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全国优秀警察患绝症被保险公司拒赔 回应:告我们啊
2017-08-15 20:44:02 中国青年网
为何已经购买了人身保险却得不到理赔呢?该保险公司一杨姓工作人员告知水树华,“以前有乙肝住过院是首次患病,肝癌不是首次患病,所以不能进行理赔。”
而中国人民财产保险股份有限公司郑州市金水支公司理赔服务部主管周宝凤则表示,可以接收理赔资料,然后给其做出拒赔书面答复。“要想得到理赔得到法院起诉我们,由法院判决我们才认可,很多理赔都是这样办理的。”
水树华告诉大白新闻(微信ID:dabaixinwen),保险公司是在混淆乙肝和肝癌的区别,肝癌是重大疾病,乙肝并不属于重大疾病。得乙肝的人并不一定就会患肝癌,并且这几年他每年体检都没问题,乙肝已经转阴性治疗好了。乙肝五项的第二项已经产生抗体,肝功、甲胎蛋白、癌胚抗原都正常,并且B超也只是提示回声粗没有报肝硬化。

水树华的肝癌诊断书
“保险公司的合同条款写的首次发病是指被保险人第一次发生并首次被确诊患上该保险合同约定的重大疾病,并且该疾病在该被保险人获得被保资格前并未发生或者有任何症状。他们现在想耍赖,认为原来乙肝症状就是肝癌的症状,这两个症状是不一样的。”水树华说,“他们的合同没有写明原来患乙肝的就不能参加重大疾病保险,也没有让我去体检,去年他们都已经收了一年的钱,现在居然说以前有乙肝不行了。”
水树华曾多次与保险公司理赔服务部和保监会联系,均未得到有效回应。他也曾拨打中国人民财产保险公司95518投诉电话进行投诉,目前也未得到回复。7月25日,周宝凤则向水树华表示,需打95518撤诉她才能受理其理赔资料。
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