Can the outpatient expenses of Fukumura Bao Insurance be insured for more than 3,000?

Hello, outpatient expenses are not reimbursed, and can only be reimbursed if the reimbursement conditions agreed in the contract are met. "Fucun Bao" is also called "village-level medical mutual aid", generally with the town (street) and village committee as the implementation unit, and encourages the villagers to contribute a little, the village collective to support a little, and a little to raise funds. All the funds raised are put in the collective account, which is used to fairly subsidize the residents of the seriously ill hospitalized villages (residents) according to the type of disease, and solve the problem of poverty due to illness and return to poverty due to illness.

1. The reimbursement operation of Fukumura Bao is as follows:

The second step is to upload the reimbursement information and have a discharge record.

List of hospitalization expenses, agricultural insurance.

or social security reimbursement forms, etc., you can upload paper materials.

The third step is that the declarant will receive a text message notification on his or her mobile phone within 5 working days, and then the declarant must bring his or her citizen card.

If you do not have a citizen card, please bring other bank cards in your name to the community where your household registration is located for registration.

Second, take the reimbursement ratio of Wuxi Fucun Bao as an example:

Eligible patients will be reimbursed according to the number of hospitalizations, with no limit on the number of hospitalizations; Each time according to the actual situation can be reimbursed 300 yuan to 50,000 yuan, each person can be reimbursed up to 200,000 yuan per year. A total of 1,539 diseases are reimbursed fairly according to the type of disease, and each disease has a fixed reimbursement amount.

After discharge, meet the following conditions:

Resident health insurance. After reimbursement, the individual pays the amount of 3,000 yuan.

After the reimbursement of the employee's medical insurance, the individual pays 2,000 yuan.

For those who have not participated in the basic medical insurance or the medical insurance has been interrupted, the total hospitalization cost is 6,000 yuan, and they need to go to the community to apply for the procedures (individual payment amount = hospitalization medical expenses - **medical insurance reimbursement amount) The deadline for applying for reimbursement this year is January 31, 2022, and no reimbursement will be made after the deadline.

3. What are the medical insurances that can reimburse outpatient services?

The role of outpatient medical insurance is to reimburse common colds and fevers.

Generally speaking, there are two forms of outpatient medical coverage for medical expenses incurred by medical treatment for minor illnesses such as cough

1.Outpatient medical insurance is purchased directly, but there are few simple outpatient medical insurance on the market;

2.Additional outpatient medical insurance, some small medical insurance, medium and high-end medical insurance have additional outpatient medical insurance, and some accident insurance with accidental medical protection.

It is also possible to reimburse outpatient medical expenses;

Outpatient expenses are not reimbursed for general insurance, and hospitalization should be made at that time.

Fucun Bao is a mutual medical insurance for Chinese villagers, and each time the expenses can be reimbursed from 300 to 50,000 yuan depending on the specific situation.

However, it is not an insurance product launched by an insurance company. Fukumura Bao is a mutual medical project set up by Yonglian for the people.

The hail cases that Fukumura Bao did not reimburse include: hospitalization such as work-related injuries, illegal crimes, and accidental injuries caused by the full responsibility of the third source bridge caller; Hospitalization for non-disease boredom such as health check-ups, cosmetic plastic surgery, etc.; The hospital where the hospital is hospitalized is not included in the designated hospital determined by the medical security department where the hospital is located; in foreign countries and Hong Kong, Macao and Taiwan.

Hospitalized **.

Fucun Bao is a special tool for Chinese villagers' mutual medical assistance, and supports the village committee to accurately design the villagers' medical mutual aid subsidy program. Support village committees to fairly subsidize hospitalized villagers. Fucun Bao is a special tool for Chinese villagers to help each other in medical care.

Summary. The reimbursement ratio of Fukumura Bao is about 75%, and 3,100 yuan can be reimbursed about 2,000 yuan, and it also depends on the specific ** plan and medication for detailed calculation.

There are three reimbursements per hospitalization:

1. After the reimbursement of resident medical insurance, the individual pays 3,000 yuan;

2. After the reimbursement of the employee's medical insurance, the individual pays 2,000 yuan; (Individual payment amount = inpatient medical expenses - **Medical insurance reimbursement amount)

3. For those who have not participated in the resident medical insurance or employee medical insurance, and those who have interrupted the medical insurance, the total hospitalization cost is 6,000 yuan.

There are a total of 1,539 diseases, each of which has a fixed reimbursement amount, which is fairly reimbursed according to the disease. The same disease is reported in the same way.

Reimbursement will not be made in the following cases.

Hospitalization that is not reimbursed by resident medical insurance or employee medical insurance will not be reimbursed by Fukumura Bao. The details are as follows:

1. Hospitalization for work-related injuries, illegal crimes and accidental injuries caused by third parties;

2. Hospitalization for non-disease diseases such as health examination, cosmetic surgery, etc.;

3. The hospital of hospitalization is not included in the designated hospital determined by the medical security department where the hospital is located;

4. Hospitalization in hospitals abroad and Hong Kong, Macao and Taiwan**.

How much can Fukumura Bao be reimbursed for spending 3100 yuan on hospitalization?

The reimbursement ratio of Fukumura Bao is about 75%, and 3,100 yuan can be reimbursed about 2,000 yuan, and it also depends on the specific ** plan and medication for detailed calculation. Three situations of each hospitalization can be reimbursed: 1. After the reimbursement of the residents' front limb medical insurance, the individual pays 3,000 yuan; 2. After the reimbursement of the employee's medical insurance, the individual pays 2,000 yuan; (Individual payment amount = hospitalization medical expenses - ** medical insurance reimbursement amount) 3. For those who have not participated in the resident medical insurance or employee medical insurance, and those who have interrupted the medical insurance, the total hospitalization cost is 6,000 yuan, and there are 1,539 diseases, each of which has a fixed reimbursement amount, which is fairly reimbursed according to the type of disease.

The same disease is reported in the same way. In the following cases, the hospitalization of residents or employees who are not reimbursed by medical insurance will not be reimbursed, and Fukumura will not be reimbursed. The details are as follows:

1. Hospitalization for work-related injuries, illegal crimes and accidental injuries caused by slag noise caused by the full responsibility of the third party; 2. Hospitalization for non-disease diseases such as health examination, cosmetic surgery, etc.; 3. The hospital of hospitalization is not included in the designated hospital determined by the medical security department where the hospital is located; 4. Hospitalized in Yinliangshi Hospital in foreign countries and Hong Kong, Macao and Taiwan**.

Is Fukumura Bao reimbursed about 75% in all regions?

I watched a total of 11,000 and paid 5,500 myself

It's just the Wuxi area.

Some medical insurance does not provide reimbursement.

Summary. Hello dear, 3,100 yuan spent on hospitalization Fukumura Bao can be reimbursed 60%.

1. The scope of medical insurance reimbursement is not all expenses can be reimbursed by medical insurance, if you want to understand the reimbursement ratio of medical insurance, you should first be clear about the scope of medical insurance reimbursement 1Minimum payment line, cap line: Outpatient or hospitalization expenses must reach a certain amount before they can be reimbursed by medical insurance.

The minimum payment standards for outpatient and inpatient expenses are different, and they are different in each region, and even different levels of hospitals in the same region. Cap line: The upper limit of reimbursement for outpatient or inpatient expenses is the cap line.

The cap line is also different in different regions and different levels of hospitals. 2.Self-pay, self-pay:

The part that cannot be reimbursed in the medical insurance catalog. Self-pay: All expenses not covered by the medical insurance catalog, such as imported drugs, targeted drugs, etc., are also self-paid.

How much can the medical insurance pay for 3,000 Fucun Bao.

Hello dear, 3,100 yuan spent on hospitalization Fukumura Bao can be reimbursed 60%.

1. The scope of medical insurance reimbursement is not all expenses can be reimbursed by medical insurance, if you want to understand the reimbursement ratio of medical insurance, you should first be clear about the scope of medical insurance reimbursement 1Minimum payment line, cap line: Outpatient or hospitalization expenses must reach a certain amount before they can be reimbursed by medical insurance.

The minimum payment standards for outpatient and inpatient expenses are different, and they are different in each region, and even different levels of hospitals in the same region. Cap line: The upper limit of reimbursement for outpatient or inpatient expenses is the cap line.

The cap line is also different in different regions and different levels of hospitals. 2.Self-pay, self-pay:

The part that cannot be reimbursed in the medical insurance catalog. Self-pay: All expenses outside the medical insurance catalog, such as imported drugs, Qichong targeted Chinese pure medicines, etc., also belong to the self-payment part.

Reported by a few percent.

4,000 yuan for hospitalization Fukumura Bao can be reimbursed for 45,000 for hospitalization, 26,000 for reimbursement, how can Fukumura Bao only reimburse more than 1,500.

Dear, <>

Hello, glad to answer for you. 4,000 yuan for hospitalization Fucun Bao can be reimbursed for hospitalization with 45,000 and 26,000 reimbursement, how Fucun Bao only reimburses more than 1,500 for the following reasons, after the reimbursement of NCMS, 18,000 yuan can be reimbursed for the second reimbursement of 1,500 yuan, that is, (18,000-15,000) * 50% = 1,500 yuan. "Secondary reimbursement" for serious illnesses, once a participating farmer suffers from a serious illness, he can not only enjoy the reimbursement of the NCMS, but also enjoy the second reimbursement given by the commercial insurance, also known as the compensation of the NCMS serious illness insurance.

The reimbursement of NCMS major illnesses can only reimburse the "Keehloff Chain Compliance Expenses", which are tentatively set as out-of-pocket medical expenses within the scope of the NCMS Essential Medicines List and the Basic Diagnosis and Treatment Items List. The starting line for the second reimbursement is 10,000 yuan, and the reimbursement ratio is divided into three levels, with a minimum of 50%, after the reimbursement of NCMS, the compliant self-payment of more than 10,000 yuan can be included in the reimbursement of NCMS serious illness insurance, and the 10,000 yuan part will be compensated at a rate of 50%, the part of 50,000 yuan - 100,000 yuan will be compensated at a rate of 55%, and the part above 100,000 yuan will be compensated at a rate of 65%, and the subdivision of this real core oak bank will be subsidized by a ceiling of 300,000 yuan.

Summary. Villagers with a total cost of 3,000 yuan for a single hospitalization, they or ask others to use Fucun Bao APF, and take a picture of the three materials that everyone has (discharge records, hospitalization expense lists, agricultural insurance or social security reimbursement forms) Fucun Bao platform will calculate the reimbursement amount within five working days, and I will receive the subsidy amount information, and then contact the village administrator to bring the agricultural insurance or social security reimbursement form to the village to receive the subsidy.

Dear, yes.

Fucun Bao is the first villager in China to work on medical mutual aid. "Fucun Bao" is not a commercial insurance, all the money is placed in the account of the village core Nianchangli, and all of it is used to subsidize the people of the village Gaoqing, and it is regularly publicized.

Villagers with a total cost of 3,000 yuan for a single hospitalization can get a subsidy of 200 yuan to tens of thousands of yuan. (The total cost of a single hospitalization refers to the total amount on the hospitalization ticket, not the amount paid by the individual after the reimbursement of agricultural insurance or social security).

For example, a single villager with a total hospitalization cost of 3,000 yuan, himself or ask others to use Fucun Bao APF, take a picture of the three materials that everyone has (discharge records, hospitalization expense lists, agricultural insurance or social security reimbursement forms) Fucun Bao platform will calculate the reimbursement amount within five working days, and I will receive the subsidy amount information, and then contact the village administrator, bring the agricultural insurance or social security report to the village to receive the subsidy.