[KB손해보험] KB손보 9회주는 암보험 (p1-15)

KB 9회주는 암보험Plus
(무배당)(26.01)
보종 25033/25034/25035 | 장기상품개발파트 2026년 1월 제작
KB손해보험이 그린 <GREEN 지구 캠페인>
KB손해보험과 고객이 함께 만들어가는 내일! 종이약관 대신 모바일약관으로 시작하세요.
이 약관은 「금융소비자보호에 관한 법률」 에 의거 내부 통제 절차를 거쳐 제공됩니다.

약관 이용 가이드북 / 요약서
약관 이용 가이드북 ···············································································21
약관 요약서 ··························································································25
Ⅰ. 보험계약의 개요 ·············································································26
Ⅱ. 소비자가 반드시 알아두어야 할 유의사항 ········································27
Ⅲ. 보험계약의 일반사항 ·······································································57
공통사항
보험약관 이해하기 ·················································································67
보험용어 해설 ·······················································································68
주요내용 요약서 ····················································································69
가입자 유의사항 ····················································································71
자주 발생하는 민원 ···············································································74
보험금 지급절차 안내 ············································································75
보험금 청구서류 안내 ············································································77
개인신용정보 제공이용에 대한 고객 권리 안내 ·······································86
고객정보 취급방침 ·················································································88
[1종] 세만기
1형 : 8대 납입면제형, 2형 : 3대 납입면제형
보통약관
제1관 목적 및 용어의 정의 ····································································92
제1조(목적) ·····················································································92
제2조(용어의 정의) ··········································································92
제2관 보험금의 지급 ·············································································94
제3조(보험금의 지급사유) ································································94
제4조(보장보험료 납입면제) ·······························································94
제5조(보험금 지급에 관한 세부규정) ················································95
제6조(보험금을 지급하지 않는 사유) ················································95
제7조(보험금 지급사유의 통지) ························································96
제8조(보험금의 청구) ·······································································96
제9조(보험금의 지급절차) ································································96
제10조(만기환급금의 지급) ·······························································97
제11조(보험금 받는 방법의 변경) ·····················································97
제12조(주소변경통지) ·······································································98
제13조(보험수익자의 지정) ·······························································98
제14조(대표자의 지정) ·····································································98
제3관 계약자의 계약 전 알릴 의무 등 ····················································98
제15조(계약 전 알릴 의무) ·······························································98
제16조(알릴 의무 위반의 효과) ························································99
제17조(사기에 의한 계약) ································································99
제4관 보험계약의 성립과 유지 ·····························································100
제18조(보험계약의 성립) ································································100
제19조(청약의 철회) ·······································································100
목 차

제20조(약관교부 및 설명의무 등) ···················································101
제21조(계약의 무효) ·······································································102
제22조(계약내용의 변경 등) ·····························································102
제23조(보험나이 등) ·······································································103
제24조(계약의 소멸) ·······································································103
제25조(계약의 자동갱신) ··································································104
제26조(자동갱신 적용) ·····································································104
제5관 보험료의 납입 ············································································105
제27조(제1회 보험료 및 회사의 보장개시) ······································105
제28조(갱신계약 제1회 보험료의 납입최고(독촉)와 계약의 해지) ······106
제29조(제2회 이후 보험료의 납입) ···················································106
제30조(보험료의 자동대출납입) ························································106
제31조(보험료의 납입이 연체되는 경우 납입최고(독촉)와 계약의 해지) ·106
제32조(보험료의 납입을 연체하여 해지된 계약의 부활(효력회복)) ····107
제33조(강제집행 등으로 인하여 해지된 계약의 특별부활(효력회복)) ·107
제6관 계약의 해지 및 해약환급금 등 ····················································108
제34조(계약자의 임의해지 및 피보험자의 서면동의 철회) ·················108
제34조의1(위법계약의 해지) ·····························································108
제35조(중대사유로 인한 해지) ··························································108
제36조(회사의 파산선고와 해지) ·····················································108
제37조(해약환급금) ··········································································108
제38조(보험계약대출) ·····································································109
제39조(중도인출) ·············································································109
제40조(배당금의 지급) ·····································································109
제7관 지정대리청구에 관한 사항 ··························································110
제41조(적용대상) ···········································································110
제42조(지정대리청구인의 지정) ······················································110
제43조(지정대리청구인의 변경지정) ················································110
제44조(지정대리청구인에 의한 보험금의 청구) ································110
제45조(지정대리청구인에 의한 보험금의 지급 절차) ·························110
제8관 분쟁의 조정 등 ··········································································110
제46조(분쟁의 조정) ·······································································110
제47조(관할법원) ···········································································110
제48조(소멸시효) ···········································································110
제49조(약관의 해석) ·······································································110
제50조(설명서 교부 및 보험안내자료 등의 효력) ······························111
제51조(회사의 손해배상책임) ··························································111
제52조(개인정보보호) ·····································································111
제53조(준거법) ···············································································111
제54조(예금보험에 의한 지급보장) ··················································112
제2절 보통약관의 보장 ·········································································112
1. 암진단비(유사암제외)(감액없음) ··················································112
2. 유사암진단비(감액없음) ·······························································114
특별약관
제1장 의무부가 관련 특별약관
1. 보험료납입면제대상보장(8대) ······················································116
2. 보험료납입면제대상보장(3대) ······················································121
제2장 상해 관련 특별약관
1. 일반상해후유장해(3~100%) ···························································128
2. 일반상해80%이상후유장해 ·····························································130
3. 일반상해사망 ···············································································133
4. 상해입원일당(1일이상)Ⅱ ·····························································135
5. 상해중환자실입원일당(1일이상)Ⅱ ················································137
6. 상해수술비 ··················································································139
7. 상해1~5종수술비(매회지급) ··························································142
8. 간병인사용 상해입원일당Ⅱ(요양병원 제외, 1-180일) ···················144
8. 간병인사용 상해입원일당Ⅱ(요양병원 제외, 1-180일)【갱신계약】····144
9. 간병인사용 상해입원일당(1일이상)(요양병원) ······························148
9. 간병인사용 상해입원일당(1일이상)(요양병원)【갱신계약】 ···········148

10. 간호간병통합서비스 상해입원일당(1-180일) ································151
10. 간호간병통합서비스 상해입원일당(1-180일)【갱신계약】 ············151
11. 종합병원상해입원일당(1일이상) ··················································154
12. 상해수술비(종합병원) ································································157
13. 상해수술비(상급종합병원) ··························································160
14. 상해1~5종수술비(상급종합병원, 매회지급) ·································163
제3장 질병 관련 특별약관
1. 암수술비(복강경하, 흉강경하)(유사암포함, 연간1회한) ················168
2. 암관혈수술비(내시경, 복강경하, 흉강경하수술 제외)
(유사암포함, 연간1회한) ·····························································170
3. 질병80%이상후유장해 ···································································173
4. 질병사망 ·····················································································174
5. 질병입원일당(1일이상) ································································174
6. 암수술비(유사암제외) ··································································175
7. 암수술비(유사암제외)(최초1회한) ················································177
8. 유사암수술비 ···············································································179
9. 암직접치료입원일당Ⅱ(요양제외, 1일이상180일한도) ·····················180
10. 암요양병원입원일당Ⅱ(1일이상60일한도) ·····································183
11. 암요양병원입원일당Ⅱ(1일이상90일한도) ·····································185
12. 암사망 ·······················································································187
13. 5대 고액치료비암진단비 ·····························································189
14. 10대 고액치료비암진단비 ···························································190
15. 뇌졸중진단비 ·············································································192
16. 급성심근경색증진단비 ································································193
17. 항암방사선치료비 ·······································································194
18. 항암약물치료비 ··········································································196
19. 질병수술비 ················································································198
20. 중증갑상선암진단비(감액없음) ···················································199
21. 116대질병수술비 ········································································201
21-1. 116대질병수술비Ⅰ ······························································201
21-2. 116대질병수술비Ⅱ ······························································202
21-3. 116대질병수술비Ⅲ ······························································203
21-4. 116대질병수술비Ⅳ ······························································205
21-5. 116대질병수술비Ⅴ ······························································207
21-6. 116대질병수술비Ⅵ ······························································208
22. 암직접치료통원일당 ···································································209
23. 암직접치료통원일당(상급종합병원) ·············································212
24. 질병중환자실입원일당(1일이상) ··················································214
25. 재진단암진단비 ··········································································216
26. 암직접치료통원일당(종합병원) ···················································222
27. 재진단뇌졸중Ⅱ진단비 ································································225
28. 재진단급성심근경색증진단비 ······················································228
29. 암진단비(특정소액암 및 유사암제외) ··········································232
30. 위암 및 식도암 진단비 ·······························································233
31. 폐암 및 후두암 진단비 ·······························································235
32. 전이암 및 특정암Ⅱ진단비 ··························································236
32-1. 전이암진단비 ··········································································236
32-2. 특정암Ⅱ진단비 ·······································································238
33. 소장암 및 대장암 진단비 ···························································239
34. 심장암 및 뇌암 진단비 ·······························································241
35. 림프종 및 백혈병 관련암 진단비 ················································242
36. 2대질병(뇌, 심장) 치료비지원 ···················································244
37. 특정NGS유전자패널 검사지원비(급여,연간1회한)【갱신계약】 ······245
38. 유방병변초음파유도진공보조절제치료비(연간1회한,
90일면책)【갱신계약】 ·······························································247
39. 뇌혈관질환진단비 ·······································································249
40. 허혈성심장질환진단비 ································································250
41. 중증암진단비 ·············································································251
42. 갑상선암(초기제외)진단비 ··························································253
43. 갑상선기능항진증치료비 ·····························································255
44. 다빈치로봇 암수술비(최초1회한)【갱신계약】 ·····························256
44-1. 다빈치로봇 암수술비(갑상선암 및 전립선암 제외)
(최초1회한)【갱신계약】 ····················································256
44-2. 다빈치로봇 갑상선암 및 전립선암 수술비
(최초1회한)【갱신계약】 ····················································259
45. 유방제자리암진단비 ···································································262
46. 여성생식기관련제자리암진단비 ···················································263

47. 유방암으로인한유방수술비 ··························································264
48. 자궁적출수술비(여성생식기의 암·제자리암) ······························266
49. 양성뇌종양진단비 ·······································································268
50. 위·십이지장 양성종양 및 용종 진단비(연간1회한) ·····················269
51. 대장 양성종양 및 용종 진단비(연간1회한) ·································270
52. 6대기관 양성종양 및 용종수술비(급여, 연간1회한)(감액있음) ····271
53. 조혈모세포이식수술비 ·······························································272
54. 말기암호스피스통증완화치료비(가정형, 입원형) ·························273
55. 질병1~5종수술비Ⅱ(매회지급) ·····················································275
56. 뇌혈관질환입원일당(1일이상180일한도) ······································277
57. 뇌혈관질환입원일당(요양제외, 1일이상180일한도) ······················278
58. 허혈성심장질환입원일당(1일이상180일한도) ································280
59. 허혈성심장질환입원일당(요양제외, 1일이상180일한도) ················281
60. 암(유사암제외) 주요치료비Plus(종합병원)(항암호르몬약물치료
일부지급형) ···············································································282
60. 암(유사암제외) 주요치료비Plus(종합병원)(항암호르몬약물치료
일부지급형)【갱신계약】 ···························································282
61. 유사암 주요치료비Plus(종합병원)(항암호르몬약물치료 일부지급형) ···287
61. 유사암 주요치료비Plus(종합병원)(항암호르몬약물치료 일부지급형)
【갱신계약】 ·············································································287
62. 질병수술비(백내장제외) ·····························································292
63. 항암방사선치료비(남성생식기관련(전립선,음경,고환)암) ············293
64. 항암방사선치료비(여성생식기관련(자궁,난소,외음,질,태반)암) ···295
65. 뇌혈관질환통원일당(상급종합병원, 연간30일한도)(감액있음) ······296
66. 허혈성심장질환통원일당(상급종합병원, 연간30일한도)(감액있음) 298
67. 뇌혈관질환통원일당(종합병원, 연간30일한도)(감액있음) ············299
68. 허혈성심장질환통원일당(종합병원, 연간30일한도)(감액있음) ······301
69. 뇌혈관질환통원일당(연간30일한도)(감액있음) ·····························302
70. 허혈성심장질환통원일당(연간30일한도)(감액있음) ······················304
71. 카티(CAR-T)항암약물허가치료비(연간1회한)【갱신계약】 ············305
72. 유방바늘생검조직병리진단비(급여, 연간1회한, 90일면책) ···········309
73. 갑상선바늘생검조직병리진단비(연간1회한, 90일면책) ·················311
74. 전립선바늘생검조직병리진단비(연간1회한, 90일면책) ·················313
75. 신재진단암진단비Ⅱ(기타피부암, 갑상선암 포함) ························315
76. 질병후유장해(3~100%) ································································320
77. 특정바이러스질환진단비 ·····························································321
78. 암특정통증완화치료비(급여, 연간1회한) ·····································321
79. 암특정재활치료비(급여, 1일1회, 연간10회한) ·····························324
80. 표적항암약물허가치료비(최초1회한)Ⅱ ········································326
80. 표적항암약물허가치료비(최초1회한)Ⅱ【갱신계약】 ·····················326
81. 표적항암방사선치료비(최초1회한)Ⅱ ···········································329
81. 표적항암방사선치료비(최초1회한)Ⅱ【갱신계약】 ························329
81-1. 표적항암방사선치료비(항암세기조절방사선)(최초1회한)Ⅱ ····329
81-1. 표적항암방사선치료비(항암세기조절방사선)(최초1회한)Ⅱ
【갱신계약】 ······································································329
81-2. 표적항암방사선치료비(항암양성자방사선)(최초1회한)Ⅱ ·······331
81-2. 표적항암방사선치료비(항암양성자방사선) (최초1회한)Ⅱ
【갱신계약】 ······································································331
82. 갑상선암호르몬약물허가치료비(최초1회한)Ⅱ ······························334
82. 갑상선암호르몬약물허가치료비(최초1회한)Ⅱ【갱신계약】 ···········334
83. 신재진단암Ⅱ 표적항암약물허가치료비【갱신계약】 ·····················338
84. 3대질병 장애진단비 ···································································345
85. 자궁 생검 조직병리진단비(급여, 연간1회한,90일면책) ················347
86. 뇌혈관질환수술비 ·······································································349
87. 심장질환수술비 ··········································································350
88. 간병인사용 질병입원일당Ⅱ(요양병원 제외, 1-180일) ·················351
88. 간병인사용 질병입원일당Ⅱ(요양병원 제외, 1-180일)【갱신계약】··351
89. 간병인사용 질병입원일당(1일이상)(요양병원) ·····························354
89. 간병인사용 질병입원일당(1일이상)(요양병원)【갱신계약】 ·········354
90. 간호간병통합서비스 질병입원일당(1-180일) ································356
90. 간호간병통합서비스 질병입원일당(1-180일)【갱신계약】 ············356
91. 신특정순환계질환진단비 ·····························································358
92. 2대질병(뇌, 심장) 주요치료비(진단후 10년, 연간1회한)
(감액있음) ················································································359
93. 항암방사선치료비(급여 및 비급여)(기타피부암 및 갑상선암 제외) ···362
94. 항암약물치료비(급여 및 비급여)(기타피부암 및 갑상선암 제외) ···364
95. 심부 바늘생검 조직병리진단비(급여, 연간1회한,90일면책) ········367
96. 2대질환 CT, MRI, 심장초음파, 뇌파, 뇌척수액 검사지원비(급여,

연간1회한)【갱신계약】 ·····························································368
97. 2대질환 혈관조영술 검사지원비(급여, 연간1회한)【갱신계약】 ···370
98. 자궁근종및자궁선근증 고강도초음파집속술(HIFU)
치료비【갱신계약】 ···································································371
98-1. 자궁근종및자궁선근증 고강도초음파집속술(HIFU)
치료비(최초1회한, 90일면책)【갱신계약】 ···························371
98-2. 자궁근종및자궁선근증 고강도초음파집속술(HIFU)
치료비(연간1회한, 90일면책)【갱신계약】 ···························373
99. 간경변증진단비 ··········································································374
100. 녹내장진단비 ···········································································375
101. 특정망막질환진단비 ··································································376
102. 루게릭병진단비 ········································································376
103. 질병수술비(백내장 및 대장용종내시경절제 제외)(매회지급) ······377
104. 질병수술비(특정7대질병 제외)(매회지급) ·································379
105. 질병수술비(종합병원) ·······························································381
106. 질병수술비(상급종합병원) ························································383
107. 중증질환자 암(유사암 및 특정소액암제외) 산정특례대상보장
(최초1회한)【갱신계약】 ··························································385
108. 중증질환자(특정소액암) 산정특례대상보장
(최초1회한)【갱신계약】 ··························································388
109. 중증질환자(유사암) 산정특례대상보장(최초1회한)【갱신계약】····391
110. 중증질환자(중복암 및 재등록암) 산정특례대상보장
(최초1회한)【갱신계약】 ··························································394
111. 암내시경수술비(유사암포함,연간1회한) ·····································398
112. 보험료납입지원(유사암진단) ·····················································400
113. 종합병원질병입원일당(1일이상) ················································402
114. 통합암진단비Ⅱ(유사암제외) ·····················································403
115. 신재진단암진단비Ⅱ(5회한, 1년대기형, 기타피부암 및
갑상선암 포함) ········································································407
115. 신재진단암진단비Ⅱ(5회한, 1년대기형, 기타피부암 및
갑상선암 포함)【갱신계약】 ·····················································407
116. 항암방사선약물치료비 ·······························································412
117. 항암중입자방사선치료비(최초1회한) ··········································414
118. 비급여 표적항암약물허가치료비(최초1회한)Ⅱ ···························416
118. 비급여 표적항암약물허가치료비(최초1회한)Ⅱ【갱신계약】 ········416
119. 통합암진단비Ⅱ(전이암포함)(유사암제외) ·································420
120. 통합전이암진단비 ·····································································426
121. 전이암Ⅱ수술비 ········································································432
122. 전이암Ⅱ직접치료입원일당(요양제외, 1일이상180일한도) ···········434
123. 전이암Ⅱ요양병원입원일당(1일이상90일한도) ·····························436
124. 전이암Ⅱ항암약물치료비 ···························································437
125. 전이암Ⅱ항암방사선치료비 ························································438
126. 전이암Ⅱ표적항암약물허가치료비(최초1회한)【갱신계약】 ·········440
127. 전이암Ⅱ비급여표적항암약물허가치료비
(최초1회한)【갱신계약】 ··························································443
128. 암(기타피부암 및 갑상선암 제외) 주요치료비(진단후 10년,
연간1회한)(감액있음) ·······························································447
129. 기타피부암 및 갑상선암 주요치료비(진단후 10년, 연간1회한)
(감액있음) ···············································································450
130. 암(기타피부암 및 갑상선암 제외) 주요치료비Ⅱ(진단후 10년,
연간1회한)(감액있음) ·······························································454
131. 기타피부암 및 갑상선암 주요치료비Ⅱ(진단후 10년, 연간1회한)
(감액있음) ···············································································457
132. 특정 양성종양 수술비(68대, 기타 경증질환 포함)(최초1회한)
(감액있음) ···············································································461
133. 통합 뇌질병진단비 ···································································463
134. 통합 심장질병진단비 ································································464
135. 뇌∙심특정재활치료비(급여, 1일1회, 연간90회한) ······················466
136. 혈전용해치료비Ⅱ(최초1회한) ···················································467
137. 혈전용해치료비Ⅱ(연간1회한) ···················································469
138. 특정순환계질환 항응고제치료비(와파린/NOAC)(급여, 180일이상
처방, 최초1회한)【갱신계약】 ··················································470
139. 암(유사암제외) 주요치료비Plus(종합병원) (항암호르몬약물치료
포함형) ····················································································473
139. 암(유사암제외) 주요치료비Plus(종합병원) (항암호르몬약물치료
포함형)【갱신계약】 ································································473
140. 유사암 주요치료비Plus(종합병원)(항암호르몬약물치료
포함형) ····················································································478

140. 유사암 주요치료비Plus(종합병원) (항암호르몬약물치료
포함형)【갱신계약】 ································································478
141. 암(유사암제외) 주요치료비Ⅱ(종합병원,각 연간1회한)
(감액있음) ···············································································482
141. 암(유사암제외) 주요치료비Ⅱ(종합병원,
각 연간1회한)(감액있음)【갱신계약】 ······································482
142. 유사암 주요치료비Ⅱ(종합병원,각 연간1회한)(감액있음) ···········487
142. 유사암 주요치료비Ⅱ(종합병원,각 연간1회한)
(감액있음)【갱신계약】 ···························································487
143. 암(유사암제외) 주요치료비Plus(종합병원) (항암호르몬약물치료
제외형) ····················································································492
143. 암(유사암제외) 주요치료비Plus(종합병원) (항암호르몬약물치료
제외형)【갱신계약】 ································································492
144. 유사암 주요치료비Plus(종합병원)(항암호르몬약물치료 제외형) ···496
144. 유사암 주요치료비Plus(종합병원) (항암호르몬약물치료
제외형)【갱신계약】 ································································496
145. 비급여(전액본인부담 포함) 암 주요치료비Plus(종합병원) ·········500
145. 비급여(전액본인부담 포함) 암 주요치료비Plus
(종합병원)【갱신계약】 ···························································500
146. 비급여(전액본인부담 포함) 암 특정주요치료비Plus(종합병원) ···505
146. 비급여(전액본인부담 포함) 암 특정주요치료비Plus
(종합병원)【갱신계약】 ···························································505
147. 전이암Ⅱ 주요치료비Plus(종합병원) ··········································514
147. 전이암Ⅱ 주요치료비Plus(종합병원)【갱신계약】 ······················514
148. 비급여(전액본인부담 포함) 암 주요치료비Ⅱ (종합병원,
연간1회한)(감액있음) ·······························································518
149. 비급여(전액본인부담 포함) 암 주요치료비Ⅱ(진단후 10년,
연간1회한)(감액있음) ·······························································522
150. 비급여(전액본인부담 포함) 항암약물치료비Ⅱ(진단후 10년,
연간1회한)(감액있음) ·······························································527
151. 암(기타피부암 및 갑상선암 포함)후유장해(3~100%) ···················530
152. 신특정순환계질환후유장해(3~100%) ···········································532
153. 암 종합검사지원비(급여, 각 연간1회한) ···································535
153. 암 종합검사지원비(급여, 각 연간1회한)【갱신계약】 ················535
154. 암 MRI,PET,CT,초음파검사지원비(진단후, 각 연간1회한) ···········537
154. 암 MRI,PET,CT,초음파검사지원비(진단후,
각 연간1회한)【갱신계약】 ······················································537
155. 질병1~5종수술비Ⅱ(상급종합병원, 매회지급) ·····························540
제4장 상해 및 질병 관련 특별약관
1. 양전자단층촬영(PET)검사지원비(급여, 연간1회한)【갱신계약】 ····544
2. 응급실내원비(응급) ·····································································546
3. 중증질환자(뇌혈관) 산정특례대상보장(연간1회한)【갱신계약】 ····550
4. 중증질환자(심장) 산정특례대상보장(연간1회한)【갱신계약】 ········553
제5장 비용손해 관련 특별약관
비용손해 일반조항 ···············································································560
1. 의료사고법률비용 ········································································560
2. 원격지 암직접치료통원 임시거주비(1일 10만원한도) ·····················561
제6장 제도성 특별약관
1. 이륜자동차 운전중 상해 부담보 ···················································566
2. 선지급서비스 ···············································································566
3. 특정 신체부위 및 질병 보장제한부 인수 ······································568
4. 보험료 자동납입 ··········································································570
5. 전자서명 ·····················································································570
6. 특별조건부(표준하체 인수) ··························································571
7. 장애인전용보험전환 ·····································································572
8. 보장특약 자동갱신(추가납입형) ···················································573

[2종] 표준형해약환급금의 50%지급형(납입기간이후)
1형 : 8대 납입면제형, 2형 : 3대 납입면제형
보통약관
제1관 목적 및 용어의 정의 ····································································92
제1조(목적) ·····················································································92
제2조(용어의 정의) ··········································································92
제2관 보험금의 지급 ·············································································94
제3조(보험금의 지급사유) ································································94
제4조(보장보험료 납입면제) ·······························································94
제5조(보험금 지급에 관한 세부규정) ················································95
제6조(보험금을 지급하지 않는 사유) ················································95
제7조(보험금 지급사유의 통지) ························································96
제8조(보험금의 청구) ·······································································96
제9조(보험금의 지급절차) ································································96
제10조(만기환급금의 지급) ·······························································97
제11조(보험금 받는 방법의 변경) ·····················································97
제12조(주소변경통지) ·······································································98
제13조(보험수익자의 지정) ·······························································98
제14조(대표자의 지정) ·····································································98
제3관 계약자의 계약 전 알릴 의무 등 ····················································98
제15조(계약 전 알릴 의무) ·······························································98
제16조(알릴 의무 위반의 효과) ························································99
제17조(사기에 의한 계약) ································································99
제4관 보험계약의 성립과 유지 ·····························································100
제18조(보험계약의 성립) ································································100
제19조(청약의 철회) ·······································································100
제20조(약관교부 및 설명의무 등) ···················································101
제21조(계약의 무효) ·······································································102
제22조(계약내용의 변경 등) ·····························································102
제23조(보험나이 등) ·······································································103
제24조(계약의 소멸) ·······································································103
제25조(계약의 자동갱신) ··································································104
제26조(자동갱신 적용) ·····································································104
제5관 보험료의 납입 ············································································105
제27조(제1회 보험료 및 회사의 보장개시) ······································105
제28조(갱신계약 제1회 보험료의 납입최고(독촉)와 계약의 해지) ······106
제29조(제2회 이후 보험료의 납입) ···················································106
제30조(보험료의 자동대출납입) ························································106
제31조(보험료의 납입이 연체되는 경우 납입최고(독촉)와 계약의 해지) ··106
제32조(보험료의 납입을 연체하여 해지된 계약의 부활(효력회복)) ····107
제33조(강제집행 등으로 인하여 해지된 계약의 특별부활(효력회복)) ·107
제6관 계약의 해지 및 해약환급금 등 ····················································108
제34조(계약자의 임의해지 및 피보험자의 서면동의 철회) ·················108
제34조의1(위법계약의 해지) ·····························································108
제35조(중대사유로 인한 해지) ··························································108
제36조(회사의 파산선고와 해지) ·····················································108
제37조(해약환급금) ··········································································108
제38조(보험계약대출) ·····································································109
제39조(중도인출) ·············································································109
제40조(배당금의 지급) ·····································································109
제7관 지정대리청구에 관한 사항 ··························································110
제41조(적용대상) ···········································································110
제42조(지정대리청구인의 지정) ······················································110
제43조(지정대리청구인의 변경지정) ················································110
제44조(지정대리청구인에 의한 보험금의 청구) ································110
제45조(지정대리청구인에 의한 보험금의 지급 절차) ·························110
제8관 분쟁의 조정 등 ··········································································110
제46조(분쟁의 조정) ·······································································110
제47조(관할법원) ···········································································110

제48조(소멸시효) ···········································································110
제49조(약관의 해석) ·······································································110
제50조(설명서 교부 및 보험안내자료 등의 효력) ······························111
제51조(회사의 손해배상책임) ··························································111
제52조(개인정보보호) ·····································································111
제53조(준거법) ···············································································111
제54조(예금보험에 의한 지급보장) ··················································112
제2절 보통약관의 보장 ·········································································112
1. 암진단비(유사암제외)(감액없음) ··················································112
2. 유사암진단비(감액없음) ·······························································114
특별약관
제1장 의무부가 관련 특별약관
1. 보험료납입면제대상보장(8대) ······················································116
2. 보험료납입면제대상보장(3대) ······················································121
제2장 상해 관련 특별약관
1. 일반상해후유장해(3~100%) ···························································128
2. 일반상해80%이상후유장해 ·····························································130
3. 일반상해사망 ···············································································133
4. 상해입원일당(1일이상)Ⅱ ·····························································135
5. 상해중환자실입원일당(1일이상)Ⅱ ················································137
6. 상해수술비 ··················································································139
7. 상해1~5종수술비(매회지급) ··························································142
8. 간병인사용 상해입원일당Ⅱ(요양병원 제외, 1-180일) ···················144
8. 간병인사용 상해입원일당Ⅱ(요양병원 제외, 1-180일)【갱신계약】····144
9. 간병인사용 상해입원일당(1일이상)(요양병원) ······························148
9. 간병인사용 상해입원일당(1일이상)(요양병원)【갱신계약】 ···········148
10. 간호간병통합서비스 상해입원일당(1-180일) ································151
10. 간호간병통합서비스 상해입원일당(1-180일)【갱신계약】 ············151
11. 종합병원상해입원일당(1일이상) ··················································154
12. 상해수술비(종합병원) ································································157
13. 상해수술비(상급종합병원) ··························································160
제3장 질병 관련 특별약관
1. 암수술비(복강경하, 흉강경하)(유사암포함, 연간1회한) ················168
2. 암관혈수술비(내시경, 복강경하, 흉강경하수술 제외)(유사암포함,
연간1회한) ··················································································170
3. 질병80%이상후유장해 ···································································173
4. 질병사망 ·····················································································174
5. 질병입원일당(1일이상) ································································174
6. 암수술비(유사암제외) ··································································175
7. 암수술비(유사암제외)(최초1회한) ················································177
8. 유사암수술비 ···············································································179
9. 암직접치료입원일당Ⅱ(요양제외, 1일이상180일한도) ·····················180
10. 암요양병원입원일당Ⅱ(1일이상60일한도) ·····································183
11. 암요양병원입원일당Ⅱ(1일이상90일한도) ·····································185
12. 암사망 ·······················································································187
13. 5대 고액치료비암진단비 ·····························································189
14. 10대 고액치료비암진단비 ···························································190
15. 뇌졸중진단비 ·············································································192
16. 급성심근경색증진단비 ································································193
17. 항암방사선치료비 ·······································································194
18. 항암약물치료비 ··········································································196
19. 질병수술비 ················································································198
20. 중증갑상선암진단비(감액없음) ···················································199
21. 116대질병수술비 ········································································201
21-1. 116대질병수술비Ⅰ ······························································201
21-2. 116대질병수술비Ⅱ ······························································202
21-3. 116대질병수술비Ⅲ ······························································203
21-4. 116대질병수술비Ⅳ ······························································205
21-5. 116대질병수술비Ⅴ ······························································207
21-6. 116대질병수술비Ⅵ ······························································208
22. 암직접치료통원일당 ···································································209
23. 암직접치료통원일당(상급종합병원) ·············································212

25. 재진단암진단비 ··········································································216
26. 암직접치료통원일당(종합병원) ···················································222
27. 재진단뇌졸중Ⅱ진단비 ································································225
28. 재진단급성심근경색증진단비 ······················································228
29. 암진단비(특정소액암 및 유사암제외) ··········································232
30. 위암 및 식도암 진단비 ·······························································233
31. 폐암 및 후두암 진단비 ·······························································235
32. 전이암 및 특정암Ⅱ진단비 ··························································236
32-1. 전이암진단비 ······································································236
32-2. 특정암Ⅱ진단비 ···································································238
33. 소장암 및 대장암 진단비 ···························································239
34. 심장암 및 뇌암 진단비 ·······························································241
35. 림프종 및 백혈병 관련암 진단비 ················································242
36. 2대질병(뇌, 심장) 치료비지원 ···················································244
37. 특정NGS유전자패널 검사지원비(급여,연간1회한)【갱신계약】 ······245
38. 유방병변초음파유도진공보조절제치료비(연간1회한,
90일면책)【갱신계약】 ·······························································247
39. 뇌혈관질환진단비 ·······································································249
40. 허혈성심장질환진단비 ································································250
41. 중증암진단비 ·············································································251
43. 갑상선기능항진증치료비 ·····························································255
44. 다빈치로봇 암수술비(최초1회한)【갱신계약】 ·····························256
44-1. 다빈치로봇 암수술비(갑상선암 및 전립선암 제외)(최초1회한)
【갱신계약】 ················································································256
44-2. 다빈치로봇 갑상선암 및 전립선암 수술비(최초1회한)【갱신계
약】 ·····························································································259
45. 유방제자리암진단비 ···································································262
46. 여성생식기관련제자리암진단비 ···················································263
47. 유방암으로인한유방수술비 ··························································264
48. 자궁적출수술비(여성생식기의 암·제자리암) ······························266
49. 양성뇌종양진단비 ·······································································268
50. 위·십이지장 양성종양 및 용종 진단비(연간1회한) ·····················269
51. 대장 양성종양 및 용종 진단비(연간1회한) ·································270
53. 조혈모세포이식수술비 ·······························································272
54. 말기암호스피스통증완화치료비(가정형, 입원형) ·························273
55. 질병1~5종수술비Ⅱ(매회지급) ·····················································275
56. 뇌혈관질환입원일당(1일이상180일한도) ······································277
57. 뇌혈관질환입원일당(요양제외, 1일이상180일한도) ······················278
58. 허혈성심장질환입원일당(1일이상180일한도) ································280
59. 허혈성심장질환입원일당(요양제외, 1일이상180일한도) ················281
60. 암(유사암제외) 주요치료비Plus(종합병원)(항암호르몬약물치료
일부지급형) ···············································································282
60. 암(유사암제외) 주요치료비Plus(종합병원)(항암호르몬약물치료
일부지급형)【갱신계약】 ···························································282
61. 유사암 주요치료비Plus(종합병원)(항암호르몬약물치료
일부지급형) ···············································································287
61. 유사암 주요치료비Plus(종합병원)(항암호르몬약물치료
일부지급형)【갱신계약】 ···························································287
62. 질병수술비(백내장제외) ·····························································292
63. 항암방사선치료비(남성생식기관련(전립선,음경,고환)암) ············293
64. 항암방사선치료비(여성생식기관련(자궁,난소,외음,질,태반)암) ···295
65. 뇌혈관질환통원일당(상급종합병원, 연간30일한도)(감액있음) ······296
66. 허혈성심장질환통원일당(상급종합병원, 연간30일한도)(감액있음) ···298
67. 뇌혈관질환통원일당(종합병원, 연간30일한도)(감액있음) ············299
68. 허혈성심장질환통원일당(종합병원, 연간30일한도)(감액있음) ······301
69. 뇌혈관질환통원일당(연간30일한도)(감액있음) ·····························302
70. 허혈성심장질환통원일당(연간30일한도)(감액있음) ······················304
71. 카티(CAR-T)항암약물허가치료비(연간1회한)【갱신계약】 ············305
74. 전립선바늘생검조직병리진단비(연간1회한, 90일면책) ·················313
75. 신재진단암진단비Ⅱ(기타피부암, 갑상선암 포함) ························315
76. 질병후유장해(3~100%) ································································320
77. 특정바이러스질환진단비 ·····························································321
78. 암특정통증완화치료비(급여, 연간1회한) ·····································321
79. 암특정재활치료비(급여, 1일1회, 연간10회한) ·····························324
80. 표적항암약물허가치료비(최초1회한)Ⅱ ········································326
80. 표적항암약물허가치료비(최초1회한)Ⅱ【갱신계약】 ·····················326
81. 표적항암방사선치료비(최초1회한)Ⅱ ···········································329
81. 표적항암방사선치료비(최초1회한)Ⅱ【갱신계약】 ························329

81-1. 표적항암방사선치료비(항암세기조절방사선)
(최초1회한)Ⅱ ·····································································329
81-1. 표적항암방사선치료비(항암세기조절방사선)
(최초1회한)Ⅱ【갱신계약】 ·················································329
81-2. 표적항암방사선치료비(항암양성자방사선)(최초1회한)Ⅱ ·······331
81-2. 표적항암방사선치료비(항암양성자방사선)
(최초1회한)Ⅱ【갱신계약】 ·················································331
82. 갑상선암호르몬약물허가치료비(최초1회한)Ⅱ ······························334
82. 갑상선암호르몬약물허가치료비(최초1회한)Ⅱ【갱신계약】 ···········334
83. 신재진단암Ⅱ 표적항암약물허가치료비【갱신계약】 ·····················338
84. 3대질병 장애진단비 ···································································345
85. 자궁 생검 조직병리진단비(급여, 연간1회한,90일면책) ················347
86. 뇌혈관질환수술비 ·······································································349
87. 심장질환수술비 ··········································································350
88. 간병인사용 질병입원일당Ⅱ(요양병원 제외, 1-180일) ·················351
88. 간병인사용 질병입원일당Ⅱ(요양병원 제외, 1-180일)【갱신계약】··351
89. 간병인사용 질병입원일당(1일이상)(요양병원) ·····························354
89. 간병인사용 질병입원일당(1일이상)(요양병원)【갱신계약】 ·········354
90. 간호간병통합서비스 질병입원일당(1-180일) ································356
90. 간호간병통합서비스 질병입원일당(1-180일)【갱신계약】 ············356
91. 신특정순환계질환진단비 ·····························································358
92. 2대질병(뇌, 심장) 주요치료비(진단후 10년, 연간1회한)(감액있음) ···359
93. 항암방사선치료비(급여 및 비급여)(기타피부암 및 갑상선암 제외)362
94. 항암약물치료비(급여 및 비급여)(기타피부암 및 갑상선암 제외) ·364
95. 심부 바늘생검 조직병리진단비(급여, 연간1회한,90일면책) ········367
96. 2대질환 CT, MRI, 심장초음파, 뇌파, 뇌척수액 검사지원비(급여, 연간
1회한)【갱신계약】 ··········································································368
97. 2대질환 혈관조영술 검사지원비(급여, 연간1회한)【갱신계약】 ···370
98. 자궁근종및자궁선근증 고강도초음파집속술(HIFU)치료비【갱신계약】···371
98-1. 자궁근종및자궁선근증 고강도초음파집속술(HIFU)
치료비(최초1회한, 90일면책)【갱신계약】 ···························371
98-2. 자궁근종및자궁선근증 고강도초음파집속술(HIFU)
치료비(연간1회한, 90일면책)【갱신계약】 ···························373
99. 간경변증진단비 ··········································································374
100. 녹내장진단비 ···········································································375
101. 특정망막질환진단비 ··································································376
102. 루게릭병진단비 ········································································376
103. 질병수술비(백내장 및 대장용종내시경절제 제외)(매회지급) ······377
104. 질병수술비(특정7대질병 제외)(매회지급) ·································379
105. 질병수술비(종합병원) ·······························································381
106. 질병수술비(상급종합병원) ························································383
107. 중증질환자 암(유사암 및 특정소액암제외) 산정특례대상보장
(최초1회한)【갱신계약】 ··························································385
108. 중증질환자(특정소액암) 산정특례대상보장
(최초1회한)【갱신계약】 ··························································388
109. 중증질환자(유사암) 산정특례대상보장(최초1회한)【갱신계약】 ···391
110. 중증질환자(중복암 및 재등록암) 산정특례대상보장
(최초1회한)【갱신계약】 ··························································394
111. 암내시경수술비(유사암포함,연간1회한) ·····································398
112. 보험료납입지원(유사암진단) ·····················································400
113. 종합병원질병입원일당(1일이상) ················································402
114. 통합암진단비Ⅱ(유사암제외) ·····················································403
115. 신재진단암진단비Ⅱ(5회한, 1년대기형, 기타피부암 및
갑상선암 포함) ········································································407
115. 신재진단암진단비Ⅱ(5회한, 1년대기형, 기타피부암 및
갑상선암 포함)【갱신계약】 ·····················································407
116. 항암방사선약물치료비 ·······························································412
117. 항암중입자방사선치료비(최초1회한) ··········································414
118. 비급여 표적항암약물허가치료비(최초1회한)Ⅱ ···························416
118. 비급여 표적항암약물허가치료비(최초1회한)Ⅱ【갱신계약】 ········416
119. 통합암진단비Ⅱ(전이암포함)(유사암제외) ·································420
120. 통합전이암진단비 ·····································································426
121. 전이암Ⅱ수술비 ········································································432
122. 전이암Ⅱ직접치료입원일당(요양제외, 1일이상180일한도) ···········434
123. 전이암Ⅱ요양병원입원일당(1일이상90일한도) ·····························436
124. 전이암Ⅱ항암약물치료비 ···························································437
125. 전이암Ⅱ항암방사선치료비 ························································438
126. 전이암Ⅱ표적항암약물허가치료비(최초1회한)【갱신계약】 ·········440

127. 전이암Ⅱ비급여표적항암약물허가치료비(최초1회한)【갱신계약】···443
128. 암(기타피부암 및 갑상선암 제외) 주요치료비(진단후 10년,
연간1회한)(감액있음) ·······························································447
129. 기타피부암 및 갑상선암 주요치료비(진단후 10년, 연간1회한)(감액있음) ··450
130. 암(기타피부암 및 갑상선암 제외) 주요치료비Ⅱ(진단후 10년,
연간1회한)(감액있음) ·······························································454
131. 기타피부암 및 갑상선암 주요치료비Ⅱ(진단후 10년, 연간1회한)
(감액있음) ···············································································457
133. 통합 뇌질병진단비 ···································································463
134. 통합 심장질병진단비 ································································464
135. 뇌∙심특정재활치료비(급여, 1일1회, 연간90회한) ······················466
136. 혈전용해치료비Ⅱ(최초1회한) ···················································467
137. 혈전용해치료비Ⅱ(연간1회한) ···················································469
138. 특정순환계질환 항응고제치료비(와파린/NOAC)(급여, 180일이상
처방, 최초1회한)【갱신계약】 ··················································470
139. 암(유사암제외) 주요치료비Plus(종합병원) (항암호르몬약물치료
포함형) ····················································································473
139. 암(유사암제외) 주요치료비Plus(종합병원) (항암호르몬약물치료
포함형)【갱신계약】 ································································473
140. 유사암 주요치료비Plus(종합병원)(항암호르몬약물치료 포함형) ···478
140. 유사암 주요치료비Plus(종합병원)(항암호르몬약물치료
포함형)【갱신계약】 ································································478
141. 암(유사암제외) 주요치료비Ⅱ(종합병원,각 연간1회한)(감액있음) ··482
141. 암(유사암제외) 주요치료비Ⅱ(종합병원,각 연간1회한)
(감액있음)【갱신계약】 ···································································482
142. 유사암 주요치료비Ⅱ(종합병원,각 연간1회한)(감액있음) ···········487
142. 유사암 주요치료비Ⅱ(종합병원,각 연간1회한)
(감액있음)【갱신계약】 ···························································487
143. 암(유사암제외) 주요치료비Plus(종합병원) (항암호르몬약물치료
제외형) ····················································································492
143. 암(유사암제외) 주요치료비Plus(종합병원) (항암호르몬약물치료
제외형)【갱신계약】 ································································492
144. 유사암 주요치료비Plus(종합병원)(항암호르몬약물치료 제외형) ···496
144. 유사암 주요치료비Plus(종합병원) (항암호르몬약물치료
제외형)【갱신계약】 ································································496
145. 비급여(전액본인부담 포함) 암 주요치료비Plus(종합병원) ·········500
145. 비급여(전액본인부담 포함) 암 주요치료비Plus
(종합병원)【갱신계약】 ···························································500
146. 비급여(전액본인부담 포함) 암 특정주요치료비Plus(종합병원) ···505
146. 비급여(전액본인부담 포함) 암 특정주요치료비Plus
(종합병원)【갱신계약】 ···························································505
147. 전이암Ⅱ 주요치료비Plus(종합병원) ··········································514
147. 전이암Ⅱ 주요치료비Plus(종합병원)【갱신계약】 ······················514
148. 비급여(전액본인부담 포함) 암 주요치료비Ⅱ (종합병원,
연간1회한)(감액있음) ·······························································518
149. 비급여(전액본인부담 포함) 암 주요치료비Ⅱ(진단후 10년,
연간1회한)(감액있음) ·······························································522
150. 비급여(전액본인부담 포함) 항암약물치료비Ⅱ(진단후 10년,
연간1회한)(감액있음) ·······························································527
151. 암(기타피부암 및 갑상선암 포함)후유장해(3~100%) ···················530
152. 신특정순환계질환후유장해(3~100%) ···········································532
153. 암 종합검사지원비(급여, 각 연간1회한) ···································535
153. 암 종합검사지원비(급여, 각 연간1회한)【갱신계약】 ················535
154. 암 MRI,PET,CT,초음파검사지원비(진단후, 각 연간1회한) ···········537
154. 암 MRI,PET,CT,초음파검사지원비(진단후, 각
연간1회한)【갱신계약】 ···························································537
제4장 상해 및 질병 관련 특별약관
1. 양전자단층촬영(PET)검사지원비(급여, 연간1회한)【갱신계약】 ····544
2. 응급실내원비(응급) ·····································································546
3. 중증질환자(뇌혈관) 산정특례대상보장(연간1회한)【갱신계약】 ····550
4. 중증질환자(심장) 산정특례대상보장(연간1회한)【갱신계약】 ········553
제5장 비용손해 관련 특별약관
비용손해 일반조항 ···············································································560
1. 의료사고법률비용 ········································································560
2. 원격지 암직접치료통원 임시거주비(1일 10만원한도) ·····················561

제6장 제도성 특별약관
1. 이륜자동차 운전중 상해 부담보 ···················································566
2. 선지급서비스 ···············································································566
3. 특정 신체부위 및 질병 보장제한부 인수 ······································568
4. 보험료 자동납입 ··········································································570
5. 전자서명 ·····················································································570
6. 특별조건부(표준하체 인수) ··························································571
7. 장애인전용보험전환 ·····································································572
8. 보장특약 자동갱신(추가납입형) ···················································573
[3종] 연만기 자동갱신형
1형 : 8대 납입면제형, 2형 : 3대 납입면제형
보통약관
제1관 목적 및 용어의 정의 ····································································92
제1조(목적) ·····················································································92
제2조(용어의 정의) ··········································································92
제2관 보험금의 지급 ·············································································94
제3조(보험금의 지급사유) ································································94
제4조(보장보험료 납입면제) ·······························································94
제5조(보험금 지급에 관한 세부규정) ················································95
제6조(보험금을 지급하지 않는 사유) ················································95
제7조(보험금 지급사유의 통지) ························································96
제8조(보험금의 청구) ·······································································96
제9조(보험금의 지급절차) ································································96
제10조(만기환급금의 지급) ·······························································97
제11조(보험금 받는 방법의 변경) ·····················································97
제12조(주소변경통지) ·······································································98
제13조(보험수익자의 지정) ·······························································98
제14조(대표자의 지정) ·····································································98
제3관 계약자의 계약 전 알릴 의무 등 ····················································98
제15조(계약 전 알릴 의무) ·······························································98
제16조(알릴 의무 위반의 효과) ························································99
제17조(사기에 의한 계약) ································································99
제4관 보험계약의 성립과 유지 ·····························································100
제18조(보험계약의 성립) ································································100
제19조(청약의 철회) ·······································································100
제20조(약관교부 및 설명의무 등) ···················································101
제21조(계약의 무효) ·······································································102
제22조(계약내용의 변경 등) ·····························································102
제23조(보험나이 등) ·······································································103

제24조(계약의 소멸) ·······································································103
제25조(계약의 자동갱신) ··································································104
제26조(자동갱신 적용) ·····································································104
제5관 보험료의 납입 ············································································105
제27조(제1회 보험료 및 회사의 보장개시) ······································105
제28조(갱신계약 제1회 보험료의 납입최고(독촉)와 계약의 해지) ······106
제29조(제2회 이후 보험료의 납입) ···················································106
제30조(보험료의 자동대출납입) ························································106
제31조(보험료의 납입이 연체되는 경우 납입최고(독촉)와 계약의 해지) ···106
제32조(보험료의 납입을 연체하여 해지된 계약의 부활(효력회복)) ····107
제33조(강제집행 등으로 인하여 해지된 계약의 특별부활(효력회복)) ·107
제6관 계약의 해지 및 해약환급금 등 ····················································108
제34조(계약자의 임의해지 및 피보험자의 서면동의 철회) ·················108
제34조의1(위법계약의 해지) ·····························································108
제35조(중대사유로 인한 해지) ··························································108
제36조(회사의 파산선고와 해지) ·····················································108
제37조(해약환급금) ··········································································108
제38조(보험계약대출) ·····································································109
제39조(중도인출) ·············································································109
제40조(배당금의 지급) ·····································································109
제7관 지정대리청구에 관한 사항 ··························································110
제41조(적용대상) ···········································································110
제42조(지정대리청구인의 지정) ······················································110
제43조(지정대리청구인의 변경지정) ················································110
제44조(지정대리청구인에 의한 보험금의 청구) ································110
제45조(지정대리청구인에 의한 보험금의 지급 절차) ·························110
제8관 분쟁의 조정 등 ··········································································110
제46조(분쟁의 조정) ·······································································110
제47조(관할법원) ···········································································110
제48조(소멸시효) ···········································································110
제49조(약관의 해석) ·······································································110
제50조(설명서 교부 및 보험안내자료 등의 효력) ······························111
제51조(회사의 손해배상책임) ··························································111
제52조(개인정보보호) ·····································································111
제53조(준거법) ···············································································111
제54조(예금보험에 의한 지급보장) ··················································112
제2절 보통약관의 보장 ·········································································112
1. 암진단비(유사암제외)(감액없음)【갱신계약】 ······························112
2. 유사암진단비(감액없음)【갱신계약】 ···········································114
특별약관
제1장 의무부가 관련 특별약관
1. 보험료납입면제대상보장(8대)【갱신계약】 ···································116
2. 보험료납입면제대상보장(3대)【갱신계약】 ···································121
제2장 상해 관련 특별약관
1. 일반상해후유장해(3~100%)【갱신계약】 ········································128
2. 일반상해80%이상후유장해【갱신계약】 ··········································130
3. 일반상해사망【갱신계약】 ···························································133
4. 상해입원일당(1일이상)Ⅱ【갱신계약】 ··········································135
5. 상해중환자실입원일당(1일이상)Ⅱ【갱신계약】 ·····························137
6. 상해수술비【갱신계약】 ·······························································139
7. 상해1~5종수술비(매회지급)【갱신계약】 ······································142
8. 간병인사용 상해입원일당Ⅱ(요양병원 제외, 1-180일)【갱신계약】 144
9. 간병인사용 상해입원일당(1일이상)(요양병원)【갱신계약】 ···········148
10. 간호간병통합서비스 상해입원일당(1-180일)【갱신계약】 ············151
11. 종합병원상해입원일당(1일이상)【갱신계약】 ······························154
12. 상해수술비(종합병원)【갱신계약】 ·············································157
13. 상해수술비(상급종합병원)【갱신계약】 ······································160
14. 상해1~5종수술비(상급종합병원, 매회지급)【갱신계약】 ··············163

제3장 질병 관련 특별약관
1. 암수술비(복강경하, 흉강경하) (유사암포함, 연간1회한)【갱신계약】···168
2. 암관혈수술비(내시경, 복강경하, 흉강경하수술 제외)
(유사암포함, 연간1회한)【갱신계약】 ··········································170
3. 질병80%이상후유장해【갱신계약】 ················································173
4. 질병사망【갱신계약】 ··································································174
5. 질병입원일당(1일이상)【갱신계약】 ·············································174
6. 암수술비(유사암제외)【갱신계약】 ··············································175
7. 암수술비(유사암제외)(최초1회한)【갱신계약】 ·····························177
8. 유사암수술비【갱신계약】 ···························································179
9. 암직접치료입원일당Ⅱ(요양제외, 1일이상180일한도)【갱신계약】 ·180
10. 암요양병원입원일당Ⅱ(1일이상60일한도)【갱신계약】 ·················183
11. 암요양병원입원일당Ⅱ(1일이상90일한도)【갱신계약】 ·················185
12. 암사망【갱신계약】 ···································································187
13. 5대 고액치료비암진단비【갱신계약】 ··········································189
14. 10대 고액치료비암진단비【갱신계약】 ········································190
15. 뇌졸중진단비【갱신계약】 ··························································192
16. 급성심근경색증진단비【갱신계약】 ·············································193
17. 항암방사선치료비【갱신계약】 ···················································194
18. 항암약물치료비【갱신계약】 ······················································196
19. 질병수술비【갱신계약】 ·····························································198
20. 중증갑상선암진단비(감액없음)【갱신계약】 ································199
21. 116대질병수술비【갱신계약】 ·····················································201
21-1. 116대질병수술비Ⅰ【갱신계약】 ···········································201
21-2. 116대질병수술비Ⅱ【갱신계약】 ···········································202
21-3. 116대질병수술비Ⅲ【갱신계약】 ···········································203
21-4. 116대질병수술비Ⅳ【갱신계약】 ···········································205
21-5. 116대질병수술비Ⅴ【갱신계약】 ···········································207
21-6. 116대질병수술비Ⅵ【갱신계약】 ···········································208
22. 암직접치료통원일당【갱신계약】 ················································209
23. 암직접치료통원일당(상급종합병원)【갱신계약】 ·························212
24. 질병중환자실입원일당(1일이상)【갱신계약】 ······························214
25. 재진단암진단비【갱신계약】 ······················································216
26. 암직접치료통원일당(종합병원)【갱신계약】 ································222
27. 재진단뇌졸중Ⅱ진단비【갱신계약】 ·············································225
28. 재진단급성심근경색증진단비【갱신계약】 ···································228
29. 암진단비(특정소액암 및 유사암제외)【갱신계약】 ······················232
30. 위암 및 식도암 진단비【갱신계약】 ···········································233
31. 폐암 및 후두암 진단비【갱신계약】 ···········································235
32. 전이암 및 특정암Ⅱ진단비【갱신계약】 ······································236
32-1. 전이암진단비【갱신계약】 ······················································236
32-2. 특정암Ⅱ진단비【갱신계약】 ···················································238
33. 소장암 및 대장암 진단비【갱신계약】 ········································239
34. 심장암 및 뇌암 진단비【갱신계약】 ···········································241
35. 림프종 및 백혈병 관련암 진단비【갱신계약】 ·····························242
36. 2대질병(뇌, 심장) 치료비지원【갱신계약】 ································244
37. 특정NGS유전자패널 검사지원비(급여,연간1회한)【갱신계약】 ······245
38. 유방병변초음파유도진공보조절제치료비(연간1회한,
90일면책)【갱신계약】 ·······························································247
39. 뇌혈관질환진단비【갱신계약】 ···················································249
40. 허혈성심장질환진단비【갱신계약】 ·············································250
41. 중증암진단비【갱신계약】 ··························································251
42. 갑상선암(초기제외)진단비【갱신계약】 ······································253
43. 갑상선기능항진증치료비【갱신계약】 ··········································255
44. 다빈치로봇 암수술비(최초1회한)【갱신계약】 ·····························256
44-1. 다빈치로봇 암수술비(갑상선암 및 전립선암 제외)
(최초1회한)【갱신계약】 ····················································256
44-2. 다빈치로봇 갑상선암 및 전립선암 수술비
(최초1회한)【갱신계약】 ····················································259
45. 유방제자리암진단비【갱신계약】 ················································262
46. 여성생식기관련제자리암진단비【갱신계약】 ································263
47. 유방암으로인한유방수술비 【갱신계약】 ·····································264
48. 자궁적출수술비(여성생식기의 암·제자리암)【갱신계약】 ···········266
49. 양성뇌종양진단비【갱신계약】 ···················································268
50. 위·십이지장 양성종양 및 용종 진단비(연간1회한)【갱신계약】 ···269
51. 대장 양성종양 및 용종 진단비(연간1회한)【갱신계약】 ··············270
52. 6대기관 양성종양 및 용종수술비(급여, 연간1회한)
(감액있음)【갱신계약】 ·····························································271

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