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Local Channel >Jiangsu

The first inclusive commercial supplementary medical insurance in Jiangsu Province under the guidance and supervision of the government, "Jiangsu Yihuibao No. 1", will be launched at the end of 2021. Adhering to the principle of "inclusive and beneficial people should pay full compensation", the "quick compensation" service will be officially launched in January of the next year. At present, this function has been online for two years. According to the data released recently, 728000 people were compensated through quick compensation, accounting for 92.24% of the total compensation. The total amount of quick compensation reached 1.12 billion, accounting for 75% of the total compensation amount. The average time limit for quick compensation cases was only 2.98 days, which really brought convenience to the people.

It is reported that claims are settled by manual operation. The staff need to read all the dozens of pages of materials submitted by users and sort them out one by one according to the audit rules, which is relatively inefficient. Therefore, under the guidance of Jiangsu Provincial Medical Security Bureau, "Jiangsu Yihuibao No. 1" launched the quick compensation service. The quick compensation application only needs to fill in personal information, and does not need to upload the inpatient medical documents, greatly simplifying the claim application procedures. The insured users can apply through the "Jiangsu Yihuibao No. 1" WeChat public account.

From the perspective of compensation age, the number of quick compensation claims paid by the 0-10 age group is 6326, and the number of quick compensation claims paid by the 91-100 age group is 883, of which the number of quick compensation claims paid by the 61-70 age group is the largest, reaching 222300, with a compensation amount of 320 million. The use of quick compensation services has achieved full age coverage. From the perspective of the city where the applicant is located, Yancheng has the largest number of quick claims, up to 170000, with a compensation amount of 223 million yuan; Changzhou has the highest proportion of quick claims, accounting for 96.01% of the total local claims; The average time limit for quick compensation cases in Lianyungang is the shortest, only 1.81 days. By applying for compensation through quick compensation, 17201 people have received compensation within one minute, and the total compensation amount has reached 8.5113 million yuan, of which the shortest time for quick compensation case settlement is only 21 seconds.

In addition, from January 1, all users of "Jiangsu Yihuibao No.1" in 2024 will enjoy a 50% discount on drug purchase, graphic consultation, green access to expert clinics, early screening of major diseases and other services, regardless of whether they are ill, and will also have an AI family doctor, Kaixin Health Consultant, free of charge. Whenever and wherever family members encounter health problems, they can consult her, The user can click [Service Center] - [Health Service] on the menu bar of "Jiangsu Yihuibao No. 1" WeChat public account to view and collect your value-added rights. It is reported that at present, the number of "Jiangsu Yihuibao No. 1" insured has exceeded 4.85 million, the insurance channel is still open, which has been extended to January 31, 2024, and the guarantee period is still from January 1, 2024 to December 31, 2024. (China Daily Jiangsu Reporter Station Cang Wei)

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