Can I get reimbursed after being reimbursed once?
Don't believe these misunderstandings of "Medicare" claims!
Yangzi Evening News (Reporter Wang Yun) The reporter learned from the "Jiangsu Medical Benefits No. 1" project team yesterday that many people bought Jiangsu Medical Benefits No. 1 during the Spring Festival and gave their families a "health gift". More than 2.4 million people in the province are insured.
Can I get reimbursed after being reimbursed once?
Don't believe these misunderstandings
From January 1 this year, the "Jiangsu Medical Benefits No. 1" officially took effect, and the claims settlement work has also been carried out in an orderly manner.
At present, the claimants are mainly concentrated in 50-79 years old.
So, how difficult is it to settle a claim?
The reporter learned from an interview that many people still have some misunderstandings about claims.
1. "Jiangsu Medical Benefit No. 1" can no longer be reimbursed after reimbursement once?
fake.
The truth: "Jiangsu Medical Benefits No. 1" reimbursement is unlimited, as long as the compliance expenses incurred during the guarantee period can be submitted for settlement.
2. Does "Jiangsu Medical Benefits No. 1" deduct the deductible for each hospitalization?
fake.
The truth: The deductible amount of "Jiangsu Medical Benefits No. 1" is calculated cumulatively in 2022, and the deductible amount is only deducted once.
3. "Jiangsu Medical Benefit No. 1" is not reimbursed by out-of-pocket medical insurance?
fake.
The truth: The second responsibility of "Jiangsu Medical Benefit No. 1" is the part of personal expenses outside the scope of basic medical insurance.
4. "Jiangsu Medical Benefits No. 1" only reimburses hospitalization expenses?
fake.
The truth: "Jiangsu Medical Benefits No. 1" covers the internal and external four-fold protection of medical insurance, hospitalization, Mente treatment within the scope of medical insurance, dual-channel drugs purchased by designated hospitals and designated retail pharmacies under national negotiation, and hospitalization outside the scope of medical insurance, Mente, Medical expenses such as self-paid medicines and high-value medical consumables are covered by reimbursement.
The insurance channel is still open, and it is very convenient to apply for online insurance online
It is necessary to remind the insured that at present, the “Jiangsu Medical Insurance No. 1” insured channel is still open, and the insured people can participate in the insurance online through the “Jiangsu Medical Insurance No. 1” WeChat public account.
If you apply for insurance from January 1st to February 28th, the protection will take effect at 0:00 the next day after payment, and the early insurance will take effect earlier.
Sign up now, effective tomorrow.
The reporter learned that "Jiangsu Medical Insurance No. 1" is being fully upgraded, and the "Quick Claim" service has been launched. Insured users can use the menu bar at the bottom of the WeChat public account of "Jiangsu Medical Insurance No. 1" [Personal Center - Claims Service] To apply, the quick claim application only needs to fill in personal information, without uploading hospital medical documents, which greatly simplifies the claim application procedure.
On December 1 last year, the “Jiangsu Medical Benefit No. 1”, an inclusive commercial supplementary medical insurance linked to the basic medical insurance in the whole province, officially opened the insurance channel. The product has come into effect on January 1 this year. .
It is guided by the Jiangsu Provincial Medical Insurance Bureau, supervised by the Jiangsu Banking and Insurance Regulatory Bureau, and jointly underwritten by 11 insurance companies.
Moreover, there is almost no threshold for participating in the insurance. No matter men, women or children, as long as they are insured by Jiangsu medical insurance, they can obtain up to 3.2 million medical insurance at a price of 158 yuan per year, and there are no restrictions on household registration, age, occupation, Unlimited health conditions.
In addition, "Jiangsu Medical Benefit No. 1" can also be insured and compensated when sick. It can be bought with "three highs", and it can also be bought with malignant tumors, which is very friendly to the elderly.
According to professionals, when buying commercial medical insurance, it is easy to fail because you are old, do not meet the insurance age, or have some minor physical problems that do not meet the product health notice.
Even if you can buy some insurance, the premium will be thousands of dollars.
However, "Jiangsu Medical Benefit No. 1" is not limited to age, and can be insured even if you are sick, so that parents can also have an extra guarantee.