A, medical insurance reimbursement scope includes which
Medical insurance is to compensate for the medical expenses brought about by the disease of a kind of insurance. It is a social insurance that provides necessary medical services or material help by the society or enterprises when the employees are sick, injured or giving birth. Such as China's public medical care and labor insurance medical care. Chinese workers' medical expenses are borne by the state, the unit and the individual **** the same burden, in order to reduce the burden on enterprises and avoid waste. The scope of medical insurance is very wide, medical costs are generally in accordance with the characteristics of its medical services to distinguish, mainly contains the doctor's outpatient costs, medication, hospitalization costs, nursing costs, hospital miscellaneous expenses, surgical costs, a variety of examination costs. Medical expenses are the costs incurred by the patient for treatment, which includes not only the doctor's medical and surgical fees, but also hospitalization, nursing care, hospital equipment and other costs.Second, the medical insurance reimbursement rate and scope
1, outpatient, emergency medical expenses: in the year of the active employees (January 1 ~ December 31) in line with the scope of the basic medical insurance medical expenses more than 2,000 yuan above the cumulative portion. 2. Settlement ratio: 50% reimbursement for the part above 2000 RMB for the dispatched personnel during the contract period, and 50% out-of-pocket payment by the individual; the maximum amount of reimbursement for the dispatched personnel for outpatient and emergency services is 20,000 RMB in a year. 3, the insured person should properly keep the outpatient medical bills in the designated hospitals (including receipts, prescriptions, etc.), as a medical expense reimbursement vouchers. 4, three kinds of special disease outpatient medical care: participants suffering from malignant tumors radiation therapy and chemotherapy, renal dialysis, kidney transplantation to take anti-rejection drugs need to be in outpatient medical care, by the participant in the second and third-class designated hospitals to issue a "diagnosis of the disease certificate" and fill out the "medical insurance special disease declaration and approval form", reported to the district medical insurance center for approval and filing. Center for approval and filing. Outpatient medical treatment and medicine collection for these three special diseases are limited to the approved designated hospitals, and cannot be purchased at designated retail pharmacies. The medical expenses incurred are in accordance with the scope of outpatient special diseases, with reference to the hospitalization for settlement. 5. For inpatient medical care, the medical insurance payment is enough for 20 years in order to enjoy the medical insurance reimbursement after retirement.Three, medical insurance reimbursement considerations
The scope of medical insurance is very broad, medical costs are generally in accordance with the characteristics of its medical services to distinguish between the doctor's outpatient costs, medication, hospitalization costs, nursing care, hospital fees, surgical costs, a variety of inspection costs. Medical expenses are all kinds of costs incurred by the patient for treatment, which includes not only the doctor's medical and surgical fees, but also hospitalization, nursing, hospital equipment and other costs. The above is my what is included in the scope of medical insurance reimbursement related to the issue of medical insurance reimbursement, you can consult with the relevant departments, so that they can also save some money in the time of medical treatment, to enjoy more benefits.