2. Hướng Dẫn Sử Dụng PVI Care Của NSRP 2016

7/25/2019 2. Hng Dn S Dng PVI Care Ca NSRP 2016

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c thsdng mt cch n gin v hiu quhy dnh thi gian c kti liu ny. Chng ti camkt em n cho cc bn dch vngy cng tt hn.

To be able use a easy and eff iciency, please spendi ng t ime to read thi s document careful ly. We are

committed to giving you better service.

HNG DN SDNG BO HIM SC KHOPVI CARE 2016-2017

A GUIDE TO HEALTH CARE INSURANCE

IN 2016-2017


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A.

NGUYN TC CHUNGA. GENERAL PRINCIPLES

Khng phi bt cchi ph khm, iu trbnh no ca bn cng u c thanh ton.Do not have any expenses for medical examination, treatment of il lness are also paid.

PVI Care l loi hnh bo him tnguyn. Trong NSRP v PVI k mt tha thun dn strong cam

kt rng, PVI scung cp cho Ngi lao ng nhng quyn li bo him nht nh.PVI Care is the voluntary insurance types. Which NSRP and PVI signed a civil agreement, which committed that PVI

will provided to NSRPemployees those particular benefits.

iu ny c ngha l: PVI khng c trch nhim phi thanh ton bt kchi ph khm, cha bnh no mNgi c bo him yu cu. PVI chc trch nhim thanh ton i vi cc ch ph khm, cha bnhthuc phm vi bo him c cam kt (cn cvo Hp ng bo him, quy tc bo him, v Giychng nhn bo him)This means: PVI does not have responsibility to pay any costs for medical examination which the Insured requested.

PVI is only responsible for paying for the expenses medical examination and treatment covered has been committed(based on insurance contracts, insurance regulations, and insurance certificate)

B.DCH VBO LNH VIN PHB.DIRECT BIL LI NG SERVICE

htrNgi c bo him trong vic thanh ton tin thm khm, iu trtai nn, m au, bnh tt,thai sn. Bo him PVI HN sin thBo lnh vin ph PVI Care cho NBH. Vi thBo him PVICare, NBH skhng phi thanh ton tin khi thm khm v iu trti cc bnh vin/Phng khmthuc danh sch bo lnh ca Bo him PVI.To support client in payment, PVI issue PVI card to all insured persons. With PVI card in hand, insured persons will

not have to make payment by cash to clinics/ hospital.

ThPVI Care p dng ctrong thm khm, iu trNi tr cng nh Ngoi trPVI card will cover both in patient and out patient applicable to the list of clinic/hospital in PVI.

1. Nhn dng thPVI Care1. PVI Card of the Insured


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2. Lm thno sdng thbo lnh vin ph PVI Care?2. How to use PVI card (direct bill ing service)?

Di y lbiu gii thch lm thno sdng thPVI:Below is the chart to explain how to use PVI card:

Quy trnh ny l ht sc n gin v ddng. Chng ti v bnh vin kt ni vi nhau qua hthng phnmm bo lnh vin ph.This process is very clear, we and hospitals connected together through the guarantee system software direct billing

Lu: :Note:

Danh sch bnh vin/phng khm c ththay i theo thi gian/chng trnh bo himList of hospitals / clinics may change Khch hng skhng c bo lnh nu khng cung cp y thPVI Care v/CMND hoc H

chiuCustomers will not be billing if not provided Care and PVI card / ID card or passport

Khch hng cn k vo Giy yu cu trtin bo him/ hs, chng ttheo hng dn ca cnbphtrch bo him trc khi ri khi Bnh vin/ Phng khmThe Insured should sign the claim form, medica document, invoice under guidance of Insurance Officer before

leaving the hospital / clinic

Cc trng hp cn cha thng tin hoc thiu giy txc nh bnh /tai nn thuc phm vibo him: Khch hng thu thp hs vthanh ton trc tip vi Bo him PVI.In case of not enough information or missing medical document to determine the disease / accident insurance

covered. The Insured collect medical documents + Claim form and send to PVI Insurance

Trong trng hp iu trni tr , khch hng phi xut trnh giy ttrong vng 24h ngay sau khinhp vin.In the case of inpatient treatment, clients must produce Care PVI card and ID card or Passport within 24 hours

immediately after admission.

Mt sbnh vin c thquy nh khch hng t cc trc khi sdng dch v.Some hospitals may require a deposit when the Insured use the service.

i vi bo lnh vin ph ngoi tr do tai nn, hin ti BH PVI cha cung cpPVI Insurance has not provided direct billing for treatment out-patient for case of accidents

Ngi c bo himThe Insured

Xut trnh thPVI Care, vCMND hoc HChiu ti

bn tip n ca Bnhvin/Phng khm

Show PVI card/ID Card orPassport at the reception

desk of the hospital / clinic

Bnh vin/Phng khmHospital/Clinic

Kim tra thbo him,chng trnh bo him vgi thng tin cho BH PVI

Check insurance card,

insurance information andsend information to PVI

Insurance

Bo him PVIPVI I nsurance

Kim tra thng tin tBnh vin/Phng khmv xc nhn bo lnh

Check the the information

and confirmed

Chi trtin cho Bnh vinpayment for hospital


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3. Gii quyt thno nu hthng bo lnh gp vn ?3. How to resolve if the system is having problems?

Trong qu trnh thc hin c thxy ra nhng vn pht sinh khin vic bo lnh bchm chhockhng thc hin c. Tuy nhin chng ti c hn 10 nm hp tc vi cc bnh vin nn c rt nhiu

kinh nghim gii quyt i vi cc trng hp nu trn. Hy gi cho chng ti theo cc sholine htrbo lnh sau y:

Pha Bc: n Qung Nam Hotline 1: 0988 742 788

Hotline 2: 0123 274 2788

Hotline 3: 0988 752 788

Pha Nam : TTP HCh Minh n C Mau Hotline 1: 0988 756 726

Hotline 2: 0988 756 736

During the actual implementation, there will be cases when clinic/hospital and insured persons may have differentunderstandings about examination items. PVI and each clinic/hospital have very close cooperation during the last 10

years. We have many experience to deal with special cases. Please contact immediately with system hotline

Northern: to Quang Nam Provine

Hotline 1: 0988 742 788

Hotline 2: 0123 274 2788

Hotline 3: 0988 752 788

Southern: From Ho Chi M inh City to Ca Mau Province

Hotline 1: 0988 756 726

Hotline 2: 0988 756 736

4. Thi gian thc hin bo lnh l bao lu?4. How long dir ect bill ing complete?

i vi bo lnh ngoi tr, vic bo lnh sc xl trc tuyn gn nh ngay lp tc. NBHsc bo lnh thanh ton stin trong phm vi bo him, trong hn mc bo him.For Out patient, hospital/clinic will immediately process online. Insured persons can use clinic service

without making any payment within the limit.

i vi bo lnh ni tr, Trong vng 2 ging hktkhi nhn dduocj yu cu bo lnh tBnh vin, Bo him PVI shon tt thtc bo lnh.For In patient, within 02 hours after receipt of the request from Clinic/hospital, PVI can guarantee payment

for insured person(s).

5. Danh sch mng li bo lnh vin ph ca Bo him PVI?5.List of PVIs direct billing hospital network?

Mng li bo lnh vin ph ca BH PVI hin c hn 76 Bnh vin/Phng khm ti cc tnh thnh ph:H Ni, Thi Nguyn, Hi Phng, Thanh Ho, Nng, Qung Nam, TP HCM, Bnh Dng, VngTu, ng Nai, Cn Th, C Mau

PVIs direct billing hospital network has 76 clinics/hospitals and clinics in the cities as: Hanoi, Thai Nguyen, HaiPhong, Thanh Hoa, Da Nang, Quang Nam, Ho Chi Minh City, Binh Duong, Vung Tau, Dong Nai, Can Tho, Ca Mau.


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Vui lng kim tra danh sch bo lnh hin ti theo nh km. Truy cp trang webwww.pvicare.vnhoclin hvi hthng Holine ca chng ti bt ckhi no bn cn.

Please check List of Clinic/ Hospitals for Direct Billing attched. This list will be updated regularly. Visit my Direct

billing Service:www.pvicare.vn.Or contact immediately with system hotline

6. Thi gian c chp nhn bo lnh ti cc Bnh vin/Phng khm l bao gi?

6. What's the working time to accept direct bil li ng in H ospital/Cl in ic?

bit thi gian m cc Bnh vin/Phng khm chp nhn vic thc hin bo lnh, vui lng xem thngtin chi tit trong Danh sch bo lnh vin phTo known the working time to accept in Hospital/Clinic, plesea check it in List of Clinic/ Hospitals for Direct Billing

7. Ti sao bn nn dng dch vbo lnh vin ph?7. Why shoul d to use dir ect bil li ng Service?

Bn skhng phi thanh ton tin cho Bnh vin/Phng khmYou dont need to pay for the hospital / clinic

Thtc rt dn gin v thun tinThe procedures is simple and easy

Bn skhng cn thu thp chng t(vn rt phc tp) yu cu PVI thanh ton bo himYou do not need to collect medical documents (very complicated), send to PVI Insurance to request

compensation

C. KHNG DNG DCH VBO LNH VIN PHC. NOT USE TODIRECT BIL LI NG SERVICE

Di y l biu gii thch lm thno yu cu bo him PVI thanh ton tin bi thng bohimBelow is the chart to explain how to request PVI Insurance payment of insurance compensation

Ngi c bo himThe Insured

Khm, iu trbnh, thanh

ton tin, thu thp chng tyt+ giy yu cu BH v gicho BH PVI

Examination and treatment,

payment, collect medical

documents + Claim form and

send to PVI Insurance

Bnh vin/Phng khmHospital/Clinic

Bo him PVIPVI Insurance

Kim tra ho n chng tv thanh ton cho Ngic bo him

Check invoices ordocuments and payments

for the insured
http://www.pvicare.vn/http://www.pvicare.vn/http://www.pvicare.vn/http://www.pvicare.vn/http://www.pvicare.vn/http://www.pvicare.vn/http://www.pvicare.vn/http://www.pvicare.vn/


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Lu :Note:

Cc chng ty tcn thit phi thu thp:The medical documents necessary to collect:

1. Giy yu cu trtin bo him (theo mu ca BH PVI)Claim form

2. Phiu khm/skhm

Medical examination registration paper

3. Chnh chp chiu xt nghim, kt quchp, chiu, xt nghim (nu c)Test results

4. Kt lun bnh, n thucPrescriptions

5. Bng k vin phThe list of hospital charges

6. Giy chng nhn phu thut (nu c)Surgical certificate (in case of sugery),

7. Giy xut vin (nu c)Hospital discharge certificate

8. Bin bn tai nnAccident report

9. Ho n, bin lai theo quy nh ca BTi Chnh. Vi stin 200.000 trng bt buc phi lho n . Chchp nhn ho n bn l(c du vung) vi stin di 200.000 ngInvoices, receipts as required by the Ministry of Finance and the Tax Agency

Cc ho n chng ttrn u phi c y du v chk theo quy nh ca BY t, ca BTiChnh v ca Bnh vin

D.

BO HIM THAI SNCHNG TRNH C BIT CHO CC NNHN VIND. MATERNITY I NSURANCESPECIAL PROGRAM FOR FEM ALE EMPLOYEES

D. Bo him thai snChng trnh c bit dnh cho cc nnhn vin.D. Materni ty Insurance - special program for female employees.

Bo him thai sn l mt quyn li c bit dnh cho NBH l nktkhi bt u mang thai n khicon ca hc sinh ra.Insurance for maternity is applied for all female insured person(s) from the time they are pregant until the birth of

child.

Cc quyn li bo him c chi trbao gm:Thera are benefit:

* i vi iu trNi trFor In-patient:

Sinh thng:Normal deli very

Vin ph trong thi gian nm vinHospital charges during hospitalization

Cc xt nghim, tim phng v iu tr cho sn phExamination/Vaccination/Treatment for the Insured

Chi ph cho thm khm trc khi nhp vin (trong vng 30 ngy) Pre-Hospitalization Treatment as instructed by a physician (30 days prior to

30.000.000/nm30,000,000/nm


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the hospital admission)

Chi ph sau khi xut vin (trong vng 30 ngy)Post-Hospitalization Treatment (30 days following the hospital discharge)

Chi ph dch v vn chuyn cp cuEmergency evacuation service

Tr cp nm vin (205.000/ngy)

Hospital cash income (205,000/ngy) Chi ph h tr mai tng (4.000.000)Burial cost (4,000,000)

Cc chi ph y t cho sinh n thng thng khcOther Medical expenses for normal delivery

Sinh m theo ch nh ca Bc s:Caesarean section


Chi ph phu thut

Surgical operation


Chi ph cho thm khm trc khi nhp vin (trong vng 30 ngy)Pre-Hospitalization Treatment as instructed by a physician (30 days prior to

the hospital admission)

Chi ph sau khi xut vin (trong vng 30 ngy)Post-Hospitalization Treatment (30 days following the hospital discharge)


Tr cp nm vin (205.000/ngy)Hospital cash income (205,000/ngy)

Chi ph h tr mai tng (4.000.000)Burial cost (4,000,000)

40.000.000/nm40,000,000/nm

iu tr bin chng thai sn:Complication of pregnancy

Chi tr theo chi phthc t, ti a

205.000.000/nmPay actual cost, up to

205,000,000 per year

Chi phiu tri bnh cp tnh cho em besau sinh (trong vong 07 ngay saukhi sinh)Bao gm cc chi ph thuc v xt nghim dng nhi, chi ph v sinh em bti cc bnh vin trong vng 07 ngy sau sinh vi iu kin ngi m chaxut vinNewborn cover (within 07 days after the childbirth)

500.000/nm500,000/nm

* iu trngoi trOut- Patient

Khm thai nh kv iu tr bin chng thai sn ngoi tr Pregnant routi ne check-up and Complication of pregnancy (outPatient)

2.000.000

2,000,000


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* Khm thai nh k: L cc chi ph khm, xt nghim, chn on hnh nhtrong qu trnh mang thai bao gm: xt nghim nc tiu thng thng, xtnghim mu c bn, siu m (khng bao gm siu m 4D).Periodic prenatal examination: Any costs or expenses incurred during any examination,

test or diagnostic imaging during pregnancy, including any regular urine test, basic

blood test or ultrasound (excluding 4D ultrasound).

* Bin chng thai sn: l tnh trng bt thng ca bo thai, bin chng donguyn nhn tai nn hoc bnh l pht sinh trong qu trnh mang thai caNgi c bo him (khng bao gm trng hp sinh non, sinh m theo yucu) cn iu tr y t theo ch nh ca bc s.Pregnancy complication: Any abnormal condition of the fetus or complication caused

by an accident or an illness during the Insureds pregnancy (excluding premature

delivery or requested caesarean) and requiring medical treatment as prescribed by the

attending Physician

E.

CC QUYN LI BO HIM NM 2016-2017E. THE BENEF IT OF INSURANCE 2016-2017

iu kin bo him AT vong hoc tn tt ton b vnh vin do m, bnh tt, thai sn. Condition A - Death, Permanent Total Di sabili ty fol lowing an il lness or disease or matern ity-r elated compli cation

Phm vi bo him: Bo him trng hp b t vong hoc tn tt ton b vnh vin do m au, bnh tt,thai sn tr nhng im loi tr quy nh Quy tc BH.Scope of coverage: Death or Permanent Total Disability arising from an illness or disease or maternity-related

complication, subject to the exclusions set in PVI Care Policy

Phm vi a l: Vit Nam

Geographical Limit: Vietnamn v: VN / Unit: VND

QUYN LIINSURANCE BENEFITS

S TIN BO HIMSUM INSURED/PERSON/YEAR

CBNV

NSRP Vietnamese

and foreign direct

hire employees

CBBP PVNPVN Secondee

PTGDeputy General

Director

CBNV

Secondee

T vong hoc tn tt ton b vnhvin do m au, bnh tt, thai snDeath or total permanent disability due to

illness, disease or pregnancy

30 thnglng/ngi/v30 monthly of basic

salary/person/

occurence

1.000.000.000/ngi/v1,000,000,000/person/oc

curence

800.000.000/ngi/v

800,000,000/person/

occurence

iu kin bo him BTai nn c nhnCondition B - Personal accidents

Phm vi bo him: Bo him trng hp ngi c bo him b t vong, thng tt thn th do tai nn,


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tr nhng trng hp loi tr quy nh Quy tc Bo himScope of cover: Scope of coverage: Accidental death or Bodily Injury, subject to the exclusions set in PVI Care Policy.

Phm vi a l: Ton cuTerritorial scope: Worldwide

n v: VN / Unit: VND



Nhn vinNSRP Vietnamese

and foreign direct

hire employees

CBBP PVNPVN Secondee

PTGDeputy General Director

CBNV

Secondee

T vong hoc thng tt ton bvnh vinDeath or total permanent disability

30 thng

lng/ngi/v30 monthly of basic

salary/person/

occurence

1.000.000.000/ngi/v

1,000,000,000/person/

occurence

800.000.000/ngi/v

800,000,000/person/

occurence

Thng tt b phn vnh vinPartial permanent disability

% ca s tin bo him theo bng t l tr tin BH thng ttPercentage of Sum Insured as per Scale ofCompensation

Thng tt tm thi (Tr cplngtrong thi gian ngh vic dotai nn, ti a 180 ngy)Temporary disability (Sallary

allowance, Daily salary during

medical treatment,maximum 180

days)

700.000/ngy tia 126.000.000

700,000/day,

maximum

126,000,000

700.000/ngy ti a126.000.000

700,000/day, maximum

126,000,000

700.000/ngy tia 126.000.000

700,000/day,

maximum

126,000,000

Chi ph y t (bao gm chi ph vnchuyn cp cu, loi tr bngng hng khng)Medical expenses (including expenses

for emergency evacuation, except for

air transportation)

105.000.000/ngi/nm

105,000,000/person/

year

105.000.000/ngi/nm

105,000,000/person/year

105.000.000/ngi/nm

105,000,000/person/

year

iu kin bao him C - Chi phy t do m au, bnh t t, thai sanCondition CExpenses foll owing a disease, il lness or materni ty-related complication.

Phm vi bo him: Bo him trng hp m au, bnh tt, thai sn phi nm vin hoc phu thut, trnhng trng hp loi tr quy nh Quy tc BH.Scope of coverage: Any disease, illness or maternity-related complication necessitating hospitalization or surgery,

subject to the exclusions set in PVI Care Policy.

Phm vi a l: Vit NamTerritorial scope: Vietnam

n v: VN/ Unit: VND




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Nhn vin NSRPThe NSRP employees

Con ca Nhnvin NSRP

Children of NSRPs

employees

Gii hn ti a/ngi/nmMaximum Limit/ Person/ Year

205.000.000205,000,000

205.000.000205,000,000

1 Vin ph trong thi gian nm vin (ti a 60ngy/nm)Hospital charges dur ing hospitali zation (Up to 60

days/year):

Tin ging iu tr*

Room and boad

Xt nghim chun on hnh nhLaboratory and diagnostic imaging tests

Thuc iu trPrescriptions

Cc chi ph y t khc trong thi gian nm vinOther medical expenses

(p dng cho c trng hp iu tr trong ngy)(Also applied in case of day-patient treatment)

* Tin ging iu tr: L chi ph tin ging nmiu tr trong mt phng tiu chun vcc khon chi

ph lin quan trc tip n vic iu tr ca Ngic bo him, chi ph chm sc y t cn thit do mty t c bng cp chm sc. Bo him PVI khng

thanh ton cc chi ph khng phi l chi ph y t nhin thoi, bo ch, tip khch, mphm.Phng tiu chun: phng tiu chun c gii hn tiloi phng n c gi thp nht ti c s y t iu tr,khng bao gm phng theo yu cu v bao phng. Room and board: Bed charges incurred for treatment in a

standard room and other related expenses directly related to

the treatment of the Insured and any other expenses or costs

of any other necessary medical care services provided by a

nurse qualified nurse. PVI Insurance shall not pay any non-

medical expenses such as telephone calls, newspapers, guest

meals or cosmetics.

Standard room: a standard room is limited to a single room

at the lowest rate at a medical facility and is exclusive of any

requested or VIP room.

Chi tr theo chiph thc t, ti a10.250.000/ngy

Pay actual medical

expense, up to

10,250,000 per day

Chi tr theo chiph thc t, ti a10.250.000/ngy

Pay actual medical

expense, up to

10,250,000 per day


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2 Chi ph phu thut* (bao gm phu thut ni tr,phu thut ngoi tr v phu thut trong ngy)Surgical operation (including in-patient, day-patient and

out-patient surgery)

*Cc loi phu thut phi thuc danh mc phuthut do B y t Vit Nam quy nh.

Types of surgeries shall be specified in the list of surgeriesissued by the Ministry of Health.

Chi tr theo chiph thc t, ti a

205.000.000

Pay actual cost, up

to 205,000,000


205.000.000

Pay actual cost, up

to 205,000,000

3 Chm sc c bitSpecial Care Unit (I CU)


205.000.000

Pay actual cost, up

to 205,000,000


205.000.000

Pay actual cost, up

to 205,000,000

4 iu tr cp cuEmergency treatment


205.000.000

Pay actual cost, up

to 205,000,000


205.000.000

Pay actual cost, up

to 205,000,000

5 Cc quyn li khcOther benefi ts

Chi ph trc khi nhp vin theo ch nh ca bc s(trong vng 30 ngy trc khi nhp vin)Pre-Hospitalization Treatment as instructed by a physician

(30 days prior to the hospital admission)

Chi tr theo chiph thc t, ti a10.250.000/nm

Pay actual medical

expense, up to

10,250,000 per year


Pay actual medical

expense, up to

10,250,000 per yearChi ph iu tr sau khi xut vin (trong vng 30ngy k t ngy xut vin)Post-Hospitalization Treatment (30 days following the

hospital discharge)


Pay actual medical

expense, up to

10,250,000 per year


Pay actual medical

expense, up to

10,250,000 per year

Chi ph y t chm sc ti nh ngay sau khi xut vin(ti a 15 ngy/nm)Home nursing immediately following hospital discharge

(Max. 15 days/year)


Pay actual medical

expense, up to

10,250,000 per year


Pay actual medical

expense, up to

10,250,000 per year

Cy ghp ni tng (khng bo him chi ph mua ccb phn ni tng v chi ph hin ni tng)Organ Transplantation (not including the cost of

acquisition of organ and all cost incurred by the donor)

Chi tr theo chiph thc t, ti a205.000.000/nmPay actual cost, up

to 205,000,000 per

year


to 205,000,000 per

year

Phc hi chc nngRehabilitation

Chi tr theo chiph thc t, ti a Chi tr theo chiph thc t, ti a


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ti20.500.000/nm

Pay actual cost, up

to 20,500,000 per

year

ti20.500.000/nm

Pay actual cost, up

to 20,500,000 per

year

Dch v vn chuyn cp cu (s dng dch v xe

cu thng ca a phng vi mc ch vnchuyn khn cp Ngi c bo him ti c s y tgn nht c kh nng cung cp dch v y t thchhp, loi tr ng hng khng).Trong trng hp khng c dch v cu thng caa phng, Ngi c bo him c th dng taxivi gii hn trch nhim ti 500.000VN/v. Han taxi phi c cung cp vi thng tin lin quan) Emergency evacuation service (Using local ambulance

services to evacuate the Insured to the nearest medical

establishments which are capable of providing appropriate

medical services, except for air evacuation).

In case no local ambulance service is available, the Insured

may use taxis subject to the limit of liability up to

VND200,000/occurrence. A taxi charge invoice with

relevant information must be provided)


to 205,000,000 per

year


to 205,000,000 per

year

Tr cp nm vin (ti a 60 ngy/nm)Hospital cash income (up to 60 days/year)

205.000/ngy

205,000 per day

205.000/ngy

205,000 per day

Tr cp mai tng

Burial cost

4.000.000

4,000,000

4.000.000

4,000,000Chi phiu tri bnh cp tnh cho em besau sinh(trong vong 07 ngay sau khi sinh)Bao gm cc chi ph thuc v xt nghim dng nhi,chi ph v sinh em b ti cc bnh vin trong vng07 ngy sau sinh vi iu kin ngi m cha xutvinNewborn cover (within 07 days after the childbirth)

500.000/nm500,000/nm

500.000/nm500,000/nm

6 Quyn li thai sn ni tr:Maternity benefits (In-patient)

Sinh thng:Normal deli very



Chi ph cho thm khm trc khi nhp vin (trongvng 30 ngy)

Pre-Hospitalization Treatment as instructed by a physician

(30 days prior to the hospital admission)Chi ph sau khi xut vin (trong vng 30 ngy)

30.000.000/nm30,000,000/nm

Khng p dngNot cover


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Post-Hospitalization Treatment (30 days following the

hospital discharge)


Tr cp nm vin (205.000/ngy)Hospital cash income (205,000/day)


Cc chi ph y t cho sinh n thng thng khcOther Medical expenses for normal delivery

Sinh m theo ch nh ca Bc s:Caesarean section


Chi ph phu thutSurgical operation


Chi ph cho thm khm trc khi nhp vin (trongvng 30 ngy)

Pre-Hospitalization Treatment as instructed by a physician

(30 days prior to the hospital admission)

Chi ph sau khi xut vin (trong vng 30 ngy)Post-Hospitalization Treatment (30 days following the

hospital discharge)


Tr cp nm vin (205.000/ngy)Hospital cash income (205,000/ngy)


40.000.000/nm40,000,000/nm

Khng p dngNot cover

iu tr bin chng thai sn:Complication of pregnancy


to 205,000,000 peryear

Khng p dngNot cover

IU TR NGOI TR (Bao gm chm sc rng)OUT-PATIENT TREATMENT (including dental)

n v: VN/Unit: VND

QUYN LI BO HIMINSURANCE BENEF ITS

S TIN BOHIM/NG I/NM

SUM INSURED/PERSON/YEAR

Nhn vinNSRP

The NSRP

Con ca Nhnvin NSRPChildren of NSRPs


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employees employees

Gii hn ti a/ngi/nmMaximum l imi t/ person/ year

16.000.00016,000,000

10.500.00010,500,000

Chi ph khm bnhConsultation charges

Tin thuc theo k n

Cost of prescribed medicinesChi ph xt nghim, chun on hnh nh trong vic iu trthuc phm vi bo himCharges made for laboratory tests or X-rays that are used in the

treatment of a covered illness

Khng gii hn

s tin mt lnkhmNo limit/time

Khng gii hn s

tin mt ln khmNo limit/time

Vt l tr liu, tr liu hc bc x, liu php nh sng v ccphng php iu tr tng t khc do bc s ch nh (tia 60 ngy/nm)Radiotherapy, heat therapy or phototherapy and other such

treatment prescribed by a physician (Max. 60 days/year)


ti 205.000/lnkhm

Pay actual cost, up

to 205,000 / visit.

Chi trtheo chiph thc t, ti a

ti 160.000/lnkhm

Pay actual cost, up

to 160,000 / visit.

Khm thai nh kv iu tr bin chng thai sn ngoitrPregnant routine check-up and Compli cation of pregnancy (out Patient)

* Khm thai nh k: L cc chi ph khm, xt nghim, chnon hnh nh trong qu trnh mang thai bao gm: xt nghimnc tiu thng thng, xt nghim mu c bn, siu m(khng bao gm siu m 4D).

Periodic prenatal examination: Any costs or expenses incurred duringany examination, test or diagnostic imaging during pregnancy,

including any regular urine test, basic blood test or ultrasound

(excluding 4D ultrasound).

* Bin chng thai sn: l tnh trng bt thng ca bo thai,bin chng do nguyn nhn tai nn hoc bnh l pht sinhtrong qu trnh mang thai ca Ngi c bo him (khng

bao gm trng hp sinh non, sinh m theo yu cu) cn iutr y t theo ch nh ca bc s.Pregnancy complication: Any abnormal condition of the fetus or

complication caused by an accident or an illness during the Insureds

pregnancy (excluding premature delivery or requested caesarean)

and requiring medical treatment as prescribed by the attending

Physician

2.000.000

2,000,000

Khng p dngNot available


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iu tr rng c bn: Khm chp X-quang rng, ly caorng, iu tr vim nu (li), nha chu, trm (hn) rng bngcc cht liu thng thng (amalgam hoc composite), nhrng bnh l (bao gm tiu phu), iu tr ty rngBasic dental treatment: Examination and X-ray, Teeth scaling,

Gingivitis, Normal fillings (amalgam or composite), Extraction of

fault teeth (including minor surgery), Root canal treatment

*Bo him PVI ng m rng quyn li nha khoa ti btk phng khm nha khoa hot ng hp php v nm ngoidanh sch t chi thanh ton c nh km ti ph lc 05ca hp ng bo him ny

4.800.000

4,800,000

3.000.000

3,000,000

Lu :1. Tham kho kdanh sch bnh vin bo lnh ca PVI theo danh sch km theo2. Tham kho kcc BV, Phng khm, Nha Khoa v Nh thuc thuc danh sch tchi chi trtin

bo him ca BH PVI theo danh sch nh km


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Documents

2. Hướng Dẫn Sử Dụng PVI Care Của NSRP 2016