The scope of reimbursement includes: medical expenses within the scope of medical insurance. During the guarantee period, the medical expenses incurred by the insured due to illness in designated medical institutions, and the medical expenses in medical insurance coverage stipulated by social medical insurance in Sichuan or Chengdu can be reimbursed after medical insurance reimbursement. Specific high drug cost guarantee. Huirongbao's insurance coverage can be reimbursed up to one million yuan, with an annual deductible of 20,000 yuan and 75% reimbursement.
What materials are needed for reimbursement of medical expenses?
The reimbursement must bring the following information: 1. 2 originals of ID card or social security card. Original disease diagnosis certificate issued by experts from designated medical institutions 3. Original medical information such as outpatient medical records, examination, test results report, etc. 5. The original receipt of outpatient charges of medical institutions with unified finance and taxation. Six copies of the detailed list of outpatient expenses printed by the hospital computer or the original doctor's prescription. Designated pharmacy: 7 copies of the original invoice and the sales list of taxable goods printed by computer. If it is an agent, you need to provide the original ID card of the agent.
I hope the above content can help you. Please consult a professional lawyer if you have any other questions.
Legal basis: People's Republic of China (PRC) Insurance Law.
Article 131 If the applicant, the insured or the beneficiary commits any of the following acts and commits insurance fraud, which constitutes a crime, he shall be investigated for criminal responsibility according to law;
(1) The applicant intentionally fabricates the subject matter of insurance to defraud the insurance money;
(two) there is no insurance accident, falsely claiming that there is an insurance accident and defrauding the insurance money;
(3) Deliberately causing an insurance accident that causes property losses and defrauding insurance money;
(4) Deliberately causing personal insurance accidents such as death, disability and illness of the insured, and defrauding insurance money;
(5) Forging or altering certificates, materials and other evidence related to the insured accident, or instigating, instigating or bribing others to provide false certificates, materials or other evidence, fabricating false reasons for the accident or exaggerating the degree of loss to defraud insurance money. Whoever commits one of the acts listed in the preceding paragraph, if the circumstances are minor and do not constitute a crime, shall be given administrative punishment in accordance with the relevant provisions of the state. In judicial practice, the specific punishment of the crime of insurance fraud should be determined by the judicial organs in combination with the actual situation, especially the determination of different criminal facts should be decided by the public security organs after investigation and evidence collection. If the specific circumstances meet the applicable conditions of probation, it may be sentenced to probation and investigated for legal responsibility.