保险直付是指客户持有保险机构有效的高端医疗健康保险卡,在合作医疗机构接受诊疗服务后,保险保障责任范国内的医疗费用由保险机构和医疗机构进行直接结算,客户无需现场支付。
Direct billing refers to the process whereby a medical provider bills an insurance company directly for services within the scope of coverage rendered to a policyholder possessing a valid insurance card, and no payment is required from the policyholder.
直付服务是高端医疗健康险的核心服务之一,保险公司与医疗机构签订合作协议,客户在合作的医疗机构看病不需要支付保险福利内的费用(如果保险计划有自付额除外),保险公司会直接和医疗机构结算,无需客户再向保险公司提交理赔申请和相关资料。
Direct Billing is one of the core services of high-end medical insurance. Patients who receive outpatient treatment do not have to pay for medical expenses (except for any deductible) and wait for a refund. Instead, the insurance company and medical institution will settle the bills directly.
部分保险公司的客户需在接受治疗前提供保险公司担保函。
Guarantee of payment is required before treatment for the insurance providers below.
确认福利:客户提前确认保险计划直付范围
Benifit confirmation: please make sure you medical insurance coverage and direct billing service before the appointment.
预约:和祐健康公众号/400热线/保险公司
Appointment: Heyou We-chat official account or 400 hotline or your insurance company
门诊直付
Out-patient Direct Billing Service.
保障范围内费用免直付,签字即离院
No copay for benefit coverage, just signature for discharged.
证件准备
Documentation:
初诊携带:身份证件+有效期内保险卡或电子凭证
Initial visit: ID card and valid insurance card or electronic certificate
住院无忧
In-patient Service
2-3个工作日预授权担保,免押金入院
Pre-authorization within 2-3 days, no deposit
结算:医院与保险公司直接结算
Check-out: payment is processed direct billing between the hospital and your insurance company, which with your signature.
You need to bring your ID card or passport, as well as your insurance card, with you when you come for medical treatment.