Is there a second reimbursement for cancer medical insurance?

There is a second reimbursement for cancer medical insurance.

1, instant settlement: the insured person goes to the designated hospital for medical treatment, and the hospital advances the compensation fund for serious illness insurance, which will be reimbursed automatically when leaving the hospital;

2. Settlement after discharge: patients bring relevant materials to the settlement department for review, and those who meet the requirements can get compensation.

Medical insurance reimbursement process:

1, patients in designated medical institutions, show their medical insurance cards for registration;

2, medical institutions according to the patient's condition to issue diagnosis and treatment items and medical insurance statements;

3. The medical insurance center calculates the reimbursement amount according to the policy and directly transfers it to the account of the medical institution;

4. After the patient pays part of the expenses borne by the individual, the reimbursement process is completed.

5. If you have additional supplementary medical insurance or commercial insurance, you can apply for a second reimbursement at the designated place with relevant documents.

6. After the second reimbursement is approved, the compensation amount will be transferred to the patient's designated account.

To sum up, the second reimbursement of the new rural cooperative medical system provides two ways for cancer patients: immediate settlement and post-discharge settlement. Through the audit process of the first payment and settlement department in the designated hospital, it is necessary to submit compensation settlement forms, identity documents, expense forms, discharge settlement forms, illness certificates, bank account numbers and other materials to reduce the financial burden of patients.

Legal basis:

Regulations of People's Republic of China (PRC) Municipality on Basic Medical Insurance for Urban Workers

Article 4

The basic medical insurance premium is shared by both the employer and the employee.

Measures of insurance companies for the administration of serious illness insurance for urban and rural residents

second

The term "serious illness insurance" as mentioned in these Measures is the expansion and extension of the basic medical security system, and it is an institutional arrangement to further protect seriously ill patients from high medical expenses.

Article 30

Insurance companies shall, in accordance with the management requirements of "two lines of revenue and expenditure", in principle, open independent income accounts and payment accounts for serious illness insurance business in the head office or provincial branches, unless otherwise required by local governments. Funds should be allocated and used in strict accordance with the purpose and type of the account, and should not be used for other purposes than serious illness insurance business. The business income account is used for the collection related to the serious illness insurance business, including premium income, co-insurance business collection, loss subsidy, etc. , as well as the bank settlement fee, confirmation fee and account management fee of the account. The payment account is used for payment items other than the operation and management expenses of critical illness insurance, including payment fees, payment of co-insurance business, bank settlement fees, confirmation fees and account management fees.

People's Republic of China (PRC) social insurance law

Article 25

The state establishes and improves the basic medical insurance system for urban residents. The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.