Job Recruitment Website - Social security inquiry - I have all the information I need to apply for medical insurance card reimbursement at school, but the school also said that I want "Ge Fen bill" (I don't know what it is).
I have all the information I need to apply for medical insurance card reimbursement at school, but the school also said that I want "Ge Fen bill" (I don't know what it is).
What do you mean?
Let me give you a simple example:
You have social security at school and bought commercial insurance at home from an insurance company. When you get sick, you go to social security for reimbursement first (social security is definitely not 100% reimbursement, for example, he reimbursed 70% and the remaining 30% was not reimbursed. When the social security reimbursement is finished, he will give you a list, which will indicate which ones can be reimbursed and which ones can't. This list is called a split list. When you go to the insurance company to reimburse the remaining 30%, the insurance company will ask you to provide a split list.
In addition, regarding the reimbursement of commercial insurance and social security, to put it simply, the reimbursement of medical expenses for all insurances, whether social security or commercial insurance, cannot exceed your total medical expenses. This is the so-called unprofitable principle. Simply put, just because you go to the hospital, you can't not only spend money, but also make money ... (Of course, this is limited to reimbursement insurance. )
There is also a kind of insurance with the nature of payment, which is not limited by the principle of no profit. For example, critical illness insurance of a commercial insurance company. Let's give a simple example. For example, if you sign a contract with an insurance company, you pay the insurance premium to the insurance company. The contract stipulates that if you have cancer, the insurance company will pay you 10W. This kind of insurance is of the nature of payment. The insurance company doesn't care how much money you spend on treatment, nor does it care whether the money he compensates you is used for treatment.
As for the procedure for handling claims, you need to consult the responsible department where you apply for reimbursement. Generally speaking, it is essential to read everything, such as all documents of hospitalization, hospital diagnosis certificate, hospital payment documents, copy of personal ID card, copy of personal passbook or bank card, and so on.
Generally, the order of reimbursement is to go to the social security department first, and then the rest to commercial insurance. Social security generally requires the original, and the insurance company recognizes the split sheet and copy issued by the social security department.
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