Is medical insurance reimbursable? What expenses can be reimbursed?

Introduction: Medicare.

It can be reimbursed, and it is also closely related to our lives, but many people do not know about the reimbursement costs and reimbursement methods of medical insurance, so let's talk to you about how medical insurance is reimbursed. The expenses that can be reimbursed by medical insurance mainly include the cost of drugs, diagnosis and treatment items and service facilities, and the cost of medical drugs is mainly two kinds of class A and class B. The cost of the diagnosis and treatment project is hemodialysis.

The cost of a bone marrow transplant. The cost of medical services refers to the cost of life service facilities that must be used in the process of ** or nursing. In addition to this, medical reimbursement is now also available for outpatient expenses.

What factors are involved in medical reimbursement?

As long as the medical reimbursement is in accordance with a certain proportion of the reimbursement ratio, the higher the reimbursement ratio, the more expenses that can be reimbursed, when the reimbursement will be made with reference to the level of the medical institution and the identity of the insured to judge, these will affect the reimbursement ratio, such as the reimbursement ratio of retired employees will be higher than the reimbursement ratio of urban and rural residents, but the medical reimbursement policy in each region is different, and the reimbursement ratio will also have certain differences. In addition, after the basic medical insurance reimbursement is completed, if you meet the conditions for serious illness reimbursement, you can also enjoy critical illness insurance.

Reimbursement Policy. <>

What is not covered by Medicare.

It is important to know that medical expenses that do not fall within the three categories are not covered by medical insurance, such as health care drugs or other drugs. In addition, medical expenses that should be borne by the third person will not be covered by medical insurance, such as traffic accidents or other circumstances. There are also some people who may be involved in a work-related injury, which will be paid out of the work-related injury insurance** and will not be reimbursed by the medical insurance.

Summary. Finally, medical insurance is the basic welfare of our country, and when I am sick, my family helps to pay for medical treatment to reduce the financial burden of the people, so medical insurance is very beneficial.

For example, if the relevant medical expenses incurred by the insured after seeing a doctor do not exceed the deductible, then it cannot be reimbursed, but can only be paid by the insured himself. In addition, medical insurance also has a limit limit, for example, a certain year of medical insurance stipulates that the reimbursement limit is 100,000 in one year, so if the insured has been reimbursed 100,000 yuan within half a year, the remaining half a year can no longer use the medical insurance for reimbursement, and can only continue to be covered after the renewal of the policy in the next year.

Medical insurance must accumulate a certain number of years of payment (including the deemed payment period) at the time of retirement, which is generally stipulated to be 20-30 years, and the actual payment period must reach 5 years (or 10 years) before you can enjoy medical insurance protection for free for life after retirement. If the accumulated number of years of contribution at the time of retirement is not enough to meet the requirements of the regulations, the difference in the number of years of medical insurance contributions can be made up according to the current rate standard.

The deemed payment period refers to the continuous length of service recognized by the labor department before the implementation of the local medical insurance system and the time (years) of continuous payment of pension insurance after the implementation of the pension insurance system.

Medical insurance can be reimbursed, you can reimburse the cost of drugs, you can also reimburse the cost of some diagnosis and treatment items, you can reimburse the cost of some service facilities, and medical expenses mainly include Class A and Class B.

Yes, you can reimburse the expenses when you see a doctor, you can reimburse part of it when you buy medicine, and you can go to the ** place to directly register and pay with the medical insurance card when settling the expenses, but you have to go to the hospital designated by the medical insurance card.

Absolutely. It can reimburse the cost of some diagnosis and treatment items, service facilities, medical supplies, medicines, etc.

Medical insurance can be reimbursed: 1. There are two types of drugs in the reimbursement scope of basic medical insurance, one is Class A and the other is Class B. Class A drugs are the most basic drugs that can ensure clinical excellence in our country.

The class B drug grinding is adjusted by each region according to its own situation. 2. The basic medical insurance diagnosis and treatment project reimbursement of the basic medical insurance diagnosis and treatment project must meet three conditions: it must be safe and effective, and the cost is appropriate; The price department has set the charging standard; Designated medical institutions**.

3. Reimbursement for basic medical service facilities.

Article 26 of the Social Insurance Law of the People's Republic of China The treatment standards of basic medical insurance for employees, new types of rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State. Article 28 of the Social Insurance Law of the People's Republic of China is cautious to meet the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and medical expenses for emergency and rescue treatment, and pay from the basic medical insurance ** in accordance with national regulations. Article 29 of the Social Insurance Law of the People's Republic of China 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 institutions and drug business units.

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.

Whether the medical expenses can be reimbursed depends on whether the disease is included in the medical insurance, and why, such as fighting and fighting and the ** expenses caused by illegal crimes, it will not be reimbursed. Therefore, it depends on the ** expense that does not meet the reimbursement criteria.

[Legal basis].Article 30 of the Social Insurance Law of the People's Republic of China.

The following medical expenses are not covered by basic medical insurance**:

1) It should be paid out of work-related injury insurance**;

2) It shall be borne by a third party;

3) It should be borne by public health;

4) Seeking medical treatment abroad.

Medical expenses shall be borne by the third party in accordance with the law, and if the third party does not pay or cannot confirm the third party, the basic medical insurance shall pay in advance. After the basic medical insurance** is paid in advance, it has the right to recover from a third party.

The scope of non-reimbursement by medical insurance includes: should be paid by work-related injury insurance**; It should be borne by a third party; should be borne by public health; Seeking medical treatment abroad. The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be settled directly by the social insurance agency and the medical institution and the Zihaohe drug business unit.

Legal basis] Article 30 of the Social Insurance Law of the People's Republic of China.

The following medical expenses are not covered by basic medical insurance**:

1) It should be paid out of work-related injury insurance**;

2) It shall be borne by a third party;

3) It should be borne by public health;

4) Seeking medical treatment outside the country.

Medical expenses shall be borne by the third party in accordance with the law, and if the third party does not pay or the third party cannot be determined, the basic medical insurance shall pay in advance. After the basic medical insurance** is paid in advance, it has the right to recover from a third party.

The above is only the current information combined with my understanding of the law of the sect, please refer to it carefully!

If you still have questions about this issue, it is recommended that you organize the relevant information and communicate with a professional in detail.

Hello, I am happy to serve you and give you the following answers: A: Generally speaking, medical insurance can be reimbursed, but the specific situation depends on the regulations of the insurance company.

Generally speaking, medical expenses that can be reimbursed include hospitalization, outpatient fees, medicine fees, examination fees, etc. Reason: The reimbursement rules of medical insurance are set by the insurance company itself, so the scope and limit of reimbursement will vary.

Workaround:1Find out about the insurance company's reimbursement rules:

Before purchasing insurance, you should understand the insurance company's reimbursement rules so that you can determine your own reimbursement scope and limit. 2.Submit a claim to the insurance company:

When submitting a reimbursement application, you should provide relevant proof as required by the insurance company so that the insurance company can review the reimbursement application. Personal tip: When purchasing insurance, you should read the terms and conditions of the insurance policy carefully to understand the reimbursement rules of the insurance company so that you can be reimbursed in the event of medical expenses.

Summary. Medical insurance is not a reimbursement after the medical insurance is completed, but the part that can be reimbursed by the medical insurance is not reimbursed, and the specific reimbursement scope and proportion are subject to the terms and conditions of the medical insurance.

Medical insurance is not that the medical insurance reimbursement can be reimbursed, but can be reimbursed for the part of the medical insurance that is not reimbursed, and the specific reimbursable Fan Yuancong age and proportion are subject to the terms of the medical insurance Zheng Lu agreement.

Medical insurance and medical insurance are both expense compensation types, not fixed payment type insurance, and the total amount of expenses reimbursed by them cannot exceed the insured's ** cost, and cannot be reimbursed together. In other words, medical insurance is the first supplement to the digital insurance of the company, so that the insured can enjoy more comprehensive protection.

Summary. Yes, medical expenses, hospitalization and ** expenses can be reimbursed, but different medical insurance plans have different reimbursement coverage and reimbursement limits. This will need to be analyzed on a case-by-case basis depending on the health insurance you have purchased.

Yes, medical expenses, hospitalization and ** expenses can be reimbursed, but different medical treatment insurance has different reimbursement scopes and reimbursement limits. Depending on the health insurance you have purchased, a cephalic analyses will be performed.

The reimbursement of medical insurance must comply with the terms of service of the medical insurance purchased by the individual, and the general steps are as follows: 1. Preparation: Prepare all the information required for the reimbursement of the medical insurance, including medical insurance details, diagnosis certificates, bargaining receipts, prescriptions, etc.

2. Medical treatment: According to the agreement of medical insurance, you can get a diagnosis certificate and a bargaining receipt for medical treatment in the contracted unit. 3. Reimbursement:

Submit the prepared corresponding information to the corresponding insurance company, which will review it, and when the review is completed, it will pay the reimbursed expenses or solve the cost branch according to the insurance service regulations purchased. 4. Holding the bill: After the reimbursement is completed, the insurance company will issue a closing note, which can be used for subsequent reimbursement work.