How does Qilu Bao settle claims?

(1) Qilu Bao's product is divided into two aspects: "online claims" and "offline claims": operating environment:

Brand model: iPhone 13

System version: iOS 15.0

App version: 8.0. 16

1, online claim: Pay attention to the official account of "Shandong Medical Insurance Great Health" WeChat, and enter "Qilu Bao-Claim Center" to make claims;

2. Offline claims: mail the claims data to the insurance company's claims service outlets for claims settlement. Offline outlets are located on the 20th floor of Xiangtai Square/Building 1kloc-0/29, Hero Mountain Road, downtown Jinan.

(2) Qilu Bao applied for direct payment of new special drugs.

1, application method

Online application: pay attention to and log in to the official WeChat account, Shandong Medical Insurance Great Health WeChat, enter Qilu Insurance-New Special Medicine Service, and upload the application materials according to the prompts.

2. Get the purchased drugs.

After the rationality of this product for some high-priced drugs is approved, the service specialist will call the insured to confirm the way and time of receiving and purchasing drugs, as follows:

(1) Pick up the goods at the store.

If the insured chooses to go to the designated pharmacy to collect the purchased drugs by himself, the service specialist will contact the insured by telephone to confirm the collection address and send the drug purchase certificate. Insured persons need to bring prescriptions, purchase vouchers and other related materials to Jinan medical insurance designated pharmacies for collection. After confirming that the materials are complete and correct, the insured only needs to pay the drug expenses that need to be borne by the individual.

(2) Apply for home delivery of drugs

If the insured chooses to deliver the medicine to the door, the service specialist will contact the insured by telephone to confirm the relevant information of delivering the medicine to the door and send the medicine purchase voucher. The insured needs to submit relevant materials when receiving the medicine. After confirming that the materials are complete and correct, the insured only needs to pay the medicine fee that needs to be borne by the individual.

Extended data:

1. Qilu Bao is an inclusive supplementary medical insurance, which mainly covers the medical expenses of chronic diseases in inpatient and outpatient departments and the expenses of new special drugs. There is no waiting period and further reimbursement can be made on the basis of medical insurance reimbursement. Qilu newspaper supports insuring family members. If the insured is your immediate family members, that is, spouse, parents and children, you can directly handle the payment business and buy Qilu Bao for them. You can insure up to 6 people at a time, and more than 6 people need to place orders in batches. If you want to insure your grandparents, brothers and sisters, you can ask your parents to buy them.

2. Qilu Insurance is a universal supplementary medical insurance product. Insured before 65438+February 3, 20201,and the policy will take effect on June 5438+0, 2026, with no waiting period. Protective measures are as follows:

1. Medical expenses for chronic diseases in inpatient and outpatient departments within the scope of medical insurance shall be deducted by social security settlement, and the rest shall be reimbursed by 80%. If the remaining personal payment for medical insurance still exceeds 80,000, the second reimbursement will be 100%, with a limit of 1.5 million;

2. 15 expenses of new special drugs outside medical insurance, covering small cell lung cancer, gastric cancer, liver cancer, breast cancer, chronic myeloid leukemia, etc. 0 yuan is free of compensation, with 80% reimbursement, with a limit of 1 10,000.