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阜阳**普惠险“惠皖保”发布,腾讯微保携手国元保险打造精准扶贫与乡村振兴新创举

2020-11-03 网络 网络

11月3日,在中共中央、国务院《关于深化医疗保障制度改革的意见》下,由阜阳银保监分局、阜阳市地方金融监管局、阜阳市卫生健康委、阜阳市医疗保障局监督指导,腾讯微保作为独家合作平台,国元农业保险股份有限公

11月3日,在中共中央、国务院《关于深化医疗保障制度改革的意见》下,由阜阳银保监分局、阜阳市地方金融监管局、阜阳市卫生健康委、阜阳市医疗保障局监督指导,腾讯微保作为独家合作平台,国元农业保险股份有限公司(下称“国元保险”)承保的普惠型补充医疗保险“惠皖保·阜阳”正式发布。

在“安徽省阜阳市建立‘乡村振兴·普惠助农’保障模式暨‘惠皖保·阜阳’上线发布仪式”上,阜阳市政府副市长王显义,国元保险党委书记蔡皖伶,腾讯微保副总裁尚教研,阜阳市委副秘书长、市扶贫开发局局长史莉,阜阳银保监分局副局长王超,阜阳市地方金融监管局副局长涂洪飞,阜阳市医疗保障局副局长沈军,阜阳市卫生健康委副主任都凤仁等领导出席。王显义副市长作为市委代表现场发表讲话并购买了全市第一单“惠皖保·阜阳”普惠险。

“惠皖保·阜阳”有效衔接了医保,居民每年最低仅需59元,即可获得最高200万元保障。即日起,凡阜阳市城镇职工和城乡居民基本医疗保险的参保人且为在保状态的,通过官方微信公众号“惠皖保”,或者微信搜索“微保”小程序后点击“全民保”专区选择“阜阳市”根据提示即可完成在线投保,投保日期截止时间为2020年12月31日。

最低59元获百万保障,“惠皖保·阜阳”破解个人看病贵难题

作为安徽省人口大市,阜阳市人口过千万,其中农业人口占比较高,个人及家人因病致贫、返贫的风险较高,居民医疗保障风险敞口亟待填补。

腾讯微保与第一家总部设在安徽的专业农险公司国元保险宣布达成战略合作,在立足阜阳市医保政策及群众实际需求的基础上,双方为阜阳人民定制了专属补充医疗保障“惠皖保·阜阳”,旨在引导人们建立健康生活方式的理念,树立健康意识,为阜阳人民在医保外增添了一份坚实的保障。

腾讯微保选择同国元保险合作,源于国元保险一直扎根本地,以“立足安徽”为宗旨,以服务“三农”为重点,发挥了保险业在服务地方经济及推进社会主义新农村建设中的积极作用。双方将发挥各自优势,面向安徽人民持续推出具有本地化特色的产品和服务,共同探索以用户价值为核心的互联网业务新模式,提升产品体验,实现行业生态共享共赢,让阜阳乃至安徽人民从保险保障中受益。

在上线发布仪式上,作为“惠皖保·阜阳”特药服务合作伙伴,圆心惠保向阜阳市扶贫开发局捐赠了1000份“惠皖保·阜阳”,总价值为99000元。这1000份普惠保障将被送到最需要的人手中,助力推动阜阳市精准扶贫工作。

据了解,此次发布的“惠皖保·阜阳”普惠险具有以下几大特色:

一是投保门槛低,凡阜阳市城镇职工基本医疗保险参保人、阜阳市城乡居民基本医疗保险参保人,且为在保状态的,不限年龄、不限职业、不限健康状况,无需体检,均可在线投保。

二是性价比高,作为医保的有效补充,“惠皖保·阜阳”共分为两个版本:基础版59元/年,可报销医保目录内临床诊疗所必需的合规医疗费用;升级版99元/年,可报销医保目录内、外临床诊疗所必需的合规医疗费用;两个版本均为参保市民提供住院医疗费用、特定高额药品费用“双重保障”,最高200万保额。

三是报销比例高,保险期间内,被保险人因住院发生的属于阜阳市基本医疗保险范围内的临床诊疗必需且合理的医疗费用,经所属社会医疗保险报销后,应由其个人自付的部分,扣除2万元累计免赔额后,2~10万元部分按80%的比例赔付,10万元以上部分按90%报销,保险金额为100万元;在特定高额药品费用保障方面,保险期间内,被保险人由指定专科医生开具处方,在开具处方的医院或在指定药店内购买的符合《“惠皖保·阜阳”特定高额药品目录》约定的18种药品费用,按80%的比例赔付,无免赔额,保险金额为100万元。

此外,“惠皖保·阜阳”的参保人还可获得药品咨询指导、送药到家服务、药品直付服务、慈善赠药协助等7项全流程就医服务,大大提升患者使用医疗服务质量。

助力构建多层次医疗保障体系,“微保模式”在惠民保险中异军突起

今年以来,社商融合型城市普惠险在全国加速落地,微保积极践行国家政策以及腾讯产业互联网战略,充分发挥“连接器”功能,与各地政府、保险公司一同参与普惠险设计,并推出“百城惠民健康保障计划”。目前,微保已为全国十余座城市的人民带去了定制化普惠险,保障创新及参保率遥遥领先同类产品。

在“微保模式”中,微保充分发挥腾讯的互联网能力和“连接器”优势,为各地人民提供便捷投保入口,不断推出具有本地化特色的产品和服务。同时,微保发挥自身在多个腾讯系资源位上对地区用户精准触达的优势,通过量身定制线下、线上整合营销方案覆盖地区用户。在腾讯“用户为本,科技向善”的使命下,微保也将积极做好行业“数字化助手”,依托腾讯亿万级用户规模与科技能力,协同行业合作伙伴共同打造健康生态圈,在构建多层次医疗保障体系、推进健康扶贫工作上持续发挥价值,进而提升国民健康水平。

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    2020-11-05 feifers

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