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400-010-5000

醫療保險直付業務

Medical Insurance Direct Billing Service
保險常見問題 Insurance FAQ

1.我不知道我的保險是否能在北京東區兒童醫院做直付(直接結算)?
I’m not sure if my insurance is the Direct Billing list of Beijing Children’s Hospital East Branch?


您可以在東區兒童醫院官網查詢直付保險目錄,如果上面沒有查詢到您的保險公司,還可以在就診前先聯系我們客服人員再次確認。
You can check the Direct Billing insurance list on our Corporate Websites. If you do not find your insurer in the list you can contact our staff for confirmation.

2.我的保險在東區沒有簽訂直付協議,怎么辦?
If my insurance in not in the list,what should i do?


您需要自己先付費,然后請您自行聯系保險公司遞交相關材料做理賠。我們客服人員會給您出具正式的賬單和發票。
We recommend you pay ahead and then claim.Our staff will provide you with the official bill and invoice for your claim to your own insurer.

3.就診時我是否需要攜帶保險卡和身份證?
Is it necessary to take my insurance card and ID card/passport?


是的。因為不同保險公司的理賠要求條款不一樣,所以某些保險公司只要求客戶就診時出具保險卡就足夠;但有些保險公司要求客戶必須向醫院同時提供保險卡和買保險時使用的身份證明(身份證或戶口本或護照)。若要了解自己的保險在就診時需要攜帶的證件,可先咨詢我們工作人員。
Yes.As different companies have different rules,some insurance companies require the clients provide the insurance card only,but some require both the insurance card and ID card/passport(the ID card or the passport should be the one you used for the purchase of the insurance).You can also consult our staff before your visit

4.我的保險與東區兒童醫院有直付協議,是否還需要直付其他費用?
When my insurance supports the Direct Billing,is there any extra charges?


根據您保單內容,您需要在就診日結清自付部分(包括,但不限于保險年度免賠額、共同支付部分、不受保之項目、既往的保險理賠拒付部分)。
According to your guarantee slip,you need to pay for the self-pay portion(including but not limited to annual deductibles,co-payment,non-payable items and any costs that has been denied by our insurance company).
※建議您在入院就診前向保險公司查詢保障范圍。
We suggest that you prior to consult your insurance company about your benefits before your appointment.

5.我有保險,如何辦理住院手續?
How to handle the hospitalized procedure when I have the insurance?


需要攜帶以下文件到前臺辦理入院手續:
A.保險卡
B.有效身份證
C.醫生開具的入院證
D.完整填寫保險理賠材料
E.按照規定,在醫院未收到保險公司出具的費用擔保函(GOP)之前,需向醫院預先支付押金
A.present your insurance card to our staff
B.present your ID card to our staff
C.get the Admission form from your doctor
D.fill out the claim form
E.according to the rules,a certain amount of deposit is required before your insurance company provides the GOP
※我們客服人員會聯系您的保險公司,索要住院擔保函。然后,在您辦理出院時,根據您的擔保函內容,退還押金。
Our staff will contact your insurance company for the COP and we will return your deposit when you check out of hospital.

6.如果保險工資在我出院前,仍未出具住院擔保函,怎么辦?
What should I do if there is no GOP when I am about to check out of the hospital?


您需要在出院前支付全部費用,我們會提供賬單和發票,以便您向保險公司索賠。You will be required to pay all outstanding amounts before discharge.We will then provide the official bill and invoice for your claim to your insurer.

7.我想咨詢購買保險,怎么辦?
What can I do if I want to buy insurance?


您可以致電醫院商保中心,我們的電話是:
You can contact our insurance department for consultation.Our contact info is as follows: 010-52009999-6512 / 010-52009999-6111
郵箱是:BCHEinsurance@163.com

北京東區兒童醫院可以向下列保險公司的客戶提供直接結算服務
Beijing Children’s Hospital East Branch can settle accounts immediately for the customers from the following commercialInsurance Accepted:

以上為部分保險公司目錄,詳情請您電話垂詢。
Some insurance companies are above,details please telephone counsel

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