Employee hospitalization medical insurance reimbursement process

Employee hospitalization health insurance reimbursement process, divided into local health insurance reimbursement and foreign health insurance reimbursement:

A local health insurance reimbursement process:

1, with the patient's health insurance book and ID card for hospitalization;

2, when discharged from the hospital, bring these materials:

(1) the attending physician to issue a diagnostic certificate, to go to the clinic fee office stamped with the validity of the;

p> (2) hospitalization notice, hospital deposit slip receipt;

(3) ID card, medical insurance card. Then you can go to the hospital charge settlement office for reimbursement on site.

The process of reimbursement of foreign medical insurance:

1, in advance for the referral approval form and proof of residence.

2, take the medical insurance book, ID card for hospitalization,

3, take the medical insurance book, ID card, diagnostic certificate, hospitalization notice, hospital deposit receipt, etc., to the fee settlement office for discharge procedures.

4, after the discharge procedures, go to the hospital medical insurance section to ask for a copy of the hospital is a designated hospital notice and a copy of the qualification certificate.

5, with the listed materials, go to the local government service center (urban workers, urban and rural residents health insurance), or town (street) health insurance office, for reimbursement matters.

And, at present, the starting amount is 1,300 yuan for the first time in a year when you use the basic medical insurance to pay, whether you are an active employee or a retiree. And for the second and subsequent hospitalizations, the starting payment is determined at 50 percent, which is 650 yuan. And the maximum payment amount of the Basic Medical Insurance Co-ordination Fund (hospitalization expenses) in one year is currently 70,000 yuan. In the case of an active employee, only medical expenses over 2,000 RMB can be reimbursed after an outpatient or emergency visit to a hospital, and the reimbursement rate is 50%. For retirees under the age of 70, the reimbursement rate is 70% for expenses over $1,300. For retirees over the age of 70, expenses over $1,300 are reimbursed at 80%. And regardless of the category, the maximum limit for expenses paid for outpatient and emergency major medical expenses is 20,000 yuan.

: Urban workers' medical insurance reimbursement scope: outpatient, emergency medical expenses;

(1) the cost of purchasing medicines at designated retail pharmacies;

(2) emergency rescue stay and income inpatient treatment, its hospitalization before the hospitalization of the stay of seven days of medical expenses;

(3) malignant tumors radiation therapy and chemotherapy, renal dialysis, kidney transplantation, taking anti-rejection drug outpatient medical expenses;

(4) the cost of outpatient medical expenses;

(5) the cost of outpatient medical expenses;

(6) the cost of outpatient medical expenses. rejection drugs for outpatient medical expenses.