參加此保險之國際學生,在保險有效期間內(原則上為六個月內)因傷病保險事故需要使用此保險,請先確認您的醫療項目並非特殊疾病及醫療行為不給付項目(請參考下方備註)。使用流程如下:
  1.至鄰近醫療院所就診
  2.就診時,請向醫師申請你的診斷書。
  3.門診費用須先行自付,再向醫院索取門診費用相關收據正本及你的診斷書

If you need to receive medical treatment, please check the remarks at the end of this sheet to make sure that your medical treatment is included in this insurance policy and follow the procedure below:
  1. Go to a hospital or clinic near you for proper treatment.
  2. Claim for a certificate of diagnosis from the doctor.
  3. Pay the full fee for the treatment and get both the payment receipt and the certificate of diagnosis from tne hospital.

看完診後,請務必檢附下列文件至健康中心,會協助您辦理理賠。
  1. 繳費收據正本
  2. 診斷書正本
  3. 郵局存摺封面影本
  4. 保險理賠申請書
  5. 護照影本
  6. 居留證影本

You need to bring the following documents to the Health Center:
  1. The original receipts of payment
  2. The original certificate of diagnosis
  3. Photocopy the cover of your Post Office Deposit book
  4. Insurance Claim Application Form
  5. Photocopy of your Passport
  6. Photocopy of your ARC
 
健康中心文件齊全後,寄送給保險公司,待保險公司理賠部門確認文件齊全並為該保險理賠項目,約4週後核定理賠金額匯款至您的帳戶。
Bring all documents listed above to the Health Center, and we will help you deliver them to the insurance company. If your documents are complete and in accordance with the policy coverage, the insurance company will remit the claimed payment into your post office account in about 4 weeks.

請留意:
門診給付相同病症每日以一次為限,每日一次理賠上限為新台幣1,000元。
Please note:
For the same symptom, the insurance policy covers only one visit per day. The maximum coverage per visit is TWD 1,000.


保險醫療給付項目如下:
  (一) 門診:診療、處置或手術。藥劑、注射。治療所必需之材料及檢驗、檢查。
  (二) 住院:診療、處置或手術。藥劑、注射。治療所必需之材料及檢驗、檢查。護理、三等病床及膳食之供應。
  保險給付範圍:限於臺灣地區之醫療行為。投保前之傷病及保險公司規定之特殊疾病及醫療行為不給付。

I. Outpatient/Clinic Service:        
  Physicians and specialists consultations, medical treatment and surgery
  Prescribed medicines and injection
  Diagnostic laboratory tests and physical examination, and the related materials

II. Hospitalization
  Physicians and specialists consultations, medical treatment and surgery
  Prescribed medicines and injection
  Diagnostic laboratory tests and physical examination, and the related materials
  Basic hospital bed and board including general nursing care

Policy Coverage:
  Insurance covers accidents or sicknesses occurring in the Taiwan area. Accidents or sicknesses that require specialized medical care or that have occurred before the insurance policy was taken out will not be covered.
 
* 備註:
 投保之國際學生因傷病事故必須就醫醫療時,皆可就診,但有下列情形者承保機構不負給付之責:
  (一) 自殺行為、酗酒、吸食違禁藥品或犯罪行為和戰爭變亂所致之傷害或疾病。
  (二) 不孕症、懷孕、流產或分娩及其所引致的併發症。
  (三) 健康檢查、視力矯正、預防注射、外科整型美容、洗牙、假牙、義肢、義眼或其他附屬之裝置。
  (四) 救護車、診斷證明書、指定醫師費、特別護士看護、陪伴費、非治療之用品費
  (五) 牙科患者、單純之療養、靜養或復健者,不得給予住院治療。

Remarks:
This policy does NOT cover medical treatment incurred by the following situation or personal behavior:
  1. Suicidal behavior, alcohol abuse, drug abuse, overdose, any sickness or damage caused by illegal behavior and warfare.
  2. Complications incurred by Infertility, pregnancy, miscarriage or childbirth.
  3. Health examination, optical correction, inoculation, elective cosmetic surgery, dental scaling, denture, prosthesis, ocular prosthesis, and other accessories.
  4. Ambulance, certificate of diagnosis, the fee for assigning doctors, special nursing, and any costs that are not relevant to the treatment.
  5. Dental patients and those who are simply recuperating, restoring or rehabilitating should not be hospitalized.