1. Liability one major medical insurance supplemental medical insurance, liability two out-of-pocket expenses protection claims: has occurred, the medical insurance has been settled reimbursement of the cost of a one-time transfer of claims to the participant's designated bank account, do not need to apply for a separate claims procedures;
has occurred without the reimbursement of the cost of the medical insurance in the counties (cities, districts) government center (medical insurance center) window medical insurance reimbursement claims at the same time, without the need to apply for secondary procedures. district) government center (health insurance center) window health insurance reimbursement at the same time, without the need for secondary procedures;
In addition, since August 1, 2021, "Jiaxing Worry-free Disease" has been directly docked with the health insurance system, in the settlement of health insurance costs at the same time to realize "Jiaxing Jiaxing Worry-free Disease" one-stop settlement at the time of settlement of medical insurance fees, without the need to handle claims procedures;
2. 22 kinds of special medicines and 3 kinds of rare disease medicines to implement the medication filing and management system, the medication filing application can be in the county (city, district) government affairs center (medical insurance center) service window for claims procedures.
Jiaxing Worry-free Disease Insurance is a customized commercial supplemental medical insurance developed specifically for basic medical insurance participants in Jiaxing City (including the city, Haining City, Tongxiang City, Pinghu City, Jiashan County and Haiyan County), which is guided by governmental departments throughout the entire process, with a unified premium amount, scope of coverage and standard of treatment, and is seamlessly integrated with the basic medical insurance.
The Jiaxing Worries About Major Diseases program has the following features:
The government directly guides the design and pricing of the product, which is the only one in the city with the same premiums;
There is no age limit;
There is no restriction on the history of previous illnesses;
You can use the personal accounts of your medical insurance to purchase it;
This program focuses on covering major illnesses and serious illnesses, and is designed for the people who need it. >Re-insurance for major illnesses and serious illnesses.
Anyone who is insured by the basic medical insurance of Jiaxing City (including the city, Haining City, Tongxiang City, Pinghu City, Jiashan County, and Haiyan County) can participate in Jiaxing Worry-free Major Diseases without any restriction on gender, age, health status, occupation, etc.
Jiaxing Worry-free Major Diseases is a comprehensive medical insurance plan for the whole city.
The insurance period of Jiaxing Worry-free Disease is one year, and the premiums are paid on a yearly basis, and the premium for 2021 is 100 yuan per person.
Jiaxing Dalian Worry-free" after the treatment of protection
Major medical insurance supplemental medical insurance. The remaining out-of-pocket expenses after basic medical insurance, major disease insurance and other kinds of subsidies can enjoy reimbursement treatment;
Out-of-pocket expenses guarantee. Reimbursement of out-of-pocket expenses incurred for inpatient or outpatient expenses for specified diseases in accordance with the basic medical insurance norms and in accordance with the Jiaxing basic medical insurance payment scope, which are first borne by individuals; reimbursement of out-of-pocket expenses for specified over-limit materials for inpatient medical care in designated medical institutions; reimbursement of specified out-of-pocket drug expenses incurred for chronic disease treatment in designated medical institutions;
Specific drug cost coverage. reimbursement treatment for 22 kinds of high-value drugs and 3 kinds of special drugs for rare diseases;
Additionally six value-added services can be enjoyed.