Beijing reminds the insured of "inclusive health insurance" to handle claims

2022-06-10

Today, the reporter learned from the Beijing Municipal Medical Insurance Bureau that in order to promote Beijing's "inclusive health insurance" to realize full compensation, reduce the burden of high medical expenses of the insured, and protect the rights and interests of the insured, the Bureau actively reminded the insured who met the conditions for claim settlement to apply for claim settlement by SMS or wechat, which will serve the people effectively. As the only urban customized commercial medical insurance in Beijing, Beijing "inclusive health insurance" is closely connected with the city's basic medical insurance. It is an affordable, affordable and risk-resistant inclusive commercial health insurance product for ordinary people. Since the product came into effect on January 1 this year, claims settlement has been carried out in an orderly manner, effectively reducing the burden of medical expenses on the insured. In order to do a good job in the claim settlement service of Beijing "inclusive health insurance" and help the insured realize the rapid claim settlement of the responsibility of hospitalization at their own expense, the Beijing Municipal Medical Insurance Bureau screened the insured's medical insurance data, sent a claim settlement reminder message in the name of the municipal medical insurance bureau to the insured who met the conditions for hospitalization at their own expense (the amount of individual hospitalization at their own expense exceeded 20000 yuan, and the previous disease identification group exceeded 40000 yuan), and urged the commercial insurance company to respond quickly and optimize the process, Effectively provide high-quality claim settlement services for the insured. In the future, the Beijing Municipal Medical Insurance Bureau will regularly conduct data screening and send SMS reminders to the insured who meet the conditions for in-hospital self payment claims. Beijing's "inclusive health insurance" provides three levels of guarantee responsibilities for the insured: self paid expenses within the medical insurance, self paid expenses for hospitalization outside the medical insurance, and expenses for 109 kinds of special drugs at home and abroad. Among them, the self paid expenses within the medical insurance shall be paid by the medical insurance major disease insurance in 2022, and the insurance company shall conduct one-stop claim settlement. (outlook new era)

Edit:Yuanqi Tang    Responsible editor:Xiao Yu

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