After the basic medical insurance amount of the current year is reimbursed, can the follow up medica

Updated on society 2024-06-02
15 answers
  1. Anonymous users2024-02-11

    After the basic medical insurance amount is reimbursed in the current year, can the follow-up medical expenses still be reimbursed by Ping An Insurance? Medical insurance and commercial insurance are two concepts, there is no conflict, as long as it is within the scope of medical insurance (the medical insurance quota of the current year has been used up), then the expenses you spend should be reimbursed by (Ping An) commercial insurance, if the medical insurance quota of the current year is not used up, both sides can only be reimbursed once. Because the state stipulates that after the medical insurance is reimbursed, you will no longer enjoy commercial insurance, and if the commercial insurance reimburses you, no medical insurance can reimburse you.

    Commercial insurance can reimburse you for out-of-pocket drug expenses that are not covered by medical insurance. However, you must provide consumption invoice vouchers and a checklist. Thank you!

    FYI!

  2. Anonymous users2024-02-10

    Can be reimbursed, I last hospitalization reimbursement after their own burden of more than 3,400 yuan, half a month after discharge to the hospitalization medical records, hospitalization, a copy of the discharge certificate and the original price of the discharge payment voucher sent to Ping An Insurance Company, it did not take long to receive more than 2,400 yuan from the insurance company, you should consult the Ping An Insurance Company compensation center, specifically understand what kind of insurance you buy, what procedures need to be provided for reimbursement.

  3. Anonymous users2024-02-09

    Under normal circumstances, after the basic medical insurance amount is fully reported, the remaining part of Ping An insurance can still be handled according to the regulations.

  4. Anonymous users2024-02-08

    It mainly depends on what kind of commercial insurance you buy? , and it depends on the insurance contract, which can be determined according to the content of the agreement, can it be reimbursed? It is recommended that you call their insurance company** to consult them, it is the best.

  5. Anonymous users2024-02-07

    This depends on what type of insurance you buy, and it is more accurate to ask the insurance salesman directly.

  6. Anonymous users2024-02-06

    You should ask Ping An Insurance Company this question, when you were like Ping An Insurance, can you do anything you asked about this question?

  7. Anonymous users2024-02-05

    1. In the event of a work-related injury, it is necessary to go to the labor department for work-related injury identification. According to the results of the work-related injury determination, the employer is required to compensate for the loss in accordance with the work-related injury regulations. If the employer does not recognize the work-related injury, it is recommended to directly apply for labor arbitration to protect its rights, and the specific compensation standard can be calculated by a lawyer.

    2. If the medical expenses in the work-related injury insurance have been paid in full, and the receipts for the medical expenses have been collected, then they cannot be reported again. Otherwise, a copy can be used to make up the difference. 3. Work-related injury compensation and medical insurance are different categories, work-related injury compensation standards, also known as work-related injury insurance treatment standards.

    It refers to the compensation items and standards that employees who are injured at work and the relatives of employees who have died at work should be entitled to in accordance with the law. If an employee of an employer suffers a work-related injury during the period of not participating in work-related injury insurance, the employer shall pay the expenses in accordance with the work-related injury insurance benefits and standards stipulated in the "Regulations on Work-related Injury Insurance". Medical insurance is a type of insurance that compensates for the medical expenses incurred by illness.

    Social insurance is a social insurance in which an employee is provided with necessary medical services or material assistance by the society or enterprise when he or she is sick, injured or gives birth. 4. Workers' compensation and medical insurance cannot be used at the same time. Otherwise, if the reimbursement is made in violation of the medical insurance measures, the social insurance administrative department shall order the return of the basic medical security ** expenditure obtained by fraud, and impose a fine of not less than two times but not more than five times the amount obtained by fraud.

    Social Insurance Law of the People's Republic of China

    Article 28.

    Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be paid from the basic medical insurance in accordance with national regulations.

    Social Insurance Law of the People's Republic of China

    Article 29.

    The part of the medical expenses of the insured persons that should be paid by the basic medical insurance base shall be directly settled by the social insurance agency and the medical institution and the drug business unit. The administrative department of social insurance and the administrative department of health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits.

  8. Anonymous users2024-02-04

    After the reimbursement of medical insurance, the reimbursement ratio of Xueping insurance is 55% for the reimbursement of yuan - 4000 yuan is reimbursed at 60% of the proportion of 70% - 7000 yuan is reimbursed at the proportion of 70% - 10000 yuan is reimbursed at the proportion of 80% - 30000 yuan, and 95% of the compensation is paid for more than 10000 yuan.

    Article 28 of the Social Insurance Law in accordance with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance **. Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance shall be directly settled by the social insurance agency and the medical institution and the drug business unit. The administrative department of social insurance and the administrative department of health and prudence shall establish a system for settling medical expenses for medical treatment in other places to facilitate the enjoyment of basic medical insurance benefits by insured persons.

  9. Anonymous users2024-02-03

    Secondary reimbursement. First of all, the medical insurance reimburses the scope of medical insurance, and the second is that Ping An Insurance reimburses the scope of Ping An insurance, and then medical insurance and Ping An insurance can be reimbursed together.

    First of allMedical insurance reimbursement is the scope of medical insuranceThe reimbursement scope of medical insurance is determined by the Social Security Administration.

    And then there'sIf you are hospitalized, you can also use Ping An Insurance to reimburse you if you have additional insuranceThe reimbursement scope of Ping An Insurance is formulated by Ping An Company.

    And againMedical insurance and Ping An insurance can be reimbursed togetherIn many cases, reimbursement can be made in order, and it only needs to be seen whether it is in the scope of reimbursement.

    Benefits of Purchasing Commercial Medical Insurance:

    1. It can be used as a supplement to medical insurance.

    2. It can increase the protection when you are sick.

    3. It can improve the confidence of the insured's life.

  10. Anonymous users2024-02-02

    Can Ping An Insurance still be reimbursed after reimbursement? Can be reimbursed, commercial insurance can be reimbursed twice, no conflict, as long as you meet the compensation standards of accident insurance, then you can be reimbursed twice, commercial insurance is not reimbursed restrictions. Medical insurance and Ping An insurance can be reimbursed at the same time, which means that you can use medical insurance to reimburse first, and then the part that cannot be reimbursed by medical insurance can be reported to Ping An Insurance Company.

    Because Ping An Insurance is a kind of commercial insurance, and commercial insurance is a supplement to social insurance.

  11. Anonymous users2024-02-01

    Summary. Hello, dear, the hospitalization medical insurance has reimbursed Ping An Insurance and has to report because of the medical insurance of Ping An Insurance!

    Hello, dear, the hospitalization medical insurance has reimbursed Ping An Insurance and has to report because of the medical insurance of Ping An Insurance!

    After the medical insurance is reimbursed, Ping An Insurance Company can also reimburse.

    1. If the policyholder has purchased both medical insurance and commercial insurance, as long as the two meet the insurance reimbursement conditions, they can be reimbursed. It is reimbursed within the scope of medical insurance first, and the rest is reimbursed by commercial insurance!

    2. The reimbursement of self-financed drugs cannot be reimbursed through the medical insurance catalog, so commercial medical insurance is required for reimbursement.

    If after the medical insurance reimbursement is completed, Ping An Commercial Insurance buys a benefit-based insurance such as critical illness insurance, then the two are complementary and do not conflict, and can be reimbursed repeatedly, as long as the agreed claim conditions are met, the claim can be claimed.

    However, according to the reimbursement of ** expenses incurred, the amount of the claim cannot be greater than the actual cost. I am Xiao Li, a gold medal co-teacher who asks questions, and I am good at enterprise management and five insurances and one housing fund, helping users identify fraudulent companies and prevent professional fraud! It's a pleasure to serve you.

  12. Anonymous users2024-01-31

    Ping An's medical insurance will only be reimbursed after your medical insurance reimbursement, even if it is more than 10,000 yuan.

  13. Anonymous users2024-01-30

    More than 10,000 are eligible for reimbursement. Less than 10,000 is not reported.

    Because the medical insurance we purchased already includes serious illness medical insurance, we can apply for a second reimbursement if the self-payment amount reaches the minimum payment line, and we can get more than 50% reimbursement, reducing the cost of personal burden. The reimbursement process is also relatively simple, and you can take this settlement document to the medical insurance department for reimbursement after reimbursement.

    In addition to the serious illness medical insurance can be reimbursed, there is also commercial medical insurance can also be reimbursed, as long as the purchase of commercial medical insurance, you can be in the basic medical insurance and serious illness medical insurance reimbursement, the remaining part of the commercial medical insurance to reimburse, because commercial medical insurance is an important supplementary insurance in the social insurance medical insurance, so after the reimbursement of the two, greatly reduce the burden of the insured, to avoid the insured because of the fear of high medical expenses dare not go to the hospital.

    In order to solve this problem, the state has added serious illness medical insurance to the New Rural Cooperative Medical Insurance, which has a strong rescue nature, and is to provide some assistance to those insured people who suffer from serious illnesses, so that their economic situation can be alleviated.

    Critical illness medical insurance is also necessary to participate in our medical insurance, as long as you have no objection, it is purchased by default and included in the medical insurance. The cost of reimbursement through basic medical insurance and serious illness medical insurance is basically not very high, and it is generally affordable.

  14. Anonymous users2024-01-29

    Is it Beijing's Xueping Insurance? I don't know if the insurance policy is in your own hands, if it is, you can go to the insurance company to make a claim, so it will not go through the school, if not, you must go through the school when you make a claim. The reimbursement of inpatient medical expenses of Xueping Insurance is reimbursed according to the graded progressive system, I don't know which company your Xueping Insurance is, you can take a look at the policy, there are reimbursement ratios on the policy, and the reimbursement ratios of most companies are:

    100 yuan deductible, 100 yuan -1000 yuan part, 50% reimbursement; 1001 yuan-5000 yuan partial reimbursement 60%; 5,001 yuan to 10,000 yuan, 70% reimbursement; 80% of the part between 10,000 yuan and 30,000 yuan will be reimbursed; 90% of the part above 30,000 yuan will be reimbursed, but the self-financed part will not be reimbursed. You can go to the claim after you are discharged from the hospital. Information required for claim:

    A copy of the medical record (when you go to the hospital, you will know what to copy when you go to the hospital for insurance claims), stamped with the hospital's seal, diagnosis certificate, and hospitalization list and invoice.

  15. Anonymous users2024-01-28

    Whether the remaining 10,000 yuan can be reported and how much can be reported depends on the type of insurance liability and deductible of the Ping An insurance you buy.

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