How to reimburse Wenzhou Yikangbao 180 yuan?

Under the premise of complying with the relevant policies and regulations of basic medical insurance in Zhejiang Province and Wenzhou City, the insured can directly settle the medical insurance online.

Yikangbao will officially realize one-stop credit card settlement for basic medical insurance and critical illness insurance. If the reimbursement conditions are met, the settlement information of "Wenzhou Yikangbao" will be displayed on the relevant medical documents.

If the amount of compensation for medical expenses exceeds 6,543,800 yuan (inclusive), a staff member will contact the insured to return the deductible exemption funds.

In addition, when applying for self-funded special drugs and rare diseases drugs for the first time, the insured should pay attention to the official account of "Wenzhou Yikangbao" WeChat, click on the personal center, special drug service and special drug direct payment application in turn, and upload the application materials. After the audit is completed, the insured can go to the designated pharmacy to complete the purchase of drugs.

As Huimin insurance, in addition to the content, its insurance time is also a point that needs attention. The specific rules are as follows:

1, the insurance rules are loose.

The insurance period of Wenzhou Yikangbao is 1-202654381-April 30, 20265438.

The warranty period of Wenzhou Yikangbao is 20211October1-2021February 3 1.

If the corresponding medical expenses occurred between June 5438 and 10-3 are also within the scope of claim.

As for the age, occupation and waiting period of insurance, there is no limit, and the insurance period will be entered immediately after insurance.

2, six major responsibilities, the insured amount is as high as 3.65 million.

Wenzhou Yikang Baoyi * * * six major security responsibilities, the expenses inside and outside the medical insurance catalogue can be reimbursed, and the insured amount is as high as 3.65 million.

(1) In the social security catalogue:

Among them, the medical insurance catalogue includes outpatient support for special diseases and outpatient drug support.

The maximum insured amount of outpatient service for special diseases is 6.5438+0.8 million, and the deductible after the critical illness deductible line (25.7 million) is 0, and the compensation ratio is 80%.

As for outpatient drug guarantee, the maximum insured amount is 65,438+10,000, the deductible is 25,700, and the compensation ratio is 30%. The deductible is equivalent to what we often say, and the part that exceeds the deductible can be reimbursed.

② Outside the medical insurance catalogue

For the expenses outside the medical insurance catalogue, Wenzhou Yikangbao mainly reimburses the expenses of special disease clinics, two kinds of consumables, special medicines and special medicines for rare diseases.

Among them, the outpatient expenses for special diseases and the expenses for two consumables outside the medical insurance catalogue have a maximum insured amount of 654.38+0.2 million, with a deductible of 20,000 and a payment ratio of 60%.

Two of the consumables are hemodialysis machines and blood filters.

In addition, for special drugs for special diseases, a * * * has agreed on 10. The details are as follows: it is more powerful and caring to be included in the treatment of various malignant tumors.

The maximum insured amount of this guarantee is 6,543,800+million, the deductible is 25,700, and the compensation ratio is 50%.

As for Wenzhou Yikangbao, the last item reimbursed outside the medical insurance catalogue is the special medicine for rare diseases.

The drugs covered by this quality assurance include Naxisong sodium injection for treating spinal muscular atrophy and Weimingzan for treating mucopolysaccharidosis IVA.

The maximum insured amount is 65,438+million, the deductible line is 65,438+million, and the compensation ratio is 60%.

Wenzhou Yikangbao also has the last guarantee responsibility-deductible exemption: as long as the amount of outpatient compensation for special diseases inside and outside the medical insurance catalogue exceeds 654.38+10,000 yuan, the corresponding deductible can be exempted, which is equivalent to 0 deductible for large medical expenses.

(3) Premium is not the "first choice"

The premium of Wenzhou Yikangbao is 180 yuan per person per year, with the same price for men, women and children.