Benefit Summary 福利概要

Policyholder 保單持有人 : Kerry Logistics Network Limited 嘉里物流聯網

Policy Number 保單編號 : GM-88000656
Plan Number 計劃編號 : 2 – SENIOR STAFF
Policy Period 保單有效日期 : 1 July 2023 – 30 June 2024
Member Services Hotline 客戶服務熱線 : (852) 3187-6831

1. Hospitalization Benefit (1) (100% Reimbursement per disability up to) Limits in HKD
住院福利 (1) (每宗傷病可按以下限額享 100%醫療費用賠償) 賠償額 (港幣)
Accommodation Level 房間類別 Semi-Private 半私家房
A Daily Room and Board (per day limit) 膳宿費 (每日最高賠償額) $1,000
Max. days per disability per year 每宗傷病每年最高日數 60
B Doctor's Visit (Non-Surgical only) (per day limit) 醫生診症費 (非手術) (每日最高賠償額) $1,000
(including 1 pre-hospitalization & post consultation within 6 weeks after discharge)
(包括 1 次住院前諮詢和出院後 6 週內的諮詢服務)
Max. days per disability per year 每宗傷病每年最高日數 60
C Hospital Expenses (2) 醫院雜費 (2)
Max. amount per disability per year 每宗傷病每年最高賠償額 $22,500
D Surgeon's Fee 醫生手術費
(including 2 pre-surgical assessments & post-surgical care within 6 weeks after operation)
(包括 2 次手術前評估和手術後 6 週內的術後護理)
Max. amount per disability per year 每宗傷病每年最高賠償額
Complex 複雜手術 $60,000
Major 大型手術 $30,000
Intermediate 中型手術 $15,000
Minor 小型手術 $7,500
E Anesthetist's Fee 麻醉師費
Max. amount per disability per year 每宗傷病每年最高賠償額
Complex 複雜手術 $16,500
Major 大型手術 $8,500
Intermediate 中型手術 $4,200
Minor 小型手術 $2,100
F Operating Theatre Fee 手術室費
Max. amount per disability per year 每宗傷病每年最高賠償額
Complex 複雜手術 $16,500
Major 大型手術 $8,500
Intermediate 中型手術 $4,200
Minor 小型手術 $2,100
G Specialist Consultation (3) 專科醫生 (3)
Max. amount per disability per year 每宗傷病每年最高賠償額 $9,000

2. Supplementary Major Medical (80% Reimbursement per disability up to) Limit in HKD
附加住院醫療福利 (同一病症可按以下限額享 80%醫療費用賠償) 賠償額 (港幣)
Accommodation Level (4) 房間類別 (4) Semi-Private 半私家房
Max. amount per disability per year 每宗傷病每年最高賠償額 $165,000
Deductible 自付費 $1,000

3. Emergency Assistance (5) Limit in HKD

緊急醫療運送 (5) 賠償額 (港幣)
Emergency Evacuation 緊急醫療運送 100%
Repatriation of Remains 遺體運送 100%

The final interpretation of any specific provision or its applicability is subject to the provision of the Master Policy issued by Assicurazioni Generali S.p.A.
單張內的任何條款之闡釋或應用，均以忠意保險有限公司之英文保單為準。
Benefit Summary 福利概要
Policyholder 保單持有人 : Kerry Logistics Network Limited 嘉里物流聯網
Policy Number 保單編號 : GM-88000656
Plan Number 計劃編號 : 2 – SENIOR STAFF
Policy Period 保單有效日期 : 1 July 2023 – 30 June 2024
Member Services Hotline 客戶服務熱線 : (852) 3187-6831

4. Outpatient Benefit (6) (80% Reimbursement per disability up to) Limits in HKD
門診福利 (6) (同一病症可按以下限額享 80%醫療費用賠償) 賠償額 (港幣)
A General Physician Services (per visit per day) 普通科醫生服務 (每日一次) $330
Max. visit per year 每年最高求診次數 20
Copayment on network service 網絡醫生門診自付費 $0
B Specialist Physician Services (per visit per day) 專科醫生服務 (每日一次) $650
Max. visit per year 每年最高求診次數 15
Copayment on network service 網絡醫生門診自付費 $0
C Physiotherapy & Chiropractor (7) (per visit per day) 物理治療及脊醫 (7) (每日一次) $650
Max. visit per year 每年最高求診次數 15
D Basic Diagnostic Testing (8) 基本診斷測試 (8)
Max. amount per disability per year 每宗傷病每年最高賠償額 p $4,000
E Chinese Herbalist & Bonesetter & Acupuncture (per visit per day) 中草藥中醫及跌打及針炙 $330
治療 (每日一次)
Max. visit per year 每年最高求診次數 15
F Preventive Check-up 常規驗身 $330
Max. visit per year 每年最高求診次數 1

Remarks 備註:
(1) Expense related to clinical / day surgery and the associated histopathology can be covered under Surgical Benefit where admission
is not necessary. If the expense exceeds the Hospitalization Benefit, it can be reimbursed under Supplementary Major Medical
Benefit.
日間手術或在診所進行的小手術及相關的病理化驗均可獲手術保障，無需安排住院。如費用超出基本住院保障，亦可於附加重症保障
賠償。
(2) Diagnostic Advanced Imaging (CT, MRI & PET scan, Ba Meal, Intravenous pyelogram or investigations using radioactive substance) and
radiotherapy and chemotherapy will be covered under Hospital Services and admission is not necessary. If the expense exceeds the Hospital
Special Services benefit, it can be reimbursed under Supplementary Major Medical Benefit.
先進診斷造影 (電腦掃描，磁力共震和正電子發射電腦斷層攝片，鋇餐檢查，靜脈腎盂造影或使用放射性物質的檢查) 以及放射療法
和化學療法均可獲醫院雜費保障，無需安排住院。如費用超出醫院雜費保障，亦可於附加重症保障賠償。
(3) Must be referred and recommended by Attending Physician.
必須有註冊西醫之介紹信方為有效。
(4) At same accommodation level as plan indicated. If higher accommodation level is selected, the excess covered expenses will be
reimbursed at 50% only. VIP & Deluxe Room is not covered.
如所選擇入住的病房類別，較保障賠償表上的為高，賠償將會止於餘額之百分之五十。 附加住院醫療福利將不適用於比私家房更高
的病房級別 (例如貴賓房或豪華房)。
(5) Prior authorization to Europ Assistance (EA) is required. EA hotline: (852) 8109 2883
需預先通知緊急援助服務。服務熱線: (852) 8109 2883
(6) Please note that there will be time gap for processing outpatient network services. If member has any concern about over utilization,
please keep a copy of the voucher and check the utilization from time to time.
使用網絡門診醫療服務之有關理賠程序需時處理，如會員關注是否有超出最高求診次數或賠償額的情況，請保留由網絡診所發出的
到診記錄，以便核對已使用的總次數及總賠償額。
(7) Must be referred and recommended by the Attending Doctor in writing. The referral is valid for 1 year from the issue date.
必須有註冊西醫之介紹信方為有效。介紹信有效期由簽發日起計一年內有效。
(8) Must be referred and recommended by the Attending Doctor in writing. The referral is valid for 90 consecutive days from the issue
date.
必須有註冊西醫之介紹信方為有效。介紹信有效期由簽發日起計九十天內有效，每次索償圴需提交介紹信副本。

The final interpretation of any specific provision or its applicability is subject to the provision of the Master Policy issued by Assicurazioni Generali S.p.A.
單張內的任何條款之闡釋或應用，均以忠意保險有限公司之英文保單為準。