[Preface] Hospitalization allowance insurance is an insurance type that pays insurance based on the number of days of hospitalization of the insured. Subsidized hospitalization medical insurance has nothing to do with hospitalization medical expenses, but only related to the tota

[Foreword] Hospitalization allowance insurance is an insurance type that pays insurance based on the number of days of hospitalization of the insured. Subsidized hospitalization medical insurance has nothing to do with hospitalization medical expenses, but only related to the total number of days of hospitalization. Hospitalization allowance is the fixed amount multiplied by the total number of days of hospitalization.

What does hospital allowance insurance mean?

hospital allowance insurance is an insurance type that pays insurance based on the number of days of hospitalization of the insured. The characteristics of this insurance type are: to a certain extent, subsidize the insured's hospitalization expenses and loss of work during the hospitalization period. As a fixed-value payment medical insurance, it is a powerful supplement to medical insurance.

Hospitalization allowance insurance formula

1. If the insured encounters an accidental injury accident and is hospitalized for treatment within 180 days (inclusive) from the date of the accidental injury accident, and is hospitalized for treatment with this as a direct and separate cause, we will calculate and pay the hospitalization allowance insurance according to the following methods: each hospitalization allowance insurance = the daily hospitalization allowance amount agreed in the contract × the number of days each hospitalization

2, such as If the insured is hospitalized for treatment due to illness 90 days from the effective date of the contract or 90 days from the last re-examination date (whichever is later), we will calculate and pay the hospitalization allowance insurance according to the following methods:
Each hospitalization allowance insurance = the daily hospitalization allowance amount agreed in the contract × (number of hospitalization days per hospitalization - 3)

3. The deductible period for hospitalization due to illness is 3 days, that is, we will pay the hospitalization allowance insurance from the 4th day of hospitalization of the insured. The total annual payment of hospitalization allowance insurance will not exceed 180 days.

What is the difference between hospitalization allowance insurance and hospitalization medical insurance

Hospitalization allowance insurance and hospitalization medical insurance have 3 differences:

1. The overview of the two is different:

1. The overview of hospitalization allowance insurance: Hospitalization allowance is the medical expenses incurred by the insured during the hospitalization period.

2. Overview of hospitalized medical insurance: Hospitalized medical insurance refers to health insurance in which the insurer is responsible for the various expenses spent by the insured due to an accident or disease and needs to be hospitalized for treatment.

2. The functions of the two are different:

1. The functions of hospitalization allowance insurance: the insured person encounters an accidental injury accident and occurs independently, and the insurance institution will provide subsidies as required.

2. The role of hospitalization medical insurance: The purpose is to solve the problem of high expenses caused by insured persons due to hospitalization. In order to prevent the insured from intentionally extending the hospital stay, there is a deductible period for the first time or non-continuous insured hospitalization medical insurance, and the hospitalization exemption period for major diseases is usually longer than the hospitalization exemption period for general diseases.
However, there is no exemption period for accidental injury hospitalization and continuous insurance. This type of insurance contract usually has regulations on the longest hospitalization days and daily subsidy amount.

3. The contents of the two are different:

1. Contents of hospitalization allowance insurance:

(1) If the insured encounters an accidental injury accident and is hospitalized for treatment within 180 days (inclusive) from the date of the accidental injury accident, and is hospitalized for treatment based on this direct and separate reasons, the hospitalization allowance insurance will be calculated and paid according to the following methods: each hospitalization allowance insurance = the daily hospitalization allowance amount agreed in the contract × the number of days each hospitalization.

(2) If the insured is hospitalized for treatment due to illness 90 days from the effective date of the contract or 90 days from the last re-examination date (whichever is later), the hospitalization allowance insurance will be calculated and paid according to the following methods: each hospitalization allowance insurance = the daily hospitalization allowance amount agreed in the contract × (number of days of hospitalization each time - 3).

2. Contents of hospitalization medical insurance:

(1) Hospitalization fee protection. The hospitalization fee insurance is paid based on the actual hospitalization bed fee of the insured person, and the daily payment limit and the maximum number of days of payment per hospitalization are stipulated.

(2) Hospital miscellaneous fees and surgical fees guarantee. The insurance company calculates the insurance premiums for miscellaneous expenses and surgical expenses caused by each hospitalization.Miscellaneous expenses and surgical expenses refer to general nursing expenses, medical expenses, treatment expenses, medical expenses, and examination expenses; laboratory expenses, radiation expenses, anesthesia expenses, blood transfusion expenses, oxygen consumption expenses, materials expenses, and surgical expenses. During the validity period of this contract, the insurance company shall pay the insurance money separately in accordance with regulations regardless of whether the insured incurs hospitalization medical expenses one or more times. When the accumulated insurance money is paid to the full amount of the insurance amount, the validity of the contract will be terminated.

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