The threshold of "Boaikang" is low, and there is no restriction on health status/occupation/age. As long as the insured of Zhongshan basic medical insurance is in the insured state, they can buy it. Other health insurance on the market has relatively strict restrictions on physical condition/occupation/age.

The unification of "Boaikang" will take effect from 0: 00 on June 65438+1 October1day, that is, it will take effect as soon as it is bought, and there is no waiting period. All medical expenses within the scope of protection during the protection period can be settled. Other health insurance on the market generally has a waiting period ranging from 30 days to 180 days, and claims will not be paid during the waiting period.

First, the urban medical insurance reimbursement materials need to be submitted.

1, diagnosis certificate;

2. Original invoice;

3. Copy of medical record (seal);

4. Detailed list of expenses;

5, transfer approval form or did not apply for residence (transfer) hospital examination and approval procedures to verify the table.

Second, the social medical insurance reimbursement process

1. Go through the reimbursement application procedures and submit the relevant application materials required for reimbursement. The place where the materials are submitted is the Medical Insurance Section of the Social Security Branch of the Social Security Fund Administration where the insured person is located.

2. Wait for material review. After receiving the applicant's application for reimbursement, the accepting department of the Administration will check the application materials provided by the applicant within 5 days from the date of receiving the materials.

3. The reimbursement application is completed. If the verification process is correct, the application is successful. Applicants can be reimbursed after receiving the reimbursement form of social medical insurance medical expenses.

Legal basis: Article 2 of the Social Insurance Law of People's Republic of China (PRC) The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance, etc., to guarantee citizens' right to receive material assistance from the state and society in case of old age, illness, industrial injury, unemployment and maternity.