1. Insurance policy.
2. Applicant's legal identification.
3. The settlement certificate of hospitalization medical expenses, diagnostic certificate and medical records and other relevant information issued by a hospital of the second class or above (including the second class) or other medical institutions recognized by the insurance company.
4. Settlement vouchers of hospitalization medical expenses that have been compensated or paid by local public medical care, social medical insurance or other means.
5. If an agent applies for the insurance benefit on behalf of the insured person, he/she should also provide a power of attorney, legal identification of the agent and other documents.
6. Other certificates and information required by the insurance company that the applicant can provide to confirm the nature and cause of the insurance accident.
With the total cost list, it is not necessary to have the daily cost list.
The treatment items for which the basic medical insurance for employees does not cover the costs are mainly those that are not clinically necessary, the effect of which is uncertain, as well as those for special medical services, including service items such as registration fees and non-disease treatment items such as cosmetic treatments.
Therapeutic equipment and medical materials such as hearing aids, therapeutic programs such as magnetic therapy and other categories such as infertility treatment.
In accordance with the "National Basic Medical Insurance Diagnostic and Treatment Program Scope", as follows:
(a) Service category.
(1) registration fee, out-of-hospital consultation fee, medical record cost, etc.
(2) visit fee, expedited fee for examination and treatment, surcharge for named surgery, quality and premium fee, self-invited special nurses and other special medical services.
(2) Non-disease treatment programs:
(1) various cosmetic, fitness programs and non-functional cosmetic and orthopedic surgeries;
(2) various weight-loss, weight-gaining, and height-gaining programs;
(3) various health checkups;
(4) various preventive and health care programs;
(5) various medical consultations and medical appraisals. medical consultation, medical appraisal.
Peace of mind medical insurance reimbursement procedures
Peace of mind medical insurance reimbursement procedures, in general, include the policy, the patient's ID card, hospitalization medical expense settlement vouchers, as well as diagnostic certificates and medical records and other relevant information. If an agent is helping to apply for the insurance benefits for them, we also need to provide the appropriate power of attorney and the agent's ID card and other relevant documents.
Peace of mind medical insurance reimbursement considerations
Peace of mind medical insurance reimbursement considerations are mainly the following two points, first of all, the patient needs to go to the medical insurance recognized medical institutions for treatment, if it is the company does not recognize the medical institutions, will not be able to reimbursement. Secondly, you need to have all the paperwork in order to get reimbursed, otherwise the insurance company is likely to refuse to pay.