Medical insurance reimbursement rules, medical insurance reimbursement rules

Medical insurance reimbursement can only be reimbursed if it exceeds the threshold payment. That is to say, after deducting the individual's out-of-pocket expenses first, the remaining amount can be reimbursed only if it is above the threshold line. There is a cap on medical insurance reimbursement, and the part that exceeds the cap line cannot be reimbursed.

The cap line is based on local medical insurance policies, and may vary from place to place. It is recommended that when you buy a pack, you should buy a serious illness medical insurance, and give further protection to the high medical expenses incurred by seriously ill patients on the basis of basic medical security, generally about 100 yuan.

Social Insurance Law of the People's Republic of China

Article 23 Workers and workers shall participate in the basic medical insurance for employees, and the employer and the workers shall jointly pay the basic medical insurance premiums in accordance with the provisions of the state.

Individually-owned businesses without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other flexibly employed persons may participate in the basic medical insurance for employees, and the individual shall pay the basic medical insurance premiums in accordance with the provisions of the state.

Article 24: The State is to establish and improve a new type of rural cooperative medical system.

The management measures for the new type of rural cooperative medical care shall be stipulated by ***.

According to the relevant provisions of the Social Insurance Law of the People's Republic of China, the medical insurance reimbursement regulations are: (1) urban employee medical insurance patients do not need to go to the social security center for reimbursement, and when they are admitted, they should go through the social security registration procedures with their ID cards, and go to the hospitalization billing office to go through the discharge settlement procedures with the admission registration form and ID card when they are discharged; (2) The reimbursement process for urban residents' medical insurance hospitalization, the insured person directly handles the settlement with the medical insurance office set up in the hospital with his ID card, and the reimbursement ratio is reimbursed according to the level of the hospital, which varies according to local policies; (3) The reimbursement of hospitalization under the medical insurance of NCMS is similar to that of the medical insurance reimbursement for urban residents, and when admitted, the insured person shall go to the hospital inpatient fee office to go through the admission procedures with the arrangement of the doctor with his ID card; Pay the hospitalization deposit, and when you are discharged, you will go through the reimbursement procedures at the medical insurance office with the receipts, hospitalization documents, ID cards, and medical insurance cards.

Basis of the law:

Social Insurance Law of the People's Republic of China

Article 24: The State is to establish and improve a new type of rural cooperative medical system. The management measures for the new type of rural cooperative medical care shall be stipulated by ***.

Article 25 The State shall establish and improve the basic medical insurance system for urban residents. The basic medical insurance for urban residents implements a combination of individual payment and subsidy. Those who enjoy the minimum living allowance with ants, the disabled who have lost the ability to work, the elderly over 60 years old and minors from low-income families, etc., will be subsidized by **.

Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State.

Summary. Hello! We're glad to answer your questions! ~<

Hello, the medical insurance reimbursement regulations are that urban employee medical insurance patients do not need to go to the social security center for reimbursement, when admitted, go through the social security registration procedures with SFZ, and go to the hospitalization billing office to go through the discharge settlement procedures with the admission registration form and SFZ when discharged; The reimbursement process for urban residents' medical insurance hospitalization is directly handled by the insured person with the medical insurance office set up by SFZ in the hospital, and the reimbursement ratio is reimbursed according to the level of the hospital, which varies according to local policies.

Medical insurance reimbursement regulations.

Hello! We're glad to answer your questions! ~<

Hello, the medical insurance reimbursement regulations are that patients with medical insurance for urban employees do not need to go to the social security center for reimbursement, when they are admitted, they can go through the social security registration procedures with SFZ, and when they are discharged, they will go through the discharge settlement procedures with the admission registration form and SFZ at the hospitalization billing office; In the hospitalization reimbursement process of urban residential medical insurance, the insured person directly handles the settlement with the medical insurance office set up by SFZ in the hospital, and the reimbursement ratio is reimbursed according to the level of the hospital, which varies according to local policies.

Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by the risk of illness. Through the payment of the employer and the individual, the establishment of the medical insurance base Huai Qiaobu fund, the insured personnel suffer from the medical expenses incurred by the medical treatment, by the medical insurance institutions to give them a certain amount of economic compensation. The establishment and implementation of the basic medical insurance system gathers the economic strength of the unit and the members of the society, coupled with the funding of the first class, which can enable the members of the society who suffer from Bing to obtain the necessary material help from the society, reduce the burden of medical expenses, and prevent the members of the society who suffer from Bing from "being poor due to Bing".

In November 2019, the first batch of 422 bings and payment methods in Anhui were announced, and from January 1, 2020, urban and rural residents will have a unified payment standard when they seek medical treatment in 18 hospitals in the province.