Private hospitals for health insurance designated hospitals can be reimbursed, participants in the designated medical institutions hospitalized medical costs should be borne by the individual part of the settlement by the person and the designated medical institutions should be paid by the integrated fund of the part of the settlement account.
Specifically as follows:
1, medical insurance reimbursement refers to the basic medical needs of the insured, standardize the management of basic medical insurance medication, diagnosis and treatment, the basic medical insurance provides for the reimbursement of the drug directory, diagnostic and therapeutic items and medical service facilities;
2, urban medical reimbursement refers to the hospital to see a doctor to take medication hospitalization surgery, etc., you can through the medical card in accordance with the relevant provisions of the medical card, the hospitalization of the hospital. You can reimburse the medical expenses through the medical insurance card in accordance with the relevant provisions of the urban medical insurance is more specialized, the scale of the project and the coverage is larger.
Legal basis
The People's Republic of China*** and the State Social Insurance Law
Article 30 of the following medical expenses are not included in the scope of payment of the basic medical insurance fund:
(a) should be paid from the workers' compensation insurance fund;
(b) should be borne by the third party;
(c) should be paid by the third party;
This is the first time in the history of the medical insurance fund. p>
(iii) should be borne by the public ****health;
(iv) medical treatment outside the country.
Medical expenses shall be borne by a third person in accordance with the law, and if the third person fails to pay or if the third person cannot be identified, the basic medical insurance fund shall pay in advance. The basic medical insurance fund shall have the right to recover from the third party after the payment. Article 57 An employer shall, within thirty days from the date of its establishment, apply to the local social insurance agency for social insurance registration with its business license, registration certificate or seal. The social insurance agency shall examine and approve the application within fifteen days from the date of receipt of the application and issue the social insurance registration document.
If the employer's social insurance registration changes or the employer is terminated according to law, the employer shall, within thirty days from the date of change or termination, apply to the social insurance agency for change or cancellation of social insurance registration.
The market supervision and management department, the civil affairs department and the organization and establishment management organs shall promptly notify the social insurance agency of the establishment and termination of the employer, and the public security organs shall promptly notify the social insurance agency of births and deaths, as well as the registration, relocation, and cancellation of household registration of individuals.