Job Recruitment Website - Social security inquiry - What are the specific procedures for introducing the claims of micro-medical insurance in 2020?
What are the specific procedures for introducing the claims of micro-medical insurance in 2020?
Case introduction of micro-medical insurance 2020 claim settlement
Premise of insurance: Mr. Wang is 22 years old. After graduating from college, he went to the first-tier cities to work hard. He is under great pressure at work and has an irregular diet. Therefore, Mr. Wang decided to take out a medical insurance, so that if he is unfortunately hospitalized, he can effectively transfer the economic burden and will not bring pressure to his family. After comparing and evaluating various insurance products, he finally chose micro-medical insurance 2020. What kind of medical insurance are there? Which is worth buying? Look at the hottest 10 insurance of insurance companies this year: the latest in 2020! Top ten insurance companies' hot medical insurance list
Danger information: After half a year's physical examination, Mr. Wang found shadows in the lungs in the hospital and was finally diagnosed as lung adenocarcinoma. Mr. Wang was hospitalized for 9 times, with a total cost of 788,077.53 yuan. I just sorted out the relevant contents about buying insurance physical examination, hoping to help you: Ten points for attention in buying insurance physical examination!
Claim: Mr. Wang's family applied to the insurance company to report the case. Except 798,825,438+0 yuan reimbursed by social security and 305 yuan paid by himself, the remaining 700,000 yuan is reimbursed by the insurance company at 100%.
At that time, Mr. Wang was insured for one year, and the premium was 2 16 yuan. After the insurance, he paid more than 700,000 yuan, effectively shifting the economic burden. Later, Mr. Wang renewed his insurance normally to ensure his health.
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Small medical insurance 2020 claims process
1, accident report
When the insured is in danger, the beneficiary should call the police in time, because the cause and nature of the insured accident cannot be confirmed due to the beneficiary's reasons, and the insurance company will not make claims for the undiagnosed part.
2. Submission of materials
After reporting the case, you need to download the claim application materials, fill in the claim application form, prepare the relevant materials needed for the critical illness insurance money and submit them to the insurance company, mainly by mail to the company or by yourself in the business center. After receiving the claim materials, the insurance company will conduct a preliminary review. If the materials are incomplete, the plenary session will notify the beneficiaries to supplement the relevant materials at one time.
3. Audit calculation
After receiving the claim materials from the beneficiary, the insurance company will conduct an audit, and after the audit is passed, the amount of the claim will be approved. The insurance company will inform the beneficiary of the result, and the beneficiary can raise any objection. If there is no objection, the two sides will reach an agreement.
Step 4 pay compensation
Both parties have no objection to the claim, and the insurance company will pay the claim within the date stipulated in the insurance contract, remit the amount of the claim to the bank account designated by the beneficiary, and the settlement case will be closed.
Bao Ge Tip: According to the micro-medical insurance 2020 claims case, the claims process of insurance products includes accident reporting, submission of materials, review and calculation, and compensation payment. When you apply for a claim, you should prepare all the important documents and materials, so that you can get the claim money smoothly and pass on the economic burden.
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