"Rizhao Warm Heart Insurance" reimbursement is more convenient

Recently, the reimbursement procedures and reimbursement processes of "Rizhao Warm Basement" have been simplified and optimized. In the future, reimbursement is more convenient. The specific reimbursement process question and answer.

Medical reimbursement process within Rizhao City:

"Rizhao Warm Heart Insurance" implements a one -stop compensation within the scope of Rizhao City. The insurer does not need to report the case or provide reimbursement information. The cities in the municipal medical institution that meet the reimbursement of the "Rizhao Warm Innovation" reimbursement and settlement.

Reimbursement procedures for medical treatment for non -networking hospitals and non -network hospitals:

"Rizhao Warm Heart Insurance" implements a one -stop fast compensation for medical treatment at a different place and non -connected hospitals. The insurer does not need to report the case or provide reimbursement materials (except for ID cards, bank accounts). When the insured is discharged from the hospital, the basic medical insurance reimbursement is completed according to the medical insurance policy. The medical insurance system and insurance companies do system docking. For the system that meets the reimbursement conditions of the "Rizhao Heart Insurance" reimbursement, the insured person will be pushed to the insurance company. The insurance company contacts the insured to provide ID cards and bank accounts for reimbursement Payment.

Special medicine reimbursement process:

Pay attention to the WeChat public account of "Rizhao Warm Heart Insurance", click "Special Pharmaceutical Business" for the "Personal Center" menu bar, divided into "special medicine direct payment application" (note: For the preparation of medicine but not purchased, support the application of insurance product responsibility Expenses for high -excessive purchases within the scope) and "application for reimbursement for special medicines" (Note: For the high amount of excess purchase of self -fee drug expenses for the application of insurance products within the scope of insurance product liability) Essence

Domestic drug purchase direct payment process: The insured applies for direct payment online, and after approval of the rational review of the "Specific Drug Catalog", the service commissioner will contact the insured to choose the method of receiving the medicine. Here is a medicine in Rizhao City).

Specific high -amount drug expenses post reimbursement process: The insured person submits relevant materials through online reimbursement application entrances. After the online review is passed, the original invoice paper is mailing to the health of the magnesium. Receive reimbursement.

What reimbursement materials are needed for "Rizhao Warm Basement"?

Reimbursement Materials:

There is no need to provide reimbursement materials in the local medical treatment of Rizhao. The following reimbursement materials need to be provided for medical treatment at the Internet of Rizhao and non -connected hospitals:

Copy of the insured ID card; the insured's bank account (card number, account opening, mobile phone number).

"Specific High Drug costs" "Specific Drug Costs for Some Rare Diseases" Reimbursement Materials:

Insurance applicants, insured person's identity certificate; insured or beneficiary bank account; list of pharmaceutical expenses and receipts or invoices issued by pharmaceutical institutions; prescriptions for specialists; pathological diagnosis reports (provided only when applying for reimbursement only); hospitalization medical records /Summary of discharge (homepage of hospitalization medical records, records of admission, discharge summary, video examination report, etc.); immunohistochemistry/gene test report. (Reported by Li Shan, a reporter from Rizhao Newspaper)

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