High score for medical reimbursement questions, about medical reimbursement questions, reimbursement

There are two ways for him to reimburse, one is medical insurance reimbursement, the other is insurance company reimbursement, if it is medical insurance, it will not be reimbursed if it is not hospitalized** (the medical insurance for the injured person is not reimbursed), then the only thing left is the reimbursement of the insurance company and your claim, what is the invoice you are talking about? Is it an invoice issued by the hospital? If the medical insurance knows that he was hit, he will not be reimbursed, and if the medical insurance knows that he was hit, he will not be reimbursed, and if the medical insurance is a traumatic injury, it will generally be reimbursed at a rate of 25 (in the case of hospitalization and the case of his own fall).

It's best to settle it privately, otherwise you'll have to pay the lawyer's fee, so kindly remind me!

Yes, you can go to your local medical management center to apply for reimbursement related to ward rounds.

For medical insurance reimbursement, you need to go to the local medical management center or the medical insurance settlement window of the designated medical institution for reimbursement.

The procedures include: ID card, medical insurance card, original invoice, medication list, medical record book and other materials.

Reimbursement for medical insurance is pro-rata and generally fluctuates around 70%. The proportion and amount of reimbursement are related to their own examinations and medications, medical level and other factors. For example, it is relatively clear that Class A drugs can enjoy full coverage, Class C needs to bear all the out-of-pocket costs, and Class B reports 80% and 20% of the cost.

A person uses a total of 9,000 yuan in medical expenses, and the reimbursement formula is like this: (9,000-500 "starting line" - self-financed drugs) * 70%, if self-financed drugs account for a large proportion, there is not much reimbursement for it.

It is also important to go to a designated medical institution.

You can find the relevant agency to defend you, after all, you are already responsible.

Out-of-pocket expenses refer to all expenses that are not covered by the reimbursement scope and are borne by the individual (such as out-of-pocket drugs and expenses that exceed the reimbursement ceiling).

Personal self-payment refers to the expenses within the scope of reimbursement but need to be borne by the individual (generally for Class B drugs or Class B medical service items, the individual is required to pay a part of the cost, and the "B 10%" printed in the drug details on the invoice is 10% for the Class B drug).

Personal self-responsibility is the reimbursement scope according to the medical insurance policy will not be reimbursed for the expenses that must be borne by the individual, which is generally the starting line.

Personal responsibility and personal self-pay is a meaning.

You can't be reimbursed for buying medicine, you can be reimbursed for hospitalization expenses, you can apply for social security, and you can report 80% of your social security for commercial insurance

Self-care is not reimbursable, and others that can be reimbursed are reimbursed proportionally.

Didn't you pay with Alipay 22 all 100 70 10 is 7 22 + 7 = 29

Process of Medical Reimbursement:

Before hospitalization or within 3 days after hospitalization, call the hometown NCMS consultation** to register and record the hospitalization and medical treatment;

After being discharged from the hospital, a residence certificate must be issued by the sub-district office or neighborhood committee at the place of residence, and if you are working abroad, you must have a work certificate issued by the work unit;

After discharge, take a copy of the medical record, a summary list, a hospitalization bill, and a discharge certificate, and then take the patient's ID card, cooperative medical certificate, and residence or work certificate back to the place where you participate in the hospital for reimbursement;

If you are going directly from the place where you participate in the hospital for chemotherapy outside the province, you must go through the referral and transfer procedures before you leave, and then you can go to other places for hospitalization**;

The proportion of reimbursement outside the province is the lowest, the general starting line is about 2000, and the reimbursement ratio is 45% of the reasonable cost.

According to the notice of the Guangzhou Municipal Social Security Bureau in 2010, the insured person can use the funds of the personal medical account to pay the following expenses for himself and his relatives in the overall area of social medical insurance in Guangzhou

1) Pay social medical insurance premiums.

B) in the city's medical insurance designated medical institutions incurred, belonging to the personal burden of medical expenses.

3) Vaccination and physical examination fees in designated medical institutions of medical insurance in this city.

D) the cost of purchasing drugs and medical supplies in designated retail pharmacies of the city's medical insurance.

Year 2011.

I've tried reimbursement for small children in two places. One is rural medical care, and the other is insurance, the kind of insurance that costs 30 yuan a year.

Of course, you have to pay. Company Payment.

You are not a local. The case is not fully understood by the locals. Medicare, whether comprehensive or other complementary and hospital.

Comprehensive medical insurance is the maximum amount paid by several basic medical insurances, but also enjoys the most comprehensive**. Not only reimbursement for comprehensive medical insurance, outpatient medical services and inpatient medical services. **Included:

1. General outpatient: paid by the personal account, but the outpatient drug expenses of the medical catalogue incurred by the insured in the community health week of the designated city, 70 are paid by the personal account, and 30, respectively, including in the serious overall planning ** accounting scope, local supplementary medical insurance **; 2. Outpatient special examination: 80 Included in the scope of basic medical insurance** accounting scope of serious illness, outpatient serious illness:

Chronic renal insufficiency (uremia stage) outpatient dialysis, after organ transplantation (anti-rejection**), malignant tumor outpatient chemotherapy, radiotherapy, radiotherapy, radionuclide**, 90 included in the basic medical insurance for urban employees Serious illness co-ordination ** accounting scope; 4. The scope of outpatient infusion includes: accounting for 90 major diseases; Hospitalization** incurs hospitalization drug expenses, medical consultations, medical materials, and generally speaking, retirees are included in the basic medical insurance for serious illnesses, and the proportion of 95 of the basic bookkeeping scope is 90 for other workers, and the bed fee exceeds 50 yuan per day.

First of all, the cost of surgery, medical equipment, and medicine are all covered by medical insurance.

Then ask you, what kind of medical insurance you have, different insurance, different reimbursement amounts.

Secondly, because you specifically mentioned that you are in Zhuhai, then it means that your medical insurance card was not handled in Zhuhai? There are some designated hospitals that can apply for medical insurance cards from other places, but many cannot.

Local towns go to health centers, and if the Rural Cooperative Medical Management Office goes to the newborn who participates in the annual social health insurance, such maternity medical expenses can be reimbursed. The insurance premium is low, and the resident medical insurance is more than 100 yuan a year. NCMS tens of thousands of dollars per year.