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The medical insurance for urban residents managed by PICC can be reimbursed, and the insured person receives inpatient services, uses the necessary medical service facilities and environment, and pays the corresponding medical service expenses for this, and reimburses those who meet the standards of medical service facilities specified in the **.
For urban residents medical insurance.
There is a limit to reimbursement, and due to the inconsistency of specific regulations in various places, when reimbursing medical expenses, insured persons should consult the specific medical insurance policy of the medical insurance bureau at that time with specific suggestions in advance.
The scope of non-reimbursement usually includes the following aspects:
1. Medical expenses incurred in outpatient, emergency, hospital observation, and family beds;
2. One week after being admitted to the emergency department for observation and transferred to hospitalization**.
medical expenses;
3. Medical expenses that fall within the scope of work-related injury, maternity and other insurance**;
4. Medical liability that should be borne by a third party or individual;
5. Medical expenses borne by medical treatment abroad and other circumstances that are not reimbursed.
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How to reimburse for medical treatment in other places: When you go to a different place for medical treatment, you need to pay all the medical expenses in advance, and print the reimbursement list when you are discharged from the hospital; Return to your hometown cooperative medical clinic to apply for reimbursement; The reimbursement amount for medical treatment in other places is very low, only 3-4 percent; If you can open a transfer certificate in the local township hospital, you can report about 6% of the same as medical treatment in the local township.
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Legal analysis: ICC catheterization can be reimbursed, but the reimbursement rate needs to be determined according to local policies.
Legal basis: Article 20 of the Social Insurance Law of the People's Republic of China refers to Article 8 The 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.
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Legal analysis: ICC catheterization can be reimbursed, but it is recommended to go to the hospital for consultation on the specific reimbursement amount. Because of the different types of medical insurance, the reimbursement ratio will also be different.
Legal basis: Social Insurance Law of the People's Republic of China
Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and emergency key field Xiang diagnosis, rescue medical expenses, spinal rot in accordance with the provisions of the State from the basic medical insurance ** payment.
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 that the insured persons can enjoy basic medical insurance benefits.
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Legal analysis: PICC catheterization can be reimbursed, but the reimbursement rate needs to be determined according to local policies.
Legal basis: Yuanlu.
Social Insurance Law of the People's Republic of China Article 28 In accordance with the medical insurance drug list, 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 ** to pay the sales bill.
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Analysis of the law of Qi Qi Xiang Xiang:
PICC catheterization can be reimbursed, but it is recommended to go to the hospital for consultation for the specific amount of reimbursement. Because of the different types of medical insurance, the reimbursement ratio will also be different.
Legal basis: Social Insurance Law of the People's Republic of China
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 shall be paid by the basic medical insurance shall be settled directly 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.
1. Bring your valid ID card (ID card.
household registration booklet, etc.), apply to the local district and county medical insurance center, and the district and county medical insurance center will complete it on the spot. >>>More
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2008-05-15 05:56 Beijing Morning Post.
Morning News (Reporter Xing Fei) Beijing's residents' income is quietly being replaced by Zhejiang. According to the latest data released yesterday by the National Bureau of Statistics, in the first quarter of this year, the average income of urban residents in Beijing was yuan, ranking third in the country after Shanghai and Zhejiang. >>>More
No, you can only choose one.
Maternity insurance benefits application or payment standards: >>>More
The differences between the medical insurance card and the urban residents' medical insurance are as follows: >>>More