The hospital bed fee is reimbursed by medical insurance.
After hospitalization under medical insurance, the hospital bed fee can be reimbursed according to the prescribed amount. The general bed fee in tertiary hospitals is basically within the prescribed amount. However, there will be a certain percentage of out-of-pocket expenses for premium hospital beds or private room beds that exceed the regulations.
Scope of medical insurance reimbursement:
1. The difference between medical insurance drugs and non-medical insurance drugs, the reimbursement threshold also differs according to the hospital level. Generally, Class A drugs can enjoy full coverage, Class C drugs need to bear all the expenses, and Class B drugs have to pay 80% of the expenses and 20% of the expenses are self-paying.
2. Before the 10th of each month, designated medical institutions shall submit the cost settlement statements, hospitalization settlement statements and relevant information of patients discharged last month to the medical insurance agency. After review by the medical insurance agency, they will be The basis for monthly appropriations and year-end final accounts. The medical insurance agency pre-allocates the overall cost of hospitalization and outpatient treatment for special diseases in the previous month every month.
Extended information
Settlement procedures
(1) Settlement procedures for hospitalization and outpatient treatment of special diseases
Designated medical institutions in each Before the 10th of March, the expense settlement form, hospitalization settlement form and relevant information of the discharged patients last month shall be submitted to the medical insurance agency. After review by the medical insurance agency, it will be used as the basis for monthly pre-allocation and year-end final accounts. The medical insurance agency pre-allocates the overall cost of hospitalization and outpatient treatment for special diseases in the previous month every month.
Insured persons who are identified as suffering from special diseases should go to a designated medical institution designated by the labor and social security department to seek medical treatment and purchase medicines. The medical expenses incurred will be directly recorded and settled immediately.
(2) Emergency Settlement Procedure
If the insured person is hospitalized in a non-designated medical institution or a medical institution in another place in the city due to emergency rescue, the medical expenses incurred will first be paid to the individual or The unit pays in advance, and after the emergency rescue is completed, the medical insurance agency handles the reimbursement procedures in accordance with regulations with the hospital's emergency medical records, examinations, laboratory reports, invoices, and detailed medical charge lists.
Baidu Encyclopedia - Medical Insurance
Baidu Encyclopedia - Medical Insurance Reimbursement Scope