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You're good, we will be discharged from the hospital after 15 days in Baishan, and then the cost of readmission after 15 days will be less than 10,000 yuan, and the state will not care about it.
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There is no limit to the number of days, but there is a cap on the amount of expenses (i.e., reimbursement amounts) in the pooled account. The cap line of the civil servant medical insurance card, the enterprise employee medical insurance card and the urban resident medical insurance card is different, and the civil service medical insurance card has the highest ceiling line.
Added to the question:
There is no limit to the number of days of hospitalization with a medical insurance card, but some provincial and municipal medical insurance centers stipulate that the hospitalization of insured persons is based on 90 days as one settlement period. If the hospitalization is within 90 days, it will be settled according to the actual number of days; If it exceeds 90 days, every 90 days shall be a settlement period; After settlement, you can continue to be hospitalized**, but it is regarded as a second hospitalization, that is, you still need to enter the pooled account (reimbursement) after the personal account expenditure reaches a certain amount.
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Is there a limit to the number of days a retired employee can be hospitalized?
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Summary. Hello, dear, this question is up to me Medical insurance hospitalization can not exceed 15 days at most. (1) The medical insurance stipulates that hospitalization cannot exceed 15 days (or other specified days), and you must be discharged from the hospital first, and then be hospitalized after a few days.
The medical insurance policy never stipulates the number of days of hospitalization of the insured person, but requires the designated medical institutions to provide reasonable treatment to the patient in accordance with the principle of treating the patient according to the disease. The length of hospitalization shall be determined by the doctor according to the needs of the condition, and the medical institution or medical personnel shall not require the patient to be discharged for any reason, nor shall it damage the hospitalization interests of the insured person on the grounds of "completing the average length of hospitalization assessment index set by the health department", otherwise the hospital shall bear the responsibility for the adverse consequences. (2) The medical insurance stipulates that the amount of hospitalization cannot be exceeded, and the excess part shall be paid by oneself.
Hello, dear, this question is up to me Medical insurance hospitalization can not exceed 15 days at most. (1) The medical insurance stipulates that hospitalization cannot exceed 15 days (or other specified days), and you must be discharged from the hospital first, and then be hospitalized after a few days. The medical insurance policy has never stipulated the number of days of hospitalization for the insured person, but requires the designated medical institutions to treat the patient reasonably in accordance with the principle of treating the patient.
The length of hospitalization shall be determined by the doctor according to the needs of the patient, and the medical institution or medical personnel shall not require the discharge of the patient who does not meet the discharge criteria for any reason, nor shall it damage the hospitalization interests of the insured person on the grounds of "completing the average length of stay assessment index set by the health department", otherwise the hospital shall bear the responsibility for the adverse consequences. (2) The medical insurance stipulates that the amount of hospitalization cannot be exceeded, and the excess part shall be paid by oneself.
Legal basis: Article 28 of the Social Insurance Law of the People's Republic of China conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and medical expenses for emergency and rescue, and shall be paid from the basic medical insurance in accordance with national regulations. Article 29 of the Social Insurance Law of the People's Republic of China stipulates that 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 Yaochun Sun product business unit.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses for medical treatment in other places to facilitate the insured to enjoy basic medical insurance benefits.
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Summary. Hello, dear, I'm honored to answer for you! <>
The maximum number of hospitalizations under medical insurance is 15 days, dear. According to the provisions of China's "Social Insurance Law", there is no time limit for hospitalization of medical insurance patients, and whether and when medical insurance patients can be discharged from the hospital should be decided according to the needs of the medical insurance patients. Medical institutions or medical personnel shall not require medical insurance patients who do not meet the discharge criteria to be discharged from the hospital for any reason.
The number of days in hospital is not regulated by health insurance.
The maximum number of days of hospitalization under Medicare cannot be exceeded.
Hello, dear, I'm honored to answer for you! <>
The maximum number of hospitalizations under medical insurance is 15 days, dear. According to the provisions of China's "Social Insurance Law", there is no time limit for hospitalization of medical insurance patients, and whether and when medical insurance patients can be discharged from the hospital should be decided according to the needs of the medical insurance patients. Medical institutions or medical personnel shall not require medical insurance patients who do not meet the discharge criteria to be discharged from the hospital for any reason.
The number of days in hospital is not regulated by health insurance.
Specific ways of reimbursement of hospitalization expenses by medical insurance:1If you are hospitalized in a social security designated medical institution in the place of insurance, you can directly use the medical insurance for reimbursement and settlement when you pay the premium, but because the medical insurance reimbursement ratio and other regulations are different in different places, the specific amount of reimbursement is subject to local regulations; 2.
If you are hospitalized in a different place, you also need to go through the filing of the medical treatment in other places in advance, which can be filed on the "Remote Medical Treatment Filing" applet, or go to the medical insurance service center in the insured place for the record, etc., if you have not filed in advance, but you are hospitalized in a different place due to an emergency illness, you need to call the medical insurance service center in the insured place first** to communicate, and the other party agrees before filing. If the reimbursement and settlement cannot be made in the hospital, the relevant information (such as hospitalization summary, medical expense list, etc.) can be kept, and then go to the medical insurance service center for reimbursement after returning to the insured place.
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Legal analysis: There is no limit of 15 days for hospitalization. The basic medical insurance does not limit the number and time of hospitalization of the insured person per year, and the designated medical institutions of the medical insurance cannot shirk and refuse the insured who meets the hospitalization standards for hospitalization**, as well as early discharge or self-paid hospitalization that does not meet the discharge standards.
Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by the risk of disease. Through the employer and individual payment, the establishment of medical insurance**, after the insured person is sick and incurs medical expenses, the medical insurance institution will give him a certain amount of economic compensation.
The establishment and implementation of the basic medical insurance system gathers the economic strength of the unit and the members of the society, coupled with the first funding, which can enable the sick members of the society to obtain the necessary material help from the society, reduce the burden of medical expenses, and prevent the sick members of the society from "becoming poor due to illness".
Legal basis: Article 25 of the Social Insurance Law of the People's Republic of China 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 **.
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Summary. There is no limit to the time and number of hospitalizations for a single hospitalization of the insured, and the medical insurance does not have a limited policy that the single hospitalization cycle cannot exceed 20 days and the interval is 15 days. In the case of Xiao Wu, the hospitalization time can be determined according to the situation.
If you need to transfer to another hospital to continue after a stage, you do not need to wait for 15 days.
There is no limit to the time and number of hospitalizations for a single hospitalization of the insured, and the medical insurance does not have a limited spine policy that the single hospitalization cycle cannot exceed 20 days and the interval is 15 days. In the case of Xiao Wu, the hospitalization time can be determined according to the situation. If you need to transfer to another hospital to continue after a stage of Yunye Zen, you don't need to wait for 15 days.
The medical insurance policy not only does not lack restrictions on the number and time of hospitalization, but also gives preference to the policyholder who has been hospitalized multiple times in the payment line policy. Specifically, if the insured person is in the same hospital in a year, regardless of whether it is the same disease or not, as long as it is the second hospitalization, the hospitalization threshold will be reduced by 50% at the time of reimbursement; Starting from the third stage of hospitalization within a year, there will no longer be a minimum payment line, and all eligible medical expenses can be included in the scope of medical insurance reimbursement.
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