
3.Blood, except for blood transfusions deemed necessary by a doctor providing emergency care.
4.Registration fee and cost of obtaining related certificates.
5.Ambulance fee
6.Operation fee.
7.Operation room, post-operative recovery room, emergency room or and the application of its equipment.
8.Materials fee.
9.Laboratory tests, electrocardiogram, basal metabolic rate check.
10.Rehabilitation therapy.
11.Anesthetics, oxygen, and its application.
12.Therapeutic radiology.
13.Hemodialysis.
14.Injection and its liquid medicine.
15.Laboratory examination.
16.Treatment.
However, the payment of benefit shall not exceed the limit of 120,000 NTD (per hospitalization).
投保規定The provisions of the insured
被保險人資格：限外籍生(含陸生及僑生)本人投保。
投保年齡限制：14 歲~50 歲。
本險一律以『記名方式』投保。
保險期間：一年。
繳費方法：年繳、半年繳、季繳及月繳。
Insurer qualifications：Limited to foreign students(including Mainland China students and Overseas Chinese students).
Insured age limit：From 14 years old to 50 years old.
Insured’s name shall be specified in the policy.
Policy period/term：One year.
Premium mode：Yearly, Half yearly, Quarterly , Monthly
如何申請理賠How to make a claim
在保障期內就醫期間，其外籍生傷病醫療保險之理賠，請注意以下事項：
1.保險只承保由保險公司指定醫院提供的醫療。
*如果您正在尋求醫療服務，請務必前往國民健康保險涵蓋的醫院或診所。
2. 支付治療費用後，請務必獲得: 1) 醫療收據正本及醫療明細和 2) 醫療診斷書正本(必須蓋醫院及醫師章)。請告訴醫生您需要這些文件來申請保險理賠。
3.請填寫「國泰人壽保險股份有限公司理賠申請書」，連同所需文件一起提交給國際事務處，本單位人員將協助您送出理賠申請。
*如果您看不懂中文，請將索賠表單帶到國際事務處並請本單位人員協助您填寫。尋求幫助時請遵守應有的禮節。「國泰人壽保險股份有限公司理賠申請書」範本。
4.在接受治療後需要攜帶到國際事務處的必需文件有:
(1) 國泰人壽保險股份有限公司理賠申請書
(2) 醫療收據正本及醫療明細
(3) 醫療診斷書正本(必須蓋醫院及醫師章)
(4) 居留證影本
(5) 在學證明(請先列印學生證正反面並至教務處蓋上在學證明章)
(6) 郵局存簿影本(匯款用)
In order to facilitate your claim after you have purchased the Medical Insurance for international students, please observe the following when seeking medical treatment during coverage period:
1. The insurance covers medical treatment provided by the hospitals specified by the insurance company ONLY.
*Please make sure that you go to one of the National Health Insurance covered hospitals or clinics if you are seeking medical treatment.
2. After paying for the treatment, be sure to get 1) a medical receipt and medical details and 2) medical certificate (must be stamped with hospital and physician seals). Tell the doctor that you need the documents to file for an insurance claim.
3. Fill out the Medical insurance claim form and bring it together with the required documents to the OIA and the staff will assist you to make your claim.
*Bring the claim form to the OIA and ask the staff to help you fill it out if you cannot read Chinese. Observe common courtesy when seeking assistance. Sample of Medical insurance claim form
4. Required documents that you need to bring to the OIA after receiving treatment are:
(1) The insurance claim form
(2) Original medical receipt and medical details
(3) Original medical certificate (must be stamped with hospital and physician seals)
(4) The photocopy of ARC
(5) Enrollment Certificate (The photocopy of Student ID with enrollment seal by Academic Affairs)
(6) The photocopy of Post Office Passbook ( for remittance)
備註Note
1.以上資訊僅供參考，有關條款及細則的詳情，請參閱中文版保單合約。
2.以上資訊與保單不一致時，以中文版保單條款為主。
1. The above information is for reference only. For details of the terms and conditions, please refer to the policy contract (Chinese version).
2. The terms and conditions of insurance policy (Chinese version) shall prevail if there is any inconsistency between the above information and the insurance policy.