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After the medical insurance reimbursement, you can also be reimbursed by insurance, because commercial insurance is part of the medical insurance, and the rest is commercial insurance, and the insurance can be reimbursed, so we don't have to be afraid, we must look at the terms of our insurance company, is it commercial insurance or what insurance class? After most insurance companies reimburse more than 10,000 yuan, and then the insurance company reimburses it very reasonably and reasonably.
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Yes, as long as the insurance reimbursement conditions are met, it can be reimbursed.
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It depends on whether the insurance you buy has this function, some insurance is reimbursed by medical insurance, and others that cannot be reimbursed are reimbursed by insurance, please read your insurance contract clearly.
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The insurance company can also reimburse after the medical insurance reimbursement.
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. Generally, it is reimbursed within the scope of medical insurance first, and the rest is reimbursed by commercial insurance, and for the reimbursement ratio of the two, if it is reimbursed through medical insurance, the remaining commercial insurance part can usually be reimbursed 80%, but if it is not reimbursed by medical insurance, it may only be reimbursed 60%.
2. If there is no reimbursement by medical insurance, the insurance company may only be reimbursed by 60%-80% if it is directly reimbursed by medical insurance.
3. The reimbursement of self-financed drugs cannot be reimbursed through the medical insurance catalog, so commercial medical insurance is required to run the reimbursement.
If after the medical insurance reimbursement is completed, the commercial insurance buys a benefit-type 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 obtained. However, according to the reimbursement of ** expenses incurred, the amount of the claim cannot be greater than the actual cost.
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Legal Analysis: Yes. If you have purchased medical insurance and commercial medical insurance at the same time, you can only use medical insurance to reimburse the first expense, and the remaining part will be reimbursed by commercial medical insurance.
Legal basis: "Social Insurance Law of the People's Republic of China" Article 30 The following medical expenses are not included in the scope of payment of basic medical insurance**: (1) should be paid from work-related injury insurance** (2) should be borne by a third party (3) should be borne by public health (4) medical treatment abroad.
Medical expenses shall be borne by the third party in accordance with the law, and if the third party does not pay or the third party cannot be determined, the basic medical insurance shall pay in advance. After the basic medical insurance** is paid in advance, it has the right to recover from a third party.
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1. Those who have paid their own expenses can generally be reimbursed by medical insurance, and can only reimburse the expenses within the scope of medical insurance.
2. After paying the cash in advance and keeping the relevant documents and information, you only need to bring your ID card, medical insurance card, hospital emergency medical records, inspection and laboratory reports, invoices, medical expenses list and other materials to go through the relevant reimbursement procedures.
How to go to medical insurance reimbursement at your own expense.
1. Prepare relevant expense vouchers. When patients seek medical treatment at their own expense, they should inform the hospital that they have a medical insurance card; When you are discharged from the hospital, you should take away the medical fee bills, examination sheets, and medical records;
2. Apply for reimbursement at the local medical insurance center. Applicants for medical insurance reimbursement should bring their medical insurance cards, medical expense bills, examination forms, and medical records to the local medical insurance center to apply for reimbursement.
How long does it take for medical insurance reimbursement to arrive.
1. Medical insurance reimbursement will generally arrive within 30 working days, and the arrival time of commercial insurance will be faster.
2. Medical insurance can generally be directly discharged from the hospital online, unless it is a remote medical insurance, which needs to be reimbursed, in fact, it is very convenient, and there is no need to wait for a reimbursement to arrive.
Legal basisArticle 28 of the Social Insurance Law of the People's Republic of China.
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.
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Summary. If it is reimbursement insurance, such as medical insurance, then medical insurance and commercial medical insurance can be reimbursed at the same time, but they cannot be reimbursed repeatedly. That is to say, after the insured has reimbursed the relevant medical expenses with medical insurance, commercial medical insurance can only reimburse the medical expenses that have not been reimbursed by medical insurance, and cannot reimburse the medical expenses that have been reimbursed by medical insurance, and the sum of medical insurance and commercial medical insurance cannot exceed the actual medical expenses incurred by the insured.
Can I still apply for medical insurance after insurance reimbursement?
Dear, hello according to your question to make the following: dear, after the medical insurance reimbursement is reimbursed, it can also be reimbursed by insurance. It depends on the actual situation.
If it is a fixed-amount benefit insurance, such as critical illness insurance, then as long as you meet the reimbursement conditions of medical insurance and the claim conditions of critical illness insurance, you can be reimbursed and claimed at the same time. <>
If it is a reimbursement insurance, such as medical insurance, then medical insurance and commercial medical insurance can be reimbursed at the same time, but they cannot be reimbursed repeatedly. That is to say, after the insured has reimbursed the relevant medical expenses with medical insurance, commercial medical insurance can only reimburse the medical expenses that have not been reimbursed by medical insurance, and cannot reimburse the medical expenses that have been reimbursed by medical insurance, and the combined amount of medical insurance and commercial medical insurance cannot exceed the actual medical expenses incurred by the insured. <>
This one broke his hand at school.
Dear, your case belongs to the second type. Reimbursement can be made at the same time, but reimbursement cannot be repeated.
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Summary. Hello, dear, I am very happy to answer for you. The insurance company can still reimburse after the medical insurance reimbursement, but it cannot be reimbursed repeatedly.
Okay, thank you!
Hello, dear, I am very happy to answer for you. The insurance company can still reimburse after the medical insurance reimbursement, but it cannot be reimbursed repeatedly.
Related information: Medical insurance and commercial insurance are two different protection systems, with their own independent reimbursement rules and standards. Medical insurance is a social security system provided by the former state, which aims to provide medical protection for the insured.
Commercial insurance, on the other hand, is an insurance product provided by an insurance company that covers a variety of risks and coverage.
You tell me the details, and I'll analyze it for you! <>
Lawyer Jin, can I be reimbursed for the accident insurance of my single policy?
The Bu Liangyun held by you is a separate external insurance for the slag, and under normal circumstances, you can be reimbursed twice. However, the specific reimbursement situation needs to be determined according to the insurance product you have purchased and the specific terms of the insurance contract.
When making a second reimbursement, you need to provide the insurance company with complete medical records and records, including medical certificates, invoices, prescriptions, examination reports and other relevant materials. At the same time, it is also necessary to apply for a claim in accordance with the provisions of the insurance contract and the requirements of the insurance company.
Yes, you can.
Can you show me your specific policy terms or policy contract, let me help you analyze it in all aspects.
Yes, dear. There is no insurance policy. It is the factory that everyone pays for insurance.
Can you explain the specific detailed terms of the pro.
Hello! I don't have any terms and policies.
There is a medical insurance card issued in the factory, which can be reported under normal circumstances.
After the medical insurance has been reimbursed, the insurance company can reimburse the remaining expenses. However, there are also some insurance plans that do not provide excess compensation services, and you need to apply for insurance reimbursement when medical expenses are incurred.
Medical insurance reimbursement first: After you complete the medical treatment, get the medical expense invoice and reimbursement voucher, and go to the local social security agency for expense reimbursement. 2.
Insurance reimbursement: Submit the medical expense invoices and reimbursement vouchers that have been reimbursed by the fighting hall, as well as the insurance contract, insurance certificate and other relevant documents to the insurance company to apply for excess compensation services. 3.
After approval, the insurance company will pay you the excess amount.
You tell me the details, and I'll analyze it for you! <>
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Hello, dear, this side of the leak for you to inquire about the medical insurance reimbursement is still reimbursed. China's laws stipulate that commercial insurance can be introduced on the basis of basic medical insurance for urban and rural residents and the New Rural Cooperative Medical System, and the part of the personal burden after medical insurance reimbursement will be reimbursed twice, and the proportion of secondary reimbursement will not be less than 50% under normal circumstances. Legal basis
Article 28 of the Social Insurance Law of the People's Republic of China conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and emergency and rescue medical expenses, in accordance with national regulations from the basic medical insurance **. Article 29 The part of the medical expenses that should be paid by the basic medical insurance shall be settled directly 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.
Article 32 If an individual is employed across the overall planning area, his basic medical insurance relationship shall be transferred with him/herself, and the payment period shall be calculated cumulatively. Paragraph let rotten.
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Medical insurance is not a reimbursement after the medical insurance is completed, but the part that can be reimbursed by the medical insurance is not reimbursed, and the specific reimbursement scope and proportion are subject to the terms and conditions of the medical insurance.
Medical insurance and medical insurance are both expense compensation types, not fixed payment type insurance, and the total amount of expenses reimbursed by them cannot exceed the insured's ** cost, and cannot be superimposed.
In other words, medical insurance is a supplement to medical insurance, so that the insured can enjoy more comprehensive protection.
Medical insurance reimbursement can only be reimbursed if it exceeds the threshold payment. That is to say, after deducting the individual's out-of-pocket expenses first, the remaining amount can be reimbursed only if it is above the threshold line. There is a cap on medical insurance reimbursement, and the part that exceeds the cap line cannot be reimbursed. >>>More
Cancer Medicare can cover it. In addition, some outpatient clinics** for cancer will be included in the management of special diseases, and there is a separate reimbursement policy. However, if you use imported drugs and other self-financed drugs for cancer, you cannot be reimbursed because self-financed drugs are not covered by reimbursement.
Introduction: Medicare.
It can be reimbursed, and it is also closely related to our lives, but many people do not know about the reimbursement costs and reimbursement methods of medical insurance, so let's talk to you about how medical insurance is reimbursed. The expenses that can be reimbursed by medical insurance mainly include the cost of drugs, diagnosis and treatment items and service facilities, and the cost of medical drugs is mainly two kinds of class A and class B. The cost of the diagnosis and treatment project is hemodialysis. >>>More
No, the cost of medicine required for gastroscopy is covered by medical insurance, and the anesthetic part required for gastroscopy is a self-paid item, which can be reimbursed within 500 yuan. Gastroscopy is generally not covered by medical insurance, so this is at your own expense, and you can be partially reimbursed for taking a prescription to a township health center to get medicine after the examination. >>>More
The reimbursement scope of medical insurance refers to the scope of reimbursement of drug catalogs, diagnosis and treatment items and medical service facilities in order to ensure the basic medical needs of the insured and standardize the management of drugs, diagnosis and treatment and other aspects of basic medical insurance. The medical expenses incurred by the insured in the designated hospital in accordance with the three major catalogs shall be paid by the medical insurance** in accordance with the regulations. >>>More