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  4月22日,2025年度上海城市定制型商业补充医疗保险“沪惠保”正式开启投保窗口,由上海市医疗保障局指导,国家金融监督管理总局上海监管局监督,上海市大数据中心提供技术支持,上海市保险同业公会协调,由中国太保寿险首席承保,联合国寿寿险、人保健康、新华保险、平安健康、太平财险、建信人寿、交银人寿、工银安盛人寿等8家保司共同承保。

  自2021年推出以来,“沪惠保”始终坚持“政府指导、商业运作、惠民利民”原则,保障、服务历经多轮升级迭代,而今已步入第五个年度。

  2025版“沪惠保”继续面向上海基本医保参保人员开放,在坚持不限年龄、不限职业、不限健康状况的参保条件基础上,保费维持129元/人,五大保障责任项,仍包含责任一特定住院自费医疗费用保险金(包括自费耗材、药品、检查检验、治疗,不限目录),责任二国内特定高额药品费用保险金,责任三质子、重离子医疗保险金,责任四海外特殊药品费用保险金,责任五CAR-T治疗药品费用保险金,起付线、赔付比例与上年保持一致,最高仍可享310万元医疗保障。

  与2024年相比,2025年“沪惠保”实现“一增、一享”,保障责任力度更强,健康服务覆盖更广:

  一增:进一步扩增国内外特药种类,药品适应症全部更至最新。其中,国内特药种类由原来41种扩增至48种;海外特药部分药品更新,维持28种;CAR-T治疗药品由原来3个扩增至4个。

  一享:2025年度“沪惠保”服务体验持续升级优化,原有专属权益“全市2000+指定药房自费购药9折”、“三甲专科医生在线图文问诊专属优惠”可继续使用,新增原研药9折保供服务,线上线下购药需求场景全覆盖,满足不同人群健康生活需求。

  为鼓励家庭参保,2025年度“沪惠保”个人账户家庭共济实现扩围,在支持使用医保个人账户余额为本人及直系亲属(父母、配偶、子女)投保的基础上,进一步支持为兄弟姐妹、祖父母、外祖父母、孙子女、外孙子女等多位近亲属投保。

  作为全国参保人数规模最大的惠民保项目,“沪惠保”四年累计参保已突破2600万人次。截至2025年3月底,累计赔付金额超22亿元,年龄最小的不足1岁,年龄最大的104岁,单人累计赔付最高超300万元,惠及几十万家庭。

  “沪惠保”推出以来不断升级理赔服务。2024年升级主动理赔服务,实现客户从自主索赔到主动理赔的便捷,电子诊疗数据应用率从首年的65%进一步提升至90%,平均结案时效优化至当天完成。2024年打通上海市质子重离子医院直赔服务,缓解患者高额诊金垫付压力,截至目前,已为93位参保人提供约1630万垫付赔款,真正做到“便民、惠民、利民”。2025年主动理赔、质重直赔两项服务将继续提供。

  另外,2025年即将上线“沪惠保”参保人专属、面向全年龄段的“沪惠保-普惠特定疾病保险”,敬请期待。

  暖心守“沪”还在继续。即日起,上海市基本医疗保险(含职工医保、居民医保)参保人可通过保险公司分发的官方投保二维码进行投保,也可通过“沪惠保”官方微信公众号、随申办、支付宝、腾讯微保等多个渠道进行线上投保,2025年已代扣成功的客户,只需等待后续保单生效。不方便线上投保的部分老年人等群体,可拨打400-895-5550电话反馈投保需求,项目组将安排服务专员对接后续投保服务。集中参保期截至2025年6月30日,保障期限为2025年7月1日至2026年6月30日。

  理赔案例

  1、【26岁,脑胶质母细胞瘤,住院+院外特药+质子治疗,获赔约67万】

  被保险人叶某,26岁,2023年、2024年连续两年投保沪惠保。因患脑胶质母细胞瘤2024年持续进行多方位治疗,沪惠保共计为其赔付约67万元:

  2024年5月至11月,住院4次产生自费费用21.08万,经审核住院自费责任获赔10.43万;

  2024年1月至6月,4次在药房购买爱普盾进行肿瘤电场治疗,特药费用53.20万,经审核符合国内特定药品理赔范围,按条款约定赔付国内特定高额药品保险金37.24万;

  2024年3月至4月,在上海市质子、重离子医院行质子治疗,治疗费27.8万,按条款约定获赔19.46万。

  2、【61岁,泌尿系统疾病,住院治疗,主动理赔,获赔1.67万元】

  被保险人董某,女,61周岁,因患泌尿系统疾病于2025年2月底在上海交通大学医学院附属第九人民医院住院治疗,3月初出院。因董女士已有主动理赔授权,出院当天沪惠保理赔系统即接收到董女士的住院电子诊疗数据并自动对此次住院进行了预报案。收到预报案信息后,理赔人员立即审核,确定符合责任范围自费费用3.39万元,拟赔付1.67万元,并于第二天13:20进行了预结案并发送短信通知董女士补充证件及银行卡号。当天董女士补充提交材料后,14:05系统正式进行了结案并发送结案短信通知。 跑步机上边跑边顶第三章,鬼灭之刃第二季免费樱花给你最热血的感动!的相关文章 15款网红雪糕大测评,哪个是你的最爱?的相关文章
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