The People's Health Care insurance provided a wide range of coverage, including general medical care, light and moderate medical care, and serious medical care. For general medical treatment, the highest amount of hospitalization expenses could be claimed was 2 million yuan. There were 60 types of medical treatment for mild and moderate illnesses, and the highest amount of reimbursement was 2 million yuan. Medical insurance for 120 serious diseases, with a maximum reimbursement of 4 million yuan, including heavy ion medical treatment, 100% reimbursement. In addition, the People's Health Care Plan also provided other guarantees, such as the fees for various examinations before and after hospitalization, special medicine insurance, and hospitalization allowance for serious diseases. People's Health insurance was suitable for a wide range of people, from 28 days old babies to 60 years old adults. In general, PICU was a product with a high level of protection.
There were many types of medical insurance to choose from. These included the legal infectious disease insurance (vaccine version) agreed by Anyibao, which was designed to dispel people's concerns about injecting the new crown vaccine, as well as 12 other legal vaccine. There was also the "Sui Sui Ankang" cancer medical insurance, which provided higher insurance for cancer patients, ensuring that they could receive effective treatment and not fall into trouble because of the high cost of treatment. In addition, there was also the "Everyone's Health and Welfare Million Dollar Medical Plan (Personal Version)", which had a wide range of coverage, including general diseases and malignant tumors. In addition, PICU Health also launched a series of insurance products, including Good Health Care·Long-term Medical Care (6 years), Good Health Care·Long-term Medical Care (20 years), and Good Health Care·Lifetime Cancer Protection Medical Care. These insurance products had already alleviated the financial pressure brought about by illness for millions of families. In general, PICU's medical insurance products were rich and varied, and they could meet the needs of different groups of people.
The rate of the People's Health Protection Medical insurance was as follows: At age 0, if you choose basic responsibility, the premium is 503 yuan a year; if you choose basic responsibility + special medicine, the premium is 388 yuan a year. At the age of 15, the premium was 196 yuan a year for basic responsibility, and 152 yuan a year for basic responsibility and special medicine. At the age of 20, the premium was 239 yuan a year if he chose basic responsibility, and 184 yuan a year if he chose basic responsibility + special medicine. At the age of 30, the premium was 298 yuan a year if he chose basic responsibility, and 226 yuan a year if he chose basic responsibility + special medicine. At the age of 50, if you choose basic responsibility, the premium is 1558 yuan a year. If you choose basic responsibility + special medicine, the premium is 1115 yuan a year. The cost of additional insurance for specific major illnesses was only about 20 yuan for most age groups, and the lowest cost was 13 yuan, which could get 100,000 yuan. The additional allowance was even cheaper. The minimum allowance was only 6 yuan, and he could enjoy a hospitalization allowance of 200 yuan per day. In addition, the insurance was guaranteed to be renewed for 20 years at an affordable and stable price.
There were different opinions on the medical insurance reimbursement of rabies vaccine. According to the information in [1] and [5], rabies vaccine can be compensated within the scope of medical insurance, but the amount of reimbursement may be limited. For patients with dog injuries who participated in medical insurance and met the conditions for enjoying basic medical insurance benefits, the standard of medical service facilities and the medical expenses for emergency and rescue were paid by the overall fund according to the standard limit of no more than 200 yuan per person. However, according to the information in [2] and [3], rabies vaccine was a self-funded project, and medical insurance cards could not reimburse it. The cost of rabies vaccine was generally between 200-500 yuan, or even higher. Therefore, the specific medical insurance reimbursement situation may vary by region and policy. Based on the information provided, there was no clear answer.
One horror story is when a patient had a life - saving treatment approved by their doctor, but the medical insurance company kept delaying the payment. The hospital threatened to stop the treatment due to non - payment, leaving the patient and their family in a desperate situation.
Taiping's Guardian Angel insurance was a refundable type of serious illness insurance for children. It was only available for children aged 0-15 years old. It was guaranteed for 30 years and would return 1.2 times the premium paid at the end of the period. The insurance only covered 58 serious diseases and did not cover minor diseases. The disease protection was relatively insufficient. Due to the refund mechanism, the premium was higher. Overall, this product was not very competitive. If they pursued cost-performance ratio, they could consider consumer-type children's serious illness insurance, which was suitable for most ordinary families.
The full name of Jin Medical insurance was PICU Life Care E-Growth Period Medical insurance (rate could be adjusted)(exclusive to the Internet).
There were a few novels about health care negotiations that were recommended to male readers. One of them was " The City's Strongest Fairy Doctor ". The male and female protagonists were Yong Qin and Ruyan Liu. The other was " Opening the Health Care Negotiations, Saving the Country Hundreds of Billions!" The male lead was Bai Zhe. These novels were all written by the little tyrant of Hedong. These novels mainly described the protagonist's experiences and challenges in the medical insurance negotiations. The plots of these novels were fascinating and highly recommended for male readers who liked the subject of health care negotiations.
The cost of a newborn's birth could be covered. According to the regulations of the National Health Protection Bureau, within 90 days after the birth of the newborn, the guardian could register for insurance and pay the premium according to the relevant regulations. After that, the medical expenses incurred during the birth of the newborn could be included in the scope of medical insurance reimbursement. In addition, according to the regulations of different regions, some necessary information, such as birth certificates, household registration books, etc., were required to apply for newborn medical insurance. Therefore, if parents applied for newborn health insurance within the stipulated time, they could reimburse the medical expenses incurred when the newborn was born. " Rebirth " was originally written by " Fei Ke's Banquet." The novel was also very exciting. If you want to understand the plot in advance, quickly click on the book link below to read it!
Delays in processing claims can also be a nightmare. Patients may be waiting for weeks or months for the insurance company to decide whether to pay or not, while they are already facing high medical bills and the need for further treatment.
The medical insurance catalog referred to the specific contents of drugs, treatment items, and medical services that should be included in the fund payment as stipulated in the medical insurance system. The purpose of the medical insurance catalog was to control medical expenses and ensure that patients received reasonable medical services. At the same time, it also needed to ensure the reasonable use of funds. The categories in the medical insurance catalog varied according to the country and region. They usually included drugs, treatment items, medical services, and other categories. For example, China's medical insurance catalog mainly included a list of drugs, a list of medical treatment items, and a list of medical service facilities. It should be noted that the contents of the medical insurance catalog were not static. Instead, they were adjusted and updated according to the medical insurance policy, medical technology, and drug development. Therefore, patients needed to pay close attention to changes in medical insurance policies and use them according to relevant regulations when using medical insurance services.