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Hello, you spent 16,000 on this hospitalization and paid 3000 yourself should be urban insurance, the reimbursement ratio should be about 80% to 85, social security has a minimum consumption amount every year after consumption is reimbursed proportionally, and it is directly reimbursed by the social security card during the hospitalization, no need to go elsewhere, now it is more convenient, hope. Thank you!
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You spent 16,000 yuan on hospitalization, and you only paid 3,000 yuan yourself, so you may be an employee medical insurance.
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Now, if you pay social security or rural cooperative medical insurance, the state will reimburse part of it, and if you still buy insurance, it will basically not cost much, but whether it is reimbursed by the state or the insurance you buy, the reimbursement is only for the drugs within the scope of medical insurance.
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You are a group of poor households who have set up a file and a card, and you are entitled to preferential treatment from the state. The maximum is 3,000 yuan for yourself, and other countries will reimburse.
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You spent 16,000 yuan on hospitalization, 3,000 by yourself, and the medical insurance is reimbursed on a pro-rata basis, and the rest is paid by yourself.
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If you are a targeted poverty alleviation household, you can be reimbursed through serious illness insurance if you pay more than 3,000 yourself, and you can also be reimbursed through medical assistance after the reimbursement is completed, until the reimbursement reaches more than 85%. If it weren't for the targeted poverty alleviation households, they wouldn't be able to reimburse so much through these procedures.
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This is very normal, because now as long as you pay the insurance, then it must be very. It's easy to do this, well, the insurance reimbursement, and then the extra down is borne by yourself.
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I spent 16,000 on hospitalization, and I paid 3,000 for myself, which means that the other 13,000 was reimbursed by medical insurance, I wish you good health.
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It should be that you use medical insurance and social security for reimbursement, or you wouldn't have paid so little.
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I was hospitalized for 16,000 yuan, and I paid 3,000 for myself, and the rest was partially reimbursed by social security!
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Generally, as long as you have paid endowment insurance and medical insurance, you will be reimbursed for part of the expenses after you are hospitalized.
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You are directly reimbursed by medical insurance, and the reimbursement rate is high enough.
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The other 13,000 is reimbursed by medical insurance. It's cool to have medical insurance, and I pity those farmers.
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Participating in medical insurance can reimburse part of the ** cost.
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In this way, social security reimburses you most of it, and you pay a small part yourself, which reduces your burden.
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Medicare reimburses on a pro-rata basis.
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The rest is reimbursed by medical insurance.
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You are the standard for participating in the NCMS.
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What do you want to say? Whatever you are. Resident medical insurance or commercial insurance, you must have bought insurance, the reimbursement ratio is 13000 16000, about 80%, you should be a national administrative institution personnel, right? Otherwise, it would not have been possible to have such a high reimbursement rate.
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You are a talent, and if you don't explain in detail what you want to ask, who knows what kind of disease you are?
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Summary. Dear, hello, hospitalization cost 12,000 and 6,000 out of pocket, maybe you used self-financed drugs or imported drugs, and the insurance company did not include self-financed drugs and imported drugs in the scope of compensation.
Dear, hello, hospitalization cost 12,000 self-pay 6,000, maybe you used self-financed drugs or imported drugs, and the Baochang Shouqiao Insurance Company did not include self-financed drugs and imported drugs into the scope of compensation.
1) The self-financed drugs should be borne by both parties according to the proportion of responsibility, for example, if the self-financed drugs are 10,000 yuan, and the proportion of accident liability is the secondary, then 70% and 30% of the self-financed drugs should be borne by both parties; (2) Whether the self-financed drug has a ** effect, and if there is a ** effect, then the insurance company should also deduct it according to the corresponding public expense. 2. Legal basis: Article 31 of the Regulations on Compulsory Insurance of Motor Vehicle Traffic Accident Liability Insurance The insurance company may compensate the insured for the insurance money, or directly compensate the victim for the insurance money.
However, if the insurance company needs to pay or advance the rescue expenses due to the rescue of the injured person, the insurance company shall, after receiving the notice from the traffic management department of the public security organ, pay or advance the rescue expenses to the medical institution in a timely manner after verification. If it is necessary for the rescue of the injured person to be paid in advance by the rescue management agency, the rescue management agency shall promptly pay the rescue expenses to the medical institution after receiving the notice from the traffic management department of the public security organ.
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Summary. It took 6,000 yuan to reimburse 300 yuan for hospitalization, first of all, only part of the 6,000 yuan belongs to the medical insurance reimbursement catalog, and you can apply for medical insurance reimbursement, and then deduct a part of the starting line (different hospital levels, different starting lines, about 300 500), and then there are different reimbursement ratios according to the hospital level (the higher the hospital level, the lower the reimbursement ratio). For example, out of 8,000 yuan, 6,000 yuan belongs to the reimbursable items in the medical insurance catalog, assuming that you are hospitalized in a county-level hospital, the reimbursement ratio is 80%, and the starting line is 300 yuan, then what you can reimburse is (6000-300) 80% <>
It took 6,000 yuan to reimburse 300 yuan for hospitalization, first of all, only part of the 6,000 yuan belongs to the medical insurance reimbursement catalog, which can be reimbursed by medical insurance, and then deduct a quiet part of the starting line (hospital-level nuclear is different, the starting line is different, about 300 500), and then according to the hospital level, there are different proportion of Qi's car sales (the higher the hospital level, the lower the reimbursement ratio). For example, out of 8,000 yuan, 6,000 yuan belongs to the reimbursable items in the medical insurance catalog, assuming that you are hospitalized in a county-level hospital, the reimbursement ratio is 80%, and the starting line is 300 yuan, then what you can reimburse is (6000-300) 80% <>
Legal basis: Article 30 of the Social Insurance Law of the People's Republic of China The following medical expenses are not included in the scope of payment of basic medical insurance**: <>
1) It should be paid from work-related injury insurance**, (2) it should be borne by a third party, (3) it should be borne by public health, and (4) it should be paid for medical treatment abroad. Medical expenses shall be borne by a third party in accordance with the law, and if the third party does not pay or the third party cannot be determined, the basic medical insurance shall pay in advance. After the basic medical insurance** is paid in advance, it has the right to recover from a third party.
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Summary. Hello <>
Medical reimbursement is based on the items and proportions in the medical insurance catalog. If the ** items you are hospitalized are not included in the medical insurance catalogue or the self-pay items exceed the prescribed proportion, then the medical insurance will not be able to reimburse you. In addition, if you do not complete the reimbursement procedures in a timely manner according to the regulations, it may also result in a lower reimbursement amount.
It is recommended that you carefully review the medical insurance catalog and reimbursement process, and at the same time, you can consult with your local medical insurance department for specific conditions.
It took 6,000 yuan to be reimbursed 300 yuan for hospitalization.
Hello <>
Medical reimbursement is based on the items and proportions in the medical insurance catalog. If the ** items of your hospitalization are not included in the medical insurance catalogue or the self-paid items of the person who are in the hospital exceed the prescribed proportion, then the medical insurance will not be able to reimburse you. In addition, if you do not complete the reimbursement procedures in time according to the regulations, it may also lead to a less reimbursement amount.
It is recommended that you carefully review the medical insurance catalog and reimbursement process, and at the same time, you can consult with your local medical insurance department for specific conditions.
The medical insurance catalogue refers to the restrictive payment measures adopted by the state, that is, it stipulates which medical service items can be reimbursed by medical insurance, as well as the reimbursement ratio and limit. The medical insurance catalogue is formulated based on the principles of clinical necessity, safety, and economy, and will be continuously adjusted and updated. Therefore, it is necessary to pay attention to the changes in the latest medical insurance catalogue in a timely manner.
In addition, in the process of medical services, we should also pay attention to the selection of reasonable medical institutions and doctors, and avoid the selection of medical institutions and doctors with violations of laws and regulations, so as to ensure the legitimacy and effectiveness of medical insurance reimbursement. Pat the potato.
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Summary. Can be reimbursed: 8000x30%=2400, the unit comes with it.
1. The reimbursement process for hospitalization with a medical insurance card is as follows:
1. If the insured person wants to be reimbursed, then he can bring his medical insurance card to the designated hospital for treatment, and after the doctor's diagnosis, he can issue a certificate of admission.
2. Hospitalization. 3. The reimbursement materials include the original ID card of the person or the agent, the medical insurance card, the medical record, the admission certificate, the inspection report and the original information to the local social security department for reimbursement. According to Article 27 of the Social Insurance Law of the People's Republic of China:
Individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, the cumulative contributions reach the number of years prescribed by the state, and the basic medical insurance premiums will not be paid after retirement, and they will enjoy the basic medical insurance treatment in accordance with the provisions of the state; If it is not reached, it can be paid until the number of years specified by the state.
How much was reimbursed for hospitalization cost 8000. Hello. Well.
Can be reimbursed: 8000x30%=2400, the unit comes with it. 1. The reimbursement process for hospitalization with a medical insurance card is as follows:
1. If the insured person wants to be reimbursed, then he can bring his medical insurance card to the designated hospital for treatment, and after the doctor's diagnosis, he can issue a certificate of admission. 2. Hospitalization. 3. The reimbursement materials include the original ID card of the person or the agent, the medical insurance card, the medical record, the admission certificate, the inspection report and the original information to the local social security department for reimbursement.
According to Article 27 of the Social Insurance Law of the People's Republic of China, individuals who participate in the basic medical insurance for employees who have paid for the statutory retirement age for a number of years specified by the state shall no longer pay basic medical insurance premiums after retirement and enjoy basic medical insurance benefits in accordance with national regulations; If it is not reached, it can be paid until the number of years specified by the state.
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In general, medical insurance.
There is a starting line for hospitalization co-ordination treatment. For example, the starting line of medical insurance in Guangzhou is a first-class hospital.
400, 800 for the second grade, and 1600 for the third grade, that is to say, the money must be paid by the patient himself, and the excess part will be reimbursed by the medical insurance coordinator ** proportionally. 90% of the first grade, 85% of the second grade, and 80% of the third grade. Suppose you are in a tertiary hospital.
Hospitalized, the rest of the rotten bucket is the overall basic medicine hunger. Then your expenses can be basically calculated. Then your personal responsibility: 4000-(4000-1600)*80%=2080It's basically the same as you said.
Extended reading: [Insurance] How to buy, which one is better, teach you to avoid insurance by hand"pits"
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Hello, hospitalization cost 7,000 yuan, it depends on your type of social security, whether it is urban workers or social security for urban and rural residents; The second is the payment of social security, the city where it is located, the reimbursement ratio and the ceiling line in various places, and the starting line will be different; the third is the grade of the hospital where the patient is treated; Fourth, the use of expenses, whether they are all within the scope of medical insurance, whether there are expenses outside the medical insurance, such as self-paid expenses, etc., whether it is inpatient or outpatient expenses, and the reimbursement ratio is different. Taking Jiangxi Province as an example, if 7,000 yuan is the cost of medical insurance, the specific reimbursement ratio: resident medical insurance, the starting line of the tertiary hospital is 600 yuan, and the reimbursement ratio is 60%, (7,000 yuan-600 yuan) * 60% = 3,840 yuan.
Employee medical insurance, medical treatment in a tertiary hospital, the starting line is 800 yuan, and the reimbursement ratio is 85%, (7000 yuan - 800 yuan to disturb the sail song) * 85% = 5270 yuan (
If you are reimbursed according to 90%, you can quote about 3,600 yuan, but it also depends on the specific ** plan and medication.
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