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بیمه حیوانات خانگی سامان

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ما نمی توانیم جهان را برای حیوانات تغییر دهیم ، بدون اینکه فکر خود را درباره حیوانات تغییر دهیم.( اندرو لینزی )

هم اکنون برای بیمه کردن حیوان خانگی ( pet ) خود اقدام کنید ؛ با آن ها مطمئن زندگی کنید …

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با توسعه مدرنیته و سبک زندگی نوین در تمام دنیا ، زندگی حیوانات خانگی مانند سگ و گربه در کنارمان به امری رایج ( البته نه برای همه ) تبدیل شده ؛ طوری که برخی از ما این حیوانات را عضوی از خانواده می دانند .

طبعا به محض اینکه سبک زندگی تغییر میکند ، نیاز های جدیدی در خانواده به وجود می آید که شرکت های خدمات رسان ( مانند بیمه )  برای پاسخ به این نیاز ها اقدام میکنند .

بیمه سامان که حقیقتا بیمه پیشرو در رشته های نوین بیمه ای است ؛ باز هم به عنوان اولین شرکت بیمه در ایران موفق به ارائه بیمه حیوانات خانگی ( بیمه سگ و بیمه گربه ) شده است که در ادامه به شرح این نوع بیمه نامه خواهیم پرداخت .

مورد بیمه: مورد بیمه دام کوچک یا پرنده خانگی مندرج در جدول مشخصات این بیمه نامه است که متعلق به بیمه گذار باشد. ( در این بیمه نامه منظور از دام همان دام کوچک است). این بیمه مشابه بیمه تکمیلی انفرادی در باره اشخاص است.

دام های کوچک و پرندگان خانگی:  عبارت است از هر قلاده سگ یا گربه و یا هر قطعه پرندهی خانگی از قبیل طوطی، کاسکو، مینا،فنچ، قناری و …

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هزینه های منجر به جراحی و یا بستری شامل : تشخیص اولیه (ویزیت) آزمایشگاهی، رادیوگرافی، بیهوشی و نسخ دارویی (براساس فهرست داروهای مجاز و مورد تایید سازمان دامپزشکی کشور) میباشد.

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هزینه های مربوط به درمان حوادثی از قبیل زخمهای ناشی از گازگرفتگی، سوختگی ها، شکستگی ها، برق گرفتگی، پارگی، آسیب و ضربات وارده به بافت نرم، جراحی برای خارج کردن جسم خارجی، زخم ها و شرایط مزمن یا مداوم از قبیل حساسیتهای پوستی.

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هزینه های مربوط به درمان بیماریها از قبیل: آلرژیها، آریتمی، آسم، عفونتهای مثانه، برونشیت، کولیت (ورم مخاط روده بزرگ) ورم ملتحمه، بیماری کوشینگ، دیابت، عفونت گوش، گاستریت (التهاب معده) هپاتیت، فشار خون بالا، لارنژیت، لوسمی، بیماری لایم، پنومونی، مسمومیت ها، عفونت های دستگاه تنفسی، تومور.

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هزینه های مربوط به جراحی سرطان از قبیل : سرطان ریه، سرطان تیرویید، سارکوم، پوست (تومور مست سل)، سرطان روده، استخوان و لوسمی، انجام هزینه های جراحی شامل: تشخیص اولیه، بیهوشی، شیمی درمانی، رادیو تراپی، و خدماتی از قبیل MRI رادیو گرافی کنتراست CT سونوگرافی (اولتراسوند) میباشد. (حداکثر تا 50 % سقف تعهدات سالانه)

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هزینه آمبولانس و سایر فوریت های پزشکی مشروط به بستری مورد بیمه در مراکز درمانی و یا نقل و انتقال دام بیمار به سایر مراکز تشخیص درمانی طبق دستور دامپزشک معالج (حداکثر سه بار در سال)

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پوشش های انحصاری پرندگان خانگی

پرندگان خانگی همانند سایر دامهای کوچک در مقابل بیماری ها و ریسک های سلامت آسیب پذیرند بنابراین بیمه ی پرندگان خانگی شامل :

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هزینه های جراحی های ناشی از حوادث و بیماری ها و هزینه های تشخیص اولیه (ویزیت)، آزمایشگاهی، رادیوگرافی (اولتراسوند)، بیهوشی و نسخ دارویی منجر به جراحی و بستری در بیمارستان.

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هزینه های جراحی از جمله جراحی ناتوانی دفع تخم، پارگی ناشی از حمله حیوانات، سوختگی، جراحی خارج نمودن جسم خارجی، شکستگی ها و زخمها.

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تعاریف و اصطلاحات بیمه نامه 

فرانشیز : سهم بیمه گذار از خسارت است که میزان آن در شرایط خصوصی بیمه نامه تعیین میشود.

اعتبار بیمه نامه : اعتبار بیمه نامه و تعهد بیمه گر با رعایت دوره انتظار بعد از پرداخت حق بیمه و یا اولین قسط حق بیمه آغاز میگردد و بیمه گذار مدیون باقی مانده حق بیمه خواهد بود مگر اینکه تاریخ موخری کتباً مورد توافق قرار گیرد. ولی در هر حال پایان مدت قرارداد در صورت نبودن شرایط خلاف تاریخ مندرج در بیمه نامه میباشد.

حادثه : هر واقعه ناگهانی ناشی از یک عامل خارجی و یا ایجاد شرایط جدیدی که بدون قصد و اراده بیمه گذار پدید آمده و باعث مراجعه به دامپزشک میگردد.

شرایط مزمن یا مداوم: شرایط جسمی پایدار یا دورهای است که منجر به مراجعه مکرر به دامپزشک میشود ولیکن عوارض تشدید شونده، خطر مرگ یا نقص عضو در پی ندارد.

بیماری : هر گونه عارضه جسمی و اختلال در اعمال طبیعی و جهاز مختلف بدن طبق تشخیص دامپزشک است.

حق بیمه : وجهی است که بیمه گذار باید در مقابل تعهدات بیمه گر بپردازد. انجام تعهدات بیمه گر موکول به پرداخت حق بیمه به نحوی است که در شرایط خصوصی بیمه نامه توافق شده باشد. حق بیمه مربوط به بیمه نامه حیوانات خانگی صرفاً به صورت نقدی می بایست پرداخت گردد و امکان پرداخت اقساطی آن وجود ندارد.

دوره انتظار : مدت زمانی است که در طول آن بیمه گر تعهدی به جبران خسارت ندارد و در شرایط خصوصی بیمهنامه مشخص شده است.

نقض یا عیوب و اختلال های مادرزادی : ناهنجاریهایی که از بدو تولد وجود داشته باشد و میتوانند سبب بیماری شوند.

اختلال های ژنتیکی (ارثی) ناهنجاری هایی که به صورت ژنتیکی از والدین به نسل بعدی منتقل میشود و ممکن است سبب بیماری شود.

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شرایط بیمه نامه 

مدت بیمه نامه : مدت بیمه نامه یکسال تمام شمسی است، تاریخ شروع و انقضای آن با توافق طرفین در بیمه نامه درج میشود.

اعتبار بیمه نامه : اعتبار بیمه نامه و تعهد بیمه گر با رعایت دوره انتظار بعد از پرداخت حق بیمه و یا اولین قسط حق بیمه آغاز میگردد و بیمه گذار مدیون باقی مانده حق بیمه خواهد بود مگر اینکه تاریخ موخری کتباً مورد توافق قرار گیرد. ولی در هر حال پایان مدت قرارداد در صورت نبودن شرایط خلاف تاریخ مندرج در بیمه نامه میباشد.

دوره انتظار : دروه انتظار درنظر گرفته شده بیمه نامه حیوانات خانگی 2 هفته پس از تاریخ صدور بیمه نامه می باشد.

محدودیت سنی : عضو گیری و ثبت نام برای بار اول برای سگهای بیش از دو ماه و زیر هشت سال و گربه های بیش از دو ماه و زیر ده سال میسر میباشد.

محدوده جغرافیایی اعتبار بیمه نامه : مرزهای داخلی کشور جمهوری اسلامی ایران.

مدت بیمه نامه : مدت بیمه نامه یکسال تمام شمسی است، تاریخ شروع و انقضای آن با توافق طرفین در بیمه نامه درج میشود.

فرانشيز بيمه نامه: 10 % هر خسارت حداقل 2.000.000 ريال

سقف تعهد بيمه گر در قبال خسارات تحت پوشش مذکور در شرايط عمومي حداکثر 000 ,000 ,50 ريال مي باشد.

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پر کردن پرسشنامه بیمه حیوانات خانگی سامان

در این بخش سوال هایی از شما پرسیده می شود که باید به آن ها پاسخ دهید؛ سوالات پرسشنامه در این زمینه ها مطرح می شود : بیرون رفتن و سفر رفتن حیوان خانگی و زندگی بیرون از منزل ، میکرو چیپ حیوان خانگی ، مشکل در مجاری تنفسی ، حساسیت پوستی ، تورم ، گوارش و اشتها ، میزان نوشیدن آب ، عادات ادرار ، وضعیت دندان ، کک و حشره گزیدگی ، خشونت با انسان و سایر حیوانات ، وزن و سابقه بیماری ، توان دیدار و شنیدار ، حساسیت غذایی و دارویی.

فرم گواهی سلامت

این فرم باید توسط دامپزشک معتمد تکمیل گردد و شامل این بخش ها میباشد :

بررسی زخم ناشی از گاز گزفتگی ، سوختگی ، شکستگی ، برق گرفتگی ، پارگی ، جراحی برای خارج کردن جسم خارجی ، ضربات وارده به بافت نرم .

وضعیت عمومی و ظاهری، وضعیت پوست، وضعیت عضلانی اسکلتی، وضعیت سیستم بینایی ، وضعیت سیستم شنوایی، وضعیت تنفسی ،وضعیت گوارش ،وضعیت کلیه و مجاری ادراری

وضعیت سیستم عصبی وضعیت قلبی عروقی وضعیت غدد لنفاوی وضعیت گوارش

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استثنائات : هزینه و خسارت ناشی از عوامل زیر از شمول بیمه نامه و تعهدات بیمه گر خارج است:

• شرایطی که از قبل موجود باشد مانند نقص عضو و یا عیوب و اختلال های مادرزادی یا نقصهای قابل توسعه (جراحت یا بیماری که از قبل از شروع پوشش بیمه نامه وجود داشته باشد)،

تبصره: شرایط موقت، چنانچه حسب نظر دامپزشک معتمد حداکثر طی شش ماه مداوا شود، در طی دوره بیمه نامه میتوانند پوشش داده شوند.

• اختلالهای ژنتیکی (ارثی) و شرایط ژنتیکی ویژه که در ارتباط با پرورش و اصلاح مورد بیمه میباشد.
• جراحات و پارگی رباط صلیبی قدامی ( ACL ) در 12 ماه اول پوشش : تشخیص، اقدامات درمانی، اصلاحات ناشی از جراحی ( ACL ) که در طول سال اول قرارداد رخ دهد، چنانچه مداوا و درمان جراحات (ACL) بعد از سال اول قرارداد ادامه داشته باشد و در صورت تمدید قرارداد از ابتدای سال دوم تحت پوشش قرارخواهد گرفت.
• زایمان، سزارین و اعمال زیبایی از قبیل قطع دم و گوش.
• عوارض و بیماریهای اسکلتی- عضلانی، دیسپلازی (رشد غیر طبیعی یا نافرمی) از جمله دیسپلازی مفصل هیپ و دیسپلازی آرنج، استئو کندریت، نکروز عفونی سراستخوان ران، ناپایداری مهره های گردنی،  incoordination) Wobblers) ، در رفتگی مفصل استخوان زانو.
• عوارض دستگاه ادراری، دیسپلازی کلیوی.
• سنگ های اورات یا سیستین.
• سیستم بینایی : پرولاپس غده پلک سوم، پشت و رو یا برعکس شدن غضروف پلک سوم، مژه های نابجا (دیستی شیاز، تریشیاز، اکتوپیک، اکتروپیون، آنتروپیون)، آب سیاه، دیسپلازی شبکیه، تحلیل پیشرفته شبکیه، تخریب قرنیه، آب مروارید سگهای 6 سال و جوان تر مگر اینکه بر اثر جراحت ثانویه یا مرض قند ایجاد شود.
• هزینه ها و خسارات ناشی از تلف مورد بیمه به هر علت (از قبیل تزریق و استفاده از مواد نیرو زا (دو پینگ))
• نقص عضو ناشی از بیماری یا حادثه
• خسارت و تلف ناشی از بیماریهای اپیدمی (همه گیر)
• بیماری ناشی از عدم واکسیناسیون و یاعدم اجرای برنامه درمانی انگلی مورد بیمه/ موضوع بیمه
• بیماریهای مشترک انسان و دام که از طریق مالک، افراد خانواده و یا هر انسان دیگری به مورد بیمه منتقل شده باشد.
• کلیه هزینه های دامپزشکی که در مراحل تحقیقاتی بوده و تعرفه درمانی آن از سوی سازمان های دامپزشکی و یا نظام دامپزشکی اعلام نگردیده است.
• آنفوانزا، نیوکاسل، آبله (صرفاً برای پرندگان خانگی)
• جیره ها و تغذیه های خاص، غذای حیوانات، ویتامین ها، افزودنی های معدنی، هزینه های حمل و نقل، هزینه های آرایش، تزیین و تمیز کردن.
• برداشت Anal glands/sacclitis
• مشکلات رفتاری و جراحی برداشت تارهای صوتی.
• تشخیص یا درمان انگل های داخلی یا خارجی.
• ارتودنسی، اندودنسی، کشیدن دندانهای شیری و دایمی.
• غدد آندوکرین : درماتوز ناشی از هورمن جنسی و هورمون رشد.
• مشکلات خونی : هموفیلی، اختلال انعقادی وراثتی، بیماری وون ویلبراندز Von Willebrands
• مشکلات سیستماتیک، هیستو سیتوز (جلدی، سیستمیک، بد خیم)
• حوادث طبیعی و فورس ماژور مانند سیل، زلزله و آتشفشان.
• جنگ، شورش، اغتشاش، بلوا، اعتصاب، قیام، آشوب، کودتا و اقدامات احتیاطی مقامات نظامی، انتظامی و عملیات خرابکارانه بنا به تایید مقامات ذی صلاح.
• فعل و انفعلات هسته ای، انفجار اتمی و تشعشعات رادیو اکتیو.
• چنانچه حادثه در اثر تقصیر ذوی الحقوق اعم از بیمه گذار یا قائم مقام وی روی داده باشد بیمه گر میتواند پرداخت خسارت را رد نماید یا اینکه آن را به نسبت درجه تقصیر ذوی الحقوق اعم از بیمه گذار یا قائم مقام وی کاهش دهد.
• عمد و تقلب بیمه گذار و یا نمایندگان و مباشرین وی (با تشخیص کارشناس معتمد بیمه گر)
• کلیه خسارات وارد شده توسط شخص ثالث حتی اگر به عمد باشد میتواند تحت پوشش قرار گیرد مگر این که توسط مقامات انتظامی، نظامی دولتی یا عمومی باشد.
• سرقت و مفقود شدن به هر شکل.

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بیمه حیوانات خانگی سامان

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   بیمه حیوانات خانگی سامان

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