On December 17, the author learned from the "Jieyang Citizen Insurance" project team that the application of Jieyang Exclusive Inclusive Commercial Supplementary Medical Insurance "Jieyang Citizen Insurance" will end on December 25. As of the 17th, the number of people insured by "Jieyang Citizen Insurance" in 2021 has exceeded 300,000.
The "Jieyang Citizen Insurance" project was first launched in November 2020, which closely links the basic social medical insurance of Jieyang City, realizes the fourth guarantee in the triple guarantee of basic medical insurance, major illness insurance and medical assistance, effectively solves the practical problems of the people such as "expensive medical treatment and difficulty in buying medicine", and greatly enhances the people's sense of gain.
According to the "Jieyang Citizen Insurance" project team, among the insured who have been paid at present, in terms of gender, men account for 51% and women account for 49%; in all age groups, 40-65 years old have become a frequent claim group, accounting for nearly 57%, 66 years old and over 45% of the claims, among the insured who have received compensation, the youngest is 3 months, and the oldest is 96 years old.
In terms of claim limitation period, the fastest claim limitation period is 1.13 hours, and the average claim limitation period is 1.33 days; in terms of claim amount, the current maximum amount of compensation for a single case is 71,600 yuan.
In 2021, "Jieyang Citizen Insurance" continued the characteristics of benefiting the people with low threshold and high guarantee, and optimized and upgraded the product: first, it included serious pre-existing symptoms and the scope of protection was wider; second, it lowered the threshold from 20,000 yuan to 14,000 yuan to further expand the beneficiary population; third, in the upgraded version of the plan, the cost of self-paid drugs and self-paid testing and inspection costs for the first time without pre-existing diseases was included in the scope of claims.
In addition, jieyang citizen insurance in 2021 offers two protection options, including a basic payment of 66 yuan for the annual premium and an upgrade payment of 99 yuan. All basic medical insurance participants in Jieyang City (including urban workers, urban and rural residents' medical insurance, and new rural cooperatives) can participate in the insurance, without household registration, age, occupation, health status restrictions, and there is no waiting period and no physical examination requirements.
In response to the recent reimbursement claims that the public is more concerned about, such as "Is there a limit on the number of times the claim is paid?" "Can an accident be claimed?" "Can I pay for medical treatment in a different place?" Etc., the "Jieyang Citizen Protection" project team also made relevant replies.
1. Is there a limit to the number of claims?
Nothing. During the coverage period, expenses that meet the 2021 Jieyang Citizen Insurance coverage can be claimed multiple times, without limiting the number of times, until the individual insurance liability reaches the maximum amount of compensation.
2. Can accidents be reimbursed?
The insured person may apply for a claim for reasonable and necessary medical expenses incurred as a result of accidental injury (non-third-party liability) resulting from hospitalization, which reaches the deductible.
3. Can I pay for medical treatment in a different place?
Yes, in 2021, "Jieyang Citizen Insurance" supports medical treatment in different places, and those who have applied for medical insurance in different places for medical treatment, seek medical treatment in the designated hospital of social medical insurance outside Jieyang City, and settle through the basic medical insurance of Jieyang City, they can apply for compensation normally.
"According to the actual case, some citizens have been insured by 66 yuan of Jieyang citizens to pay 71,600 yuan." The relevant person in charge of the Jieyang Civil Security Project Group said. In May this year, Mr. Lin, a citizen of Jieyang, was hospitalized with chest tightness, chest pain and breathing difficulties, and the doctor diagnosed 7 diseases such as acute toxic pneumonia.
According to reports, Mr. Lin spent a total of 215,300 yuan on medical expenses during his hospitalization, 103,500 yuan in partial reimbursement for medical insurance, and 111,800 yuan for individuals. As Mr. Lin participated in the 2020 "Jieyang Citizen Insurance", he received a compensation amount of 71,600 yuan from the "Jieyang Citizen Insurance" in just 3 days, and 40,200 yuan was personally borne.
The public is reminded that the 2021 "Jieyang Citizens' Insurance" insurance channel will be closed at 24:00 on December 25, 2021, and once it is missed this year, it will not be possible to make up the payment. Citizens who have not yet been insured can participate in insurance through the officially designated insurance platform "Jieyang Citizen Insurance" WeChat public account.
Coverage period: 26 December 2021 to 25 December 2022, the coverage period is one year.
Scan the code to participate in the "Jieyang Citizen Insurance"
Related reports: low premiums, wide coverage, high protection! In 2021, the "Jieyang Citizen Protection" will be upgraded and launched
[Reporter] Tang Chusheng Zhang Bingchun
[Correspondent] Wang Meiyu
【Author】 Tang Chusheng; Zhang Bingchun
【Source】 Southern Press Media Group South + client
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