Quanzhou medical insurance payment failure consultation telephone

You can call 12366 and 40000 12266 for consultation.

In order to do a solid job in the medical security of treating patients in COVID-19, to ensure that patients are not affected by expenses, to ensure that hospitals are not affected by payment policies, and to ensure that people do not increase the risk of infection because of their work, during the epidemic period, the municipal medical insurance department innovated the service model and implemented the "no meeting" model.

Non-contact processing allows tolerance processing.

Actively promote the non-contact service mode of "no meeting" in medical insurance matters, and the insured or insured unit can realize "online service" through online service platforms such as "Fujian Online Service Hall" and "Medical Insurance E Point"; Through the "civil affairs APP", WeChat and voice, service phone, email, etc. , we can realize "hand-held office", "telephone office" and "mail office". Need to print the "insurance certificate", you can apply by telephone, and the medical insurance agency will mail it to the applicant free of charge.

For insurance registration, treatment declaration, off-site medical treatment filing, outpatient special disease identification, designated medical institutions adjustment and payment base verification, personnel increase or decrease, insurance information modification and other services, online photo taking, WeChat voice (video), non-confidential materials WeChat transmission and other methods can be used in advance to reduce the risk of epidemic spread caused by personnel flow.

Suspected confirmed cases in different places can be handled specially.

In accordance with the principle of special affairs, priority should be given to the treatment of suspected and confirmed insured patients in COVID-19 who seek medical treatment in different places, so as to ensure that they can directly settle medical expenses through social security cards in time.

Unified formulation of COVID-19 suspected and diagnosed patients with medical insurance reimbursement service operating procedures, clear COVID-19 suspected and diagnosed patients with medical insurance temporary special reimbursement treatment and specific reimbursement operating procedures, to ensure that all aspects of medical insurance reimbursement are organically connected, medical insurance funds are paid in place in time, and reimbursement processing is convenient and fast.

Extend the validity period of outpatient special diseases

Relax the prescription dosage of chronic diseases such as hypertension and diabetes. During the epidemic period, patients with chronic diseases such as hypertension and diabetes were evaluated by doctors in diagnosis and treatment hospitals, and the reimbursement policy of "long prescription" was implemented to support medical institutions to reasonably increase the single prescription dose according to the actual situation of patients, and the prescription dose can be relaxed to 3 months.

Extend the validity period of outpatient special diseases. Except for two special outpatient diseases, hypertension and diabetes, which are treated as a whole in Quanzhou, the medical insurance information system will extend the validity period of special outpatient diseases to March 3, 20201for those who have applied for special outpatient diseases and whose validity period is before March 3, 2020.

Medical insurance related business "postponed"

Enterprises that cannot pay the basic medical insurance premiums and maternity insurance premiums for urban workers on time due to the epidemic can postpone payment within three months after the outbreak is lifted. After paying the basic medical insurance premium and maternity insurance premium for urban workers in full within three months after the outbreak is lifted, they can enjoy the basic medical insurance and maternity insurance benefits according to the regulations, without affecting the personal rights and interests of the insured workers.

In terms of medical insurance for urban and rural residents, in 2020, the payment time of basic medical insurance for urban and rural residents in our city will be extended to one month after the end of the epidemic, but it will not exceed June 30, 2020, and the treatment period will be 10/to February 1. If the payment period is relaxed and extended before payment, the waiting period is 60 days, and the medical expenses incurred before payment and during the waiting period shall be paid in full by the insured residents.