1, sudden illness of the insured outside the overall planning area must be hospitalized on the spot, which belongs to emergency treatment in different places. The medical insurance agency shall be notified within 48 hours. If it is not allowed due to physical conditions, you should contact the medical insurance agency immediately after you get out of danger, and you should turn back to the overall area for treatment after your condition is stable.

2. The medical expenses incurred outside the overall planning area shall be paid in advance by the insured, and the relevant materials shall be submitted to the medical insurance agency for reimbursement after discharge. The reimbursement rate is lower than that of the overall planning area 10 percentage point.

3. After the occurrence of special disease expenses for employees living in different places, they shall go through the reimbursement procedures with the following valid materials within 6 months:

(1) outpatient expense invoice, prescription corresponding to the invoice, treatment details, original and photocopy of laboratory report;

(2)? Copy of special disease certificate of outpatient service;

(3) A copy of the ID card of myself and the agent;

(4) My bank account number.

Extended data:

Pacific Life Insurance has also made clear provisions on the time limit for preservation and handling, and implemented the national general compensation business. Moreover, it is agreed in the renewal service commitment that after the customer pays the fee successfully, the company will notify the customer by SMS at T+ 1 and send the payment statement in time according to the selected withholding payment method.

Pacific Life announced its latest service commitments, including 25 projects in 7 categories, covering all business links such as life insurance sales, underwriting, return visit, claims settlement, preservation, complaints and 95500 customer service telephone number.

Pacific Life put forward strict requirements for the salesman exhibition industry, and defined the underwriting limit and open underwriting process. And let customers know the whole process of claim settlement and accept customer supervision and evaluation; In case of major unexpected cases, start the green channel of claim settlement in time, simplify the claim settlement process, pay compensation first and honor the policy promise.

Pacific insurance-how to reimburse medical insurance for illness in different places

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