Charge

  • Full name (*)
  • Phone Number (*)
  • Insurance program (*)
  • Number of participants (*)
  • Start time (*)

Additional benefits :

STATUS OF HEALTH STATUS

1. You or any member of your family has congenital disease, disability or any other disability ? (*)
2. Have you, or any member of your family, been treated, hospitalized, or operated in a hospital, nursing home, clinic, or other health organization for the last five years? Or in need of hospital treatment within the next 12 months? (*)
3. In the past 05 years, you or any member of your family has contracted or treated one or more of the following conditions: TB, diabetes, rheumatoid arthritis, hepatitis, respiratory dysfunction, heart disease, varicose veins, intestinal disorders, liver disease, bile, kidney, genitourinary system or urinary tract diseases, cancer or tumors, neurological, bone marrow, joint, ligaments, muscle, skin, hernia or gynecological disease? (*)
4. Have you ever been denied an insurance company or refuse to renew a similar health insurance policy? (*)
Commitment
1. I certify that my / my insured person is in good health, free from neurological or psychiatric illness at any time of the illness, injury or permanent disability of 50% or more.
2. I certify that the information given above is complete and accurate to the best of my knowledge. I agree that this Insurance Application together with the full payment of premiums will form the basis of the Insurance Agreement between me / us and PJICO and accept the terms and conditions of the policy . I acknowledge that, in the event of any errors or inaccuracies in this Application form, this may invalidate the Policy.

CONTRACT OWNER INFORMATION

  • Full name (*)
  • Gender (*)
  • Birthday (*)
  • ID (*)
  • Nationality (*)
  • Phone (*)
  • Email (*)
  • Address (*)
Đã từng tham gia Bảo hiểm sức khỏe toàn diện 247
Chưa từng tham gia bảo hiểm sức khỏe toàn diện 247

LIST OF PERSONS INSURED

ADDRESSING ADDRESS As above

  • Receiver's name
  • Address
  • Email
  • Phone
  • Additional information

Quay lại

Phí bảo hiểm

Insurance fees (with VAT)

Discount amount

Total fee collected (gồm VAT)

Phí bảo hiểm

Insurance fees (with VAT)

Discount amount

Total fee collected (gồm VAT)

Tính phí ngay

Benefit

1. Coverage:

PJICO Health Care 24/7 insurance offers a comprehensive coverage include:

  • Medical treatment.
  • Accident.
  • Surgery.

2. The insured

Age from 1 year-old to 65 year-old.

3. Additional benefits:

  • Hospitals of choice.
  • Extended benefit to accidents and dead by disease.
  • High-class Private Hospital cooperated with PJICO.
  • Customer services available 24/7.
  • Fully coverage up to limit.
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Claims procedure:

Please send this below documents to PJICO within 90 days:

  • Claims made request.
  • Photocopy of Insurance Certificate.
  • Medical report.
  • Original receipts.
  • Police report (if any).
  • Accident report (if any).
  • Death certificate (if any).

For further information, please do not hesitate to contact us: 1900 54 54 55.

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Promotion:

Premium discount up to 15% for online customers:

  • Geographical discount area: Nationwide.
  • Promotion time: 01/05/2018 – 30/06/2018.

For further information, please contact PJICO Health Insurance Department hotline: 0888 160 246.

SERVICE NETWORKS: HOSPITALS

Da Nang

Name Address Contact Webpage

Hải Phòng

Name Address Contact Webpage

Hà Nội

Name Address Contact Webpage

Thái Nguyên

Name Address Contact Webpage

Cần Thơ

Name Address Contact Webpage

Hồ Chí Minh

Name Address Contact Webpage

Đồng Nai

Name Address Contact Webpage

Bình Dương

Name Address Contact Webpage

Lâm Đồng

Name Address Contact Webpage

Khánh Hòa

Name Address Contact Webpage

Khánh Hòa

Name Address Contact Webpage