I, medical insurance reimbursement
1, medical insurance is a kind of insurance to compensate for medical expenses caused by disease. Employees due to illness, injury, childbirth, social insurance by the community or enterprises to provide the necessary medical services or material help. Such as China's public medical care, labor insurance medical care. Chinese workers' medical expenses are borne by the state, the unit and the individual **** the same, in order to reduce the burden on enterprises and avoid waste.
2, the scope of health 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, medicine, hospitalization costs, nursing costs, hospital miscellaneous expenses, surgical costs, various examination costs. Medical cost is the patient to cure the various costs incurred, it not only includes the doctor's medical and surgical fees, but also includes hospitalization, nursing care, hospital equipment and other costs.
Two, urban health insurance reimbursement
Medicare reimbursement urban health insurance reimbursement scope refers to all employers in the town, as shown below:
1. including enterprises (state-owned enterprises, collective enterprises, foreign-invested enterprises, private enterprises, etc.);
2. organs, institutions, social organizations, private non-enterprise units and their employees, are to participate in the Basic medical insurance;
3. Some cities and towns have stipulated that township and village enterprises and their employees, as well as owners of urban self-employed economic organizations and their employees, should gradually be included in the scope of basic medical insurance (the last one depends on the different policies of each locality), so that they can enjoy medical reimbursement.
Legal basis
The People's Republic of China Social Insurance Law
Article 2 of the State establishes a social insurance system of basic old-age pension insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance and other social insurance systems to safeguard the right of citizens to receive material assistance from the State and society in old age, sickness, industrial injury, unemployment and maternity, in accordance with the law. society in cases of old age, sickness, industrial injury, unemployment and maternity, in accordance with the law.
Article 26: The standards of treatment for basic medical insurance for workers, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State.
Article 28: Medical expenses in accordance with the basic medical insurance drug list, diagnostic and therapeutic items, standards of medical service facilities, as well as emergency and rescue medical expenses shall be paid out of the basic medical insurance fund in accordance with state regulations.