1. one-stop reimbursement. Under the premise of the national medical security information platform, if the insured person has medical expenses for hospitalization or outpatient treatment of specific diseases in designated medical institutions in Dongguan, the medical expenses that meet the claim conditions in Dongguan Guanjiafu can also be reimbursed and settled synchronously through the national medical security information platform in designated medical institutions in Dongguan;
2. For sporadic reimbursement, you can enter "Apply for Claims" in the "Service Center" in the menu bar of the official WeChat account "Wanjiafu". After registering and logging in, fill in the relevant information of the insured according to the page prompts, upload the video data of reimbursement and claim settlement, submit it after uploading, wait for the electronic receipt to be generated, and wait for the claim settlement staff to handle it after signing and confirming. The general adjuster will take the initiative to contact the insured to make a claim.
It should be noted that if the applicant is applying for "Designated Nursing Allowance for Severe Disability", the insurance company will generally contact the relatives of the insured to arrange on-site re-evaluation of severe disability after receiving the online claim. Only the re-evaluated insured will the insurance company pay the allowance according to the insurance contract. If the re-evaluation fails and the insured has any objection, he may submit a written explanation to the insurance company for re-evaluation, and the expert organization recognized by Dongguan Medical and Social Security Bureau will conduct re-evaluation. If the re-evaluation fails, the insured shall pay the evaluation fee by himself. If the re-evaluation is passed, the insurance company will pay the evaluation fee and pay the allowance.