How to handle the reimbursement for the second hospitalization

The second reimbursement of medical insurance can be applied for reimbursement at the medical insurance service window of the social security bureau in the place where the insurance is enrolled.

The second reimbursement of medical insurance is also called critical illness insurance underwriting, which refers to the residents who participate in the urban residents' medical insurance or the New Rural Cooperative Medical System, if the medical expenses exceed their personal affordability, in addition to the normal reimbursement, they can also apply for a serious illness insurance reimbursement, and there is no cap. When handling the second reimbursement of critical illness medical insurance, the insured person needs to provide ID card, medical insurance compensation statement, medical institution expense invoice, discharge summary, diagnosis certificate, outpatient medical record, bank remittance account number, etc., and submit a reimbursement application to the local social security bureau.

Documents required: ID card and photocopy, NCMS medical certificate and photocopy, NCMS discharge compensation, bank card, doctor's certificate, hospitalization summary, hospitalization receipt, medical details, patient's ID card, first reimbursement voucher.

2. Location: Local Social Security Bureau.

1) When seeking medical treatment in a designated hospital, show the medical insurance card to prove the identity of the insured and **, the individual does not need to pay first and then reimburse, and the medical insurance and the hospital can directly settle the part of the medical insurance reimbursement, only at the time of checkout, the self-paid part is paid by the balance of the medical insurance card or cash.

2) When hospitalization reimbursement, there is a starting line (the minimum payment standard is generally 10% of the average annual salary of the city's employees in the previous year), that is to say, the money of the starting line needs to be paid by yourself, and the part that exceeds the minimum payment line can be reimbursed according to the provisions of local medical insurance, and the reimbursement ratio is different from place to place, and different hospitals and different projects are also different, about 80%, you can go to the local labor security network for details.

Article 23 of the Social Insurance Law.

Employees shall participate in the basic medical insurance for employees, and the employer and the employee 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.

Summary. Reimbursement for hospitalization goes to the local social security bureau. The procedures required for the second reimbursement are as follows:

1. ID card or household registration booklet of participating inpatients; 2. Cooperative medical certificate for participating inpatients; 3. Discharge certificate; 4. Receipts for medical expenses; 5. Detailed list of hospitalization expenses; 6. Other materials required to be submitted by the county and urban cooperative medical management agencies. The second reimbursement means that residents of urban residents' medical insurance or NCMS can apply for serious illness insurance again in addition to the normal reimbursement if they have high expenses for medical treatment last year, and there is no upper limit.

Reimbursement for hospitalization goes to the local social security bureau. The procedures required for the second reimbursement are as follows: 1. ID card or household registration booklet of participating inpatients; 2. Cooperative medical certificate for participating inpatients; 3. Discharge certificate; 4. Receipts for medical expenses; 5. Detailed list of hospitalization expenses; 6. The county and urban cooperative medical group demolition management agency needs to submit other materials that need to be submitted.

The second reimbursement means that residents of urban residents' medical insurance or NCMS can apply for serious illness insurance again in addition to the normal reimbursement if they have high expenses for medical treatment last year, and there is no upper limit.

Hello, I gave birth to a child last year in the First Affiliated Hospital of Zhengzhou Da Xian Sui Shouxue, when the seven clans laughed for more than a month, the child came out prematurely 2 pounds, lived for 59 days, we spent more than 190,000, reported a little more than 100,000, can you reimburse it twice.

OK. I had gestational hypertension complicated by severe Zixian kidneys with three plus signs that caused massive bleeding and placental abruption.

Our local area is Lankao County, Kaifeng City, Henan Province.

Go to your local health insurance office.

Go, will they say no, you can't report it twice?

No, it's all done according to the rules.

I can be reimbursed for this situation.

What is the starting line for secondary reimbursement? Ten thousand.

Summary. Hello dear! The second reimbursement of hospitalization medical insurance can be applied for reimbursement at the medical insurance service window of the social security bureau in the place where the insurance is enrolled.

Hello dear! The second reimbursement of hospitalization medical insurance can be applied for reimbursement at the medical insurance service window of the social security bureau in the place where the insurance is enrolled.

The second reimbursement of medical insurance is also called the insurance of the side of the calendar, which refers to the residents who participate in the medical insurance for urban residents or the New Rural Cooperative Medical System, if the cost of medical treatment exceeds the personal affordability, in addition to the normal reimbursement, you can also apply for a serious illness insurance reimbursement, and there is no upper limit.

Kiss. You need the following documents and materials: ID card and photocopy, NCMS medical certificate and photocopy, NCMS discharge compensation, bank card, doctor's certificate of delay, hospitalization summary, hospitalization receipt, medical details, patient's ID card, and first reimbursement voucher.

You submit an application for reimbursement to the local social security bureau, and after the social security bureau staff approves it, the insured person can receive compensation for the second reimbursement of the critical illness medical insurance.

Then I reported that I paid more than 7,000 out of pocket, can I be reimbursed twice?

Going to ** ask well.

Dear, yes. You will need to go to the medical insurance service window of your local social security bureau to do this.

You can also call 12333 to inquire about the process.

If you are within the scope of the second reimbursement of medical insurance, you can declare it.

What is the scope of the second reimbursement, rural medical insurance.

Dear, please wait a moment, I need time to type.

Dear, how much did you spend on medical treatment, and what kind of disease did you have?

The amount of secondary reimbursement: "calculated in stages and paid cumulatively". The expenses incurred by the designated medical institutions of basic medical insurance above the "minimum payment amount" and within 50,000 yuan (including Cong Que) shall be reimbursed by 50% of the serious illness insurance funds; Expenses exceeding 50,000 yuan will be reimbursed by 60% of the critical illness insurance funds.

The minimum payment amount is quoted at 50% or 60%. The first sedan.

The cervical spine surgery cost more than 24,000 yuan in total, and I paid more than 7,400 out of pocket after reporting.

Dear, you can make a second reimbursement in this case.

Please note that in addition to the general reimbursement materials, you also need a certificate of employment or a referral certificate (one-stop settlement does not require any procedures). If it cannot be provided, there may be problems with the reimbursement, and it is necessary to consult the relevant local departments (township-level consultation labor insurance office, district and county-level consultation medical and rough insurance bureau).

Please also consult the local 12333 for details, as the process varies slightly from place to place.

Lost time pay has to be calculated.

Dear, I'm talking about the employment certificate, which is your work certificate.

Can you go directly to the newspaper office and ask?

Dear, you can go to the Social Security Bureau and ask.

You can also call 12333 directly, which is more convenient.

Summary. Hello dear!

We're happy to answer your questions! According to the investigation, the second reimbursement process for hospitalization is handled by the Social Security Bureau. 1. You need to fill in the application form according to the process, and prepare the hospitalization records, outpatient medical records, relevant medical documents and inspection reports during the illness period.

Of course, you must also prepare your own identification and a one-inch **. 2. Submit the materials to the Social Security Bureau and other relevant units after they are ready, and then submit them to the Medical Insurance Center for approval after the unit is stamped with the official seal. In the approval process, if it is due to one's own illness, it can also be handled by family members.

3. After being approved by the medical insurance center, if there is no problem, the serious illness subsidy will be issued according to national regulations.

The second reimbursement of hospitalization will be reported to **.

Hello dear!

Very high frank and confident to answer your questions! According to the investigation, the second reimbursement process for hospitalization is handled by the Social Security Bureau. 1. You need to fill in the application form according to the process, and prepare the hospitalization records, outpatient medical records, relevant medical documents and inspection reports during the illness period.

Of course, you must also prepare your own identification and a one-inch **. 2. Submit the materials to the Social Security Bureau and other relevant units after they are ready, and then submit them to the Medical Insurance Center for approval after the unit is stamped with the official seal. In the approval process, if due to his own illness, Hu Xinmao can also be represented by his family.

3. After being approved by the medical insurance center, if there is no problem, a serious illness subsidy will be issued in accordance with national regulations.

The doctor I saw in Jinan, and then talk about the city's reimbursement.

No, dear.

Summary. Hello, dear. Reimbursement for hospitalization goes to the local social security bureau.

The second reimbursement means that residents of urban residents' medical insurance or NCMS can apply for serious illness insurance again in addition to the normal reimbursement if they have high expenses for medical treatment last year, and there is no upper limit. The second reimbursement of medical insurance refers to the reimbursement of basic medical insurance, and the part of the amount that needs to be paid by the individual will be re-reported by the retirees and military disability subsidies according to the corresponding proportion. In fact, it is the reimbursement of supplementary medical insurance.

That is, the hospitalization expenses (including family beds and out-of-town medical treatment) that have been settled within one year, and the part of the self-payment minus the part of category C expenses accumulated throughout the year is more than 10,000 yuan, and the second subsidy of medical insurance** can be enjoyed.

Hello, dear. Reimbursement for hospitalization goes to the local social security bureau. "Second reimbursement" means that the vast majority of residents of urban residents' medical insurance or NCMS can apply for serious illness insurance again in addition to normal reimbursement if they have high expenses for medical treatment last year, and there is no upper limit.

The second reimbursement of medical insurance refers to the reimbursement of basic medical insurance, and the part of the amount that needs to be paid by the individual will be re-reported by the retirees and military disability subsidies according to the corresponding proportion. In fact, it is the reimbursement of supplementary medical insurance. Brother Hehong is the hospitalization expenses (including family beds and out-of-town medical treatment) that have been settled within one year, and the part of the accumulated personal self-payment minus the part of Class C expenses above 10,000 yuan can be changed to enjoy the second subsidy of medical insurance**.

Can two hospitalizations in a year add up?

Can I apply for a second time if I add up to more than 10,000 yuan?

Hello, dear. You can reimburse the medical expenses of the second hospitalization in the previous year and the subsequent hospitalization, and the minimum payment standard is determined by 50%, which is 650 yuan.

Summary. When making a "second reimbursement", residents need to prepare the required patient medical records, ID cards, discharge certificates, first reimbursement forms and other materials in advance (due to different administrative regions, the list of detailed documents and materials required for "second reimbursement" may be slightly different, please consult the local reimbursement unit).

When making a "second reimbursement", residents need to prepare the required patient medical records, ID cards, discharge certificates, reimbursement forms and other materials in advance (due to different administrative regions, the list of detailed documents required for "secondary reimbursement" may be slightly different, so you can consult the local reimbursement unit).

1) The insured household shall prepare the required information for reimbursement and submit it to the village (community) cooperative medical liaison, who will review it and report it to the cooperative medical liaison officer of Donglv Town, and the town liaison will send it to the district agricultural office settlement and reimbursement center for reimbursement. (2) Direct reimbursement from the hospital: When you are hospitalized due to illness and go through the hospitalization procedures, you will directly participate in the reimbursement to the hospital with a new type of cooperative medical certificate for Nongdazi Village.

Legal Negotiation and Analysis Hanshan Bureau: Regarding reimbursement, you need to go to the local social security bureau to complete the relevant reimbursement procedures, and the reimbursement only requires you to bring relevant documents and receipts and other details, and also bring the first reimbursement voucher, so as to prove that you are the second reimbursement.

Legal basis: Article 31 of the Regulations on Medical Insurance for Employees of the basic medical insurance ** to pay part of the cost of the diagnosis and treatment items and the drugs of the category B catalogue, the proportion of individual self-payment, determined by the provincial people.