Fill in the medical insurance drug catalog, diagnosis and treatment items (medical consumables) catalog and scope of medical service facilities.
Only expenses within the scope of the three catalogs can be reimbursed, and expenses that are not within the scope of the catalog cannot be reimbursed.
Among them, the "Drug Catalog" is divided into two categories: A and B. Category A expenses are all included in the reimbursement scope, and category B expenses are included in the reimbursement scope after deducting the out-of-pocket proportion.
The medical insurance pooling fund calculates the starting point for compensating the insured’s medical expenses within the scope of the policy. The medical insurance pooling fund will not pay for medical expenses below this starting point.
Medical service facilities that are not reimbursable: such as ambulance fares, hospital escort fees, cleaning fees and cultural and entertainment activities fees, etc. cannot be reimbursed.
Quite simple.
Work Confirmation Form: (Format is as follows) Employee: XXX Project Completion Status: Completed.
Time to assist the department: Starting from X, month
Query information on the "three items" of medical insurance (including basic medical insurance drug catalog, diagnosis and treatment item catalog, and medical service facility standards).
In the "Three Eyes of Medical Insurance" function interface, you can query the "Three Eyes" information content related to urban vocational medical care, urban and rural medical care, maternity, work-related injury insurance and other conditions based on the selected insurance type, three-eye care category and other conditions.
Trinocular matching work confirmation form, medical insurance designated medical institution docking statistics table, designated medical institution medical security information business coding mapping and coding table, designated retail pharmacy security information business coding mapping and coding table filling method, medical insurance drugs-western medicine, Chinese patent medicine
, medical insurance drugs - traditional Chinese medicine pieces, medical consumables, and medical service items are quickly matched in batches.
Applicable to Xiangzhou, Zaoyang, Yicheng, Nanzhang, Gucheng, Baokang, Laohekou, Xiangcheng, Fancheng, High-tech Zone, and Dongjin.
Medical insurance drug catalog, diagnosis and treatment items (medical consumables) catalog and scope of medical service facilities.
Only expenses within the scope of the three catalogs can be reimbursed, and expenses that are not within the scope of the catalog cannot be reimbursed.
Among them, the "Drug Catalog" is divided into two categories: A and B. Category A expenses are all included in the reimbursement scope, and category B expenses are included in the reimbursement scope after deducting the out-of-pocket proportion.
The medical insurance pooling fund calculates the starting point for compensating the insured’s medical expenses within the scope of the policy. The medical insurance pooling fund will not pay for medical expenses below this starting point.
Extended information: Notes: Plan premium expenses according to your financial ability and family situation, and do not affect your normal life because of insurance.
As for the amount of protection, we cannot blindly think that more is better. In addition to the actual paying ability of the family, we must also measure the actual medical expenses of the insured diseases.
It is important to clarify the scope of liability of the insurance type. Only if an insured accident occurs within the scope of liability, the insurance company will fulfill its obligation to pay compensation.
Otherwise, not only will it fail to provide the proper protection, it may also cause unnecessary economic losses and claims disputes.