Automatically translated.View original post

I understand that the feeling of illness can't be claimed.

🗣:

I understand how hard it is to feel sick and stressed about the cost of treatment because "insurance does not pay" or "order to pay" is.

So that you do not have to fall into this state or if you find it, how to solve the problem? Elder Eh summarizes the key steps and principles as follows:

🛑 When "claim is not" or "reserve is required," what must be done?

If the hospital says that Fax Claim has not passed, don't panic. Follow this step:

1. Ask for a "clarification book" from the insurance company: Do not just accept a statement from the hospital staff, ask for a written reason to "refuse because of what condition," 🎯 contact the agent, or notify the agent every time you get sick.

• Spare Case: Most companies often ask for additional background checks (especially in the early years, chronic lesions), not to pay, but to check for sure.

2. Consult the doctor of the fever: When you know the reason, talk to the doctor about whether the condition is related to what the company claims, such as the company says it is a "pre-insurance disease," but the doctor confirms that this is a new disease, ask the doctor for a "Medical Summary" that clearly indicates the doctor's opinion.

3. Appeal: Send the doctor's opinion papers and examination evidence back to the insurer's insurer for reconsideration.

4. If you rely on the Office of Insurance Commission: If the insurer confirms the original word and we are confident that we are not guilty, you can make a complaint on the hotline 1186 for the intermediary to mediate.

🛡️ 3 Iron Principle, "How to make insurance, not to be poured?"

Protection is better than editing. If you don't want to see the events in the picture, you need to know these 3:

1. "Health History Statement" 100% Actual (Most Important!)

Don't believe an agent who says, "Don't tell me, it's okay," or "Hold it for two years, he'll protect himself." The truth is: If the company finds out that we're covering the records, he can terminate the contract immediately and not pay all claims.

Tip: What's the history? Tell them all. Let the company decide whether to "take," "exempt," or "add a pawn." This is definitely more comfortable than the claim.

2. Understand the Waiting Period

Health insurance is not a purchase. Available immediately:

• First 30 days: usually not claimed at all (except for accidents)

• First 120 days: Some chronic diseases, such as tumors, hemorrhoids, hernias, cataracts, cannot be cleared.

• The First Year: If a major disease claim is made, the company will often provide a "reserve pay" to trace if it was before.

3. Czech "exception" in the policy

Read the section written "Non-Protection," such as:

• General medical examination (not caused by illness)

• Beauty or acne treatment

• Congenital genetic diseases

📊 Summary of what to have before you go to the hospital.

A trusted agent helps coordinate with the company and the hospital in times of trouble.

Understanding the insurance plan, knowing how much room we're worth, is there a Deductible?

Emergency reserve in case of reserve (history not cleared)

Having health insurance is a "comfort" purchase, but that comfort can only be achieved if we are "honest in providing information" and "understand the conditions" from the first day of signing the contract.

Good insurance. Start with a consultant you can actually contact.

🥰 illness shouldn't hurt about claims. - Elder Eh, take care of it.

https://www.facebook.com/share/1BqmKMTSir/?mibextid=wwXIfr

https://line.me/ti/p/5uDvrkC7gV

# Health # Health insurance

2/17 Edited to

... Read moreจากประสบการณ์จริง การเจ็บป่วยและต้องเจอกับการปฏิเสธการเคลมประกันนั้นทำให้รู้สึกกังวลและเครียดอย่างมาก โดยเฉพาะเมื่อกำลังเผชิญกับความเจ็บป่วยแล้วต้องเสียเวลาและพลังงานไปกับการเคลียร์เรื่องเอกสารและคำตอบจากบริษัทประกัน ที่สำคัญคือ การขอ “หนังสือชี้แจง” อย่างเป็นลายลักษณ์อักษรนั้นช่วยให้เราได้เข้าใจชัดเจนถึงเหตุผลที่ทำให้เคลมไม่ได้ และเป็นหลักฐานสำคัญเมื่อต้องเรียกร้องสิทธิ์หรือร้องเรียนต่อไป ในขั้นตอนของการปรึกษาแพทย์เจ้าของไข้เพื่อขอใบสรุปประวัติการรักษา (Medical Summary) ผมพบว่าคำพูดและความเห็นของแพทย์เป็นสิ่งที่ประกันพิจารณาอย่างจริงจัง ซึ่งช่วยให้เรื่องการโต้แย้ง (Appeal) มีโอกาสสำเร็จมากขึ้น แต่เราต้องเตรียมเอกสารให้ครบถ้วนและมีความชัดเจนในข้อมูลเพื่อส่งให้ฝ่ายสินไหมของบริษัทตรวจสอบ หากสุดท้ายแล้วยังไม่ได้รับการอนุมัติ การพึ่งพา คปภ. ก็เป็นทางเลือกที่ดีในการเข้ามาช่วยไกล่เกลี่ย โดยผมแนะนำให้เก็บรวบรวมหลักฐานให้ครบถ้วนตั้งแต่แรก เพื่อเสริมความน่าเชื่อถือของคำร้องเรียน นอกจากนี้ การรู้จักและทำความเข้าใจ “ข้อยกเว้น” ในกรมธรรม์ รวมถึงระยะเวลารอคอย (Waiting Period) ถือเป็นการป้องกันที่สำคัญมาก เพราะแม้จะมีประกันสุขภาพแต่หากไม่ชัดเจนเรื่องเหล่านี้ก็อาจทำให้เกิดปัญหาขึ้นได้ สุดท้าย การเลือกตัวแทนที่ไว้วางใจได้และสื่อสารได้ดี ถือเป็นกุญแจสำคัญที่จะช่วยให้เราไม่ต้องเจอปัญหาประกันสุขภาพเคลมไม่ได้บ่อย ๆ ประสบการณ์ของผมคือเมื่อติดต่อกับตัวแทนที่ให้คำแนะนำอย่างตรงไปตรงมาและคอยช่วยประสานงาน จึงลดความกังวลได้มากและทำให้การรักษาพยาบาลเป็นไปอย่างราบรื่นและมั่นใจมากขึ้น

Related posts

The book cover for 'Claimed by the Band' by Harper Lennox and River Ramsey, featuring a woman with long brown hair looking forward. The title is prominently displayed in pink and purple text.
Claimed by the Band-Harper Lennox and River Ramsey
I loved it❤️ The whole thing had me on the edge of my seat with the will they won’t they bit. Also the female main character was strong and intelectual. The whole had you questioning a few things but the resolve gave you a feeling of both being satisfied and dissatisfied at the same time. It left
BabyJade0928

BabyJade0928

1 like

A book cover for 'Whiteout: A Dark Romance Christmas Novella' by Gracie Williams, featuring a snowy, blood-splattered forest. Surrounding text highlights tropes like 'NO HEA', 'NON-CON', 'PRIMAL PLAY', 'MASKED MAN', 'TEMPERATURE PLAY', and 'MULTI POV'.
The book cover for 'Whiteout' by Gracie Williams is shown next to a black text box. The text reads: 'He's a 10 but... He stages a break in so you have to stay with him.'
The book cover for 'Whiteout' by Gracie Williams is displayed alongside two black text boxes containing quotes from the book, suggesting a dark and possessive romance narrative.
I’ve claimed her and now no one can take her away
Always check triggers before reading! 📕Whiteout by: Gracie Williams OMG Gracie freaking did the dang thing with this Novella!!! This was top tier for me! I’ve read all her books and the is one was so fun. The red flags were flying high 🚩 I devoured this in less than a day. Here we follow
CanieshiaPowell

CanieshiaPowell

188 likes

A dark fantasy moodboard featuring a heart locket, a hand silhouette, a red eye, a winged figure embracing a woman, red lightning, a black snake, a shadowed face, and dark feathers. The central text reads: 'I'd like to stay here in the darkness where it's quiet and I'm free.'
Moodboard for Claimed By Darkness😍🔥
Haven’t posted a moodboard for Claimed By Darkness, so thought It’d be cool to share the updated one I made recently😍♥️🖤🔥 This quote still has my heart. ✨”I’d like to stay here in the darkness where it’s quiet and I’m free. In this place where pain & torment no longer haunt me. I can find
S.R. Hartley | Author

S.R. Hartley | Author

42 likes

A book review graphic for 'Claimed By Shadows' by Rosa Lee, featuring the book cover with two men, a skull, and purple roses. The review highlights it as a 5-star, 5-spice dark mafia reverse harem romance with traumatic elements, praise, and pregnancy, noting its angsty and cliffhanger plot.
Claimed by Shadows by Rosa Lee
I think it took me a good 15 mins to stop crying after the cliffy in this book 😭 Again I'll mention that I'm so thankful I waited to read this trilogy. I definitely wouldn't of been able to handle that cliffhanger for a long period of time! I couldn't wait to start the 3rd book. I&#
Shawna Jalbert📚✨️

Shawna Jalbert📚✨️

21 likes

Marlon Wayans Claimed he didn’t know Diddy like that. Yeaaahhh riiiight😉
Marlon Wayans should have known he can’t play with Fity like that. He claimed on Club Shay Shay that he didn’t know Diddyike that . Yeah , ok!😉 #clubshayshay #diddy #50Cent #marlonwayans
EveAndVenus

EveAndVenus

0 likes

The book cover for 'Quicksilver' by USA Today Bestselling Author Callie Hart features a dark-haired man in armor with intricate tattoos, a tear on his cheek, and two butterflies, against a misty forest backdrop.
Crowned, Claimed & Corrupted by the Shadow Warlord
Review: Quicksilver by Callie Hart ⭐️⭐️⭐️⭐️⭐️ I’m just going to say it up front: Quicksilver isn’t just everything I want in a fantasy romance, it’s the reason my standards are now unreasonably high. “Obsessed” feels insulting. This book didn’t just consume me; it did a hostile takeover of my
✨Literary📚Hangover✨

✨Literary📚Hangover✨

5 likes

The book cover for 'Claimed By The Hood Millionaire' by Black Lavish features a close-up of a man with a beard, wet skin, and light eyes. The title is prominently displayed in gold and silver lettering. The Lemon8 logo and user handle '@lia32pride' are at the bottom.
Book Review: Claimed By The Hood Millionaire Book1
This book has a lot of drama and suspense; you never know what will happen next, and there are many twists and turns. Talk about some juicy tea. Hidden secrets, lies, and betrayed. You can't trust your best friend, and it’s hurtful knowing you can’t trust your own man. I don't want to give
Lia32pride2.0🌟🍋

Lia32pride2.0🌟🍋

2 likes

I got a new chair and Zuko immediately claimed it
Can’t have anything in this house 🤦🏻‍♀️ Anyways, I got a new chair bc I got a new job! I haven’t been working for a fair wage since August, thanks to a tattoo apprenticeship gone wrong and the job market being absolute trash. But I just got a new work from home job that allows me to support
Shayla Michelle

Shayla Michelle

14 likes

we never claimed to be bakers 👩🏼‍🍳🍪
we’ve definitely made worse looking cookies so this was a upgrade for us 😅. do yall like baking the cookies or eating them more… or both equally? personally we like to eat them more but that could just be the big back in us talking 😂.
jac and jill

jac and jill

6 likes

The front cover of the book 'Claimed by Lucifer: The Complete Series' by Elizabeth Briggs, featuring large black wings with fiery orange accents. A hand is visible holding the book.
A grayscale illustration of a muscular man with dark hair and a beard, looking forward. He is shirtless, revealing his toned torso, with dark, feathery wings behind him.
The back cover of the book 'Claimed by Lucifer: The Complete Series', displaying a blurb with quotes like 'YOUR SOUL ALREADY BELONGS TO ME.' and the ISBN number.
Claimed by Lucifer 🖤
After a long awaited delivery, this baby is finally home 🖤♥️ I cannot wait to read it #completedseries #claimedbylucifer #bookwormsoflemon8 #bookaddict #darkromancebooks
Sincere🥰👑

Sincere🥰👑

112 likes

A woman and a young child are shown with the text 'SECURE YOUR TAX REFUND WITH A PROTECTION PIN' overlaid. The woman has her hand on the child's shoulder, both looking forward. The image promotes protecting tax refunds, aligning with the article's focus on IP PINs for children.
Protect your child’s ssn from being claimed 🔒
🚨🚨 Mamas, this one is important 🚨🚨 If you’ve let someone claim your children as dependents in the past—or if it happened without your consent—getting a six-digit IP PIN is essential. This PIN ensures no one else can claim your kids on their taxes, even if they have the required documents. We
Tax Diva 👑

Tax Diva 👑

2 likes

A hand holds a Creatology holiday diamond art kit package, featuring a 'HO HO HO' design. The package shows the intended craft and includes warnings about small parts. Text overlays read 'What they claimed I could make...' and 'Swipe', with Christmas-themed graphics.
What They Claimed I Could Make… Micheal’s Edition
I love buying the kids craft kits from Micheal’s. They are definitely one of those place I love to hit after the holidays to get some extra savings for next year! This is one of the two crafts I picked up to make this year! I think it turned out super cute! I’m happy to say the kit even came with s
H.Bar

H.Bar

5 likes

A book cover featuring a close-up of a man's face with a beard, appearing wet or sweaty, against a dark background. The title "CLAIMED BY THE HOOD MILLIONAIRE" is in gold and silver text, with "BLACK LAVISH" as the author. Lemon8 and Pic•Collage watermarks are visible.
Claimed By a Hood Billionaire- Black Lavish
Book Review ⭐️⭐️⭐️⭐️/5 Synopsis: The book starts off with our FMC (Megan). She is working as a stripper to earn money for cosmetology school. The MMC (Boss) is a really huge gangster and runs the streets. He sees Megan, wants to take her home and that’s that. They have a full blown relati
mlr.reads

mlr.reads

1 like

A woman with closed eyes applies "SelfCare Naturale" serum to her glowing skin with a dropper, holding the bottle. Her head is tilted back, emphasizing a moment of self-care and skin ritual.
✨ She didn’t just moisturize She claimed her glow
She chose ingredients that whispered “You deserve this.” She slowed down. She loved her skin. She used SelfCare Naturale. 🌿💧 This isn’t just a serum. It’s a ritual. A neck-lifting, mood-lifting moment of divine reconnection. 📦 100% plant-powered 🧪 No harsh synthetics 👑 Made for the woman
SelfCare 🌿 NaturAle

SelfCare 🌿 NaturAle

0 likes

He claimed her forever 🩸
A love that doesn’t fade… it consumes. 🖤 Bound by darkness, sealed with a single bite. Some souls aren’t meant to be saved they’re meant to be eternal. 🧛🏻‍♂️✨ #darkromance #eternallove #gothicaesthetic #vampirelove #dracula
Lovelyleahbee

Lovelyleahbee

3 likes

Marked and Claimed
I enjoyed this little short novel. The author did extremely well for it being her first paranormal book! It was straight to the point as well. Darius, Zarek, and their little Luna!! Nyssa. Nyssa got not one, but two men who loved and protected her, and I loved that for her! Darius is the Alpha, and
Lia32pride2.0🌟🍋

Lia32pride2.0🌟🍋

4 likes

A person with long brown hair sits cross-legged on the floor, reading a book in a cozy bookstore surrounded by shelves of books. The image includes the text: "My opinions on reading from someone who used to hate to read."
A black bookshelf filled with various books, decorative items, and a plant, stands against a light blue and white striped wall. A dark wooden chair is placed beside it. The image includes the text: "Reading for fun is a learned skill for many adults who hated reading as a child."
An interior view of a bookstore with numerous books stacked on tables and shelves. The image includes text explaining different reading approaches for various book types, such as physical books for fiction and audiobooks for educational content.
My thoughts on reading as someone who claimed to hate it my whole life
I think growing up I completed maybe one or two books that I can remember. I hated reading so much. Having dyslexia and being ADHD made reading feel like a chore. It wasn’t until the last day of 2024 that I picked up a book because we lost electricity and I thought - might as well stay busy and re
heyshelbyhey

heyshelbyhey

0 likes

A dark, ornate gothic gate with intricate ironwork, set against a misty background, featuring the title "10 Echoes of a Gothic Life You've Lived Before."
A gothic woman with dark makeup and a black lace dress and hat, against a textured background, illustrating the feeling of having lived many lives.
A dark, misty forest with tall trees, conveying a sense of solitude and mystery, accompanied by the text about not feeling alone in the dark.
10 Ways the Night Has Always Claimed You 🌙🖤
Are you a true gothic soul? Here are 10 signs you’ve always belonged to the night—mystic, moody, magical. From black lace dreams to cemetery walks, these moments reveal your haunted elegance. #goth #gothic
Krystal Leandra👑

Krystal Leandra👑

217 likes

Moodboard for Claimed By The Flame
👋 Hi fellow readers! If you love your romance dark, spicy, and full of monster obsession… let me introduce you to The Claim Series 🌶 This standalone novella series features beastly love interests, feral desire, and heroines who absolutely give as good as they get. Book 2: Claimed by the Flam
🌶 Author Lyselle Valebrook

🌶 Author Lyselle Valebrook

4 likes

A man and woman are shown with text: 'When your ex's FINE AF dad offers to buy you a drink after you get fired for your photos are posted on social media...'
A man and woman are shown with text: 'You tell him your roommate thinks you should get with him to make his son your step son...'
A man and woman are shown with text: 'He doesn't laugh. Him: "That what you think this is? A joke?"'
Claimed By My Ex’s Dad
📚: Claimed By My Ex’s Dad by Odyssey Lenoir #lemon8bookclub #romancebooks #romancerecommendations #bwwm
Bwwm Romance Books✍🏾✨📚

Bwwm Romance Books✍🏾✨📚

24 likes

A digital notification congratulating the user on winning a $10 Amazon Gift Card from the Summer Photo Booth challenge. It instructs the user that redemption details will be sent via inbox notification after the campaign ends, with a 'Claim gift' button.
Claimed my Amazon Prize💰💰
I win another Amazon card! Thill be my 4th Amazon card and I literally spend them as soon as I get them haha! I filled my cart last night so I can just add the balance to my account and checkout! This is from the summer diary challenge! #letschat #summerdiary #lemon8contest #Lemon8
Imani

Imani

8 likes

CLAIMED!!!! 🍋✨
And I am going to bed!! I finally completed a full challenge. I am getting the hang of this. 😂 I’m so happy! Also, please be sure to check your spam inbox after the challenge because I just saw the gift card that I won from the last challenge in my spam! It had been sitting there for two wee
pearlygates_

pearlygates_

10 likes

Let the Light Be Lived, Not Claimed
These verses remind us that righteousness is not proven by words alone, but by a life that reflects obedience, restraint, and visible fruit. Mattithyahu (Matthew) 5:16 instructs us plainly: “Let your light so shine before men, that they may see your good works, and glorify your Father which is in h
HoldOnEndure

HoldOnEndure

0 likes

quit being mean i never claimed to be good at anything
this is why I just wanna stop gaming in the next few years and this man said jesus hates me but that is a lie from thy enemy
singleplayer25

singleplayer25

0 likes

A tablet displays the book cover for 'Claimed By A Blue Eyed Menace' by Best Selling Author Thee Tasha Marie, featuring a man with blue eyes. The image is a 'BOOK REVIEW' and lists themes like 'Dark Romance,' 'Crime Family,' 'Arranged Marriage,' and 'Unhinged MMC.' Lemon8 branding is at the bottom.
Book Review: ‘Claimed By A Blue Eyed Menace’
Book name: Claimed By A Blue Eyed Menace Author: Thee Tasha Marie Genre: Fiction, Urban, Romance Intro: Parker has always known that she was being groomed for an arranged marriage. It’s the nature of the business and a vow that her father drilled into her since she was a young girl. What she do
Shanae 📚

Shanae 📚

12 likes

She’s not here to be “claimed”
Pretty Vicious By Lexi Davis Southern Gothic. Dark Academia. Secret Society
Melissadymond

Melissadymond

4 likes

How I claimed victory on my life 🦋
Vulnerability 🤍 My Story: I left my corporate job & moved out earlier than planned to protect my true passions as an artist. 🤍 How I Felt: Scared, but also free. It felt like stepping into the unknown with nothing but faith in myself. 🤍 My Takeaways: Security can look good on paper, but noth
Bria Ariel

Bria Ariel

10 likes

CLAIMED 2025
2025 is my year of unshakable faith! I’m stepping boldly into God’s purpose for my life. The enemy might try, but with God’s strength, I’m unstoppable. ✨ #Claiming2025 #UnstoppableFaith #WalkingInVictory #CapCut #fyp #trending Dress: @SHEIN
M A R C E L L E

M A R C E L L E

4 likes

A fantasy aesthetic collage featuring dragons and horned figures. Images include a woman facing a blue dragon, a horned shadow, a woman in a field, an embrace between a horned figure and a woman, a dragon's eye, a ruined castle, dragons breathing fire, a knight fighting a dragon, and a tender embrace.
Claimed By The Flame Aesthetic
His lips brushed mine like a promise. Like he was committing it to memory. The way I gasped against him. The way I melted. The way I clutched at his shoulders like he was the only real thing left in the world. His clawed hand slid up my thigh, slow as sin, every inch of contact deliberate and unhu
🌶 Author Lyselle Valebrook

🌶 Author Lyselle Valebrook

10 likes

The book cover for 'Claimed By The Pack' by Kat Bethel, Book 3 in 'Their Celestial Witch' series, features a woman with a dagger surrounded by wolves in a mystical forest. The title is prominently displayed, and a pink flower is visible on the right. The image includes a Lemon8 watermark.
✨Claimed By The Pack Book Review✨
✨✨✨✨Book Review✨✨✨✨ ⭐️⭐️⭐️⭐️ 🌶️ 🌶️ 📖Claimed By The Pack by Kat Bethel ♦️Paranormal Romance ♦️Book 3 ♦️Available On Kindle Unlimited ♦️Trigger Warnings ♦️Mild Spice ♦️Omega-Verse ♦️Wolf-Shifter ♦️Magic 💭 Astria is healing, and I do enjoy that. The book focuses more on Astria finding ev
EscapeThroughABook

EscapeThroughABook

4 likes

Claimed By Her Monsters 😈
Why choose when you can have 3. Margaritas, Board Game, Truths, and Secrets. Such a good book! I am in awe with how much angst and build up attraction there is. And the twist towards the end with have your jaw drop! @authorlexidavis and @NetGalley #booktoker #whychooseromance #spicybookt
BookishBoo📚

BookishBoo📚

5 likes

My cats claimed this window hammock immediately 🐱
This foldable cat window hammock has officially become my cats’ favorite spot in the house. They sit here all day watching outside, sunbathing, and fighting over who gets the best seat 😭 I also love that the cushion is removable and the whole thing folds up when needed. I added it to my TikTok Sh
Vivizone Home

Vivizone Home

24 likes

Pretty toes aren’t given — they’re claimed 🌸
#PlanoNails #DallasNails #russianmanicure #hardgel #LuxuryPedicure ✨
BYKRIS Beauty Lab

BYKRIS Beauty Lab

94 likes

🍋 magnet claimed
Yayyyyyy I love wining those prizes. So far I mostly have lemon 8 merch 😝🤣 #storytime #lemon8contest
Mona 🧚✨

Mona 🧚✨

9 likes

See more