Categories: 投资理财

求助+讨论,各家保险公司如何处理老年痴呆症案例

求助+讨论,各家保险公司如何处理老年痴呆症案例


老年痴呆症,属于重大疾病范畴。下面是LIA相关定义:

Alzheimer’s Disease / Severe Dementia

Deterioration or loss of intellectual capacity as confirmed by clinical evaluation and  imaging  tests,  arising  from  Alzheimer’s  disease  or  irreversible  organic disorders,  resulting  in  significant  reduction  in  mental  and  social  functioning requiring the continuous supervision of the life assured.  

This  diagnosis  must  be  supported  by  the  clinical  confirmation  of  an appropriate consultant and supported by the Company’s appointed doctor.

The following are excluded:
Non-organic diseases such as neurosis and psychiatric illnesses; and Alcohol related brain damage.


老年痴呆症,若有投保医疗保险,住院费用可以做到报销;若有残疾保险,每月会收到一笔赔偿金(收入);若有大病保险,老年痴呆症会得到一笔赔偿。


一般的重大疾病保单对此病都有保。此病分为早中晚3个阶段,
早期:
Diagnosis of dementia by neurological assessment by anappropriate specialist confirming cognitive impairment characterized by a Mini Mental State Examination score of 24 or less out of 30 or assessed by 2 neuropsychometric
tests performed 6 months apart with a battery of tests which clearly define the severity of the impairment. The Life Insured must have been placed on disease modifying treatment prescribed by a specialist and must be under the
continuous care of a specialist.
中期:
A definite diagnosis of Alzheimer’s disease or dementia due to irreversible organic brain disorders by a consultant  neurologist. The Mini-mental exam score must be less than20 out of 30 or an equivalent of this score using other Alzheimer’s tests. There must also be permanent clinical  loss of the ability to do all the following:
• Remember;
• Reason; and
• Perceive, understand, express and give effect to ideas.
This diagnosis must be supported by the clinical confirmation of an appropriate consultant and supported by the Company’s appointed doctor.
The following are excluded:
• Non-organic diseases such as neurosis and psychiatric
illnesses; and

• Alcohol or drug related brain damage
晚期:
Deterioration or loss of intellectual capacity as confirmed by clinical evaluation and imaging tests, arising from Alzheimer’s disease or irreversible organic disorders,
resulting in significant reduction in mental and social functioning requiring the continuous supervision of the life assured. This diagnosis must be supported by the clinical
confirmation or an appropriate consultant and supported by the Company’s appointed doctor.
The following are excluded:
• Non-organic diseases such as neurosis and psychiatric
illnesses; and
• Alcohol related brain damage.


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