Detailed explanation of reimbursement scope of Longjiang Huimin insurance

The reimbursement scope of Longjiang Huimin Insurance is detailed as follows:

Pratt & Whitney 99 yuan/person/year enjoys a maximum of 3 million medical insurance, four major security responsibilities, including hospitalization expenses in the medical insurance catalogue, with the insured amount of 6.5438+0.000 yuan, the annual cumulative deductible of 6.5438+0.2 million yuan, and the reimbursement ratio of 70%; The hospitalization expenses outside the medical insurance catalogue, the insured amount is 6.5438+0 million yuan, the annual cumulative deductible is 22,000 yuan, and the reimbursement ratio is 50%; 34 kinds of domestic specific medical devices, the insured amount is 800 thousand yuan, and 6 kinds of rare diseases, the insured amount is 200 thousand yuan. For the two security responsibilities, the cumulative deductible is 22,000 yuan, and the reimbursement ratio is 70%. Pratt & Whitney agreed that the proportion of reimbursement for previous diseases was 25%, which was in line with the above-mentioned guarantee responsibility.

The upgraded version is 150 yuan/person/year, with six security responsibilities, including hospitalization expenses in the medical insurance catalogue, the insured amount is 1 10,000 yuan, the annual cumulative deductible is10.2 million yuan, and the reimbursement ratio is 90%; The hospitalization expenses outside the medical insurance catalogue, the insured amount is 6.5438+0 million yuan, the annual cumulative deductible is 22,000 yuan, and the reimbursement ratio is 70%; 34 kinds of domestic specific medical devices and 26 kinds of overseas specific drugs, the insured amount is 800,000 yuan, and the annual cumulative deductible is 6.5438+0.2 million yuan; 6 kinds of special drugs for rare diseases, with the insured amount of 200,000 yuan and the annual cumulative deductible of 1.2 million yuan; CAR-T treatment drug guarantee, the insured amount is 6,543.8+0,000 yuan, the annual cumulative deductible is 6,543.8+0.2 million yuan, and the reimbursement ratio is 654.38+0.000%. In the upgraded version, the proportion of reimbursement for previous diseases that meet the above guarantee responsibilities is 35%.

Common reasons for failure of social security deduction:

1, the account balance is insufficient;

2. Account problem. It involves bank account freezing, restriction, abnormality, incomplete information, excessive amount, false name, inconsistent verification, etc. If you encounter account problems, you can contact the bank directly to solve them;

3. No agreement was signed. Just sign in time.

Information and process required for handling social insurance:

Information:

1, materials to be submitted for new enrollment:

Personal information registration form, copy of ID card should be front, copied in the middle of A4 paper, copy of household registration book should be home page and personal page, and 2 one-inch color photos.

2. The company needs to provide:

Social insurance registration form, on-the-job personnel change registration form, on-the-job personnel basic information registration form, copy of industrial and commercial business license (or approval document), copy of local tax registration certificate, copy of organization code certificate, and copy of recent salary registration form of insured units.

The process of handling social security is as follows:

1. Select the participation base standard, fill in the social insurance personal information registration form, and submit the front and back copies of personal ID cards;

2. Sign an agreement for archivists to pay social insurance, and check the social insurance personal information registration form.

Legal basis: Article 16 of the Social Insurance Law of People's Republic of China (PRC).

Individuals who participate in the basic old-age insurance will receive the basic old-age pension on a monthly basis if they have paid a total of fifteen years when they reach the statutory retirement age.