澄清保障细节和附加条款

Clarifying Coverage Details and Riders

客户对特定保单表示兴趣,并详细询问保障限额、涵盖或排除的特定医疗状况、等待期以及可用的附加条款或额外选项,以进一步定制保单。

对话轮次
8
预计时长
4 分钟
场景
保险咨询

完整对话内容

以下是该情境的完整英语对话,包含中英文对照

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Client
第 1 轮
Thanks for explaining the basic policies, Alice. I'm particularly interested in the 'Health Shield' plan. Could you clarify the exact coverage limits for major surgeries?
English
谢谢你解释了基本保单,Alice。我特别对“健康护盾”计划感兴趣。你能否阐明重大手术的具体保障限额是多少?
中文翻译
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Insurance Advisor
第 2 轮
Certainly, Emma. For the 'Health Shield' plan, the maximum payout for major surgeries is capped at $500,000 per policy year. This amount covers surgical fees, anesthesia, and hospital care related to the surgery.
English
当然,Emma。对于“健康护盾”计划,重大手术的最高赔付额度为每个保单年度50万美元。这个金额涵盖了手术费、麻醉费以及与手术相关的住院护理费用。
中文翻译
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Client
第 3 轮
That's good to know. And what about specific pre-existing conditions like diabetes or high blood pressure? Are they covered after a certain period, or are they outright excluded?
English
这很好。那像糖尿病或高血压这样的既往病史呢?它们是过了等待期后才受保,还是完全排除在外?
中文翻译
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Insurance Advisor
第 4 轮
For pre-existing conditions, there's typically a waiting period of 24 months from the policy's inception. After this period, conditions like diabetes or hypertension might be covered, provided they've been declared at the time of application and approved by our underwriters. Otherwise, they are generally excluded.
English
对于既往病史,通常从保单生效之日起有24个月的等待期。在此之后,糖尿病或高血压等疾病可能会被受保,前提是在申请时已申报并获得我们的核保人批准。否则,它们通常是被排除在外。
中文翻译
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Client
第 5 轮
Okay, that clarifies it. And speaking of waiting periods, what's the standard waiting period for general illnesses before I can claim on the policy?
English
好的,这样就清楚了。说到等待期,一般疾病的等待期是多久才能申请理赔?
中文翻译
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Insurance Advisor
第 6 轮
For general illnesses not related to pre-existing conditions, the standard waiting period is 30 days from the policy start date. For specific conditions like certain critical illnesses, it can be up to 90 days, but that's usually specified in the policy document.
English
对于与既往病史无关的一般疾病,标准等待期是从保单开始日期起30天。对于某些特定疾病,比如某些重大疾病,可能长达90天,但这通常会在保单文件中详细说明。
中文翻译
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Client
第 7 轮
Understood. Finally, I'm interested in customizing the policy. Are there any popular riders or add-ons that would enhance the coverage, especially for outpatient specialist visits or international medical emergencies?
English
明白了。最后,我希望能定制保单。是否有受欢迎的附加条款或额外选项可以增强保障,特别是针对门诊专科医生就诊或国际医疗紧急情况的?
中文翻译
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Insurance Advisor
第 8 轮
Absolutely, Emma. A common add-on is the 'Outpatient Benefit Rider,' which covers specialist consultations and diagnostic tests. For international coverage, we have the 'Global Emergency Medical Evacuation Rider' that provides transport and treatment if you face a medical emergency overseas. We can certainly explore those options in more detail.
English
当然有,Emma。一个常见的附加选项是“门诊福利附加险”,它涵盖专科医生咨询和诊断测试。对于国际保障,我们有“全球紧急医疗后送附加险”,如果您在海外遇到医疗紧急情况,它提供运输和治疗。我们当然可以更详细地探讨这些选项。
中文翻译
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