How much is the reimbursement for 100 million yuan of medical equipment?

Subjectivity of law: Nowadays, in our daily life, more and more people begin to use medical insurance. Medical insurance is becoming more and more important in everyone's life, but many people don't know what to do when they encounter situations. So, how can the third party refuse to pay the medical insurance fee? The case involves a third party (such as traffic accident, injury, etc.). ), and there are related medical records that cannot be reported to medical insurance. There are clear provisions in the medical insurance regulations. Suggest judicial settlement with the third party. Medical insurance covers common accidents, such as accidentally falling down the stairs. The related concepts of medical insurance refer to social medical insurance. Social medical insurance is a social insurance system established by the state and society according to certain laws and regulations to provide basic medical needs for workers within the scope of protection. The basic medical insurance fund consists of overall funds and individual accounts. The basic medical insurance premiums paid by individual employees are all included in individual accounts; The basic medical insurance premium paid by the employer is divided into two parts, one part is included in the personal account, and the other part is used to establish the overall fund. From April 2065438 to April 2002, Huang Xfu, Vice Minister of Health, expressed support for the proposal of the Minister of Health to include smoking cessation drugs in medical insurance. 201610/2 the State Council issued the "Opinions on Integrating the Basic Medical Insurance System for Urban and Rural Residents", demanding the integration of the medical insurance for urban residents and the new rural cooperative medical system, and gradually establishing a unified medical insurance system for urban and rural residents throughout the country. [1] 201612.20, Ministry of Human Resources and Social Security held a teleconference on national networking of basic medical insurance and direct settlement of medical treatment in different places, and signed letters of responsibility with the first batch of 22 provinces, including Beijing, which applied for national networking of basic medical insurance and direct settlement of medical treatment in different places, marking the formal implementation stage of direct settlement of medical treatment in different places. Medical insurance system 1988, China government began to reform the free medical care system of government agencies and institutions and the labor insurance medical care system of state-owned enterprises. From 65438 to 0998, the China Municipal Government promulgated the Decision on Establishing the Basic Medical Insurance System for Urban Employees, and began to establish the basic medical insurance system for urban employees throughout the country. The basic medical insurance system in China adopts the mode of combining social pooling with individual accounts. The basic medical insurance fund shall, in principle, implement municipal co-ordination. The basic medical insurance covers all employers and their employees in cities and towns; All enterprises, state administrative organs, institutions and other units and their employees must fulfill the obligation to pay the basic medical insurance premium. At present, the employer's contribution ratio is about 6% of the total salary, and the individual contribution ratio is 2% of my salary. Part of the basic medical insurance premium paid by the unit is used to establish the overall fund, and part of it is included in the personal account; The basic medical insurance premiums paid by individuals are included in personal accounts. Pooling funds and individual accounts bear different responsibilities for payment of medical expenses. The overall fund is mainly used to pay for the hospitalization and outpatient treatment of some chronic diseases, and the overall fund has a minimum payment standard and a maximum payment limit; Personal accounts are mainly used to pay for general outpatient expenses. In order to ensure that the insured employees enjoy basic medical services and effectively control the excessive growth of medical expenses, the China Municipal Government has strengthened the management of medical services, formulated the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards, provided qualified medical institutions and pharmacies with basic medical insurance services, and allowed the insured employees to choose independently. In line with the reform of the basic medical insurance system, the state has also promoted the reform of medical institutions and drug production and circulation systems. By establishing the competition mechanism between medical institutions and the market operation mechanism of drug production and circulation, we will strive to achieve the goal of "providing better medical services at lower cost". In addition to the basic medical insurance, large medical expenses mutual aid system is generally established in all localities to solve the medical expenses above the maximum payment limit of social pooling funds. The state has established a medical subsidy system for civil servants. Conditional enterprises can establish supplementary medical insurance for employees. The state will also gradually establish a social medical assistance system to provide basic medical security for the poor. The reform of the basic medical insurance system in China has been steadily advanced, and the coverage of basic medical insurance has been continuously expanded. By the end of 20001,97% of cities and towns in China had started the reform of basic medical insurance, and 76.29 million employees had participated in the basic medical insurance. In addition, free medical care and other forms of medical security system have covered 1 100 million urban population, and China government is gradually bringing these people into the basic medical insurance system. 201610/2 the State Council issued the "Opinions on Integrating the Basic Medical Insurance System for Urban and Rural Residents", demanding the integration of the medical insurance for urban residents and the new rural cooperative medical system, and gradually establishing a unified medical insurance system for urban and rural residents throughout the country. [1] implementation measures "implementation measures for basic medical insurance for urban and rural residents in Hunan province" [3] "implementation measures for basic medical insurance for urban and rural residents in Henan province (for trial implementation)" [4] "implementation measures for basic medical insurance for urban and rural residents in Shijiazhuang city" [5] settlement procedures (1) settlement procedures for inpatient and outpatient treatment in designated medical institutions for special diseases shall be charged before 10 of each month. Insured persons who have been identified as suffering from special diseases shall go to the designated medical institutions designated by the labor and social security departments for medical treatment and medicine purchase, and the medical expenses incurred shall be directly recorded and settled immediately. (II) Emergency Settlement Procedure The medical expenses incurred by the insured due to emergency rescue to non-designated medical institutions in the city and medical institutions in different places shall be paid in advance by individuals or units. After the emergency rescue, the medical insurance agency shall go through the reimbursement procedures according to the provisions with the hospital emergency medical records, inspection, laboratory reports, invoices and detailed list of medical expenses. (3) Settlement procedures for people resettled in different places 1. Resettlement personnel in different places are designated as designated medical institutions by their units with their residence 1-2, and reported to the medical insurance agency for the record. 2. The medical expenses incurred by the off-site staff in the outpatient department of the designated medical institution where the disease occurs at the place of residence shall be paid in advance by themselves or their units. After the treatment, the unit shall settle the diagnosis and medical records, effective expense bills, compound prescriptions and hospitalization expense lists of the insured. Go to the social medical insurance agency on the specified date. (4) Referral and settlement of referral 1. If the insured person is transferred to other medical institutions for diagnosis and treatment due to the conditions of designated medical institutions or specialized diseases, it is necessary to fill in the referral and referral approval form. The reason for referral and transfer is put forward by the attending physician, the director of the department puts forward the opinion of referral and transfer, the medical institution medical insurance office reviews it, the dean in charge signs it, and it can be transferred only after being reported to the municipal medical insurance center for examination and approval. 2. In principle, referrals should be made outside the city, inside the province and outside the province. The city's referral regulations are carried out between designated medical institutions. The referral outside the city is proposed by the designated medical institutions above Grade III in this Municipality. 3. The medical expenses incurred after the insured person is referred to another hospital shall be paid by the individual or unit in cash. After the medical treatment, the insured person or his agent will submit the referral approval form, medical record certificate, prescription and valid documents to the medical insurance agency for reimbursement of hospitalization expenses that fall within the scope of the overall fund payment. I hope I can help you solve related problems. If you have any questions, please consult a lawyer on this website.