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Examination fees for non-hospitalization cannot be reimbursed.
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Yes, there are several types of medical insurance reimbursement:
Scope of use of medical insurance card.
1. Outpatient and emergency expenses.
1. In-service employees, after going to the outpatient and emergency department of the hospital, can be reimbursed for medical expenses of more than 1,800 yuan, and the reimbursement ratio is 50%.
For retirees under the age of 1,300, expenses of more than 1,300 yuan can be reimbursed, and the reimbursement ratio is 70%.
For retirees over the age of 1,300, 80% of the expenses above 1,300 yuan can be reimbursed.
2. Designated hospitals and designated retail pharmacies.
Reimbursement scope of designated hospitals and designated retail pharmacies: Insured persons must go to 4 designated medical institutions (except for emergency medicine) of their choice, or designated traditional Chinese medicine and specialties (including dental hospitals, obstetrics and gynecology hospitals, tumors, hospitals, etc.) and 11 Class A medical institutions in Beijing to see a doctor in order to be reimbursed.
3. The following 6 types of expenses cannot be reimbursed according to regulations:
1. Purchase drugs in non-designated retail pharmacies;
2. Expenses for injuries caused by traffic accidents, medical accidents or other accidents;
3. Expenses for injuries caused by drug abuse, fights or other illegal acts;
4. Expenses for suicide, alcoholism, etc.;
5. Expenses for ** in foreign countries or Hong Kong, Macao Special Administrative Regions and Taiwan regions;
6. According to the provisions of medical insurance, some self-paid items, such as tooth insertion, cannot be reimbursed, and dental implants, fillings, and teeth cleaning are all self-paying.
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Reimbursement can be made as an outpatient visit, but the reimbursement percentage is small. Outpatient expense subsidy: a, the implementation of outpatient co-ordination of the township participating farmers, in the township designated medical institutions to pay 30 on-site compensation for outpatient expenses, per person per day cap of 8-10 yuan, not reached the cap line according to the "single compensation ratio" individual annual cumulative cap of 200 yuan.
b. Participating farmers who have not implemented outpatient co-ordination shall directly offset the outpatient family account with cooperative medical treatment if they receive outpatient services in designated medical institutions in their townships and townships, and if they are outpatient clinics in medical institutions outside their townships, they shall return to their township health centers for verification and write-off with outpatient invoices.
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Hello, dear. If you are not hospitalized, you will be reimbursed for the examination fee. Most of the cost of the examination is reimbursable, but there are some out-of-pocket items.
Generally speaking, color ultrasound, CT, magnetic resonance, etc. of various systems can be reimbursed. Tests of liver and kidney function, coagulation, blood type, leucorrhoea, urine envy routine, hepatitis markers, hepatitis C antibody, AIDS, syphilis antibody, immune system blood tests, blood circulation examination items, etc., can be reimbursed. Dear, <>
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Yes. Medical insurance reimbursement ratio: 1. Outpatient and emergency medical expenses:
The cumulative medical expenses of in-service employees within the scope of the provisions of the basic medical insurance exceed 2,000 yuan. 2. Settlement ratio: 50% of the part of the dispatched personnel over 2,000 yuan during the contract period, 50% of the personal payment, and the maximum amount of reimbursement for outpatient and emergency treatment of dispatched personnel in a year is 20,000 yuan.
3. The insured person should properly keep the outpatient medical documents (including receipts and prescriptions for the following parts) in the designated hospital as the medical expense reimbursement voucher.
Legal basis: Social Insurance Law
Article 28 In line with the basic medical insurance drug list, late diagnosis and treatment items, medical service facility standards and emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance **.
Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit.
The social insurance administrative department and the health administrative department shall establish a settlement system for medical expenses for medical treatment in other places, so as to facilitate the insured persons to enjoy the basic medical insurance treatment of Qidan escort.
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Legal analysis: Medical insurance can reimburse the cost of non-hospitalization examinations.
Legal basis: The following documents need to be brought when reimbursement1Original ID card or social security card2
The original certificate of disease diagnosis issued by a specialist doctor of a designated medical institution34. Original medical information such as outpatient medical records, examinations, and test result reportsThe original receipt of outpatient charges of financial and taxation unified medical institutions 5
A detailed list of outpatient expenses printed on the hospital's computer or the original payment of the doctor's prescription6Designated pharmacies: the original uniform invoice for the sale of tax commodities and the computer-printed list; 7.
If you are acting on behalf of a person, you need to provide the original ID card of the agent. Reimbursement process with the above information to the relevant departments of the local social security center to apply for, after review, the information is complete, eligible, you can immediately handle the applicant for outpatient medical expenses reimbursement, first deduct the amount of the social security year into the medical insurance personal account, and then verify the amount to be reimbursed Article 28 of the Social Insurance Law of the People's Republic of China in line with the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and medical expenses, emergency and rescue medical expenses, In accordance with national regulations, it is paid from the basic medical insurance**.
At present, there are three commonly used gastroscopy methods, different methods have different costs, ordinary electronic gastroscopy, the operation is relatively simple, the cost is about 90 yuan, and it is easy to have nausea and vomiting and other discomforts during the operation. **The pain of gastroscopy is relatively small, but the cost is relatively high, generally between 1200-1500 yuan, and the cost of different hospitals has certain differences. Capsule gastroscopy is less painful, it is a disposable, and there is no risk of contracting infectious diseases, but it is expensive, about 4,000 yuan.
If it is simple superficial varicose veins of the lower limbs, the general clinical symptoms are mild, the progression is slow, and most of them are manifested as simple varicose veins, and in a few cases, there may be thrombophlebitis, venous ulcers, etc.; If it is a deep vein valve insufficiency, or even a deep venous return obstruction, the condition is relatively serious, the calf has a feeling of heaviness when standing, easy fatigue, and even swelling and bursting pain of the lower limbs, and the later stage will occur ** nutritional changes, desquamation, atrophy, pigmentation, eczema ulcer formation.
Now it is mainly minimally invasive surgery, there is almost no bleeding during and after the operation, and the operation is done under the support laryngoscope, the field of vision is very clear, and the doctor can completely remove the lesion tissue, so it can also avoid some worries, and it needs to be hospitalized for about 3-7 days.
What is the reimbursement ratio for hospitalization under employee medical insurance?
There are different companion fees for different degrees during the hospitalization period for work-related injuries, so we will introduce them in detail below. Formula for calculating the compensation for escort expenses: (The doctor needs to clearly state "escort?") people", otherwise there is no item. ) >>>More