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Group Medical and Group Life 團體醫療及團體人壽保險

Group Medical and Group Life 團體醫療及團體人壽保險 · 1 PRUchoice Group Medical Insurance and PRUchoice Group Life Assurance 保誠精選「團體醫療寶」及保誠精選「團體人壽寶」

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Page 1: Group Medical and Group Life 團體醫療及團體人壽保險 · 1 PRUchoice Group Medical Insurance and PRUchoice Group Life Assurance 保誠精選「團體醫療寶」及保誠精選「團體人壽寶」

Note: This brochure is for illustrative purpose only. Please refer to the insurance Policy for exact terms and condition.註:此小冊子只作介紹用途,有關之條文細節,請參閱保單條款。所有中文簡譯,如與英文有異,概以英文為準。

EB1/BR00023B/P01 (05/11)

1C Job No.11313 pru Brochure folderM Y K Output 5C Positive film175LPI Emulsion down打啞粉紙26-06-08

Group Medical and Group Life團體醫療及團體人壽保險

The Prudential Assurance Company Limited(incorporated and registered in England and Wales)General Insurance & Employee Benefits Department3/F, DCH Commercial Centre, 25 Westlands Road, Quarry Bay, Hong KongTel : (852) 3656 8300 Fax: (852) 2164 8446

英國保誠保險有限公司 (於英格蘭及威爾斯成立及註冊)一般保險及僱員福利部香港 魚涌華蘭路25號大昌行商業中心3樓電話:(852) 3656 8300 傳真:(852) 2164 8446

Page 2: Group Medical and Group Life 團體醫療及團體人壽保險 · 1 PRUchoice Group Medical Insurance and PRUchoice Group Life Assurance 保誠精選「團體醫療寶」及保誠精選「團體人壽寶」

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PRUchoice Group Medical Insurance and PRUchoice Group Life Assurance 保誠精選「團體醫療寶」及保誠精選「團體人壽寶」

Choice of Benefits 保障選擇

Eligibility 投保資格

• PRUchoice Group Medical Insurance and PRUchoice Group Life Assurance are designed for companies operating in Hong Kong with 5 to 50 employees.

• YoucaninsurePRUchoice Group Medical Insurance and/or PRUchoice Group Life Assurance separately or together for your employees.

• DifferentlevelsofbenefitandoptionalbenefitsareavailableinPRUchoice Group Medical Insurance and PRUchoiceGroupLifeAssurance.Youcanprovidebenefitstodifferenteligibilityofemployeesaccordingtotheirneeds.

• Otherthantheemployees,youcanalsoprovidethebenefitofPRUchoice Group Medical Insurance to employees’ dependants including their spouse who areagedunder65,andunmarriedchildrenagedbetween15daysand18yearsold(oragedbelow23,whentheyareunderfull-timeeducationwithvalidproof).

• PRUchoiceGroupLifeAssuranceoffersbenefittotheemployeeswhoareagedunder64.Themaximumentryageofoptionalbenefits is53yearsoldwhilsttherenewalageisupto63yearsold.

• Allcoveredemployees,andtheircovereddependants (applicabletoPRUchoiceGroupMedical Insurance)shallbedeemedtobemembersfor theentitlementofthecorrespondingbenefits.

•保誠精選「團體醫療寶」及保誠精選「團體人壽寶」專為在香港營運及聘用5-50名僱員或以上的公司而設。

•您可為僱員單獨或同時投保保誠精選「團體醫療寶」及/或保誠精選「團體人壽寶」。

•保誠精選「團體醫療寶」及保誠精選「團體人壽寶」均設有不同的保障等級及額外保障項目,您可按需求為不同資格的僱員提供保障。

•就保誠精選「團體醫療寶」,保障除了可以提供予未滿65歲的僱員外,您亦可為僱員家屬,包括未滿65歲的配偶,及年齡滿15天而未滿18歲的未婚子女(或未滿23歲就讀全日制學校的未婚子女,惟須提供有效證明文件),提供保障。

•保誠精選「團體人壽寶」保障亦為未滿64歲的僱員提供保障;若選擇提供額外保障,僱員的最高參加年齡為53歲,並可續保至63歲。

•所有受保僱員、及受保家屬(只適用於保誠精選「團體醫療寶」),均以會員身份獲得保障。

PRUchoice Group Medical Insurance 保誠精選「團體醫療寶」

Hospital and Surgical Benefit住院及手術保障

Clinical Benefit(2choicesofreimbursement,either100%or80%)

門診保障(提供兩種賠償率選擇,包括100%或80%)

OptionalDentalCareBenefit額外牙齒保健保障

OptionalHealthCheckUpBenefit額外健康檢查保障

PRUchoice Group Life Assurance 保誠精選「團體人壽寶」

Basic Benefit : Core Life Benefit基本保障:基本人壽保障

OptionalTop-upLifeBenefit額外人壽保障

OptionalAccidentalDeathandDisablementBenefit額外意外死亡及傷殘保障

OptionalTotalandPermanentDisabilityBenefit(AnyOccupation)額外完全及永久殘疾保障(任何職業)

OptionalCrisisProtectionBenefit額外危疾保障

Economyhasbeenpickingupandweunderstandthat it isnoteasy torecruit talents tocopewithbusinessexpansion. Itbecomesvital to retainqualitypeoplenomatterbyofferingthemattractiveremunerationandbyprovidingcomprehensivepackages includinggroupmedicalandgroup life.AtPrudential,weofferavarietyofchoices ingroupmedicalandgroup lifetosuityourneedandyourbudget.Withus,youcan leavetheprotectionprovidedtoyouremployeestousandfocusonrunningyourbusinesssuccessfully.

隨著經濟復甦,我們明白要招攬人才以擴展業務並不容易。提供吸引的薪酬及全面的僱員福利,包括團體醫療及團體人壽保障,已成為挽留人才不可或缺的一部份。英國保誠為您提供一系列切合您不同需要及預算的團體醫療及團體人壽保障。透過我們為您僱員所提供的保障,您可專心發展您的業務,令生意更上一層樓。

2Schemes,PlatinumSchemeorClassicSchemeareavailabletoyouasGroupMedicalbenefittoyouremployeesandtheirdependants.兩種團體醫療保障計劃:「特級計劃」或「精選計劃」,讓您為僱員及其家屬提供保障。

Optional In-patient Top Up Medical Benefit額外住院附加醫療保障

Page 3: Group Medical and Group Life 團體醫療及團體人壽保險 · 1 PRUchoice Group Medical Insurance and PRUchoice Group Life Assurance 保誠精選「團體醫療寶」及保誠精選「團體人壽寶」

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PRUchoice Group Medical Insurance保誠精選「團體醫療寶」

TABLE OF BENEFITS 保障金額表

Hospital and Surgical Benefit 住院及手術保障

Sections of Benefit1

保障項目1

Maximum Limit per Member (HK$) 每位會員最高保障金額(港幣$)

“Non-Network” Benefit (Worldwide Coverage)

「非網絡」保障(適用於世界各地)

“Network” Benefit2

(Hong Kong Coverage only) 「網絡」保障2(只適用於香港)

PrivateRoom/Semi-PrivateRoom/WardBed

私家病房/半私家病房/大房病床

Semi-PrivateRoom

半私家病房

WardBed 大房病床

SubjecttoOverallAnnualLimit,fullbenefitwithnoshortfallforalleligiblemedicalexpensesincurredwith“Network”Hospitals,including

CanossaHospital, HongKongBaptistHospital, HongKongCentralHospital, PreciousBloodHospital,

St.Paul’sHospital, St.TeresaHospitaland

TsuenWanAdventistHospital willbepaid.

若不超過最高保障金額,所有「網絡」醫院所支出的合資格醫療費用將獲全數賠償而無須支付差額,「網絡」醫院包括嘉諾撒醫院、香港浸信會醫院、港中醫院、寶血醫院、聖保祿醫院、聖德肋撒醫院及

荃灣港安醫院。

Combinedwith“Non-Network”Benefits 與「非網絡」保障合計

N/A 不適用

1,000,000 600,000 300,000

2,400 600

30,500 22,500 11,200

30,000 22,000 11,000

840 520 210

2,400 1,440 600

12,000 8,700 6,650

8,400 5,500 4,400

33,00013,2007,6003,460

33,00013,2007,6003,460

100,00040,00023,00010,500

58,00026,00012,6007,700

43,00018,70011,0006,200

19,1008,5004,2002,600

14,1006,1003,6002,100

19,1008,5004,2002,600

14,1006,1003,6002,100

Platinum Scheme 特級計劃

Levels of Benefit保障級別

1,000 600 250

1,440

Section A: Hospital and Surgical Benefit 甲部:住院及手術保障1. Room & Board(maximumof120daysperdisability,eachdayupto) 住房及膳食費用(每症最多120日,每日最高金額為)2. Miscellaneous Hospital Service(eachyearupto) 住院雜項(每年最高金額為)3. Intensive Care(supplementtoRoom&Board,perdisabilityupto) 深切治療(補足住房及膳食費用,每症最高金額為)4. Special Nursing Service(maximumof120daysperyear,eachdayupto) 私家看護服務(每年最多120日,每日最高金額為)5. Surgeon & Attendance Fees(forsurgicalcasesonly,perdisabilityupto) 外科醫生費用及所有巡房費用(只限於手術性之治療,每症最高金額為) • Complex複雜手術 • Major大手術 • Intermediate中手術 • Minor小手術

6. Anaesthetist’s Fees(perdisabilityupto) 麻醉科醫生費用(每症最高金額為) • Complex複雜手術 • Major大手術 • Intermediate中手術 • Minor小手術

7. Operating Theatre Fees(perdisabilityupto) 手術室租金(每症最高金額為) • Complex複雜手術 • Major大手術 • Intermediate中手術 • Minor小手術

8. In-patient Physician’s Fees(fornon-surgicalcasesonly,maximum120daysperyear,eachdayupto) 住院治療醫生費用(只限於非手術性之治療,每年最多120日,每日最高金額為)9. In-patient Specialist’s Fees(eachyearupto) 住院專科醫生費用(每年最高金額為) • includingpathology,radiology,physiotherapyduringhospitalizationandmustbereferredby

attending doctor 包括住院期間的病理研究、放射性治療、物理治療及必須由主診醫生轉介

10. Pre-admission & Follow-up Out-patient Care(eachyearupto) 入院前及出院後之門診護理(每年最高金額為) • including1relatedpre-admissionoutpatientconsultationfeeandallrelatedfollow-upoutpatient

consultationfeeswithin6weeksafterdischargefromhospital 包括一次入院前與住院有關門診費用,及出院後六星期內所有與住院治療有關的門診費用

Overall Annual Limit(applicabletoSectionAonly,eachyearupto)每位最高保障金額(只適用於甲部,每年最高金額為)Section B: Free Hospital Cash Benefit 乙部:免費住院現金保障• Payablefromthe1stdayofthehospitalconfinement(maximumof120daysperyear,eachday

eligiblefor) 由住院第一天起支付(每年最多120日,每日可獲金額為)

• ApplicableonlyifconfinedinWardBedofHospitalsunderHospitalAuthorityinHongKong 只適用於香港醫院管理局轄下醫院大房病床的住院

PrivateRoom 私家病房

Notes:1. MinorOperationorDayCaseSurgeryperformedataClinicorHospitalwillbepaidunderHospital&SurgicalBenefit.MinorOperationandDayCaseSurgerymeanMedically

NecessarysurgicalprocedurewhichmaybecarriedoutatClinicoraDayCaseUnitofaHospitalbyaGeneralPractitionerorSpecialist.2. Toenjoythebenefitforeligiblemedicalexpensesunder“Network”Benefit,alltreatmentsmustbeprovidedin“Network”Hospitals(includingatorbelowrestrictedlevelofbenefit).備註:1. 於診所或醫院進行的小手術或日症手術,將於「住院及手術保障」賠償。小手術及日症手術指普通科或專科醫生於診所或醫院日症房進行符合醫療必須的手術。2. 要在「網絡」保障下,獲得合資格之醫療費用的保障,所有治療必須由「網絡」醫院提供(包括指定或以下之保障級別)。

• 80%ofeligibleexpensesinexcessofthemaximumbenefitspayableunderSectionAoftheHospital&SurgicalBenefit(perdisabilityupto) 根據甲部之住院及手術保障,如該部份的最高保障金額耗盡,自選附加住院醫療保障將支付其超出之80%醫療費用(每症最高金額為)

• Incaseofoverseashospitalization,onlymedicalEmergencycasewillbecovered 如處身海外,只適用於因急症之住院治療

• Dispatchofphysician必要時派遣醫生到您身處的地方進行診治• Travelinformation,medicalinformation,legalreferral,interpreterreferral,etc.旅遊及醫療資料諮詢服務、法律及傳譯轉介服務等

• HospitaldepositguaranteeuptoHK$39,000提供住院按金保障,最高可達港幣$39,000• AfreeextrabenefitofHK$120,000inadditiontoSectionAincaseofimmediate

hospitalizationrightafteremergencyevacuation進行緊急醫療護送後,若入院治療該病症的費用超出甲部之保障金額,病者將可獲得額外住院保障,最高可達港幣$120,000

• Accessto24-houremergencytelephoneservice提供24小時緊急電話服務• Medicalevacuation(UnlimitedCover)醫療救援(無限額保障)• RepatriationtoHongKong(UnlimitedCover)護送回港(無限額保障)• Repatriationofmortalremains/ashes(UnlimitedCover)遇事身故後,將遺體或骨灰運返原居地(無限額保障)

• Arrangementofmedicalequipment/medication安排運送所需藥物 / 醫療器材

N/A 不適用150,000 100,000 50,000

Section C: 24 Hours Emergency Assistance Services Benefit include: 丙部:24小時緊急支援服務保障包括:

Optional In-patient Top Up Medical Benefit 額外住院醫療

Page 4: Group Medical and Group Life 團體醫療及團體人壽保險 · 1 PRUchoice Group Medical Insurance and PRUchoice Group Life Assurance 保誠精選「團體醫療寶」及保誠精選「團體人壽寶」

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PRUchoice Group Medical Insurance保誠精選「團體醫療寶」

0 0 0

0 0 0

0 0 0

0 0 0

0 0 00 0 0

TABLE OF BENEFITS 保障金額表

Clinical Benefit 門診保障

Platinum Scheme 特級計劃

Sections of Benefit2

保障項目2

Maximum Limit per Member (HK$) 每位會員最高保障金額(港幣$)

“Non-Network” Benefit (Worldwide Coverage)

「非網絡」保障(適用於世界各地)

“Network” Benefit1

(Hong Kong Coverage only) 「網絡」保障1(只適用於香港)

Level3 等級3

350

Levels of Benefit保障級別

1. General Practitioner 普通科醫生 MaximumLimitsperMember(pervisiteachdayupto) 每位會員最高保障金額(每次每日為)

2. Specialist3, including Physiotherapist and Chiropractor 專科醫生3,包括物理治療師及脊醫 MaximumLimitsperMember(pervisiteachdayupto) 每位會員最高保障金額(每次每日為)

3. Chinese Herbalist and Bonesetter 中醫師及跌打醫師 MaximumLimitsperMember(pervisiteachdayupto) 每位會員最高保障金額(每次每日為)

Total Number of Visits for Section 1 - 3 (eachyearupto) 項目1-3總診症次數(每年最多為)

4. Diagnostic X-ray and Laboratory Test4

X光診斷及化驗4

MaximumLimitsperMember(eachyearupto) 每位會員最高保障金額(每年最高金額為)

5. Prescribed Medication5

醫生處方藥物5

MaximumLimitsperMember(eachyearupto) 每位會員最高保障金額(每年最高金額為)

Level2 等級2

Level1 等級1

Level3 等級3

Level2 等級2

Level1 等級1

200 150

700 400 300

120 120 120

30 30 30

3,500 2,000 1,500

N/A 不適用 1,200 800 N/A 不適用

Combinedwith“Non-Network”Benefits 與「非網絡」保障合計

Combinedwith“Non-Network”Benefits 與「非網絡」保障合計

FullBenefit,subjecttoCo-payment (No“Network”BenefitforChiropractor)

墊底費以上全數賠償(「網絡」保障並未提供脊醫項目)

FullBenefit,subjecttoCo-payment 墊底費以上全數賠償

TABLE OF REIMBURSEMENT / CO-PAYMENT 賠償率 / 墊底費一覽表

Applicable to General Practitioner, Specialist (including Physiotherapist and Chiropractor), Chinese Herbalist, Bonesetter, Diagnostic X-ray and Laboratory Test適用於普通科醫生、專科醫生(包括物理治療師及脊醫)、中醫師、跌打醫師及X光診斷及化驗

Level3 等級3

Level2 等級2

Level1 等級1

80%

Reimbursement 賠償率

Notes: 1. Toenjoythebenefitforeligiblemedicalexpensesunder“Network”Benefit,thefollowing

conditionsshouldbemet: • Alltreatmentsmustbeprovidedin“Network”ServiceProvider(includingclinicsor

diagnosticcentres). • Specialistconsultationof“Network”Benefitmustbereferredby“Network”General

Practitioner. • Pre-authorizationmustbeobtainedfromPrudentialforHospitalization,Minor

Operation&DayCaseSurgery,DiagnosticX-rayorLaboratoryTest.2. Consultationfeeandmedication(ifnecessary)ofGeneralPractitioner,Specialist,

Physiotherapist,ChiropractorandChineseHerbalistarecoveredinClinicalBenefit.3. TreatmentbySpecialistmustbereferredbyGeneralPractitioner.4. DiagnosticX-rayandlaboratorytestmustbereferredbyGeneralPractitionerorSpecialist.5. PrescribedMedicationmeanstheextra,longtermorexpensivewesternmedication

prescribedandobtainedat“Network”GeneralPractitionerorSpecialistonthesamedayof consultation.

30 30 30

Atyourchoices,ClinicalBenefitatdifferentlevelsofbenefitshallbeprovidedsubjecttoreimbursementlimitfor“Non-Network”Benefitandco-paymentfor“Network”Benefit.Thefollowingillustrateshowreimbursement/co-paymentworks.不同等級的門診保障均設有「非網絡」保障賠償率及「網絡」保障墊底費。以下為有關適用之賠償率/墊底費。

“Non-Network” Benefit (Worldwide Coverage) 「非網絡」保障(適用於世界各地)

Level3 等級3

Level2 等級2

Level1 等級1

100%

Level3 等級3

Level2 等級2

Level1 等級1

1. General Practitioner 普通科醫生

2. Specialist 專科醫生 • for Physiotherapist物理治療師

3. Chinese Herbalist and Bonesetter 中醫師及跌打醫師

4. Diagnostic X-ray and Laboratory Test X光診斷及化驗

5. Prescribed Medication 醫生處方藥物

備註:1. 要在「網絡」保障下,獲得合資格之醫療費用的保障,必須符合以下條件: • 所有治療必須由「網絡」服務提供者提供(包括診所或檢驗中心) •「網絡」專科診症必須由「網絡」普通科醫生轉介。 • 住院、小手術或日症手術、X光診斷及化驗必須得到英國保誠的預先批准。2. 普通科醫生、專科醫生、物理治療師、脊醫、中醫師及跌打醫師的門診保障包括診症費及處方藥物(如適用)。

3. 專科醫生治療必須由普通科醫生轉介。4. X光診斷及化驗必須由普通科醫生或專科醫生轉介。5. 醫生處方藥物指於診症當日由「網絡」普通科醫生或專科醫生處方及取得的額外、長期服用或昂貴西藥。

30 30 30

0 0 0

0 0 N/A 不適用

30 30 3030 30 30

“Network” Benefit1 (Hong Kong Coverage only) 「網絡」保障1(只適用於香港)

100% Reimbursement100%賠償率

Level3 等級3

Level2 等級2

Level1 等級1

Co-Payment 墊底費

80% Reimbursement80%賠償率

NoCo-payment 沒有墊底費

FullBenefit,subjecttoCo-payment (No“Network”BenefitforBonesetter)

墊底費以上全數賠償(「網絡」保障並未提供跌打醫師項目)

Page 5: Group Medical and Group Life 團體醫療及團體人壽保險 · 1 PRUchoice Group Medical Insurance and PRUchoice Group Life Assurance 保誠精選「團體醫療寶」及保誠精選「團體人壽寶」

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PRUchoice Group Medical Insurance保誠精選「團體醫療寶」

TABLE OF BENEFITS 保障金額表

Hospital and Surgical Benefit 住院及手術保障

Sections of Benefit1

保障項目1

Maximum Limit per Member (HK$) 每位會員最高保障金額(港幣$)

WardBed大房病床

PrivateRoom私家病房

Semi-PrivateRoom半私家病房

• Accessto24-houremergencytelephoneservice提供24小時緊急電話服務• Medicalevacuation(UnlimitedCover)醫療救援(無限額保障)• RepatriationtoHongKong(UnlimitedCover)護送回港(無限額保障)• Repatriationofmortalremains/ashes(UnlimitedCover)遇事身故後,將遺體或骨灰運返原居地(無限額保障)

• Arrangementofmedicalequipment/medication安排運送所需藥物 / 醫療器材

2,000

7,900

5,050

66,000

34,000

17,000

8,400

Levels of Benefit保障級別

400

Section B: Free Hospital Cash Benefit 乙部:免費住院現金保障 • Payablefromthe1stdayofthehospitalconfinement(maximumof120daysperyear,eachday eligiblefor) 由住院第一天起支付(每年最多120日,每日可獲金額為) • ApplicableonlyifconfinedinWardBedofHospitalsunderHospitalAuthorityinHongKong 只適用於香港醫院管理局轄下醫院大房病床的住院

Classic Scheme 精選計劃

950 500

23,500 12,500 7,500

23,800 11,300 6,700

760 390 200

48,500

24,000

12,500

7,200

30,000

16,000

7,800

3,800

22,000

11,500

5,500

2,900

15,800

7,000

4,050

2,450

9,300

4,700

2,500

1,280

22,000

11,500

5,500

2,900

15,800

7,000

4,050

2,450

9,300

4,750

2,500

1,280

2,000 950 500

10,700 3,800

6,900 1,300

300 200

Section A: Hospital and Surgical Benefit 甲部:住院及手術保障1. Room & Board(maximumof120daysperdisability,eachdayupto) 住房及膳食費用(每症最多120日,每日最高金額為)2. Miscellaneous Hospital Service(eachyearupto) 住院雜項(每年最高金額為)3. Intensive Care(supplementtoRoom&Board,perdisabilityupto) 深切治療(補足住房及膳食費用,每症最高金額為)4. Special Nursing Service(maximumof120daysperyear,eachdayupto) 私家看護服務(每年最多120日,每日最高金額為)5. Surgeon & Attendance Fees(forsurgicalcasesonly,perdisabilityupto) 外科醫生費用及所有巡房費用(只限於手術性之治療,每症最高金額為) • Complex複雜手術 • Major大手術 • Intermediate中手術 • Minor小手術

6. Anaesthetist’s Fees(perdisabilityupto) 麻醉科醫生費用(每症最高金額為) • Complex複雜手術 • Major大手術 • Intermediate中手術 • Minor小手術

7. Operating Theatre Fees(perdisabilityupto) 手術室租金(每症最高金額為) • Complex複雜手術 • Major大手術 • Intermediate中手術 • Minor小手術

8. In-patient Physician’s Fees(fornon-surgicalcasesonly,maximum120daysperyear,eachdayupto) 住院治療醫生費用(只限於非手術性之治療,每年最多120日,每日最高金額為)9. In-patient Specialist’s Fees(eachyearupto) 住院專科醫生費用(每年最高金額為) • includingpathology,radiology,physiotherapyduringhospitalizationandmustbereferredby

attending doctor 包括住院期間的病理研究、放射性治療、物理治療及必須由主診醫生轉介

10. Pre-admission & Follow-up Out-patient Care(eachyearupto) 入院前及出院後之門診護理(每年最高金額為) • including1relatedpre-admissionoutpatientconsultationfeeandallrelatedfollow-upoutpatient

consultationfeeswithin6weeksafterdischargefromhospital 包括一次入院前與住院有關門診費用,及出院後六星期內所有與住院治療有關的門診費用

Note:

1. MinorOperationorDayCaseSurgeryperformedataClinicorHospitalwillbepaidunderHospital&SurgicalBenefit.MinorOperationandDayCaseSurgerymeanMedicallyNecessarysurgicalprocedurewhichmaybecarriedoutatClinicoraDayCaseUnitofaHospitalbyaGeneralPractitionerorSpecialist.

備註:1. 於診所或醫院進行的小手術或日症手術,將於「住院及手術保障」賠償。小手術及日症手術指普通科或專科醫生於診所或醫院日症房進行符合醫療必須的手術。

• 80%ofeligibleexpensesinexcessofthemaximumbenefitspayableunderSectionAoftheHospital&SurgicalBenefit(perdisabilityupto) 根據甲部之住院及手術保障,如該部份的最高保障金額耗盡,自選附加住院醫療保障將支付其超出之80%醫療費用(每症最高金額為)

• Incaseofoverseashospitalization,onlymedicalEmergencycasewillbecovered 如處身海外,只適用於因急症之住院治療

• Dispatchofphysician必要時派遣醫生到您身處的地方進行診治• Travelinformation,medicalinformation,legalreferral,interpreterreferral,etc.旅遊及醫療資料諮詢服務、法律及傳譯轉介服務等

• HospitaldepositguaranteeuptoHK$39,000提供住院按金保障,最高可達港幣$39,000• AfreeextrabenefitofHK$120,000inadditiontoSectionAincaseofimmediate

hospitalizationrightafteremergencyevacuation進行緊急醫療護送後,若入院治療該病症的費用超出甲部之保障金額,病者將可獲得額外住院保障,最高可達港幣$120,000

Section C: 24 Hours Emergency Assistance Services Benefit include: 丙部:24小時緊急支援服務保障包括:

Optional In-patient Top Up Medical Benefit 額外住院醫療

100,000 50,000 30,000

Page 6: Group Medical and Group Life 團體醫療及團體人壽保險 · 1 PRUchoice Group Medical Insurance and PRUchoice Group Life Assurance 保誠精選「團體醫療寶」及保誠精選「團體人壽寶」

5

PRUchoice Group Medical Insurance保誠精選「團體醫療寶」

TABLE OF BENEFITS 保障金額表

Clinical Benefit 門診保障

Sections of Benefit2

保障項目2

Maximum Limit per Member (HK$) 每位會員最高保障金額(港幣$)

“Non-Network” Benefit (Worldwide Coverage)

「非網絡」保障(適用於世界各地)

“Network” Benefit1

(HK Coverage only) 「網絡」保障1(只適用於香港)

Level3 等級3

260

Classic Scheme 精選計劃

Levels of Benefit保障級別

1. General Practitioner 普通科醫生 MaximumLimitsperMember(pervisiteachdayupto) 每位會員最高保障金額(每次每日為)

2. Specialist3, including Physiotherapist and Chiropractor 專科醫生3,包括物理治療師及脊醫 MaximumLimitsperMember(pervisiteachdayupto) 每位會員最高保障金額(每次每日為)

3. Chinese Herbalist and Bonesetter 中醫師及跌打醫師 MaximumLimitsperMember(pervisiteachdayupto) 每位會員最高保障金額(每次每日為)

Total Number of Visits for Section 1 - 3 (eachyearupto) 項目1-3總診症次數(每年最多為)

4. Diagnostic X-ray and Laboratory Test4

X光診斷及化驗4

MaximumLimitsperMember(eachyearupto) 每位會員最高保障金額(每年最高金額為)

Level2 等級2

Level1 等級1

Level3 等級3

Level2 等級2

Level1 等級1

180 130

520 360 280

120 120 120

30 30 30

1,600 1,200 800

Combinedwith“Non-Network”Benefits 與「非網絡」保障合計

Combinedwith“Non-Network”Benefits 與「非網絡」保障合計

FullBenefit,subjecttoCo-payment (No“Network”BenefitforChiropractor)

墊底費以上全數賠償(「網絡」保障並未提供脊醫項目)

FullBenefit,subjecttoCo-payment 墊底費以上全數賠償

TABLE OF REIMBURSEMENT / CO-PAYMENT 賠償率 /墊底費一覽表

Applicable to General Practitioner, Specialist (including Physiotherapist and Chiropractor), Chinese Herbalist, Bonesetter, Diagnostic X-ray and Laboratory Test適用於普通科醫生、專科醫生(包括物理治療師及脊醫)、中醫師、跌打醫師及X光診斷及化驗

Level3 等級3

Level2 等級2

Level1 等級1

80%

Reimbursement 賠償率

Notes: 1. Toenjoythebenefitforeligiblemedicalexpensesunder“Network”Benefit,thefollowingconditionsshouldbemet. • Alltreatmentsmustbeincurredin“Network”ServiceProvider(includingclinicsordiagnosticcentres). • Specialistconsultationof“Network”Benefitmustbereferredby“Network”GeneralPractitioner. • Pre-authorizationmustbeobtainedfromPrudentialforHospitalization,MinorOperation&DayCaseSurgery,DiagnosticX-rayorLaboratoryTest.2. Consultationfeeandmedication(ifnecessary)ofGeneralPractitioner,Specialist,Physiotherapist,ChiropractorandChineseHerbalistarecoveredinClinicalBenefit.3. TreatmentbySpecialistmustbereferredbyGeneralPractitioner.4. DiagnosticX-rayandlaboratorytestmustbereferredbyGeneralPractitionerorSpecialist.

備註:1. 要在「網絡」保障下,獲得合資格之醫療費用的保障,必須符合以下條件: • 所有治療必須由「網絡」服務提供者提供(包括診所或檢驗中心) •「網絡」專科診症必須由「網絡」普通科醫生轉介。 • 住院、小手術或日症手術、X光診斷及化驗必須得到英國保誠的預先批准。2. 普通科醫生、專科醫生、物理治療師、脊醫、中醫師及跌打醫師的門診保障包括診症費及處方藥物(如適用)。3. 專科醫生治療必須由普通科醫生轉介。4. X光診斷及化驗必須由普通科醫生或專科醫生轉介。

0 0 20

55 55 55

0 0 0

0 15 600 0 40

30 30 30

0 0 00 0 0

0 0 150 0 0

Atyourchoices,ClinicalBenefitatdifferentlevelsofbenefitshallbeprovidedsubjecttoreimbursementlimitfor“Non-Network”Benefitandco-paymentfor“Network”Benefit.Thefollowingillustrateshowreimbursement/co-paymentworks.不同等級的門診保障均設有「非網絡」保障賠償率及「網絡」保障墊底費。以下為有關適用之賠償率/墊底費。

“Non-Network” Benefit (Worldwide Coverage) 「非網絡」保障(適用於世界各地)

Level3 等級3

Level2 等級2

Level1 等級1

100%

“Network” Benefit1 (Hong Kong Coverage only) 「網絡」保障1(只適用於香港)

100% Reimbursement100%賠償率

Level3 等級3

Level2 等級2

Level1 等級1

Level3 等級3

Level2 等級2

Level1 等級1

Co-Payment 墊底費

80% Reimbursement80%賠償率

1. General Practitioner 普通科醫生

2. Specialist 專科醫生 • for Physiotherapist物理治療師

3. Chinese Herbalist and Bonesetter 中醫師及跌打醫師

4. Diagnostic X-ray and Laboratory Test X光診斷及化驗

FullBenefit,subjecttoCo-payment (No“Network”BenefitforBonesetter)

墊底費以上全數賠償(「網絡」保障並未提供跌打醫師項目)

Page 7: Group Medical and Group Life 團體醫療及團體人壽保險 · 1 PRUchoice Group Medical Insurance and PRUchoice Group Life Assurance 保誠精選「團體醫療寶」及保誠精選「團體人壽寶」

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PRUchoice Group Medical Insurance保誠精選「團體醫療寶」

Dental Care Benefit 牙齒保健保障

Optional Benefits 額外保障

Sections of Benefit 保障項目Maximum Limit per Member

每位會員最高保障

1. Oral Examination 牙齒檢查2. Scale & Polish 洗及除牙石3. Intra-Oral-X-Rays, when necessary 經牙醫診斷需進行之口腔內X光牙齒檢驗4. Filings due to decay, when necessary 因蛀牙引起必須的補牙 • Amalgam(silver)fillingforpremolarandmolarteethandWhite(composite)filingsforfrontteeth只供因蛀牙而引起之 大牙(銀粉)或門牙(瓷粉)補牙 •Intermediaterestorations,includingdressingsandmedication臨時補牙,包敷藥、止痛藥 •Notincludingfillingforcosmeticreasons不包括以美觀為理由之補牙服務5. Emergency consultation & treatment within consultation hours 診症時間內的緊急診症及治療 • Reliefoftoothache,includingdressingsandmedication牙痛,包括敷藥、止痛藥 • Incisionanddrainageofabscesses治療膿瘡 • Controlofbleedingwithpacksandsutures止血,包括包紮及縫合傷口 • Re-cementloosecrownsandbridges,excludingMarylandbridge黏固鬆脫之牙冠、牙橋及嵌體,不包括瑪莉蘭橋 • Temporarydressingforlostfillings因蛀牙而引起的臨時補牙

6. Simple Extraction due to tooth decay or gum disease 因蛀牙或患嚴重牙周病之牙齒而引起的普通脫牙 • Notincludingextractionofwisdomteeth,anycomplicatedextractionsrequiringboneremoval,anyextractions requiringsurgicaloperationsorextractionsfororthodonticreasons不包括脫除智慧齒、任何需移走牙骨的複雜脫牙、 口腔手術脫除牙腳或牙齒、或因矯正牙齒的脫牙7. Periodontal (gum) treatment, where necessary 必須的牙周病治療 • ThisincludestreatmentofmildtomoderatePeriodontal(gum)diseasewhichinvolvescurettageandrootplanning withmedicationasrequiredandislimitedtotreatmentwithinthescopeofaGeneralDentalPractitioner • ExcludesTreatmentofAdvancedPeriodontal(gum)disease只限由普通科牙醫進行的輕微至中度牙周病治療,包括 清洗牙周袋內的牙菌膜及牙根刮治的牙科治療8. Medication 藥物 • Asrequiredfortreatmentofdentalpainorabscess只供治療牙痛及牙瘡之用

Onceayear每年一次

Onceayear每年一次Unlimited不限次數

Unlimited不限次數

Unlimited不限次數

Unlimited不限次數

Unlimited不限次數

Unlimited不限次數

Health Check Up Benefit 健康檢查保障

Sections of Benefit 保障項目 Maximum Limit per Member 每位會員最高保障

• MedicalHistory詳細病歷調查• PhysicalExamination體格檢查• MedicalReport驗身報告

• AlkalinePhosphatase鹼性燐酸酶• ALT/S.G.P.T.谷丙轉氨酶• BloodGlucose血糖• ChestX-RayTest胸部X光檢查• CompleteBloodCount血全計• SerumCreatinine肌酸酐• TotalCholesterol總膽固醇• UricAcid尿酸• Urinalysis(BiochemistryandMicroscopy)尿液常規檢查

Number of Health Check Up Visit 健康檢查次數

Clinic Test 診所內的檢查

Laboratory Test 化驗所內的檢查

Onceayear每年一次

Major Exclusions 主要不受保障項目

1. IllnessorbodilyinjurywhichcommencespriortotheCommencementDateofMember’sCoverageandhavingconsultation,investigationortreatmentwithin6monthsbeforeor3monthsaftertheCommencementDateofMember’sCoverage.

2. TreatmentforAIDSorHIV-relatedconditionswhichoriginateduringthefirst5yearsofmembership;orvenerealdisease.3. Treatmentrelatingtocongenital,developmentalorhereditaryconditions,geriatric,psychiatricconditionsormentaldisorders,pregnancy,infertility,orsterilization.4. DentaltreatmentandoralsurgeryexceptforemergencyhospitaltreatmentarisingfromanaccidentandincircumstanceprovidedintheDentalCareBenefitunderOptionalBenefit(if

applicable);orcosmeticsurgery.5. Treatmentarisingfromwar,invasion,civilwar,hostiles,actofterrorism,orcriminalacts,selfinflictedinjury,suicide,abuseofdrugsoralcohol,orparticipatinginprofessionalsports.6. Restcure,generalcheck-upsexceptincircumstancesprovidedintheHealthCheckUpBenefitunderOptionalBenefit(ifapplicable),hearingoreyetest,vaccination,inoculations,supportivetreatment

of renal failure such as dialysis.7. Useofspecialbracesorimplantappliances(e.g.prosthesis,lens,stent,etc),bloodorbloodplasma,non-medicalservices(e.g.medicalreports,telephonecharges,etc),experimentalornew

medicaltechnology(unlessapprovedbyPrudential).Formoredetails,pleaserefertothePolicy.

1. 於會員保障生效日前6個月或會員保障生效日後3個月已存在的疾病或身體損傷,並因此而接受的診症、查診或治療。2. 在成為會員的首5年內,因後天免疫力缺乏症(愛滋病)或與人類免疫力缺乏之相關病毒(HIV)引致的治療,或性病。3. 任何有關先天性、發育中出現異常情況、或遺傳性情況、老年病、精神病或精神失常、懷孕、不育或絕育。4. 牙科治療或口部外科手術,但由意外引致的緊急住院治療或在牙齒保健保障(如適用)內提供的保障則除外,或整容手術。5. 因戰爭、入侵、內戰、恐怖主義活動、參與犯罪活動、自殘、自殺,濫用藥物、酗酒,或進行專業運動所引起之治療。6. 休養或療養、一般檢查,但在健康檢查保障(如適用)內提供的保障則除外、聽覺或視力測驗、預防注射、腎衰竭的輔助治療如血液透析治療。7. 使用特殊矯正器或移植手術(包括義肢、鏡片、引流條/導管等)、血或血漿、非醫療性服務(包括醫療報告、電話費等)、試驗性或新治療技術(經英國保誠預先核准除外)。

欲知詳情,請參閱保單。

Notes:1. Consultations&treatmentfeesofdentalspecialistsordentistswithspecialtytrainingare

notincludedintheplanofbenefit.2. Childrenundertheageof12yearsoldwillbeentitledtoFluorideTreatmentonceperyear.3. Membermustattaintheageof5wheninsuringDentalBenefit.4. DentalBenefitisprovidedbyappointed“Network”ServiceProvider.

Notes:1. Membermustattaintheageof18wheninsuringHealthCheckUpBenefit.2. HealthCheckUpBenefitisprovidedbytheappointed“Network”ServiceProvider.

備註:1. 投保健康檢查保障會員之年齡必須達18歲或以上。2. 健康檢查保障由指定「網絡」服務提供者提供。

備註:1. 註冊專科牙醫或已接受牙科專科訓練的牙醫的診症及治療費用不包括在保障計劃內。

2. 12歲以下之小童,每年可享有一次氟化程序治療。3. 投保牙齒保健保障會員之年齡必須達5歲或以上。4. 牙齒保健保障由指定「網絡」服務提供者提供。

Page 8: Group Medical and Group Life 團體醫療及團體人壽保險 · 1 PRUchoice Group Medical Insurance and PRUchoice Group Life Assurance 保誠精選「團體醫療寶」及保誠精選「團體人壽寶」

7

PRUchoice Group Medical Insurance保誠精選「團體醫療寶」

Plan and Premium of Benefits 保障計劃及保費

Special Features 計劃特點

1. “Network” Hospital Benefit “Network”HospitalBenefitin“HospitalandSurgicalBenefit”isprovidedunderPlatinumSchemeandfullbenefitwithnoshortfallforalleligiblemedicalexpenses shallbepaidiftheOverallAnnualLimitisnotexceeded.2. Free Hospital Cash Benefit “FreeHospitalCashBenefit”isprovidedin“HospitalandSurgicalBenefit”tolightenmembers’financialanxietyduringhospitalization.3. Two Options of Reimbursement and “Network” Benefit in Clinical Benefit Youcanchoose from100%and80%reimbursementsunder“ClinicalBenefit”.Membersarealsoable touse theclinicalserviceswithmore than500 “Network”Doctors.4. Extra 5% Premium Discount ForinsuringHospitalandSurgicalBenefit(andClinicalBenefit),extra5%premiumdiscountshallbeofferedifthereare30membersormore.5. Optional Dental Care Benefit and Optional Health Check Up Benefit Optional“DentalCareBenefit”and“HealthCheckUpBenefit”areavailableforyoutochoose.6. Same premium for Same Level of Benefit Samepremiumisusedformembersundersamelevelofbenefitregardlessoftheageofmembers.

1.「網絡」醫院保障 在特級計劃的「住院及手術保障」中,提供「網絡」醫院保障。若不超過最高保障金額,所有合資格的醫療費用將獲全數賠償而無須支付差額。2. 免費住院現金保障 在「住院及手術保障」中,提供「免費住院現金保障」。讓會員減輕住院期間帶來的經濟憂慮。3.兩種門診保障賠償率及提供「網絡」保障選擇 在「門診保障」中,備有100%及80%賠償率的保障以供您選擇。會員亦可選擇使用擁有超過500位醫生的「網絡」門診服務。4. 額外95折保費優惠 若投保住院及手術保障(及門診保障)之會員人數達30人或以上,保費將獲95折優惠。5. 額外牙齒保健保障及額外健康檢查保障 您可額外為僱員提供「牙齒保健保障」及「健康檢查保障」。6. 同一保障等級保費劃一 非以年齡計算,相同等級的會員,保費均劃一計算。

Platinum Scheme 特級計劃Hospital and

Surgical Benefit住院及手術保障

Clinical Benefit門診保障

Plan計劃

Annual Premium per Member (HK$)

每位年費(港元$)

Annual Premium per Member (HK$)

(for 30 members or above)

每位年費(港元$)(30位會員或以上)

100%Reimbursement100%賠償率

Optional Benefit2

額外保障2Optional Benefit2

額外保障2

+PrivateRoom私家病房

Level1等級1 1 9,792 9,302

Semi-PrivateRoom半私家病房WardBed大房病床

Level3等級3 3 3,705 3,520

Level2等級2 2 5,728

PrivateRoom私家病房

Level1等級1 4 8,938 8,491

5,442+

WardBed大房病床

Level3等級3

6 3,351 3,183

++ +

DentalCareBenefit牙齒保健保障

HealthCheckUpBenefit健康檢查保障

AnnualPremiumperMemberHK$458每位年費港元$458

AnnualPremiumperMemberHK$600每位年費港元$600

80%Reimbursement80%賠償率

+

Semi-PrivateRoom半私家病房

Level2等級2 5 5,198 4,938+

PrivateRoom私家病房 1= 2,958 2,811

+

Classic Scheme 精選計劃

WardBed大房病床 3= 915 870

Hospital andSurgical Benefit住院及手術保障

Clinical Benefit門診保障

Plan計劃

PrivateRoom私家病房

Level1等級1 4= 5,995 5,695

WardBed大房病床

Level3等級3 6= 2,382 2,263

Optional Benefit2

額外保障2

PrivateRoom私家病房

Level1等級1 7= 5,654 5,371

WardBed大房病床

Level3等級3 9= 2,222 2,111

Optional Benefit2

額外保障2

+

Semi-PrivateRoom半私家病房 2= 1,525 1,449+

+

+ +

DentalCareBenefit牙齒保健保障

HealthCheckUpBenefit健康檢查保障

AnnualPremiumperMemberHK$458每位年費港元$458

AnnualPremiumperMemberHK$600每位年費港元$600

100%Reimbursement100%賠償率

+

Semi-PrivateRoom半私家病房

Level2等級2 5= 3,411 3,240+

+

N/A不適用

N/A不適用

+

Semi-PrivateRoom半私家病房

Level2等級2 8= 3,197 3,037+

+

80%Reimbursement80%賠償率

1

3=

= 3,030 2,879

970 922

PrivateRoom私家病房

WardBed大房病床

Note:1. Extra5%premiumdiscountshallbeofferedonOptionalIn-patientTopUpMedicalBenefitif

thereare30membersormore.2. PremiumofDentalBenefitandHealthCheckupBenefitarecalculatedonafullyearbasis.

Shouldnewjoinmemberenjoysthesetwobenefitsduringpolicyyear,fullyearpremiumshallstillbepaid.Ifmember’sbenefitisceasedduringpolicyperiod,nopremiumshallberefunded.

備註:1. 若會員人數達30人或以上,額外住院附加醫療保障保費亦可獲95折優惠。2. 額外「牙齒保健保障」及「健康檢查保障」之保費以全年計算。若新加入僱員於保單生效期間獲享此兩項保障,亦需繳付全年保費;如受保會員在保單生效期間被中止保障,有關保費亦不會獲得退還。

Optional In-patient Top Up Medical Benefit1

額外住院附加醫療1

=

=

=

=

=

=

621

219

621

426

219

426

Annual Premium per Member (HK$)

每位年費(港元$)

Annual Premium per Member (HK$)

(for 30 members or above)

每位年費(港元$)(30位會員或以上)

Optional In-patientTop Up Medical Benefit1

額外住院附加醫療1

667

304

667

304

351

351

351

667

304

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8

PRUchoice Group Life Assurance保誠精選「團體人壽寶」

Core Life Benefit 基本人壽保障Threeplansofbenefitsareavailabletomembers.Thelimitoftheplanselectedispayableuponthedeathofthememberresultingfromanycause.三種等級保障提供予會員。不論會員因任何原因不幸身故,均可按所選擇計劃的保障金額獲得賠償。

250,000

Plans of Benefit 保障等級

Sum Assured per Member (HK$)每位會員投保金額(港幣$)

Level 1 等級1 Level 2 等級2 Level 3 等級3

100,000 500,000

Optional Benefits 額外保障Top-up Life Benefit 額外人壽保障

Thesumassuredof“Top-upLifeBenefit”selectedispayableinexcessofthe“CoreLifeBenefit”uponthedeathofthemember.若會員不幸身故,除「基本人壽保障」外,將可按所選擇投保金額獲得「額外人壽保障」賠償。

Accidental Death and Disablement Benefit 意外死亡及傷殘保障ThesumassuredispayabletothemembershownintheScaleofBenefits if themembersuffersbodily injurydirectlyarisingoutofaccidental,violent,externalandvisiblemeans.若會員因意外、暴力、外在及可見的原因,直接導致身體損傷,將根據以下保障賠償表之百分率獲得賠償:

Scale of Benefits 保障金額表

In the event of an accident causing:因意外而引致之: % of Sum Assured Payable 可獲賠償投保金額之百分率

1. Accidental Death 意外死亡 100%

2. Permanent Total Disablement永久及完全傷殘 100%

3. Permanent Partial Disablement 永久及部份傷殘 • Lossofonearmfromtheshoulderjoint喪失肩膀關節以下的單臂 70% • Lossofonearmfromorabovetheelbow喪失由手肘或以上的單臂 60% • Lossofonearmabovewrist,belowelbow喪失手腕以上、手肘以下的單臂 50% • Lossofonelegfromorabovetheknee喪失由膝蓋或以上的的單腿 70% • Lossofonelegbelowknee喪失膝蓋以下的單腿 50% • Lossofonethumb喪失單隻拇指 25% • Lossofanindexfinger喪失單隻食指 15% • Lossofeachotherfinger喪失其餘任何手指 10% • Lossofagreattoe喪失單隻大足趾 10% • Lossofeachothertoe喪失其餘任何足趾 5% • Lossofallsightinoneeye喪失一眼全部視力 50% • Lossofallhearinginbothears喪失雙耳全部聽覺 60% • Lossofhearinginoneear喪失單耳聽覺 30%

Total and Permanent Disability Benefit (Any Occupation) 完全及永久殘疾保障(任何職業)The“Top-upLifeBenefit”ispayableinadvanceifthememberistotallyandpermanentdisabledcontinuouslyformorethan6monthsresultingfromanaccident,injuryorsickness.Uponpaymentof“TotalandPermanentDisabilityBenefit”,anybenefittothememberunderPRUchoiceGroupLifeAssuranceshallbeceased.若會員因意外、受傷或疾病引致完全及永久傷殘超過6個月,而不能繼續任何工作或職業以賺取金錢,將獲預支「額外人壽保障」賠償。當會員獲取「完全及永久殘疾保障」後,其在保誠精選「團體人壽寶」內之所有保障便會立刻終止。

Crisis Protection Benefit 危疾保障The“Top-upLifeBenefit”ispayableinadvanceifthememberisdiagnosedofsufferingfromanyoneofthefollowingcriticalillnessesafterawaitingperiodof90days.Uponthepaymentof“CrisisProtectionBenefit”,thesumassuredof“Top-upLifeBenefit”,“TotalandPermanentDisabilityBenefit”shallbereducedbythesumassuredof“CrisisProtectionBenefit”paid.若會員於90日等候期後,不幸被診斷患上以下任何一種危疾,將獲預支「額外人壽保障」賠償。當會員獲取「危疾保障」後,其在「額外人壽保障」及「完全及永久殘疾保障」的投保金額便會相應減少。

List of Critical Illnesses 危疾名單

Cancer癌症1. Cancer癌症Illnesses related to the Heart與心臟相關的疾病2. Cardiomyopathy心肌病3. CoronaryArteryDiseaseRequiringSurgery需要進行外科手術的冠狀動脈病4. HeartAttack心臟病發作5. HeartValveandStructuralSurgery心瓣及結構性手術6. PrimaryPulmonaryArterialHypertension原發性肺動脈高血壓7. SurgerytotheAorta大動脈外科手術Illnesses related to the Nervous System與神經系統相關的疾病8. Alzheimer’sDisease阿耳滋海默氏症9. BacterialMeningitis細菌感染腦膜炎10. BenignBrainTumour良性腦腫瘤11. BrainSurgery腦部外科手術12.Coma昏迷13.Encephalitis腦炎14.MajorHeadTrauma嚴重頭部創傷15.MotorNeuroneDisease運動神經元病16.MultipleSclerosis多發性硬化症17.MuscularDystrophy肌營養不良18.Paralysis癱瘓19.Parkinson’sDisease柏金遜病20.Poliomyelitis脊髓灰質炎(小兒麻痺症)21.Stroke中風

Illnesses related to Major Organs and Functions與主要器官及功能相關的疾病22. Blindness失明23.ChronicLiverDisease慢性肝病24.Deafness失聰25. EndStageLungDisease末期肺病26. FulminantViralHepatitis暴發性病毒肝炎27. KidneyFailure腎衰竭28. LossofIndependentExistence失去獨立生活能力29. LossofSpeech喪失語言能力30.MajorBurns嚴重燒傷31.MajorOrganTransplantation主要器官移植32.MedullaryCysticDisease腎髓質囊腫病33.SeveranceofLimbs肢體切斷

Other Major Illness其他嚴重疾病34. AIDSduetoBloodTransfusion因輸血引致的愛滋病35. AplasticAnaemia障礙性貧血36. Elephantiasis象皮病37.OccupationallyAcquiredHIV 因職業而感染的人類免疫力缺陷病毒38. SevereRheumatoidArthritis嚴重類風濕關節炎39. TerminalIllness末期疾病

Core Benefit 基本保障

TABLE OF BENEFITS 保障金額表

Page 10: Group Medical and Group Life 團體醫療及團體人壽保險 · 1 PRUchoice Group Medical Insurance and PRUchoice Group Life Assurance 保誠精選「團體醫療寶」及保誠精選「團體人壽寶」

9

PRUchoice Group Life Assurance保誠精選「團體人壽寶」

Optional Benefits 額外保障

Sections of Optional Benefits 額外保障項目

1. Top-up Life Benefit 額外人壽保障

TABLE OF BENEFITS 保障金額表

2. Accidental Death and Disablement Benefit 意外死亡及傷殘保障

3. Total and Permanent Disability Benefit (AnyOccupation) 完全及永久殘疾保障(任何職業)

4. Crisis Protection Benefit 危疾保障

Sum Assured per Member 每位會員投保金額

HK$100,000perunit,maximum5units*每單位為港幣$100,000,最高可選5個單位*

HK$100,000perunit,maximum5units*每單位為港幣$100,000,最高可選5個單位*

HK$100,000perunit,maximum5units*每單位為港幣$100,000,最高可選5個單位*

HK$100,000perunit,maximum5units*每單位為港幣$100,000,最高可選5個單位*

Premium of Benefits 保障保費

Core Life Benefits 基本人壽保障Annual Premium per Member (HK$) 每位年費(港幣$)

Age 歲數

16 - 23

24 - 28

29 - 33

34 - 38

39 - 43

44 - 48

49 - 53

54 - 58

59 - 63

Level1 等級1 Level2 等級2 Level3 等級3

34 85 170

34 85 170

40 100 200

54 135 270

90 225 450

152 380 760

260 650 1,300

446 1,115 2,230

748 1,870 3,740

Optional Benefits 額外保障Annual Premium per Unit (HK$) 每單位之全年保費(港幣$)

Age 歲數

16 - 23

24 - 28

29 - 33

34 - 38

39 - 43

44 - 48

49 - 53

54 - 58 (For renewal only 只供續保之用)

59 - 63 (For renewal only 只供續保之用)

Top-upLifeBenefit額外人壽保障

5642834

9242834

13052840

21382854

327122890

4792228152

7433728260

1,1286528446

1,60311028748

AccidentalDeathandDisablementBenefit意外死亡及傷殘保障

CrisisProtectionBenefit危疾保障

TotalandPermanentDisabilityBenefit完全及永久殘疾保障

Note:TheabovepremiumratesareonlyapplicabletoclericalstaffmainlyworkinginHongKongwithoutmanualwork.Fornon-clericalstafforstaffnotmainlyworkinginHongKong,loadingwillbeappliedaccordingtothejobnatureoftheemployee.Pleasefeelfreetocontactusforenquiries.

備註:以上保費只適用於主要在香港工作的僱員,非文職僱員或有關僱員不是主要於香港工作則須附加額外保費,如有需要,歡迎隨時與我們查詢。

Note:1. Thesumassuredof“Top-upLifeBenefit”shouldnotbegreaterthanthatfor“CoreLifeBenefit”.2. “Top-upLifeBenefit”mustbeinsuredifanyotherOptionalBenefitisselected.3. Thenumberofunits selected for “AccidentDeathandDisablementBenefit”, “Total and

PermanentDisabilityBenefit”and“CrisisProtectionBenefit”mustnotbegreaterthanthatfor“Top-upLifeBenefit”.

4. Themaximumsum insuredof “CrisisProtectionBenefit” is limited to50%of lifecoverageincluding“Top-upLifeBenefit”.

備註:1.「額外人壽保障」之投保金額不可超過「基本人壽保障」之投保金額。2. 若選擇任何其他額外保障,必須同時投保「額外人壽保障」。3.「意外死亡及傷殘保障」、「完全及永久殘疾保障」及「危疾保障」之單位數目均不可超過「額外人壽保障」之單位數目。

4.「危疾保障」之最高投保金額不可超過百分之五十之人壽保障金額,「額外人壽保障」之投保金額亦計算在內。

Page 11: Group Medical and Group Life 團體醫療及團體人壽保險 · 1 PRUchoice Group Medical Insurance and PRUchoice Group Life Assurance 保誠精選「團體醫療寶」及保誠精選「團體人壽寶」

10

PRUchoice Group Life Assurance保誠精選「團體人壽寶」

Special Features 計劃特點

1. Four Optional Benefits Optionalbenefitsof “Top-upLifeBenefit”, “AccidentalDeathandDisablementBenefit”, “TotalandPermanentDisabilityBenefit”and“Crisis

ProtectionBenefit”areavailable.

2. 39 Types of Critical Illness

39criticalillnessesareprovidedunder“CrisisProtectionBenefit”.

3. Auto-renewal PRUchoiceGroupLifeAssurancewillbeautomaticallyrenewedeveryyearwithoutanyadditionaladministrationprocedure.

1. 四項額外保障 僱主可額外為僱員提供「額外人壽保障」、「意外死亡及傷殘保障」、「完全及永久殘疾保障」及「危疾保障」。

2. 39種危疾 在「危疾保障」中,共39種危疾獲得賠償。

3. 自動續保 保誠精選「團體人壽寶」每年均自動續保,無須額外手續。

Major Exclusions 主要不受保障項目

Core Life BenefitNoExclusion.

Top-up Life BenefitDeathcauseddirectlyor indirectly,whollyorpartlybysuicideorself-inflicted injurieswhilesaneor insaneduringthefirst12monthsof theMemberenrolling inPRUchoice Group Life Assurance.

Other Optional Benefits1. Bywar,invasion,actofforeignenemy,hostilities(whetherwarbedeclaredornot),terrorism,civilwar,rebellion,participationinillegalacts,revolution,insurrection,military

orusurpedpower,riotorcivilcommotion.2. Self-inflictedinjurieswhilesaneorinsane.3. Alcohol,narcoticsordrugsunlesstakenasprescribedbyaRegisteredMedicalPractitioner.4. Whileengaginginunderwateractivitiesrequiringbreathingapparatusorracingotherthanonfoot.5. Whileascendinginto,descendingfromortravellinginanyaircraftotherthanasafare-payingpassengeronascheduledpublicairservice.

Formoredetails,pleaserefertothePolicy.

基本人壽保障沒有任何不受保障項目。

額外人壽保障在參加保誠精選「團體人壽寶」的首12個月內直接或間接、全部或部份因自殺或自傷身體(無論神智是否清醒)而身故。

其他額外保障1. 因戰爭、入侵、外敵行動、開戰(無論是否已宣戰)、恐怖主義活動、內戰、叛亂、參與非法活動、革命、暴動、軍政或權力篡奪、暴亂或民間騷動。2. 自殺或自傷身體(無論神智是否清醒)。3. 酒精、毒品或藥物,除非經註冊西醫處方。4. 當參與須佩帶呼吸裝備的水底活動、或並非以雙腿進行的競賽。5. 當非以持票乘客身份乘坐預定班次之民航機,上落或駕駛任何飛機。

欲知詳情,請參閱保單。

Page 12: Group Medical and Group Life 團體醫療及團體人壽保險 · 1 PRUchoice Group Medical Insurance and PRUchoice Group Life Assurance 保誠精選「團體醫療寶」及保誠精選「團體人壽寶」

11

About Prudential 關於英國保誠Foundedin1848,Prudentialplc(UK)isaninternationalretailfinancialservicesgroup.Forover160years,wehavebeenlisteningtotheneedsofourcustomers around the world.

ThePrudentialAssuranceCompanyLimited,HongKongBranch("PrudentialHongKong")hasbeenservingthepeopleofHongKongsince1964.Wenowhaveover5,800FinancialConsultants,ExecutiveFinancialPlanningManagersandstaffwhoarededicatedtomeetingthedifferentneedsofourcustomersbyprovidingacomprehensiverangeof insuranceservices including life insurance,general insurance,employeebenefitsand investmentproducts.

英國保誠集團成立於1848年,為國際零售金融服務集團,過去160多年來,我們一直竭誠用心聆聽客戶的需要。

英國保誠保險有限公司香港分行(「英國保誠香港」)於1964年起為香港市民提供保險服務。現時共有超過5,800名理財顧問、優先理財計劃經理及員工,竭誠為客戶提供全面的保險服務,包括人壽保險、一般保險、團體保險及投資產品。

Commercial Insurance 商業保險

Besidesgroupmedical insuranceandgrouplifeassurance,youshouldhavetheneedtoprotectyourbusinesswithgeneral insurance.Ridingontheadvantageofbeingaproviderforgroupinsurance,lifeinsuranceandgeneralinsurance,Prudentialisproudofpresentingthefollowingproductstoyou.

Shop Insurance - PRUchoice BOX TorunabusinessinHongKongsuccessfullyischallenging.Besidesofcompetingwithrivalsintermsofqualityandprice,shopownersalsoneedtoprotecttheirownbusinessfrommisfortunesuchasfire,burglaryandwaterdamage.Torelieveshopownersfromworryingaboutunexpectedaccidents,Prudential introducesPRUchoiceBOX(BusinessOwnersXtra)toshopowners.Withthefull-range“AllRisks”protectionofPRUchoiceBOX,shopownerscanconcentrateonthebusinesswithpeaceofmind.TheprotectionofPRUchoiceBOX includesshopcontents,sampleandtradestocks,businessinterruption,money,personalaccident,publicliabilityandemployees’compensation(optional).

Small Office Insurance - PRUchoice SOXPRUchoiceSOX (SmallOfficeXtra) isacomprehensive insuranceprogrammethathasbeentailor-madeto theneedsof themediumtosmallsizedbusinessinHongKong.Withitsfull-rangeof“AllRisks”protection,businessownerscanmanagetheirbusinesswellwithouthavingtoworryaboutanyunexpectedmisfortunesuchasfire,theft,burglaryandwaterdamage.TheprotectionofPRUchoiceBOXincludesofficecontents,businessinterruption,money,personalaccident,publicliabilityandemployees’compensation(optional).

Building Management Insurance - PRUchoice BMXTheGovernmenthasgazzettedthatallOwners’Corporationsofresidentialbuildingsarerequiredtoeffectcompulsorythirdparty liability insurance.In this regard,Prudentialoffersacomprehensive insurance–PRUchoiceBuildingManagementXtra,buildingmanagement insuranceplan forprivateresidentialbuildings.ItcanhelpOwners’Corporationstakingoutasuitableinsuranceprotectionforthebuildingwithhasslefree.Owners’CorporationscanevenfreelychoosetoinsureEmployees’Compensationundertheplanfortheiremployees.Thecoverofthisinsuranceincludesspecifiedperilsforpropertydamage,money,personalaccident,publicliabilityandemployees'compensations(optional).

除了團體醫療保險及團體人壽保險外,相信您亦需要為您的業務購買一般保險。作為一個團體保險、人壽保險及一般保險的服務提供者,英國保誠誠意為您提供以下產品。

店舖保險計劃—保誠精選「商舖寶」要在香港成功地管理好店舖業務,絕非易事。一方面要在產品的品質及價錢上與對手競爭,另一方面要細心地為店舖作好妥善的保險安排,以防備因火災、盜竊、水浸等意外所帶來的損失。英國保誠誠意推出保誠精選「商舖寶」店舖保險計劃。此計劃承保範圍非常廣泛,在本計劃的「全險」保障下,店主們可以安枕無憂,專心發展業務。保誠精選「商舖寶」保障包括店舖設備、貨辨及存貨、營業中斷、金錢損失、人身意外、公眾責任及可額外投保的僱員補償保障。

辦公室保險計劃—保誠精選「興業寶」為提供本港中、小型企業一項至周全的保障計劃,英國保誠誠意推出保誠精選「興業寶」辦公室保險計劃。此計劃承保範圍非常廣泛,包括火災、搶劫、盜竊、水浸等。在本計劃的「全險」保障下,營商人士可以安枕無憂,專心發展業務。保誠精選「興業寶」保障包括辦公室設備、營業中斷、金錢損失、人身意外、公眾責任及可額外投保的僱員補償保障。

樓宇保險計劃—保誠精選「樓宇寶」政府已就立法列明住宅大廈業主立案法團購買第三者責任保險的詳細規定刊憲,英國保誠為私人大廈提供保誠精選「樓宇寶」樓宇保險計劃。透過保誠精選「樓宇寶」,業主立案法團能簡便地為大廈購買合適及全面的保障,包括:財產損毀、金錢損失、人身意外及公眾責任,大廈業主立案法團更可自由選擇,為業主立案法團的僱員購買僱員補償保障。讓業主安枕無憂!

Personal Insurance 個人保險

Likeotheremployers,youarepayingmoreattentiontoyouremployees’ individualneeds.Thisnotonlypromotessenseofbelonginginworkingplace,butalsorecognizesyouasacaringemployertoattractmoretalents.Whynot letPrudential introduceasuiteofpersonal insuranceasfollowstoyouremployees now?

與其他僱主一樣,您必定也時刻關心僱員的需要,從而吸引更多人才,及增加僱員對公司的歸屬感及形象。何不讓英國保誠為您的僱員推介以下的個人保障?

• PRUchoiceChinaAccidentalEmergencyMedical保誠精選「中國意外急救醫療保險」• PRUchoiceClinic保誠精選「診療寶」• PRUchoice Golfers 保誠精選「高球樂」• PRUchoiceHealthCare保誠精選「康療寶」• PRUchoiceHealthCheck保誠精選「康檢寶」• PRUchoice Home 保誠精選「家居寶」• PRUchoice Maid 保誠精選「僱傭寶」

• PRUchoice Medical 保誠精選「醫療寶」• PRUchoice MediExtra保誠精選「健康寶」• PRUchoice Motor 保誠精選「駕駛寶」• PRUchoice PersonalAccident保誠精選「安健寶」• PRUchoice PersonalAccidentPlus保誠精選「倍安寶」• PRUchoice Travel保誠精選「旅遊樂」

Toknowmoreaboutourproducts,pleasecallyourfinancialconsultant/broker.如欲查詢以上保險產品詳情,請聯絡您的理財顧問或經紀。

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Enjoy Comprehensive Hospital and Surgical Benefit by insuring PRUchoice MediExtra投保保誠精選「健康寶」 享有更全面住院及手術保障

Employeescanadditionally insurewithstandaloneMedicalBenefitunderPRUchoiceMediExtraontopof thebenefitofHospitalandSurgicalBenefitprovidedbyyoutocoverthefullamountofmedicalexpenses.EmployeescanfurthereffectBasicHospitalandSurgicalBenefitassimilartowhatyouhaveprovidedinthisproductaftertheirresignationfromyou.

除了您為僱員提供的基本住院及手術保障外,僱員亦可單獨購買附加住院醫療計劃,以補足未能在基本住院及手術保障全數支付的醫療費用。此產品亦可讓僱員離職後,回購與您所提供的基本住院及手術保障之相類似的保障。

Premium Discount to Employee for insuring Personal Line Products with us為投保個人保險的僱員提供保費折扣優惠

10% Premium Discount on PRUchoice Travel Insurance for EmployerYouwillenjoy10%firstyearpremiumdiscountifyouaregoingtoinsureemployeeswithPRUchoiceTravelAnnualCoveratthesametimewhensubmittingthe application of PRUchoice Group Medical Insurance and/or PRUchoice Group Life Assurance.

5% Premium Discount to Employee on PRUchoice TravelEmployeewillenjoy5%firstyearpremiumdiscountwhenhe/she insuresPRUchoiceTravelAnnualCoveras longasyouare insuringunderPRUchoice Group Medical Insurance and/or PRUchoice Group Life Assurance with us.

僱主投保保誠精選「旅遊樂」保險計劃九折保費優惠若您於申請保誠精選「團體醫療寶」及/或保誠精選「團體人壽寶」時,同時為僱員新申請投保保誠精選「旅遊樂」全年保障,首年保費可獲九折優惠。

為僱員提供保誠精選「旅遊樂」九五折保費優惠若您已投保保誠精選「團體醫療寶」及/或保誠精選「團體人壽寶」,當僱員投保保誠精選「旅遊樂」全年保障時,首年保費亦可獲九五折優惠。

Toenjoythispremiumdiscountorknowmoreaboutourproducts,pleasecontactyourfinancialconsultantorusat36568190.要享用此保費優惠或欲查詢以上保險產品詳情,請與您的理財顧問或致電36568190與我們聯絡。

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Note: This brochure is for illustrative purpose only. Please refer to the insurance Policy for exact terms and condition.註:此小冊子只作介紹用途,有關之條文細節,請參閱保單條款。所有中文簡譯,如與英文有異,概以英文為準。

EB1/BR00023B/P01 (05/11)

1C Job No.11313 pru Brochure folderM Y K Output 5C Positive film175LPI Emulsion down打啞粉紙26-06-08

Group Medical and Group Life團體醫療及團體人壽保險

The Prudential Assurance Company Limited(incorporated and registered in England and Wales)General Insurance & Employee Benefits Department3/F, DCH Commercial Centre, 25 Westlands Road, Quarry Bay, Hong KongTel : (852) 3656 8300 Fax: (852) 2164 8446

英國保誠保險有限公司 (於英格蘭及威爾斯成立及註冊)一般保險及僱員福利部香港 魚涌華蘭路25號大昌行商業中心3樓電話:(852) 3656 8300 傳真:(852) 2164 8446