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<Coverage> ¢º Accidental Death
and Dismemberment Insurance The full amount will be paid in the event of accidental death;
the amount of insurance will be paid in the event of loss of limbs or bodily
functions. This plan provides medical expenses incurred by an insured who
suffers illness or injury overseas and receives medical care overseas,
including a medical examination, surgery, nursing, hospitalization, etc. ¢º National Accident
Hospitalization Insurance (*Applicable
to international students) If an insured is hospitalized for injury and receives
treatments in a hospital, 90% of the total amount of the c-payment and
non-covered benefits (excluding a difference from upper-level room rates) will
be reimbursed among the care benefits stipulated by the National Health
Insurance Act. ¢º National Accident
Outpatient Insurance (*Applicable to international students) If an insured receives treatments provided by a national
medical center for the injury that occurred while traveling overseas, which
does not require an overnight stay in hospital, the amount after subtracting
any deductible from the total sum of co-payment and non-covered benefits will
be reimbursed per visit (visits are limited to 180 each year effective on the
contract date) -Deductibles: 10,000 won (medical practitioner), 15,000 won
(hospital), and 20,000 won (specialized general medical centers) ¢º National
Accidental Prescription (*Applicable
to international students) If an insured visits a national medical center and receives
prescriptions for the injury that occurred while traveling overseas, the amount
after deducting 8,000 won from the total sum of co-payment and non-covered
benefits will be reimbursed per prescription (prescriptions are limited to 180
each year effective on the contract date) ¢º
International Sickness Medical Insurance If an insured receives a doctor¡¯s treatments at an overseas
medical center for the sickness that occurred while traveling overseas, the
full amount of medical expenses paid by the insured will be reimbursed not
exceeding the limit of the amount of insurance. ¢º National Sickness
Hospitalization (*Applicable
to international students) If an insured is hospitalized for a sickness and receives treatments
in a hospital, 90% of the total amount of the c-payment and non-covered
benefits (excluding a difference from upper-level room rates) will be
reimbursed among the care benefits stipulated by the National Health Insurance
Act. -Deductibles: 10,000 won (medical practitioner), 15,000 won
(hospital), and 20,000 won (specialized general medical centers) ¢º National Sickness
Outpatient Insurance (*Applicable
to international students) If an insured receives treatments provided by a national
medical center for a sickness, which does not require an overnight stay in
hospital, the amount after subtracting the deductible of each item from the
total sum of co-payment and non-covered benefits stipulated by the National
Health Insurance Act will be reimbursed per visit not exceeding the limit of
the amount of insurance. ¢º National Sickness
Prescription (*Applicable to international students) If an insured visits a national medical center and receives
prescriptions for the sickness that occurred while traveling overseas, the
amount after deducting 8,000 won from the total sum of co-payment and
non-covered benefits will be reimbursed per prescription (prescriptions are
limited to 180 each year effective on the contract date) ¢º
Special Accident Insurance This plan provides coverage for search
and rescue expenses if an aircraft or a ship an insured is aboard is missing or
in distress, or if the insured is in distress while climbing a mountain.
Expenses for emergency transport and evacuation, and for repatriation in the
event of death will be also insured. The coverage also includes the general
expenses incurred to the insured or the legal inheritor of the insured.
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Damages Not Covered Intention of the policyholder or the
insured / Self-injury, suicide, suicide attempt, criminal offense, or act of
violence of the insured (However, insurance money shall be paid in the case of
self-defense as defined under the Criminal Act and/or emergency evacuation)/ Disease
of the insured/ Psychosomatic disorder or mental disease of the insured. /
Pregnancy of the insured, birth (including caesarian operation), abortion,
surgery, and other medical disposition. Documents Required When
Requesting Insurance Money ¨ç The
policy holder, or the insured (or the beneficiary) shall submit the following
documents when requesting the payment of insurance money. 1. Applications (Company specified forms) 2. Certificate of accidents (death
certificate, medical reports, certification, hospitalization and/or others) 3. Identification cards (Identification
cards issued by the Government such as the resident registration cards or
driver licenses with photos attached, including certificates of official seal
impression in case the applicant is not the beneficiary himself/herself) 4. Other documents required to receive
insurance money. ¨è
If
a certificate of accidents specified in item 2, Paragraph above is issued by
hospitals or clinics, such hospitals or clinics shall be the domestic hospitals
or clinics as prescribed by the provisions of Article 3 (medical institutions),
Medical Act, or overseas medical clinics recognized by the company as being
equivalent.
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