How to reimburse 39 yuan for Shenzhen critical illness insurance?

If you are hospitalized in the designated medical institutions of Shenzhen medical insurance and the networked medical institutions in different places, you can swipe the Shenzhen social security card to keep accounts and settle the fees payable for critical illness insurance in one stop. The insured does not need to apply for claims separately.

Reimbursement method

Shenzhen critical illness insurance coverage

First, hospitalization reimbursement

(A) "one-stop" settlement

If you are hospitalized in the designated medical institutions of Shenzhen medical insurance and the networked medical institutions in different places, you can swipe the Shenzhen social security card to keep accounts and settle the fees payable for critical illness insurance in one stop. The insured does not need to apply for claims separately.

Under special circumstances, such as hospitalization in a non-telemedicine platform hospital and the need for the insured to pay the medical expenses in full, the insured will first complete the reimbursement of Shenzhen social medical insurance, and if the self-paid part of the reimbursement reaches the standard of critical illness insurance, the payable expenses of critical illness insurance will be settled in one stop, and the insured does not need to apply for compensation separately.

Second, drug reimbursement.

(1) Register the use of drugs in the drug list.

1. Fill in the Application Form for Supplementary Medical Insurance for Serious and Extraordinary Diseases in Shenzhen: A specialist with special drug prescription qualification will judge the condition and assist in filling it out.

2. Go to the critical illness insurance window of each branch of Shenzhen Medical Insurance Bureau and submit the following materials:

(1) Application Form: Shenzhen Supplementary Medical Insurance Drug Application Form (original received);

(2) Identity certificate: ID card and social security card of the insured; If the insured is a minor, the guardian's ID card (original inspection) shall be provided; If you entrust others to act as agents, you need to submit the power of attorney and the agent's ID card (original inspection);

(3) Medical records: outpatient medical records or discharge summary (original inspection);

(4) Inspection report: If the registered drug involves advanced malignant tumor, tumor metastasis, gene mutation, gene overexpression, etc. There must be corresponding examination reports (such as imaging report, pathological report, endocrine ER report, gene detection report, immunofixation electrophoresis and bone marrow plasma cell examination report, etc.). ) (original inspection);

3. Complete the registration review within 3 working days after acceptance.