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首都儿童健康管家
会员中心
Member Center

医疗保险直付业务

Medical Insurance Direct Billing Service
保险常见问题 Insurance FAQ

1.我不知道我的保险是否能在北京东区儿童医院做直付(直接结算)?
I’m not sure if my insurance is the Direct Billing list of Beijing Children’s Hospital East Branch?
您可以在东区儿童医院官网查询直付保险目录,如果上面没有查询到您的保险公司,还可以在就诊前先联系我们客服人员再次确认。
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.我的保险在东区没有签订直付协议,怎么办?
If my insurance in not in the list,what should i do?
您需要自己先付费,然后请您自行联系保险公司递交相关材料做理赔。我们客服人员会给您出具正式的账单和发票。
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.就诊时我是否需要携带保险卡和身份证?
Is it necessary to take my insurance card and ID card/passport?
是的。因为不同保险公司的理赔要求条款不一样,所以某些保险公司只要求客户就诊时出具保险卡就足够;但有些保险公司要求客户必须向医院同时提供保险卡和买保险时使用的身份证明(身份证或户口本或护照)。若要了解自己的保险在就诊时需要携带的证件,可先咨询我们工作人员。
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.我的保险与东区儿童医院有直付协议,是否还需要直付其他费用?
When my insurance supports the Direct Billing,is there any extra charges?
根据您保单内容,您需要在就诊日结清自付部分(包括,但不限于保险年度免赔额、共同支付部分、不受保之项目、既往的保险理赔拒付部分)。
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).
※建议您在入院就诊前向保险公司查询保障范围。
We suggest that you prior to consult your insurance company about your benefits before your appointment.
5.我有保险,如何办理住院手续?
How to handle the hospitalized procedure when I have the insurance?
需要携带以下文件到前台办理入院手续:
A.保险卡
B.有效身份证
C.医生开具的入院证
D.完整填写保险理赔材料
E.按照规定,在医院未收到保险公司出具的费用担保函(GOP)之前,需向医院预先支付押金
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
※我们客服人员会联系您的保险公司,索要住院担保函。然后,在您办理出院时,根据您的担保函内容,退还押金。
Our staff will contact your insurance company for the COP and we will return your deposit when you check out of hospital.
6.如果保险工资在我出院前,仍未出具住院担保函,怎么办?
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费用,我们会提供账单和发票,以便您向保险公司索赔。
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.我想咨询购买保险,怎么办?
What can I do if I want to buy insurance?
您可以致电医院商保中心,
我们的电话是010-52009999-6512 / 010-52009999-6111
邮箱是:BCHEinsurance@163.com
You can contact our insurance department for consultation.Our contact info is as follows:
TEL:010-52009999-6512 / 010-52009999-6111
Email:BCHEinsurance@163.com
北京东区儿童医院可以向下列保险公司的客户提供直接结算服务

Beijing Children’s Hospital East Branch can settle accounts immediately for the customers from the following commercialInsurance Accepted:

以上为部分保险公司目录,详情请您电话垂询。
Some insurance companies are above,details please telephone counsel

百名儿童医院特级专家亲诊
Hundreds of children specialists diagnosis in person
5A级诊疗服务与住院环境
5A level diagnose service and hospitalization environment
60家高端商业医疗保险直付保障
60 high-end commercial medical insurance guarantee
便捷、贴心、个性化的会员专享增值服务
Convenient,careful personalized,value-added service for members insurance companies are above,details please telephone counsel