Job Recruitment Website - Social security inquiry - After social security reimbursement, can the rest be reimbursed by commercial insurance?
After social security reimbursement, can the rest be reimbursed by commercial insurance?
The rest after reimbursement of cooperative medical care can be reimbursed according to the reimbursement ratio stipulated in the commercial insurance policy you purchased. There are many restrictions on reimbursement of cooperative medical care. Only part of the amount can be reimbursed after hospitalization, and the rest cannot be reimbursed to the insurance company. Commercial insurance can reimburse more self-funded drugs and special treatment costs. There are serious illness insurance in commercial insurance, all of which are paid directly. Once a major disease occurs, hundreds of thousands of compensation will be paid at the beginning. If you are disabled and accidentally insured for hundreds of thousands, you will pay according to the level of disability. Social security or cooperative medical care and commercial insurance are complementary. Legal basis: Article 16 of People's Republic of China (PRC) Insurance Law? When concluding an insurance contract, if the insurer makes an inquiry about the subject matter insured or the insured, the applicant shall truthfully inform him. If the applicant fails to fulfill the obligation of truthful disclosure stipulated in the preceding paragraph intentionally or due to gross negligence, which is enough to affect the insurer's decision to agree to underwrite or increase the premium rate, the insurer has the right to terminate the contract. If the right to terminate the contract stipulated in the preceding paragraph is not exercised for more than 30 days from the date when the insurer knows the reason for termination, it shall be extinguished. If more than two years have passed since the establishment of the contract, the insurer shall not terminate the contract, and the insurer shall be liable for compensation or payment of insurance benefits in case of an insured accident. If the applicant intentionally fails to fulfill the obligation of telling the truth, the insurer shall not be liable for compensation or payment of insurance premium for the insured accident that occurred before the termination of the contract, nor shall it refund the insurance premium. If the insured fails to fulfill the obligation of telling the truth due to gross negligence, which has a serious impact on the occurrence of the insured accident, the insurer shall not be liable for compensation or payment of insurance benefits for the insured accident that occurred before the termination of the contract, but shall refund the insurance premium. When concluding a contract, if the insurer knows what the applicant has not told truthfully, the insurer shall not terminate the contract, causing an insured accident, and the insurer shall be liable for compensation or payment of insurance benefits. An insured accident refers to an accident within the scope of insurance liability stipulated in the insurance contract.
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