1. Please fill in the medical insurance admission registration form when you are admitted to the hospital and return it to the toll collection office. Try not to fill it out when you leave the hospital, otherwise it will increase your waiting time for discharge settlement.
2. Go through the discharge formalities at the toll booth with the discharge notice.
3. Reimbursement to social security or neighborhood committees, including medical insurance in different places, and reimbursement to social security or neighborhood committees with hospitalization invoices, discharge certificates and expense lists after discharge. The expenses reimbursed by medical insurance are:
1. Maximum bed fee for township hospitals 12 yuan/day, and maximum bed fee for municipal and above medical institutions 15 yuan/day.
2, drug costs, scope of use, the implementation of the provisions of the provincial drug list.
3, inspection fees, inspection fees, etc. , limit 600 yuan.
4. The treatment fee shall be settled in 300 yuan according to the facts, and the above part of 300 yuan shall be included in the reimbursement scope by 50%.
5. The operation fee shall be charged according to the prescribed charging standard.
6, blood transfusion surgery or rescue, the maximum hospitalization 500 yuan each time.
7. The maximum cost of materials for each hospitalization is 2000 yuan.
8, all kinds of tumor patients with radiotherapy, chemotherapy and renal failure need dialysis outpatient expenses, as hospitalization expenses for compensation. "People's Republic of China (PRC) Social Insurance Law" Article 29 The part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits. Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope:
(a) shall be paid from the industrial injury insurance fund.
(2) borne by a third party.
(three) shall be borne by the public health.
(4) Go abroad for medical treatment. Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.
Legal basis: People's Republic of China (PRC) Social Insurance Law.
Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.