How to claim for health insurance in South Taihu Lake?

For the insured who has taken out the health insurance of South Taihu Lake and has taken effect, after the accident, they can directly call the insurance company to apply for compensation. After consulting the claim information and other matters, the insured can bring his ID card and other relevant information to the offline outlets of the insurance company to handle the claim business.

First, there are two views on the health of South Taihu Lake.

1. One-stop solution. During the insurance period, the medical expenses incurred by the insured within the scope of health insurance in South Taihu Lake. After the payment period ends, a commercial insurance company and the medical insurance bureau conduct one-stop settlement through the medical settlement data of the medical insurance information system.

2 sporadic reimbursement settlement. If the medical expenses incurred by the insured during the insurance period do not meet the requirements of one-stop settlement, then piecemeal reimbursement can be adopted. Bring relevant materials to designated outlets to set up special windows for handling.

Two, Huzhou City, South Taihu Lake health insurance and basic medical insurance, serious illness insurance, medical assistance and other one-stop real-time settlement, the insured need not advance.

Under special circumstances, if there is no real-time settlement or medical treatment outside the city, you can provide relevant information to Huzhou Medical Insurance Center for manual reimbursement. Generally speaking, manual reimbursement needs to bring these materials: general information: claim application, ID card, bank card; Medical expenses: inpatient medical records, invoices for medical expenses and detailed list of hospitalization expenses; Specific drugs: hospital medical records, medical record diagnosis reports, immunohistochemical/genetic test reports, drug prescriptions, drug invoices, and drug expenses.

Third, but if it is the following three groups of people, you can consider buying a health insurance for South Taihu Lake.

1, old

Most commercial medical insurance in the market requires age when insured, and it is difficult to buy suitable products over 60 years old. The health insurance of South Taihu Lake is not limited to age, and even 90 years old can be insured.

Step 2 be unhealthy

Health insurance in South Taihu Lake does not require physical examination, and you can buy it even if you are sick. Reasonable expenses arising from past illness can also be reported. If you buy millions of medical insurance, you can choose South Taihu Health Insurance as supplementary protection, because some diseases cannot be purchased or excluded.

3, high-risk occupation

General commercial medical insurance has strict restrictions on occupations, and many products do not guarantee high-risk occupations. However, health insurance in South Taihu Lake is not limited to occupations, and even high-risk groups can buy it.