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Sağlığım Tamam Sigortası

 
 
 
 
 

 
 
 
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Sağlığım Tamam Sigortası

SAĞLIĞIM TAMAM SİGORTASI NEDİR?

Sigortalının, Sosyal Güvenlik Kurumu (SGK) ile anlaşmalı özel sağlık kuruluşlarından alacağı sağlık hizmetleri için ödeyeceği fark ücretlerini ürün özel ve genel şartları kapsamında karşılayan bir poliçedir. SGK ile anlaşmalı olan kurumların aynı zamanda AXA SİGORTA ile bu ürüne özel anlaşması olması gerekmektedir.

Bu poliçeye sahip olarak, SGK ile anlaşmalı geniş kurum ağımızdan faydalanabilir, özel hastanelerde fark ödemeden tedavi olabilirsiniz.

Sağlığım Tamam sigortasını TC vatandaşı olup SGK tarafından kapsam altında olan 0 - 55 yaş arasındaki kişiler alabilir.

NASIL KULLANACAĞIM?

Sağlığım Tamam Sigortasını kullanabilmek için aşağıdaki koşulların aynı anda gerçekleşmesi yeterlidir.

- Sigortalının SGK ile anlaşmalı bir özel hastaneye gitmesi.

- SGK ile anlaşmalı olan hastane ile AXA SİGORTA’nın Sağlığım Tamam Sigorta anlaşmasının olması.

- SGK ile anlaşmalı hastanede sigortalının işlemlerini gerçekleştiren doktorun SGK ile anlaşmalı olması.

- Tedavisi talep edilen rahatsızlığın poliçe öncesine dayanmaması ve AXA SİGORTA Sağlığım Tamam Sigorta poliçesi özel ve genel şartlarına uygun olması gerekmektedir.

NELER SUNUYOR?

Sağlığım Tamam Sigortası 2 ana teminattan oluşmaktadır:

Yatarak Tedavi Teminatı

Yatarak tedaviler aşağıda belirtilen teminatları içermekte olup, özel ve genel şartlar çerçevesinde limitsiz ve %100 olarak karşılanır.

Cerrahi ve Dahili Yatışlar

- Yoğun Bakım

- Kemoterapi, Radyoterapi, Diyaliz

- Koroner Anjiyografi

- Küçük Müdahale Giderleri

- Standart tek kişilik özel oda, yemek ve bir adet refakatçi giderleri

Ayakta Tedavi Teminatı

Aşağıdaki teminatlar, özel ve genel şartlar çerçevesinde yılda 8 vaka* ile sınırlı olup %100 olarak karşılanmaktadır.

1. Doktor Muayene**

2. Laboratuvar Hizmetleri

3. Görüntüleme ve Tanı Yöntemleri

4. İleri Tanı Yöntemleri

5. Fizik Tedavi Giderleri

* Doktor muayenesi ile başlayan ve aynı tanı ve tedavi süreci dahilinde yapılan işlemler tek vaka olarak değerlendirilir.

** 2-3-4-5 numaralı maddelerde yer alan teminatlar SGK kuralı gereği tek başlarına kullanılamaz, doktor muayenesi ile kullanılma zorunluluğu vardır.

Sağlığım Tamam Sigortası broşürünü bilgisayarınıza indirmek için tıklayınız.

Özel ve Genel Şartlar Ana Metni için tıklayınız.

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