Buku Panduan Asuransi Kesehatan

BNI Life Insurance 1

DAFTAR ISI

DAFTAR ISI............................................................................................ 1
I. PENDAHULUAN.............................................................................. 3
II. MANFAAT........................................................................................ 4
Rawat Inap & Pembedahan........................................................ 4
Melahirkan................................................................................... 9
Rawat Jalan.................................................................................. 10
Rawat Gigi................................................................................... 12
Kacamata..................................................................................... 13
III. PROSEDUR PELAYANAN KESEHATAN....... ................................. 14
Metode Provider.......................................................................... 14
Metode Reimbursement............................................................. 17
IV. PENGECUALIAN ............................................................................ 21
V. KELEBIHAN TAGIHAN KLAIM (Ekses Klaim)................................ 24
VI. LAIN-LAIN....................................................................................... 24
Proses ”Persetujuan Pelayanan Rawat Inap ”........................... 24
Kartu Peserta................................................................................ 25
Penambahan & Perubahan Peserta............................................ 25
Layanan Informasi....................................................................... 26
VII. TANYA – JAWAB............................................................................. 28
VIII.PENUTUP...................................................................................... 31
IX. FORMULIR KLAIM.......................................................................... 32