Stay in the emergency observation room of the hospital to observe the following symptoms: acute severe trauma, brain trauma, fracture, dislocation, laceration, burn, sudden acute abdominal pain, sudden high fever, sudden bleeding, hematemesis, internal bleeding symptoms, diarrhea, severe dehydration, shock, convulsion or coma, foreign bodies in ears, nose, throat, eyes, trachea, bronchus and esophagus, acute eye pain, redness or acute visual impairment, etc. Poisoning, drowning, electric shock, acute urinary incontinence, acute allergic diseases, suspected severe infectious diseases and other people who are considered life-threatening by the attending physician or above should be rescued urgently.
Reimbursable inspection items
1, medical examination items by using X-ray computed tomography device, stereotactic radiation device γ knife, X knife 2, cardiac and angiographic X-ray machine including digital subtraction device 3, magnetic resonance imaging device MRl 4, single photon emission computer scanning device SPECT 5, color Doppler instrument, medical linear accelerator and other large medical equipment, as well as medical examination items with a single cost exceeding that of 200 yuan. Reimbursable treatment items 1, extracorporeal shock wave lithotripsy, hyperbaric oxygen therapy, medical linear accelerator therapy, intensive care and rescue CCU, ICU ward treatment 2, kidney transplantation, heart valve transplantation, corneal transplantation, skin transplantation, blood vessel transplantation, bone transplantation, bone marrow transplantation, islet transplantation 3, replacement and installation of artificial organs such as pacemakers, artificial joints, intraocular lenses, artificial larynx and artificial hip joints, and heart bypass. 6, a single cost more than 200 yuan's diagnosis and treatment projects.
Hospitalization process
Bring medical records, medical insurance IC cards, hospitalization certificates → register and review in the medical insurance department of designated hospitals → swipe the card in the medical insurance hospitalization window to pay the expenses that individuals should bear → the hospital receiving treatment prints the daily expense list.
Signature of patient or family member-→ card drawing settlement at the discharge window. Individuals should bear the expenses. The hospital prints the list of total expenses and the patient's signature on the statement.
Outpatient specific project processing and reimbursement process
Eligible insured patients go to the medical insurance department of the designated hospital to receive the application form-fill in the personal data and the reasons for application-the opinions of specialists and the signature of the department director-the medical insurance department of the designated hospital examines and seals it-the medical insurance IC card, the application form and the medical history data are submitted to the municipal medical insurance center for approval and filing-they are examined and treated according to the Measures for the Administration of Medical Insurance for Urban Workers and Urban Residents-and reimbursed at the medical insurance center. Family sickbed handling process The insured's application for employees must be approved by the employer-→ The designated medical unit shall issue a notice of family sickbed by the attending doctor-→ The medical guarantee and medical records shall be submitted to the medical insurance agency for examination and approval.