Health Buddha Medical Insurance is an upgraded version of Ping An Buddha Medical Insurance, which completely continues the previous participation standards and has been revolutionized in many aspects, giving the insured better and more solid protection.
The upgrade of Health Buddha Medical Insurance compared with Ping An Buddha Medical Insurance is as follows:
1. Medical treatment in different places is newly included in reimbursement. When the insured person goes to a designated medical institution outside the city for medical treatment, the personal burden within the scope of the medical insurance catalogue/the personal self-funded compliance medical expenses outside the scope of the catalogue will not be reimbursed, and 30% will be included in the scope of reimbursement. There is no need to refer to the record, and the Huimin regulations are more optimized than the basic medical insurance, avoiding the disadvantages of being unable to reimburse due to the opinions of the original hospital or other objective reasons.
2. Enrich the content of treatment guarantee. The disposable materials were increased from 90% to 100% and all of them were included in the reimbursement scope; All medical materials whose dialysis medical materials are adjusted from 300 yuan (inclusive) to unit price 100% are all included in the reimbursement scope; The items of diagnosis and treatment of traditional Chinese medicine and ethnic medicine were increased from 70% to 100%, and the reimbursement limit was expanded from100 million yuan to100 million yuan. Guarantee the treatment from the best to the best, encourage Chinese medicine programs to provide people with multi-directional choices, and optimize the sense of medical security experience and acquisition.
3. Ultra-high salary has been improved. The proportion of partial reimbursement of the insured's accumulated compliance medical expenses of 250,000-500,000 yuan in the medical insurance catalogue after basic medical insurance, serious illness insurance and commercial insurance compensation has been increased from 90% to 100%. From the original full coverage line of more than 500,000 yuan to 250,000 yuan, it provides the insured with the hope of seeking medical treatment.
To sum up, Health Buddha Medical Insurance is an upgraded version of Ping An Buddha Medical Insurance, so Health Buddha Medical Insurance is different from Ping An Buddha Medical Insurance.
Legal basis:
Article 28 of People's Republic of China (PRC) Social Insurance Law
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.