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Before the 10th of each month, the designated medical institutions will report the cost statement, hospitalization statement and relevant information of the discharged patients in the previous month to the medical insurance agency, and the medical insurance agency will review and use it as the basis for monthly pre-allocation and year-end accounts;
The medical insurance agency pre-allocates the overall expenses of the previous month's inpatient and special disease outpatient clinics** every month;
Insured persons who have been identified as suffering from special diseases shall go to a designated medical institution designated by the labor and social security department to seek medical treatment and purchase medicines, and the medical expenses incurred shall be directly billed and settled immediately.
Emergency settlement procedures: insured personnel due to emergency rescue to the city's non-designated medical institutions and non-local medical institutions hospitalized**, the medical expenses incurred, first paid by the individual or unit, after the end of the emergency rescue, with the hospital emergency medical records, examinations, laboratory reports, invoices, detailed medical charges to the medical insurance agency according to the provisions of the reimbursement procedures.
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OK.
However, the reimbursement amount varies in different cases. For dog injury patients who participate in medical insurance, if they meet the conditions for enjoying basic medical insurance benefits, the medical service facility standards and the medical expenses for emergency and rescue shall be paid by the co-ordinator according to the standard limit of no more than 200 yuan per person.
The legal basis is the 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 and rescue medical expenses, in accordance with the provisions of the state from the basic medical insurance ** payment.
Article 30 of the Social Insurance Law of the People's Republic of China The following medical expenses are not included in the scope of payment of basic medical insurance**
1) It should be paid out of work-related injury insurance**;
2) It shall be borne by a third party;
c) shall be carried out by public health.
burdensome; 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.
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The rabies vaccine can be reimbursed by medical insurance. Depending on the situation, the amount of reimbursement is different.
1. The full reimbursement of Class A drugs under medical insurance is 70-80 (varies from place to place). Children can apply for outpatient services (limited to domestic needles), and adults do not have outpatient parts, so they can only swipe the amount in their own cards. Commercial insurance can generally be reimbursed, foreign capital for import and domestic requirements are not very strict, state-owned assets must be domestically produced, otherwise not reimbursed.
2. For dog injury patients who participate in medical insurance, who meet the conditions for enjoying basic medical insurance benefits, the outpatient medical expenses for wound disposal and human rabies vaccine injection (including vaccine fees) incurred in designated medical institutions shall be paid by the co-ordinator according to the standard limit of no more than 200 yuan per person. If the fee is within the limit standard, it will be paid according to the facts; The excess part shall be borne by the insured person.
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No, but every year when you apply for a dog license, you will be given a shot of rabies vaccine, and you can go to the pet hospital directly with the invoice for injection, which is free.
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If the medical insurance card cannot be swiped with rabies vaccine injection, it must be settled in cash, and the friend has just been injected and cannot be settled with the medical insurance card if it is fully self-paid.
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Social Security? No matter? You can buy some commercial accident insurance, including accidental medical treatment. Moreover, some accident insurance also includes drugs outside social insurance, and you can buy one for one or two hundred a year.
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Hello! The rabies vaccine should not be covered by medical insurance, and it is a self-paid vaccine.
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The rabies vaccine does not need to be reimbursed by the medical insurance card, and it is generally self-paid, but you can pay with the medical insurance card.
The total cost of five shots of rabies vaccine is about 300 yuan, and if it is an imported rabies vaccine, the cost will be higher, which should be combined with the actual situation. Some wounds are more obvious, and rabies immune globulin is required in addition to rabies vaccination. The cost of rabies immune globulin is relatively high, generally per kilogram of body weight.
It is about 200 yuan per ten kilograms of weight, and generally more than 1,000 yuan. Overall, it may be nearly 2,000 yuan. These generally cannot be taken by medical insurance card, and they generally need to be paid out of pocket.
After being bitten by a dog, it must be treated in time, rabies is a fatal disease, there is no way, but active prevention can avoid infection.
[Legal basis].
Article 28 of the Social Insurance Law of the People's Republic of China in line with the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and medical expenses for emergency and rescue shall be paid from the basic medical insurance in accordance with national regulations. According to the basic requirements for the payment of basic medical insurance benefits in China, the insured shall go to the medical insurance institution to reimburse the medical expenses incurred by himself for medical treatment, and generally meet the following conditions:
1) The insured person must go to the designated medical institution of the basic medical insurance to purchase drugs, or hold the medical prescription issued by the doctor of the designated hospital to the designated retail pharmacy determined by the social insurance institution to purchase drugs;
2) The medical expenses incurred by the insured in the process of seeing a doctor must meet the scope and payment standards of the basic medical insurance insurance drug catalog, diagnosis and treatment items, medical service facility standards, and can be paid by the basic medical insurance ** according to the regulations;
3) Among the medical expenses of the insured persons who meet the scope of payment of basic medical insurance, the part of the expenses above the minimum payment standard of social medical co-ordination and below the maximum payment limit shall be paid by the social medical co-ordination ** in a unified proportion.
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Rabies vaccination is not possible with a health insurance card. The process of paying the medical insurance card on the mobile phone:
1. Install and open the relevant software for medical insurance on your mobile phone, and select the option of [Insurance Payment] after registering and logging in on the homepage and click to enter;
2. It will jump to a new interface, select the first option [Resident Medical Insurance Payment] and click to enter;
3. You can choose to pay for others, as long as you [switch family members], but low-income households and students need to go to the community to pay, if there is no problem, click [Go to pay];
4. Under [Resident Medical Insurance Payment], there will be relevant options that need to pay medical insurance, and you can click [Next] according to your choice. Prompt the amount to be paid, and then select [I have agreed to the payment instructions] and then select [Payment].
Article 4 of the Social Insurance Law of the People's Republic of China.
Employers and individuals within the territory of the People's Republic of China who pay social insurance premiums in accordance with the law have the right to inquire about payment records and records of individual rights and interests, and to request social insurance agencies to provide social insurance consultation and other related services.
Individuals enjoy social insurance benefits in accordance with the law, and have the right to supervise their own units' contributions for them.
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Generally speaking, rabies vaccination can be done with a medical insurance card, and the specific decision depends on the local situation. In many places, the rural cooperative medical care and the basic medical care of residents include rabies vaccination in the special payment scope for a single disease, which can reimburse part of the cost. For dog injury patients who participate in medical insurance, and meet the conditions for enjoying basic medical insurance benefits, the outpatient medical expenses for wound treatment and human rabies vaccine injection (including vaccine fees) in designated medical institutions shall be paid by the co-ordinator according to the standard limit of no more than 200 yuan per person.
If the cost is within the limit standard, it shall be paid according to the facts, and the excess part shall be borne by the insured person.
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