Health insurance problems can call 12345. 12345 health insurance special seat to provide online acceptance, online query, online appeal and other services. Among them, the health insurance policy consulting including employee health insurance, urban and rural residents health insurance, maternity insurance, major medical insurance, college students health insurance participation, payment standards and medical treatment, etc.; health insurance services, including the transfer of health insurance relationship procedures, outpatient special chronic disease reporting process, the relocation of procedures, referral to hospitals for procedures and sporadic reimbursement procedures. Not only that, the public can also call the 12345 government hotline for complaints and reports, comments and suggestions. For those who can't give an instant reply and need to further check the information and investigate the situation, the artificial customer service will be transferred to the relevant departments for acceptance and feedback.
What are the items included in the medical insurance reimbursement
The classification of medical insurance reimbursement and the items included are as follows:
1, general medical insurance. It mainly includes outpatient costs, medical costs, examination costs, and so on.
2, hospitalization insurance. It mainly covers daily hospitalization fee, cost of utilizing hospital equipment, surgery cost, medicine cost, etc.
3. Surgical insurance. Provides for all expenses incurred due to necessary surgery required by the patient.
4. Comprehensive medical insurance. Its cost coverage includes all costs of medical treatment and hospitalization and surgery, etc.
5, special disease insurance. Certain special diseases often bring the patient a catastrophic cost payment, the average resident family can hardly afford. Examples include cancer and heart disease. Provide coverage for policyholders of major diseases, can be a single, such as malignant tumors, or even malignant tumors in a certain number of cancers.
I hope the above can help you, if you have other questions please consult a professional lawyer.
Legal basis:
Article 24 of the State to establish and improve the new rural cooperative medical system.
Methods for administering the new type of rural cooperative medical care shall be prescribed by the State Council.
Article 82 Any organization or individual has the right to report or complain about violations of social insurance laws and regulations.
The administrative departments of social insurance, the administrative departments of health, social insurance agencies, social insurance premium collection agencies, and financial departments and auditing authorities shall, in accordance with the law, deal with reports and complaints that fall within the scope of their own departments and agencies; if they do not fall within the scope of their own departments and agencies, they shall notify in writing and hand them over to the department or agency authorized to deal with them. Authorized departments and agencies should be dealt with in a timely manner, without prevarication.
Article 83 If an employer or an individual believes that the behavior of a social insurance premium collection agency infringes on his or her lawful rights and interests, he or she may apply for administrative reconsideration or bring an administrative lawsuit in accordance with the law.
An employer or an individual may, in accordance with law, apply for an administrative reconsideration or bring an administrative lawsuit against the acts of a social insurance agency that fails to handle the registration of social insurance, approve the social insurance premiums, pay the social insurance benefits, carry out the procedures for the transfer and continuation of the social insurance, or infringes upon the other rights and interests of the social insurance.
If an individual has a social insurance dispute with his or her employer, he or she may apply for mediation or arbitration or file a lawsuit in accordance with the law. If the employer violates the social insurance rights and interests of an individual, the individual may also request the social insurance administrative department or social insurance premium collection agency to deal with the matter in accordance with the law.