1. Beijing medical insurance insured personnel exclusive: only Beijing medical insurance is required to be insured. Regardless of household registration, age, occupation and health status, men, women and children have the same price: 195 yuan/year.
2.0 waiting period: the waiting period of medical insurance products we normally purchase is 30 days, and there is usually a waiting period of 90 days for major diseases, but this product has no waiting period and takes effect directly.
3. Self-reported and self-paid: a total of 3 million guarantees, comprehensive outpatient hospitalization guarantee, and medical insurance reimbursement coverage both inside and outside. Including three 654.38+00,000.
Part I: The liability in medical insurance is 654.38+0 million. Including hospitalization+outpatient out-of-pocket expenses 1+ outpatient out-of-pocket expenses 2 in the medical insurance catalogue, which is connected with the serious illness insurance in Beijing. Out-of-pocket 1: refers to the amount that individuals should bear in proportion within the scope of medical insurance (for example, the fund should pay 90% for outpatient and retirement supplementary insurance for retirees over 70 years old, and out-of-pocket 1 is 10%). Out-of-pocket 2: It refers to drugs, examination and treatment, materials and artificial organs that are included in the scope of medical insurance and need to be borne by individuals in advance, but are not covered by medical insurance.
Part II: Out-of-medical-insurance hospitalization expenses 1 10,000, including out-of-medical-insurance compliance treatment, examination expenses and outpatient hospitalization expenses of designated medical institutions.
Part III: The coverage of special drugs is 654.38+0 million. 500,000 domestic specialty drugs and 500,000 foreign specialty drugs. Special drugs cover 100 kinds of drugs, among which 25 kinds are commonly used anticancer drugs in China, and the other 75 kinds are Hainan Lecheng international drugs that have not been approved for use in Chinese mainland.
4. 100 The responsibilities of special drugs are very clear, including a variety of PD- 1: The protection of special drugs has become one of the characteristics of "Beijing Pratt & Whitney Health Insurance". The products include 100 kinds of special drugs at home and abroad, including 25 kinds of anticancer drugs and local drugs commonly used by Huimin in China, and 75 kinds of special drugs provided by Boao Lecheng International Medical Institution in Hainan Free Trade Port. Among these specific drugs, the indications are mostly cancer, covering lung cancer, gastric cancer, lymphoma, urothelial cancer, liver cancer, breast cancer, neuroblastoma and other types. The enterprises involved include foreign-funded enterprises such as GlaxoSmithKline, Bristol-Myers Squibb and Roche, and many local enterprises such as Baekje Shenzhou, Hengrui and Junshi Bio. Leukemia is also an indication covered by this drug. This * * * includes Nilotinib, Albivinekla and Berentouzumab for injection in Baekje Shenzhou, a subsidiary of Novartis, as well as overseas imported special drugs from Pfizer, Xinji, Bristol-Myers Squibb, Novartis and other companies 10.
5. Value-added service experience: provide each insured person with 5 "follow-up consultation or home care" value-added services free of charge. Customers who are hospitalized or operated after the effectiveness of Beijing Pratt & Whitney Health Insurance products can use this service from the date of application and approval. The service staff are student nurses. The time of home care service is 8:00-2 1:00 every day, not limited to working days or rest days. That is to say, from June 65438+1 October1day, 2020, customers who purchase this product can apply for follow-up visit or home care service if they are hospitalized or operated. The follow-up service for each review shall not exceed 4 hours; Each home care service lasts no more than 2 hours, and the service items can reach up to 5 of the 25 service lists. The service provider provides all consumables required for nursing care. Within 2 working days after the first on-site service is completed, you will receive electronic rehabilitation guidance, and then within 1 working days, we will contact you for 3 to 6 months of remote rehabilitation guidance service. The services provided are in line with the relevant requirements of Beijing Internet Home Care Service Project Catalogue (version 20 19).
If you have already bought it, you can consult me if you haven't figured out what the situation is. If you are not in Beijing, you can also consult me, because all provinces and cities in China have similar universal health insurance. Specific analysis of specific problems. Therefore, you should consult a professional insurance broker for professional matters, so that you can get the right one and lose it. If my answer is helpful to you, I hope you can give me a compliment.