(a) on-site networking settlement
Now most of the hospitals can be on-site networking settlement, hospitalized patients only need to bring ID card, medical insurance card, to the hospitalization office to handle the relevant formalities, the direct settlement when discharged, the patient only need to pay the reimbursement of the remainder of hospitalization fees can be. For example: hospitalization*** costs 5,000 yuan, reimbursement of 3,000 yuan, the patient only needs to pay 2,000 yuan. This kind of reimbursement is simpler.
(B) off-site network settlement
For hospitals that cannot settle on-site network settlement, patients need to bring with them when they are discharged:
1, hospitalization invoices (stamped by the hospital)
2, hospitalization cost details (stamped by the hospital)
3, diagnostic certificates (stamped by the hospital)
4, hospital discharge summary (stamped by the hospital)
5, medical records (hospital seal)
6, some areas need information confirmation or referral (physician signature, hospital seal)
After discharge from the hospital, bring the above information, to the place of insurance for reimbursement.
The scope of treatment items that are not covered by basic insurance
(1) Service items
1, registration fee, out-of-hospital consultation fee, and cost of medical records;
2, consultation fee, expedited fee for checkups and treatments (except for emergencies), surcharges for surgery by name, high quality premium fee, and fee for special nurses for special needs medical services.
(2) non-disease treatment program category
1, a variety of cosmetic (cosmetic life, medical cosmetology) fitness program and messy non-functional plastic surgery, orthopedic surgery, etc.;
2, a variety of weight loss, gain weight, increase the height of the project.
3, a variety of health checkups.
4, a variety of preventive, health care treatment programs.
5, dental orthodontics, dental porcelain.
6, a variety of medical consultation (excluding psychiatric consultation), medical appraisal.
(C) diagnostic and therapeutic equipment and medical materials
1, the application of positron emission tomography device, electron beam CT, ophthalmic excimer laser therapy instrument and other large-scale medical equipment for the inspection and treatment program
2, glasses, dentures, prosthetic eyes, prosthetics, hearing aids and other rehabilitative appliances.
3, a variety of self-use health care, massage, examination and rehabilitation and treatment equipment.
(D) therapeutic project category
1, all kinds of organ transplantation or tissue transplantation of organ source or tissue source;
2, in addition to kidney, heart valves, cornea, skin, blood vessels, bone, bone marrow transplantation of other organs or tissues
3, myopic orthopaedics
4, qigong therapy, music therapy, health care nutritional therapy , magnetic therapy and other complementary therapeutic programs.
(E) other
1, a variety of infertility (pregnancy), sexual dysfunction diagnosis and treatment program
2, a variety of scientific research, clinical verification of the diagnosis and treatment program.