Legal analysis
After purchasing medical insurance, anyone who is ill and hospitalized can get compensation, but it is not. If there is a product agreement, the company will not be responsible for the hospitalization expenses of the insured in the designated hospital due to accidental injury or illness within 60 days after the contract comes into effect (except for renewal). This means that during the waiting period when the contract comes into effect, the insured cannot get compensation even if he is hospitalized due to illness. In addition, it should be noted that consumers have purchased several medical insurance policies from different insurance companies, but they can't get all the policies after they get out of danger. This is because medical insurance, as a kind of compensation insurance, should refer to the principle of compensation once claims are settled, that is, the insurance premium cannot exceed the actual medical expenses of the insured. Because the premium of health insurance is compensatory, in order to prevent the insured from making profits due to illness or disability, an excess insurance clause can be stipulated in the contract, that is, for excess insurance, the insurer can reduce the insurance amount, but return the premium part of the excess insurance. The conversion clause allows the group insured to buy personal medical insurance after leaving the group, but it does not provide protection. However, the insured may not use this to carry out double insurance. When group health insurance is converted into individual health insurance, the insured usually has to pay higher premiums and there are more restrictions on the payment of insurance money.
legal ground
Article 83 of the Basic Medical Care and Health Promotion Law of People's Republic of China (PRC), the state establishes a multi-level medical security system with basic medical insurance as the main body, supplemented by commercial health insurance, medical assistance, mutual medical care for employees and medical charity services. The state encourages the development of commercial health insurance to meet the diverse health protection needs of the people. The state improves the medical assistance system to ensure that eligible people in need get basic medical services.
Article 95 of the Insurance Law of People's Republic of China (PRC): (1) Personal insurance business, including life insurance, health insurance, accident insurance and other insurance businesses; (2) Property insurance business, including property loss insurance, liability insurance, credit insurance, guarantee insurance and other insurance businesses; (3) Other insurance-related businesses approved by the the State Council Insurance Regulatory Authority. An insurer may not concurrently engage in life insurance business and property insurance business. However, insurance companies engaged in property insurance business may engage in short-term health insurance business and accidental injury insurance business with the approval of the State Council Insurance Regulatory Authority. An insurance company shall engage in insurance business activities within the business scope approved by the the State Council Insurance Regulatory Authority according to law.