First, school registration
1, the patient goes through the admission formalities at the admission window with the Health Poverty Alleviation Medical Service Certificate.
2, the patient with the "ID card", "health out of poverty medical service certificate" in the medical insurance settlement window to verify the identity of medical insurance registration, and signed a "see a doctor first and then pay" agreement (in duplicate). The patient ID card and the Health Poverty Alleviation Medical Service Certificate are temporarily kept by the medical insurance settlement window.
3. One of the agreements is submitted to the admission management office for filing (patients do not need to pay in advance).
Second, the discharge settlement
1. The patient goes through the relevant formalities in the medical insurance settlement window with the discharge summary, and settles the account immediately through the "one-stop" settlement information system.
2. The patient finally pays out-of-pocket expenses at the admission window.
3, patients with settlement invoices in the medical insurance settlement window to receive documents.
Three, the poor patients in our hospital after grading diagnosis and treatment, referral filing procedures, hospitalization compensation policy points are as follows:
Reimbursement sequence: basic medical insurance → serious illness insurance → medical assistance →35 1 basic insurance.
1, basic medical insurance: the deductible line is 500 yuan (five-guarantee households and other people who are exempted from the deductible line will continue to be exempted from the deductible line), and patients who have not been referred will be compensated by 65%, and the number of referred patients will be increased to 70%.
2. Critical illness insurance: deductible is 5,000 yuan, deductible is-50,000 yuan 60%, -65438+ 10,000 yuan 70%,-200,000 yuan 80%, and more than 200,000 yuan 90%.
3. Medical assistance: 65438+ 00% of the total hospitalization compliance expenses will be subsidized.
4.35 1 bottom guarantee: after the above reimbursement, the part exceeding the cap of individual annual out-of-pocket expenses shall be borne by the government. The annual out-of-pocket expenses of individuals are capped at 3,000 yuan for county hospitals, 5,000 yuan for municipal hospitals and 0/10,000 yuan for provincial hospitals.
Four, poor patients with chronic diseases outpatient compensation policy points:
"180" supplementary medical insurance: after the outpatient medical expenses of poor patients with chronic diseases are compensated by basic medical insurance, serious illness insurance, medical assistance and basic security, the remaining compliance expenses of "1 80" supplementary medical insurance will be reimbursed by 80%.