10,000yuan）
Materials for Outpatient Treatment
Materials for Inpatient Treatment
Original medical records for hospitalization (if
necessary), discharge summary or diagnosis
certificate (Note: the diagnosis should be stamped
with the company seal).
Copies of Outpatient Materials
Original invoice for medical expenses(with the client name and hospital payment chop)
Medical expense settlement list and a detailed list of medical expenses incurred
Pathological, blood, X-ray and CT reports
Other certificates and documents that can be provided by the insured to help confirm the nature and
cause of the insured accident.
事后理赔可支持两种方式提交：通过线下寄送或线上自助提交
【方式一】
平安健康 APP 申请自助理赔 Pingan Health App upload for claim reimbursement
扫码下载绑定“平安健康”APP，登陆后可进行在线保单查询、自助理赔、医院查询、就诊预约。
Scan and download “Ping An Health”APP to check your insurance policy details、claim
applications、hospital find and doctor appointment.
目前仅支持门诊和住院案件在线申请理赔，其余险种请线下提交。
Available for Outpatient & Inpatient claims only, other items should be submitted
through offline i.e. sending necessary claim materials to insurance by courier.
门诊年度内理赔申请账单金额累计不超过 30,000 元人民币,无单次金额限制；住院理赔申请单
次不超过 50,000 元人民币，年度内账单金额累计不超过 100,000 元人民币。申请总额超过后
无法提交在线理赔，请线下提供发票原件及病历资料申请理赔。
重要：线上提交的案件若赔付金额超过 1 万元，根据理赔规则必须质检，即将发票原件寄到平
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平安健康保险股份有限公司 Ping An Health Insurance Co., Ltd.