Can emergency transfer to hospitalization be reimbursed, and can emergency expenses be reimbursed fo

Emergency expenses are reimbursable. According to Article 28 of the Social Insurance Law of the People's Republic of China: "Medical expenses that meet the standards of basic medical insurance drug lists, diagnosis and treatment items, medical service facilities, as well as emergency and rescue shall be paid from the basic medical insurance in accordance with national regulations."

The following two types of emergencies can be reimbursed: one is the medical expenses of the insured in Shanghai for emergency medical treatment in medical institutions in other provinces and cities, the medical expenses incurred in Shanghai due to pre-hospital first aid, and the emergency medical expenses during the period when the medical insurance card or social security card is damaged or lost; The second category is the outpatient and emergency medical expenses, emergency observation room observation and inpatient medical expenses incurred by the insured in other provinces and cities in the place of residence.

If the emergency department is transferred to hospitalization, it can be reimbursed, and the hospitalization is caused by the emergency department, that is, the emergency department is in line with the medical insurance reimbursement regulations.

If the emergency expenses incurred by the insured in the designated institution of medical insurance are reviewed by the medical insurance management department of the designated medical institution, they will be included in the overall settlement of the general outpatient clinic and will be reimbursed. However, the emergency medical expenses incurred by the insured in the general outpatient co-ordination and designated medical institutions of non-medical insurance designated institutions shall not be paid by the pooling fund.

The medical expenses incurred by the insured in the death of an ineffective emergency rescue, the medical expenses incurred during the period of emergency observation and inpatient observation, and the medical expenses of the insured person's emergency ** approved diseases for outpatient specified diseases shall not be included in the scope of overall payment for general outpatient services.

All those within the scope of reimbursement stipulated by the state can be reimbursed.

Emergency expenses for emergency transfer to hospitalization can be reimbursed. Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be paid from the basic medical insurance in accordance with national regulations.

The following two types of emergencies can be reimbursed:

1. Medical expenses incurred by the insured in Shanghai for emergency medical treatment in medical institutions in other provinces and cities, medical expenses incurred in Shanghai due to pre-hospital first aid, and emergency medical expenses during the period when the medical insurance card or social security card is damaged or lost;

2. The insured person who is related to medical treatment in other provinces and cities incurs outpatient and emergency medical expenses, emergency observation room observation and inpatient medical expenses in the place of residence.

The reimbursement scope of medical insurance refers to the basic medical needs of the insured and the management of basic medical insurance drugs, diagnosis and treatment, etc., and the basic medical insurance stipulates the reimbursement scope of the drug catalog, diagnosis and treatment items and medical service facilities (commonly known as the "three catalogs"). The medical expenses incurred by the insured in the designated hospital in accordance with the three major catalogs shall be paid by the medical insurance** in accordance with the regulations.

Article 23 of the Social Insurance Law of the People's Republic of China Employees shall participate in the basic medical insurance for employees, and the employer and the employees 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 ***.

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 guarantee, the disabled who have lost the ability to work, the elderly over the age of 60 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.

Article 27 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 they will no longer pay the basic medical insurance premiums after retirement, and enjoy the basic medical insurance benefits in accordance with the provisions of the State; If the number of years prescribed by the state has not been reached, the fee can be paid until the number of years prescribed by the state.

Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and medical expenses, 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 administrative department of social insurance and the administrative department of health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits.

Hello, the emergency expenses during the hospitalization can be reimbursed, and the overall planning of the medical insurance can pay for the medical expenses within 7 days of the emergency rescue observation and hospitalization. According to Article 28 of the Social Insurance Law of the People's Republic of China: "Medical expenses that meet the standards of basic medical insurance drug lists, diagnosis and treatment items, medical service facilities, as well as emergency and rescue shall be paid from the basic medical insurance in accordance with national regulations."

Questions. Hospitalization is not available for outpatient expenses (for the same disease) after discharge?

Questions. What does "what" mean? Is it an affirmative or rhetorical question? [Question] is not reimbursable.

Questions. Thank you.

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According to the provisions of the urban residents' medical insurance policy, the insured person must register with the medical insurance agency in the place of insurance in advance for medical treatment in other places, and file for the record (if the emergency patient needs to be hospitalized in the hospital in time, he or she shall report to the medical insurance agency in the insured place within three days after hospitalization), and the medical expenses shall be paid in full by the individual first. Within 1 month after discharge, the patient should go through the medical expense reimbursement procedures at the medical insurance agency where the household registration is located with the household registration booklet, a copy of the patient's ID card (the identity verification opinion signed by the medical insurance department of the hospital where the patient lives must be stamped with the official seal), resident medical guarantee (card), medical expense invoice and detailed list, discharge certificate, non-local residence certificate or temporary residence permit. When the medical personnel are hospitalized, they must report to the medical insurance center of the insured place for the record, and if they do not go through the reporting procedures in accordance with the regulations, the medical insurance institution will not reimburse the medical expenses incurred in the hospitalization.

Legal basis: Article 6 of the "Guiding Opinions on Carrying out the Pilot Program of Basic Medical Insurance for Urban Residents" stipulates the payment of expenses. The basic medical insurance for urban residents** is mainly used for the inpatient and outpatient medical expenses of insured residents, and the areas with conditions can gradually try to coordinate outpatient medical expenses.

The use of basic medical insurance for urban residents should adhere to the principle of fixed income and expenditure, balance of revenue and expenditure, and slight surplus. It is necessary to rationally formulate the minimum payment standard, payment ratio and maximum payment limit of basic medical insurance for urban residents, improve payment methods, and reasonably control medical expenses. Explore medical services and payment methods that are suitable for the economic affordability of non-employed residents in difficult cities and towns, so as to reduce their burden of medical expenses.

The basic medical insurance for urban residents** is used to cover medical expenses within the prescribed scope, and other expenses can be solved through supplementary medical insurance, commercial health insurance, medical assistance and social charitable donations.

Legal Analysis: First of all, the conditions for emergency reimbursement are confirmed: (1) Patients who die in the emergency room or hospitalization after pre-hospital emergency personnel die on the way to the scene or are transferred.

2) Reimbursement will be given to patients who are transferred to the hospital after on-site first aid and meet the following emergency diseases. The reimbursement scope of emergency medical insurance is: acute cerebral hemorrhage, acute large-scale cerebral infarction, acute heart failure, acute myocardial infarction, severe arrhythmia, hypertensive crisis, pulmonary embolism, pneumothorax, acute shock, coma, status asthmaticus, status epilepticus, massive hemoptysis, upper gastrointestinal hemorrhage, uterine functional hemorrhage, etc., acute abdomen for emergency surgery, severe acute poisoning, moderate or above burns.

Other diseases are not reimbursed. (3) Patients who are transferred to the hospital after on-site emergency treatment and fail to be hospitalized will not be reimbursed.

Legal basis: Article 2 of the Social Insurance Law of the People's Republic of China.

The State shall establish social insurance systems such as basic endowment insurance, basic medical insurance, work-related injury insurance, unemployment insurance, and maternity insurance, to ensure citizens' right to receive material assistance from the State and society in accordance with the law in the event of old age, illness, work-related injury, unemployment, childbirth, and so forth.

The specific reimbursement standard is subject to the local regulations of the medical insurance in the place where you are located. In addition to paying the emergency medical expenses in full, the hospitalization-related medical expenses will be reimbursed according to the highest reimbursement standard for hospitalization in the region. The nature of reimbursement is mainly "overall payment" and "unplanned payment", and it is required that the application for reimbursement must bring a description of the overall payment for hospitalization for general diseases issued by the municipal and county medical insurance agencies, which is subject to the verification results of the medical insurance bureau and its branches.

At the same time, bring the inpatient medical records and appraisal results issued by the local medical institution to complete the hospitalization reimbursement.

Hello. Lishu County Agricultural Cooperative Medical Cooperative Reimbursement How to rectify what needs to be opened.

The principle of reimbursement for emergency transfer to hospitalization is: in addition to paying the full medical expenses of the emergency department, a certain amount related to the transfer to hospitalization will be reimbursed. The specific reimbursement standard is subject to the local regulations of the medical insurance in the place where the suspect is bored.

In addition to paying the emergency medical expenses in full, the hospitalization-related medical expenses will be reimbursed according to the highest reimbursement standard for hospitalization in the region. The nature of reimbursement is mainly based on "overall payment" and "unplanned payment" in Qinwan, and it is required that the application for reimbursement must bring a description of the overall payment for hospitalization for general diseases issued by the municipal and county medical insurance agencies, which shall be subject to the verification results of the medical insurance bureau and its branches. At the same time, bring the inpatient medical records and appraisal results issued by the local medical institution to complete the hospitalization reimbursement.

Even if it is an emergency, it will not be reimbursed.

Lishu County Agricultural Cooperative Cooperative Reimbursement should prepare appropriate documents according to the actual situation, and the commonly used documents include: 1A copy of the medical records of the Mori Cave Clinic.

2.Copies of medical invoices (e.g., invoices, bills).

3.A copy of the list of medicines indicated on the invoice (the same invoice number on the cover) with the "seal of the toll collector". 4.

A copy of the relevant record documents of the social security bank (the same social security bank number on the cover) with the "seal of the toll collector". 5.A copy of the "Approval Form for the Coordinated Review of Outpatient Serious Diseases" (issued by a medical institution).

6.Other documents that are recognized for reimbursement.

Medical insurance stipulates that the insurance company will provide reimbursement for emergency treatment, but it also depends on the type and level of insurance you have to take care of. The best course of action is to contact your insurance company for reimbursement details and instructions.

How to go through the transfer procedures when you are hospitalized in Changchun.

Tidying up.

Is it enough to prescribe an outpatient medical certificate?

Before transferring to another hospital, you should first bring the local hospitalization approval form and discharge form to the new hospital or hospital to prepare for treatment, and then prepare the following documents: 1. A copy of the medical certificate of the original ** location;2. Examination reports, records, discharge certificates and other relevant medical materials of the original location;3. Prescription and drug prescription of the original ** location;Finally, you can go to the new hospital**, and the transfer approval form and discharge form will be completed by the new hospital.

That is, NCMS does not reimburse emergency expenses, right?

NCMS does not reimburse emergency expenses because emergency expenses are considered non-essential and are not covered by NCMS.

Legal Analysis: Emergency Expenses are Reimbursable. The following two types of emergencies can be reimbursed:

The first category is the medical expenses of the insured in Shanghai who are in Shanghai for emergency treatment in medical institutions in other provinces and cities, the medical expenses incurred in Shanghai due to pre-hospital first aid, and the emergency medical expenses during the period when the medical insurance card or social security card is damaged or lostThe second category is the outpatient and emergency medical expenses, emergency observation room observation and hospitalization medical expenses incurred by the insured person in other provinces and cities.

Legal basis: Article 28 of the Social Insurance Law of the People's Republic of China: Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be paid from the basic medical insurance in accordance with national regulations.