糖尿病專屬危疾保險計劃
糖尿病專屬危疾保險計劃
加護續航糖尿保險計劃
CritiCare Continuation Diabetes
Insurance Plan
CCD
延續保障 為您護航
Safeguarding You
with Continuous Care
在現今的高糖世代,糖尿病患者日趨年輕。一旦患上糖尿病,患者在日常生活中須嚴格控制
血糖,卻難完全避免併發症的威脅。由於糖尿病可引發其他嚴重疾病,許多患者在投保
危疾保障時經常面對被加收保費甚至拒保,進一步加深對健康與財務的擔憂。
加護續航糖尿保險計劃(「此計劃」)專為糖尿病患者而設,突破傳統保險障礙,提供持續
的危疾保障。核保程序簡易,保障涵蓋主要嚴重疾病、早期疾病及原位癌 / 初期癌症,並
附設經濟支援及安心加護保障,助您在面對生活挑戰的同時,從容規劃未來。
149種嚴重疾病保障
Coverage of 149 Critical Illnesses
保障包括 Coverage includes
• 68 種主要嚴重疾病
Major Critical Illnesses
• 50 種早期疾病
Early Stage Diseases
• 31 種原位癌 / 初期癌症
Carcinoma-in-situ / Early Stage Cancers
安心加護保障
Peace of Mind Protection
• 癌症現金保障
Cancer Income Benefit
• 臨床試驗藥物保障
Experimental Drugs Benefit
• 精神上無行為能力預設指示權益
Mental Incapacity Advance
Instruction Option
經濟支援保障
Financial Support Coverage
• 現金價值
Cash Value
• 身故保障
Death Benefit
簡易核保程序
Simplified Underwriting Procedure
149種嚴重疾病保障
1 Coverage of 149 Critical Illnesses
31 種原位癌 / 初期癌症
Carcinoma-in-situ / 25% 基本保障額
Early Stage Cancers of Basic Sum Insured
有關保障的詳情,請參考「加護續航糖尿保險計劃一覽表」部分。
For details of the benefits, please refer to“ CritiCare Continuation Diabetes Insurance Plan – at a glance ”section.
安心加護保障
2 Peace of Mind Protection
5
臨床試驗藥物保障 Experimental Drugs Benefit
指定疾病以致精神上失去行為能力時,轉贈保單 nominate their loved ones to own the Policy in the unfortunate
予摯愛持有,確保家人在緊急情況下動用其 event of mental incapacitation due to Designated Illnesses.
資產,以解燃眉之急,而毋須經歷漫長而 This can ensure the family member has access to the asset
複雜的法律程序。 and receive immediate financial relief in case of emergency,
without going through a lengthy and complicated legal
此外,受保人與保單持有人亦可共同預先作出 process.
指示 ,於受保人精神上失去行為能力後,將有關
6
6
經濟支援保障
3 Financial Support Coverage
在保單生效期間及於第 3 個保單週年日起,您可 Effective from the 3rd policy anniversary onwards and while
於退保時獲得保證現金價值及非保證終期紅利, the Policy is in force, you will be offered the Guaranteed Cash
而無須扣除任何曾支付的賠償金額 ,為您的 Value and a non-guaranteed Terminal Bonus upon policy
7
Bonus will be payable upon the maturity or surrender of the Policy, or upon the death of the Insured, or
when total benefit payments reach 100% of the Basic Sum Insured.
在受保人不幸身故時,受益人可獲發身故保障 In the unfortunate event of the death of the Insured, the Death
賠償,舒緩家庭的財政壓力: Benefit will be paid to the Beneficiary to ease the financial
burden on the families:
i) 100% 已繳每年保費總額 7 + 非保證終期紅利,
或 i) 100% of total Annual Premium paid7 + non-guaranteed
ii) 現金價值
Terminal Bonus, or
以較高者爲準,並須扣除任何曾支付或將獲支付
ii) Cash Value
簡易核保程序
4 Simplified Underwriting Procedure
7
68種主要嚴重疾病 2
68 Major Critical Illnesses2
癌症 1 症
癌 神經系統疾病 35 運動神經原疾病
Cancer Cancer Nervous System Motor Neurone Disease
心臟血管疾病 2 臟病
心 Diseases 36 柏金遜病
Cardiovascular Heart Attack Parkinson’s Disease
Diseases 3 冠狀動脈(迴接)手術 37 脊髓灰質炎
Coronary Artery Bypass Surgery Poliomyelitis
4 心瓣置換 38 亞爾茲默氏病 / 不可還原之器質性腦退化疾病
Heart Valve Replacement Alzheimer’s Disease / Irreversible Organic
5 主要動脈手術 Degenerative Brain Disorders
Surgery to Aorta 39 漸進性核上神經麻痺症
6 心肌病 Progressive Supranuclear Palsy
Cardiomyopathy 40 嚴重重症肌無力
7 肺動脈高血壓 Severe Myasthenia Gravis
Pulmonary Arterial Hypertension 41 進行性延髓麻痺症
8 其它嚴重冠狀動脈疾病 Progressive Bulbar Palsy
Other Serious Coronary Artery Disease 42 結核腦膜炎
9 艾森門格綜合症 Meningeal Tuberculosis
Eisenmenger’s Syndrome 43 偏癱
10 傳染性心內膜炎 Hemiplegia
Infective Endocarditis 44 肌萎縮性脊髓側索硬化(俗稱 「漸涷人症」)
器官嚴重疾病及 11 腎衰竭 Amyotrophic Lateral Sclerosis
衰竭 Kidney Failure 45 脊髓肌肉萎縮症
Organ Critical 12 慢性肝衰竭 Spinal Muscular Atrophy
Illness and Chronic Liver Failure 46 原發性側索硬化
主要器官移植
Failure 13 Primary Lateral Sclerosis
Major Organ Transplant 嚴重傷殘 47 失明
14 暴發性病毒性肝炎 Serious Blindness
Fulminant Viral Hepatitis Disability 48 身體機能阻障
15 腎髓質囊腫病 Dysfunction
Medullary Cystic Disease 49 完全及永久傷殘8
16 潰瘍性結腸炎 Total and Permanent Disability8
Ulcerative Colitis 50 類風濕性關節炎
17 克隆病 Rheumatoid Arthritis
Crohn's Disease 51 失去肢體 / 視力
18 慢性肺病 Loss of Limbs / Sight of Eyes
Chronic Lung Disease 52 失
19 慢性自體免疫性肝炎 Deafness
Chronic Auto-immune Hepatitis 53 失去語言能力
20 復發性慢性胰臟炎 Loss of Speech
Chronic Relapsing Pancreatitis 54 嚴重燒傷
21 系統性硬皮病 Major Burns
Systemic Scleroderma 55 糖尿病併發症引致切除雙足
22 急性壞死及出血性胰腺炎 Amputation of Feet due to Complication from
Acute Necrohemorrhagic Diabetes Mellitus
Pancreatitis 其它 56 末期病症
神經系統疾病 23 中風 Others Terminal Illness
Nervous System Stroke 57 象皮病
Diseases 24 良性腦部腫瘤 Elephantiasis
Benign Brain Tumour 58 壞死性筋膜炎
25 昏迷 Necrotising Fasciitis
Coma 59 成形不全貧血病
26 腦膜炎 Aplastic Anaemia
Bacterial Meningitis 60 克雅氏症 (俗稱「瘋牛症」)
27 腦炎 Creutzfeld-Jacob Disease (Mad Cow Disease)
Encephalitis 61 經輸血感染人類免疫力缺乏病毒
28 嚴重頭部創傷 HIV through Blood Transfusion
Major Head Trauma 62 因職業感染人類免疫力缺乏病毒
29 植物人 Occupationally Acquired HIV
Apallic Syndrome 63 紅斑狼瘡
30 腦部手術 Systemic Lupus Erythematosus
Brain Surgery 64 慢性腎上腺功能不全
部受損 / 失去獨立生存的能力
腦
31 Chronic Adrenal Insufficiency
Brain Damage / Loss of Independent 65 伊波拉出血性熱病
Existence Ebola Hemorrhagic Fever
32 肌肉萎縮 66 嗜鉻細胞瘤
Muscular Dystrophy Pheochromocytoma
33 癱瘓 67 合資格的深切治療部留醫9
Paralysis Qualified ICU Stay9
34 多發性硬化症 68 侵入性甲類鏈球菌 (iGAS) 疾病(俗稱「食人菌」)
Multiple Sclerosis Invasive group A streptococcal (iGAS) disease
9
50種早期疾病2
50 Early Stage Diseases2
心臟血管疾病 1 腔靜脈過濾器植入 神經系統疾病 25 中度嚴重腦部損傷
Cardiovascular Insertion of a Vena-cava Filter Nervous System Moderately Severe Brain Damage
Diseases Diseases
2 心瓣膜疾病的次級創傷性治療 26 腦硬膜下血腫手術
Less Invasive Treatments of Heart Valve Surgery for Subdural Haematoma
Disease
27 移除腦下垂體腫瘤手術
3 次級嚴重心臟疾病 Surgical Removal of Pituitary Tumour
Less Severe Heart Disease
28 中度嚴重癱瘓
4 微創性直接冠狀動脈搭橋術10 Moderately Severe Paralysis
Minimally Invasive Direct Coronary Artery
By-pass10 29 嚴重精神病10,12
Severe Psychiatric Illness10,12
5 冠狀動脈的血管成形術及其它冠狀動脈的血管手術10,11
(俗稱「通波仔」
) 30 早期腦退化症(包括早期亞爾茲默氏病)
Angioplasty and Other Surgeries for Coronary Early Stage Dementia
Artery10,11 (including Early Stage Alzheimer’s Disease)
2次 Twice 31 級嚴重結核腦膜炎
次
Less Severe Meningeal Tuberculosis
6 心包切除術
Pericardectomy 嚴重傷殘 32 意外所致的臉部燒傷
Serious Facial Burns due to Accident
7 主動脈疾病或主動脈瘤的血管介入治療 Disability
Endovascular Treatments of Aortic Disease or 33 中度嚴重燒傷
Aortic Aneurysm Moderately Severe Burns
8 次級嚴重傳染性心內膜炎 34 單耳失
Less Severe Infective Endocarditis Loss of Hearing in One Ear
9 早期心肌病 35 失去單肢
Early Cardiomyopathy Loss of One Limb
37 糖尿病併發症引致的單腳截除
Organ Critical
Illness and 11 早期慢性肺病
Early Chronic Lung Disease Amputation of One Foot due to Complication
Failure
from Diabetes
12 肝炎伴肝硬化
Hepatitis with Cirrhosis 其它 38 耳蝸植入術
Others Cochlear Implant Surgery
13 次級嚴重腎病
Less Severe Kidney Disease 39 糖尿病性視網膜病變10
Diabetic Retinopathy10
14 臟手術
肝
Liver Surgery 40 次級嚴重紅斑狼瘡
Less Severe Systemic Lupus Erythematosus
15
主要器官移植 (屬於器官移植輪候名單上的輪候者)
Major Organ Transplantation 41 骨質疏鬆症併骨折10,13
(on Waiting List) Osteoporosis with Fractures10,13
16 除單肺手術
移 42 腎上腺腺瘤的腎上腺切除術
Surgical Removal of One Lung Adrenalectomy for Adrenal Adenoma
20 腦動脈瘤的血管介入治療和腦病變的其它治療 46 青光眼手術16
Endovascular Treatment for Cerebral Glaucoma Surgical Treatment16
Aneurysm and Other Treatment for Cerebral
Disease 47 早期克雅氏症(早期瘋牛症)
Early Stage Creutzfeld-Jacob Disease
21 次級嚴重細菌性腦膜炎 (Early Mad Cow Disease)
Less Severe Bacterial Meningitis
48 糖尿病併發症引致的腎臟病變
22 中度嚴重柏金遜病 Nephropathy due to
Moderately Severe Parkinson's Disease Complication from Diabetes
23 次級嚴重昏迷 49 嚴重中樞神經性睡眠窒息症或混合性睡眠窒息症
Less Severe Coma Severe Central or Mixed Sleep Apnea
24 次級嚴重腦炎 50 嚴重阻塞性睡眠呼吸暫停窒息症
Less Severe Encephalitis Severe Obstructive Sleep Apnea
10
31種原位癌 / 初期癌症2,10
31 Carcinoma-in-situ / Early Stage Cancers2,10
1 乳房 17 鼻咽
Breast(s) Nasopharynx
2 子宮頸 18 肝
Cervix Liver
3 子宮 19 尿道
Uterus Urinary Tract
4 卵巢 20 輸尿管
Ovary or Ovaries Ureter
5 輸卵管 21 壺腹
Fallopian Tube(s) Ampulla of Vater
6 陰道 22 肛管
Vagina Anal Cannel
7 外陰 23 肝外膽管
Vulva Extra-hepatic Bile Duct
8 淚管 24 膽囊
Tear Duct Gallbladder
9 睪丸 25 腎臟
Testis or Testes Kidney
10 陰莖 26 胰臟
Penis Pancreas
11 小腸(包括十二指腸,空腸及迴腸) 27 腎盂
Small Intestine (including Duodenum, Jejunum and Ileum) Renal Pelvis
12 結腸或直腸 28 AJCC第二期或以上的非黑色瘤皮膚癌
Colon or Rectum Non Melanoma Skin Cancer of AJCC Stage II or above
13 肺 29 前列腺
Lung Prostate
14 胃或食道 30 早期甲狀腺乳頭狀癌
Stomach or Oesophagus Early Stage Papillary Carcinoma of the Thyroid
15 喉 31 慢性淋巴性白血病
Larynx Chronic Lymphocytic Leukemia
16 咽(包括舌頭,軟齶及小舌)
Pharynx (including Tongue, Soft Palate and Uvula)
11
加護續航糖尿保險計劃一覽表
CritiCare Continuation Diabetes Insurance Plan – at a glance
保障項目 Benefits
149種嚴重疾病保障2,3 保障金額 保障年期
Coverage of 149 Critical Illnesses2,3 Benefit Amount Benefit Term
• 100% 基本保障額 7 + 非保證終期紅利,或 至 100 歲 8
68 種主要嚴重疾病
Major Critical Illnesses • 現金價值 To Age 1008
以較高者為準,並須扣除任何曾支付或將獲支付之嚴重
疾病保障
• 100% of Basic Sum Insured7 + non-guaranteed
Terminal Bonus, or
• Cash Value
whichever is higher, and subject to the deduction of
any previous Critical Illness Benefit paid or payable
每項嚴重疾病只獲賠償一次(特別註明除外)
50 種早期疾病
Early Stage Diseases Payable once only for each Critical Illness
(unless otherwise specified)
微創性直接冠狀動脈
搭橋術
Minimally Invasive
Direct Coronary Artery
By-pass
嚴重精神病 12
Severe Psychiatric
Illness12
12
保障項目 Benefits
149種嚴重疾病保障2,3 保障金額 保障年期
Coverage of 149 Critical Illnesses2,3 Benefit Amount Benefit Term
基本保障額 7
25% of Basic Sum Insured7
(同一受保人於本公司繕發之此計劃所有保單所支付的
最高總賠償限額為 62,500 美元
Subject to US$62,500 per Insured under all
policies of the Plan issued by the Company)
骨質疏鬆症併骨折 基本保障額 7 至 70 歲
Osteoporosis with
25% of Basic Sum Insured7 To Age 70
Fractures ( 同一受保人於本公司繕發之此計劃所有保單所支付的
最高總賠償限額為 62,500 美元
Subject to US$62,500 per Insured under all
policies of the Plan issued by the Company)
黃斑部病變 / 基本保障額 7 至 65 歲
早發性白內障
25% of Basic Sum Insured7 To Age 65
Macular
Degeneration / Early
Onset of Cataract
青光眼手術 基本保障額 7 至 65 歲
Glaucoma Surgical
10% of Basic Sum Insured7 To Age 65
Treatment ( 同一受保人於本公司繕發之此計劃所有保單所支付的
最高總賠償限額為 5,000 美元
Subject to US$5,000 per Insured under all
policies of the Plan issued by the Company)
基本保障額 7 至 100 歲
25% of Basic Sum Insured7 To Age 100
(同一受保人於本公司繕發之此計劃所有保單所支付的
最高總賠償限額為 62,500 美元
Subject to US$62,500 per Insured under all
policies of the Plan issued by the Company)
基本保障額
20% of Basic Sum Insured
(同一受保人於本公司繕發之此計劃所有保單所支付的
最高總賠償限額為 62,500 美元
Subject to US$62,500 per Insured under all
policies of the Plan issued by the Company)
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保障項目 Benefits
安心加護保障 保障金額 保障年期
Peace of Mind Protection Benefit Amount Benefit Term
以較高者爲準,並須扣除任何曾支付或將獲支付�嚴重
疾病保障
• 100% of total Annual Premium paid7 +
non-guaranteed Terminal Bonus, or
• Cash Value
whichever is higher, and subject to the deduction of
any previous Critical Illness Benefit paid or payable
保單貨幣 美元
Policy Currency US$
保費並非保證,惟不會隨著受保人年齡而增加
保費 1
Premium is non-guaranteed,
Premium 1
but it will not be increased based on the age of the Insured
繳費方式 每年 / 每半年 / 每季 / 每月
Payment Mode Annual / Semi-annual / Quarterly / Monthly
最高基本保障額 17
US$62,500 美元
Maximum Basic Sum Insured17
投保年齡(以上次生日年齡計算) 40 至 65 歲 40 至 60 歲 40 至 55 歲 40 至 50 歲
Issue Age (At Last Birthday) Age 40-65 Age 40-60 Age 40-55 Age 40-50
保障年期 至 100 歲
Benefit Term To Age 100
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註 Remarks
1. 一經受保,保費不會按受保人年齡增加或提出索償而 1. Once insured, the premiums will not increase as the age of the
遞增。然而,本公司有權在每次續期時更改所有在 Insured increases or the Insured has filed a claim. However, the
同一風險級別的受保人之續期保費,並會於保單週年 Company reserves the right to change the renewal premium on
前 30 天以書面作出通知。 each renewal for all Insureds of the same risk class by giving
2 . 嚴重疾病保障(包括主要嚴重疾病、早期疾病及 30 days’ notice in writing prior to the policy anniversary.
原位癌 / 初期癌症)合共的總賠償金額最高為「100% 2. The maximum amount of the sum of total benefit payments under
基本保障額及非保證終期紅利」 (須扣除任何保單 Critical Illness Benefit including Major Critical Illnesses, Early Stage
債項),或現金價值,以較高者為準。若嚴重疾病之 Diseases and Carcinoma-in-situ / Early Stage Cancers is equal to
病況於索償時已屬較後階段至符合主要嚴重疾病的 the sum of “100% of the Basic Sum Insured and non-guaranteed
定義,我們將不會追溯支付任何就原位癌 / 初期癌症 Terminal Bonus” net of Policy Debt (if any), or Cash Value, whichever
或早期疾病之嚴重疾病保障。受保人必須由確診受保 is higher. We will not pay any Critical Illness Benefit for Carcinoma-
嚴重疾病的日期起計生存最少 14 天,我們方會支付 in-situ / Early Stage Cancers or Early Stage Diseases retrospectively
有關的嚴重疾病保障。 when the staging of the Critical Illness is more advanced such that
3. 若多於一種嚴重疾病由同一宗意外引致並於同一天被 it meets the definition of the Major Critical Illness at the time of
確診,或由同一種疾病引致並於同一天被確診,根據 claim. The Critical Illness Benefit shall be payable only if the Insured
保單所載之條款,我們只會就當中最高賠償額之嚴重 survives for a period of at least 14 days from the date of diagnosis of
疾病作出嚴重疾病保障賠償。 a covered Critical Illness.
4. 每年支付相關癌症現金保障前,我們繕發保單的 3. In the event that more than one Critical Illness is arising from the
辦事處必須接獲以符合我們要求的書面方式的合理 same accident and diagnosed on the same date, or arising from
及必要的受保人之生存證明。我們保留要求您提供 the same illness and diagnosed on the same date, subject to the
額外之索償證明文件的權利。癌症現金保障將於 terms and conditions under the Policy, we will only pay the Critical
以下較早出現之情況自動終止: (i) 受保人身故及 Illness Benefit in relation to the one of those Critical Illnesses with the
(ii) 已支付或將獲支付的癌症現金保障每年保障總 highest benefit amount.
數目已達到 10 年保障。 4. Our office issuing the Policy must receive the reasonable and
5. 如受保人被確診患上癌症並因該癌症而獲得支付或將 necessary proof that the Insured survives in a written form
會獲得支付嚴重疾病保障,我們將支付受保人於該 satisfactory to us before the relevant Cancer Income Benefit
癌症之確診日期起計 3 年內,由受保人的主診腫瘤科 becomes payable every year. We reserve the right to require you to
醫生或相關領域的專科醫生,就該癌症而進行因醫療 provide any additional proof and documents in support of the claim.
而必須進行的治療時,所處方的臨床試驗藥物的合理 The Cancer Income Benefit will automatically cease on the earlier of
及慣常的費用,並以基本保障額的 20% 或 62,500 美元 (i) the death of the Insured, and (ii) total number of annual payments
( 以較低金額作準 ) 為限,而此保障並不包括診斷測試 under Cancer Income Benefit paid or payable has reached 10 years
及治療之診症費用。臨床試驗藥物保障只會支付不會 of payments.
根據任何政府條例或從任何其他保險計劃或機構而 5. If the Insured who is diagnosed to be suffering from Cancer and
獲得或將獲得賠償的實際費用。以同一受保人計算, Critical Illness Benefit has been paid or is payable for such Cancer,
本公司在任何時間繕發之此計劃所有保單所支付 we shall reimburse the Reasonable and Customary charges of the
及 / 或將支付之臨床試驗藥物保障總賠償金額將以 experimental drugs prescribed by the Insured's attending oncologist
62,500 美元為限。 or specialist in relevant field for the Medically Necessary treatment
6. 保單持有人可預先作出指示,在其精神上失去行為能力 of such Cancer within 3 years after the diagnosis date of such
後轉換新的保單持有人。於保障期內,受保人與保單 Cancer, up to 20% of the Basic Sum Insured or US$62,500, whichever
持有人亦可共同預先設定指示,指定在受保人精神上 is lower. The consultation fee including any diagnostic tests and
失去行為能力後,將有關賠償支付予指定人士。 treatments are not covered under this benefit. Experimental Drugs
Benefit will only reimburse the actual expenses to the extent such
精神上無行為能力人士指因精神上無行為能力而無能力
expenses are not paid or payable under any government law or any
處理和管理其財產及事務的人。精神上無行為能力的
other insurance policies or by any other institutions. The aggregate
診斷必須由兩名註冊精神專科或腦神經專科醫生所
Experimental Drugs Benefit payment paid and / or payable under
提供。
all policies of the Plan issued by the Company at any time will be
limited to US$62,500 under the same Insured.
15
本公司將於收到保單持有人確診為永久精神上無行為 The Company will process the instruction when the proof of
能力人士、植物人、腦部受損 / 失去獨立生存的 diagnosis as a permanently mentally incapacitated person, Apallic
能力、昏迷或嚴重認知障礙症的證明文件時,處理有關 Syndrome, Brain Damage / Loss of Independent Existence, Coma
指示。指定人士將會收取於保單中任何可獲支付或將 or Severe Dementia of the Policy Owner is received. The designated
獲支付的嚴重疾病保障及 / 或癌症現金保障及 / 或 person will receive any payment of Critical Illness Benefit and /
臨床試驗藥物保障的賠償。有關精神上無行為能力 or Cancer Income Benefit and / or Experimental Drugs Benefit
預設指示權益之詳情,請參閱保單文件。在行使此 under the Policy. Please refer to the policy document for details of
選項前宜謹慎考慮,並評估及理解其對您有任何潛在 Mental Incapacity Advance Instruction Option. You are reminded to
的財務影響。 consider carefully before exercising this option and shall assess and
須扣除保單債項(如有)。
understand any potential financial impact to you.
7.
主要嚴重疾病下的「完全及永久傷殘」保障至受保人
7. Net of Policy Debt (if any).
8.
65 歲。 8. The protection of “Total and Permanent Disability” which is covered
有關「合資格的深切治療部留醫」之詳情及指定手術的
by Major Critical Illnesses is up to age 65 of the Insured.
9.
列表,請參閱保單文件。若受保人符合所有合資格的 9. Please refer to the policy document for details of “Qualified ICU Stay”
深切治療部留醫的條件,而該狀況是直接或間接由任何 and the list of designated surgeries. In the event that the Insured
其他主要嚴重疾病所引致或有關,我們只會就其他 satisfies all the criteria of Qualified ICU Stay and such condition is
主要嚴重疾病作出嚴重疾病保障賠償。 directly or indirectly arising from or in connection with any other
10. 同一受保人於本公司繕發之此計劃所有保單就該項
Major Critical Illness, we will only pay the Critical Illness Benefit in
索償只適用於需進行手術的冠狀動脈出現收窄的情況
10. Subject to US$62,500 per type of illness, per Insured under all policies
11.
達 50% 或以上;而第 2 次之索償需符合上述之情況,
of the Plan issued by the Company.
以及於首次已獲賠償的醫學檢查報告内已顯示第 2 次 11. To be eligible for a claim, the coronary artery must have a stenosis
進行手術的主要冠狀動脈收窄或阻塞之位置並不多 of 50% or more; to be eligible for a second claim, in addition to the
於 60% 。 above-mentioned criterion, the treatment must also be performed
12. 「嚴重精神病」指經精神科專科醫生首次確定診斷為
on a location of stenosis or obstruction in a major coronary artery
嚴重憂鬱症、精神分裂症或躁鬱症,並需持續因嚴重
where no stenosis greater than 60% was identified in the medical
精神病入住醫院所屬的精神科院舍超過 28 �。有關
examination report relating to the first claim.
13. 保障至受保人 70 歲。
severe depression, schizophrenia or bipolar disorder by a Doctor in
psychiatry, which requires in-patient hospitalization for more than
14. 賠償未獲賠償而需支付的實際住院、手術、麻醉師及 28 consecutive days in the psychiatric unit of a Hospital for Severe
手術室開支。 Psychiatric Illness. Please refer to the policy document for details of
15. 保障至受保人 65 歲。
Severe Psychiatric Illness.
17. 同一受保人於本公司投保的所有嚴重疾病計劃的
anesthetists expenses and operation theatre expenses not yet
17. The maximum aggregate Sum Insured of all Critical Illness plans
under the same Insured with the Company is limited to US$1,500,000.
The maximum aggregate Sum Insured of all policies of the Plan
under the same Insured with the Company is limited to US$62,500.
16
重要資料 Important Information
1. 紅利理念 1. Bonus Philosophy
此分紅保險計劃可分享由我們釐定之相關產品組別中的 This is a participating insurance plan which can share the divisible
盈餘。相關產品組別中的盈餘為可分配給保單持有人的 surplus from the product group determined by us. Divisible surplus
利潤。於釐定終期紅利時,我們致力確保保單持有人和 refers to profits available for distribution back to Policy Owners as
公司之間以及不同組別之保單持有人之間能得到合理的 determined by us. Terminal Bonus will be determined with an aim
利潤分配。我們的目標是將不少於90%的盈餘分配予保單 to ensure a fair sharing of profits between Policy Owners and the
持有人,餘下的部分則歸於公司。 Company, as well as among different groups of Policy Owners. We aim
to share with Policy Owners no less than 90% of the divisible surplus
公司已成立一個委員會,在釐定終期紅利派發之金額時向
while the remaining portion goes to the Company.
公司董事會提供獨立意見。實際終期紅利派發之金額會先
由委任精算師建議,然後經此委員會審議決定,最後由 A committee has been set up to provide independent advice on
公司董事會(包括一個或以上獨立非執行董事)批准。 the determination of the Terminal Bonus amounts to the Board of
the Company. The actual Terminal Bonus, which are recommended
我們將最少每年檢視及釐定終期紅利一次。終期紅利並
by the Appointed Actuary, will be decided upon the deliberation of
不是永久附加於保單上。我們將會參考包括但不限於
the committee and finally approved by the Board of Directors of the
以下因素的過往經驗及預期未來展望,以釐定保單的
Company, including one or more Independent Non-Executive Directors.
終期紅利。
The Terminal Bonus will be reviewed and determined by us at least once
理賠:包括此保險計劃所提供的身故保障及其他保障的
per year. Terminal Bonus does not form a permanent addition to the
成本。
Policy. In determining the Terminal Bonus, we will take into account both
支出費用:包括與保單直接有關的支出費用(例如分銷 past experience and expected future outlooks for factors including, but
開支、核保費用、繕發和收取保費的支出費用)及分配至 not limited to, the following.
此保險計劃的間接開支(例如一般行政費用)。
Claims: These include the costs of providing coverage such as Death
投資回報:包括所投資的資產賺取的利息 / 紅利收入及市場 Benefit and other benefits under the insurance plan.
價格變動。投資表現會受利息 / 紅利收入之波動(利息 /
Expenses: These include both expenses directly related to the Policy
紅利收入和利率前景)以及各種市場風險因素如信貸息差、
(e.g. distribution costs, underwriting, issue and premium collection
違約風險、股票價格、房地產價格及商品價格之波動、
expenses) and indirect expenses allocated to the insurance plan
滙率(如投資資產貨幣與保單貨幣不同)及流動性而影響。
(e.g. general administrative costs).
退保:包括保單失效、退保、部分退保及其他扣減項目及
Investment performance: This includes interest / dividend income
保障支付,以及其對投資的相關影響。
and changes in the market value of the invested assets. Investment
為了提供更平穩的終期紅利,我們或會在投資表現強勁的 performance could be affected by fluctuations in interest / dividend
時期保留回報,用作在投資表現較弱的時期支持或維持 income (both interest / dividend earnings and the outlook for interest
較高之終期紅利,反之亦然。 rates) and various market risk factors, such as credit spread, default
2. 投資政策、目標及策略
risk, fluctuations in equity prices, property prices, commodity prices,
萬通保險國際有限公司(「萬通保險」)的投資目標是
exchange rates if the currency of the backing asset is different from the
優化保單持有人的長線回報並維持風險於可接受的水平。
policy currency, and liquidity risk, etc.
17
為達至長線目標回報,萬通保險採用一套以固定收益資產 To achieve the long-term target returns, YF Life Insurance International Ltd.
及股票類資產為組合的投資策略。現時的長線投資策略按 implements a strategy utilizing a mix of fixed-income and equity-like
以下分配,投資在以下資產: instruments. The current long-term target strategy is to allocate assets
as follows:
資產類別 目標資產組合 (%)
債券及其他固定收益資產 35% - 100% Asset Class Target Asset Mix (%)
投資策略或會不時根據市場環境及經濟展望而作變動。 There may be some degree of deviation from the above targets in
certain periods in order to manage the portfolio efficiently and to
相關詳情及分紅實現率資料請瀏覽本公司網頁:
optimize the portfolio return and risk.
香港:
In order to manage the portfolio efficiently and optimize the return and
[Link]
risk, this investment strategy may be subject to change, depending on
Individual/Services/Useful-Information/
Investment-Strategy the prevailing market conditions and economic outlook.
澳門:
For relevant details and fulfillment ratio, please visit our website:
主要產品說明 Macau:
繳付保費年期及保障年期 [Link]
您應就已選擇的繳付保費年期持續繳付保費。如在保費 Useful-Information/Investment-Strategy
到期日起計 31 天寬限期屆滿前仍未繳付保費,自動保費
貸款將會生效。如逾期未繳付的保費加上任何尚未償還
的保單債項到達保證現金價值扣除保單任何已支付或將 Key Product Disclosures
獲支付之嚴重疾病保障之賠償金額,保單的所有保障將 Premium Payment Term and Benefit Term
會終止,而於償還保單債項後所剩餘的現金價值(如有) You should pay the premium(s) in accordance with your selected
將會支付予您。 premium payment term. If the premium is not paid before the end of
保障年期最長可至受保人100歲。 the 31-day Grace Period from such premium due date, an Automatic
Premium Loan will be triggered. If the overdue premium plus any existing
保單借貸 loan balance reaches the Guaranteed Cash Value net of any previous
如保單有保證現金價值,您可提出借貸要求。最高借貸 Critical Illness Benefit paid or payable under the Policy, all coverage
限額為保證現金價值的90%扣除保單任何已支付或將獲 under the Policy will be terminated and the Cash Value (after deducting
支付之嚴重疾病保障之賠償金額。您可借貸的數額為借貸 any Policy Debt) will be paid to you (if any).
當日的最高借貸限額扣除任何尚未償還的保單債項。貸款
利息將由本公司釐定。如利息於保單週年當天尚未支付, The Benefit Term is up to age 100 of the Insured.
該數額便會被加於尚欠的貸款內。 Borrowing
If the Policy has a Guaranteed Cash Value, you can make loans. The
Maximum Loan Limit is 90% of the Guaranteed Cash Value net of any
previous Critical Illness Benefit paid or payable under the Policy. The
most you can borrow is an amount which together with any existing
Policy Debt does not exceed the Maximum Loan Limit on the date of the
loan. Interest will be charged at a rate determined by us. If interest is
not paid when due on each policy anniversary, it will be added to the
outstanding loans.
18
延遲付款期 Deferred Payment Period
除非該筆借款是用作繳付由本公司簽發保單的保費,我們 We may delay making any loan for a period up to six months from the
有權押後借貸,最長不超過接獲書面借貸要求後六個月。 date we receive your written request, unless the loan is to be used to pay
終止
premium to us.
在下列任何情況下,保單將會終止: Termination
• 於保障到期日當日 The Policy will be terminated when one of the following events occurs:
• 在寬限期屆滿前,到期的保費仍未能繳付,除非自動 • On the Benefit Expiry Date
保費貸款適用 • The due premium is still unpaid at the end of the Grace Period, except
• 保單債項超過保證現金價值扣除保單任何已支付或將 if the Automatic Premium Loan applies
獲支付之嚴重疾病保障之賠償金額 • The amount of Policy Debt exceeds the Guaranteed Cash Value net of
• 保單持有人呈交書面要求終止保單 any previous Critical Illness Benefit paid or payable under the Policy
• 受保人身故 • The Policy Owner submits a written request to terminate the Policy
• 在受保人經確診患上嚴重疾病而需要作出嚴重疾病保障 • The Insured dies
的賠償後,該等嚴重疾病保障的賠償導致於保單內 • Upon the diagnosis of a Critical Illness of the Insured giving rise to
任何已支付或將獲支付之嚴重疾病保障總賠償額達到 payment of the Critical Illness Benefit which results in the total Critical
保單之基本保障額的100%。 Illness Benefit paid or payable under the Policy reaching 100% of the
當已支付或將獲支付的癌症現金保障每年保障總數目達到 Basic Sum Insured of the Policy.
十年保障,癌症現金保障將會終止。 The Cancer Income Benefit will be terminated when the total number of
提早退保
annual payments under this benefit paid or payable reaches 10 years of
本產品是為長線持有而設。如提早終止保單,您所獲得的
payments.
保費調整
The product is intended to be held in the long-term. Should you terminate
如接獲所需保費,保單會於每個保單週年獲續期一年。
the Policy early, you may receive a Cash Value considerably less than the
在每次續期時,萬通保險保留更改適用於同一風險級別
total premiums paid.
通脹風險
premium on each renewal for all Insureds of the same class, and notifies
在通脹下,未來生活費用將會增加,導致現有的預期保障
you the related changes by giving you a written notice no less than 30
可能無法滿足未來的需求。當實際通脹率較預期為高,
days prior to the policy anniversary. The major factors to consider for
即使萬通保險按保單條款履行合約義務,保單持有人獲得
premium adjustment include, but not limited to, the claim experience
的金額的實質價值可能較少。
and persistency experience of YF Life Insurance International Ltd.,
expenses, the expected claim costs in the future, and the investment
信貸風險 environment.
此計劃由萬通保險承保及負責,保單持有人的保單權益會
Inflation Risk
受我們的信貸風險所影響。若我們無法按保單的承諾履行
其財務責任,您可能損失保單的價值及其保障。
The current planned benefit may not be sufficient to meet future needs
due to higher living costs under inflation. Where the actual rate of
匯率風險 inflation is higher than expected, the Policy Owner might receive less
如選擇的保單貨幣並非本地貨幣,您須承受匯率風險。 in real terms even if YF Life Insurance International Ltd. meets all of its
匯率可能波動,因而影響您以本地貨幣計算時所需繳付 contractual obligations.
保費及利益的金額。
Credit Risk
因醫療而必須進行的 The Plan is underwritten by YF Life Insurance International Ltd. The
指符合以下所有情況: insurance benefits are held solely responsible by the Company and
因應診斷結果而施行一般慣常使用的醫治方法;
subject to our credit risk. If we are unable to satisfy the financial obligations
1.
2. 根據既定之良好醫療守則;�
of the Policy, you may lose the value of Policy and its coverage.
Medically Necessary
Means all of the following conditions are met:
19
合理及慣常的收費 Reasonable and Customary Charges
指因醫療而必須進行的及不超過由當地具有類似地位的 This means a charge for medical care which is Medically Necessary and
醫療服務機構於當地就相類同的疾病或受傷,為相同年齡 does not exceed the general level of charges being made by medical
和性別人士提供治療、醫療服務或供應品之一般標準收費。 service providers of similar standing in the locality where the charge is
合理及慣常的收費於任何情況下不得超過實際收費。 incurred for similar treatment, services or supplies to individuals of the
萬通保險可參考以下情況(如適用)決定有關醫療費用 same gender and age, for a similar disease or injury. The “Reasonable
是否為「合理及慣常的收費」﹕ and Customary” charges shall not in any event exceed the actual
1. 由當地政府憲報就其公立醫院為私家病人提供醫療服務 charges incurred. In determining whether an expense is “Reasonable and
所定的收費; Customary”, YF Life Insurance International Ltd. may make reference to
2. 醫療行業的收費調查; the followings (if applicable):
3. 內部保險賠償統計數據; 1. The gazette issued by the local government which sets out the fees for
4. 受保保障程度或水平;及 / 或 the private patient services in public hospitals;
5. 其他相關的參考資料。 2. Industrial medical fee survey;
如萬通保險之公司醫生認為任何醫院 / 醫療費用並非 3. Internal claim statistics;
合理及慣常的收費,萬通保險保留權利調整部份或全部 4. Extent or level of benefit insured; and / or
賠償金額。 5. Other pertinent source of reference.
不保事項
YF Life Insurance International Ltd. reserves the right to adjust any or all
因以下一種或多種情況而直接或間接引致的嚴重疾病,
benefits payable in relation to any hospital / medical charges which
將不獲賠償嚴重疾病保障及 / 或癌症現金保障及 / 或
in the opinion of the YF Life Insurance International Ltd.’s doctor is not a
臨床試驗藥物保障:
Reasonable and Customary charge.
20
受保人若在保單日期或批准保單復效申請當日(以較後 If the Insured commits suicide, whether sane or insane, within one year
日期計算)起計一年內自殺,無論其是否在神智清醒的 from the Policy Date or within one year from the date we approve the
情況下,萬通保險的全部責任將只限於退還已支付之保費 reinstatement application, whichever is later, the total liability of YF Life
(扣除已支付或將獲支付之賠償額及保單債項(如有)), Insurance International Ltd. shall be limited to the premiums paid less any
或現金價值,以較高者為準。 benefit amount that has been paid or is payable and Policy Debt (if any),
請參閱保單條款有關各項保障的詳細不保事項。
or Cash Value, whichever is higher.
提供資料責任及未符合這要求的後果
Please refer to policy provisions for the details of the exclusions of the
保單是基於您和受保人於投保申請內提供給我們的資料。
respective benefits.
重要的是,您和受保人對所提供的所有資料都是真實和 Duty of Disclosure and the Consequences of Not Making Full Disclosure
準確的,因為這些資料有助於我們決定您和受保人是否 The Policy is based on the information you and the Insured gave us
符合保單的資格。如果您或受保人提供給我們的資料 in your insurance application. It is important that you and the Insured
不準確、誤導或被誇大,您應該立即通知我們。如您或 were truthful and accurate with all of the information provided, as this
受保人未有提供準確及真實的資料,或您或受保人提供 information helped us to decide if you and the Insured were eligible for
誤導或被誇大的資料,保單的保障可能會受到影響。 the Policy. You should let us know immediately if the information you or
於保單作為依據的投保申請內,或任何足以影響保單的
the Insured gave us was inaccurate, misleading, or exaggerated. If you
任何事項、或有關依據保單提出任何索償事宜中,如有
or the Insured did not provide accurate and truthful information, or you
任何詐騙、關鍵性的錯誤陳述或隱瞞,我們有絕對權決定
or the Insured gave misleading or exaggerated information, the benefits
保單自成立之日起無效及保單的所有索償失效。任何已
under the Policy may be affected.
索償程序
insurance application on which the Policy is based, or in relation to any
有關索償程序,請瀏覽本公司網頁:
other matter affecting the Policy, or in connection with the making of any
claim under the Policy, we shall have the sole and absolute discretion to
香港:[Link] render the Policy null and void from the date of inception and forfeit all
Individual/Services/Claims-Corner claims. Any premium paid shall not be refundable and shall be forfeited.
保費徵費(只適用於香港)
website at:
澳門財富中心 8 樓 A 座),並確保本公司的辦事處於交付
policy holders through the Company for insurance policies issued
(說明已經可以領取保單和冷靜期屆滿日)後起計的 21個
webpages at [Link]/en/levy.
期滿及退保
Finance and IT Center of Macau, 8 Andar A, Macau) within 21 calendar
如需申請退保,您只需填妥、簽署並寄回由本公司提供的
days after the delivery of the Policy or delivery of the Notice (which
特定表格,本公司將安排退保事宜。
states that the Policy is available for collection and the expiry date of the
cooling-off period) to you or your representative, whichever is earlier.
於保單期滿時,本公司將致函通知您,並會安排保單終止 We will cancel the Policy upon receipt of your written request and refund
事宜。 all premiums and levy you paid (applicable to Hong Kong), without any
interest. No refund can be made if a benefit payment has been made, is
to be made or impending.
Upon policy maturity, we will send a notification letter to you and will
arrange policy termination accordingly.
21
加護續航糖尿保險計劃由萬通保險國際有限公司(「萬通保險」)承保。您可以選擇單獨投保此計劃,毋須同時投保其他類型
的保險產品,除非該計劃只設附加保障選項,而必須附加於基本計劃。此產品冊子只提供一般資料,僅作參考之用,並非保
單的一部分,亦未涵蓋保單的所有條款。有關保障範圍、詳情及條款,以及不保事項,請參閱保單的條款及保障 / 保單文
件。此產品冊子不能作為萬通保險與任何人士或團體所訂立之任何合約。
此產品冊子僅旨在香港 / 澳門傳閱,不能詮釋為萬通保險在香港 / 澳門境外提供或出售或游說購買、要約、招攬及建議任
何保險產品。如您現時本人不是身在香港 / 澳門境內,萬通保險將無法向您提供有關產品及優惠。您和相關各方應尋求
獨立的財務、稅務及法律建議。
儘管萬通保險已謹慎處理此產品冊子所載列之資料,但萬通保險並不會對其內容的準確性作任何明示或暗示擔保,亦不會
承擔任何相關責任。若內容與相關保單合同之間存在任何不一致或歧義,則以相關保單合同為準。如有垂詢或欲索取保單
文件之範本,歡迎與本公司之顧問、特許分銷商或保險經紀聯絡。其他查詢請致電客戶服務熱線:香港(852)2533 5555 /
澳門(853)2832 2622。
CritiCare Continuation Diabetes Insurance Plan is underwritten by YF Life Insurance International Limited ("YF Life").
You can always choose to take out these plans as a standalone plan without enrolling with other type(s) of
insurance product at the same time, unless such plans are only available as a supplementary benefit which needs
to be attached to a basic plan. This product brochure provides information for general reference only. It does
not form part of the Policy and does not contain the full terms of the Policy. Please refer to the terms and benefits
of the Policy / policy documents for exact benefit coverage, terms and conditions and exclusions. This product
brochure does not represent a contract between YF Life and anyone or any entity else.
This product brochure is intended to be distributed in Hong Kong / Macau only. It shall not be construed as an offer
to sell or a solicitation of an offer or recommendation to purchase or sale or provision of any insurance product of
YF Life outside Hong Kong / Macau. If you are not currently in Hong Kong / Macau, YF Life will not be able to provide
you with related products and offers. You and other interested parties should seek independent financial, tax, and
legal advice.
Although care is taken in preparing this product brochure, YF Life disclaims any express or implied warranty as
to the accuracy of the content and any liability with respect to it. In the event of any conflict or inconsistency
between the contents of this product brochure and the relevant policy contracts, the relevant policy contract
shall prevail. For enquiries or to obtain a sample policy document, please contact our consultants, franchised
agents, or brokers. For other enquiries, please call our Customer Service Hotline: Hong Kong (852) 2533 5555 /
Macau (853) 2832 2622.
客戶服務
PSP-213-V1-0825B-C (50-20250801024)
香港:香港尖沙咀廣東道�號港威大廈�座��樓����室
澳門:澳門蘇亞利斯博士大馬路���號澳門財富中心�樓A座
萬通保險客戶服務熱線:香港(���) ���� ���� 澳門(���) ���� ����
中國內地免費熱線:香港 ��� ��� ���� 澳門��� ��� ����
Customer Service
Hong Kong: Suite 1211, 12/F, Tower 6, The Gateway,
9 Canton Road, Tsimshatsui, Hong Kong
Macau: Avenida Doutor Mario Soares No. 320,
Finance and IT Center of Macau, 8 Andar A, Macau
Customer Service Hotline: Hong Kong (852) 2533 5555
Macau (853) 2832 2622
Mainland China Toll-Free: Hong Kong 400 842 3983
Macau 400 842 3607
萬通保險國際有限公司(萬通保險)的主要權益股東*包括擁有���年歷史、美國
五大壽險公司**之一的Massachusetts Mutual Life Insurance Company
(美國萬通)
,以及雲鋒金融控股有限公司等。
萬通保險與Barings(霸菱)為長久戰略合作夥伴,憑藉獨佔鰲頭的環球投資實力
與合作網絡,攜金融科技創新強勁動能,居香港保險業領先地位。
*美國萬通及雲鋒金融控股有限公司為間接持有萬通保險國際有限公司的股份。
**美國五大壽險公司乃按����年�月�日《FORTUNE ���》公佈的「互惠壽險公司」
及「上市股份壽險公司」����年收入排行榜合併計算。
innovation.
* MassMutual and Yunfeng Financial Holdings Limited have indirect
shareholdings in YF Life Insurance International Limited.
** The “Five Largest US Life Insurance Companies” are ranked
according to the results of “Insurance: Life, Health (Mutual)” and 《彭博商業周刊》 《iMONEY智富雜誌》
“Insurance: Life, Health (Stock)” on total revenues for 2024, and based 金融機構大獎2023 財富管理大獎2024
萬通保險國際有限公司
YF Life Insurance International Ltd.
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