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Yahoo!奇摩知識+ - 分類問答 - 商業金融 - 發問中
Yahoo!奇摩知識+ - 分類問答 - 商業金融 - 發問中 
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健保實施前購之實支實付醫療險
Sep 23rd 2013, 16:31

請問各位大大
本人在健保實施前有購買一份醫療險(85年)
其中每次住院醫療費用保險金
條約內容:
本公司給付被保險人住院期間所實際支付下列費用,
以本附約約定「每次住院醫療費用保險金」為最高限額

但今日打去保險公司詢問
健保自費的醫療費用,保險公司只理賠70%
有問小姐,當初簽保單時是【實際支付】,
為何反在健保實施後只理賠70%,
小姐回說醫療險是附約,一年一簽
請問這樣是合理的嗎?
保險公司可以只賠70%嗎?

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