A, health insurance relocation back to the original medical how to reimbursement
The situation of reimbursement of the cost of relocation: 1, has been relocated to the hospitalization of medical costs or outpatient medical costs of special diseases; 2, the unit of the long-term foreign work hospitalization medical costs; 3, to visit friends and relatives, out of the period of the sudden private 4, college students holiday in the place of residence or internship in the internship hospitalization costs; 5, the city has the authority to refer to the audit of the designated hospital audit to determine, indeed, because of the medical technology and equipment conditions need to be transferred to a different place of hospitalization medical costs. Reimbursement materials: 1, ID card, health insurance manual; 2, bank passbook / UnionPay card or health insurance personal account card; 3, stamped with the official seal of the hospital's valid medical expenses original bills, medical expenses summary list, the hospital diagnosis of disease certificate / discharge summary, hospital level certificate; 4, long-term medical advice, temporary medical advice (below the county level, townships, streets) Health center, factory and mine workers hospital hospitalization); 5, admission medical records / emergency medical records (for private out of the emergency hospitalization); 6, referral and transfer approval form (by the authorization of the designated hospital for referral procedures hospitalization); 7, college students holiday disease declaration form (college students holiday in the place of residence or internship during the internship in the place of hospitalization); 8, hospital admission records, emergency medical records, proof of materials (hospitalized due to accidental injury, the supporting materials are detailed records of the injury); 9, emergency hospitalization medical records (uninterrupted emergency medical expenses incurred within 72 hours prior to hospitalization); 10, emergency hospitalization medical records, death certificates and proof of family relations (medical expenses for death after continuous emergency medical treatment). Reimbursement process: 1, the insured person/unit every working day in the morning to the business window to submit the reimbursement information; 2, the staff to accept the information and review the information; 3, after the audit is correct, according to the policy of reimbursement, direct transfer to the participants of the individual account card or Changsha bank account of the medical insurance; 4, the participants in the bank in any branch or UnionPay teller machine to swipe the card for verification or withdrawal.Two, the consequences of medical fault go health insurance
There is no great consequences, medical malpractice can be reimbursed with health insurance. First of all, you have to take the invoice to apply for reimbursement of hospitalization, but also need some proof of hospitalization manuals, you need to bring the following materials: emergency if you do not use the social security card to pay, you need to take the hospital receipts, prescriptions, diagnosis to the social security bureau for reimbursement. The medical expenses incurred in line with the scope of reimbursement, you can after this visit, with all the relevant information (outpatient medical records, invoices, social security cards, ID cards and other information) to the local community health service center institutions in accordance with the process of reimbursement. If you don't follow the designated medical institutions, you will not be reimbursed by the medical insurance. And the higher the level of the hospital, the lower the reimbursement rate will be. 2. Exceeding the reimbursement limit After the unification of urban and rural residents' medical insurance, real-time reimbursement of medical expenses is realized, and the reimbursement rate is still the same as before, but the cumulative amount of reimbursement in a year has a certain limit. 3, special medical (1) personal reasons for traffic accidents or work-related injuries are not reimbursed medical expenses. (2) Medical expenses due to drunk driving, drug abuse, theft, etc. will not be reimbursed by the medical insurance. (3) Medical expenses incurred for miscarriages, abortions, and other personal reasons will not be reimbursed by the health insurance. (4) Medical expenses incurred for plastic surgery, cosmetic surgery, weight loss, etc. will not be reimbursed by the medical insurance. 4, special medical treatment Some medical projects will have a special medical project fund, such as children's vaccination, some relevant institutions will be free for children to get vaccinated. If the parent pays for the child's vaccination, it is not covered by the health insurance and therefore will not be reimbursed by the health insurance.Three, the following cases of medical malpractice need to bear criminal responsibility
According to medical malpractice treatment method Article 23 ~ 25, belonging to the following three kinds of cases, by the judicial organs of the directly responsible for the investigation of criminal responsibility according to the law : 1, after the occurrence of medical malpractice or incident, the loss, alteration, concealment, forgery, destruction of medical records and related information, the seriousness of the situation constitutes a crime. According to the principle of legality of crime, only constitute a crime to have the relevant conviction and sentence and penalty punishment, destruction, concealment of evidence, according to the provisions of the law, may constitute a crime to help destroy, falsify evidence and other crimes. 2, medical personnel due to extreme irresponsibility, resulting in the death of the patient, the circumstances are bad has constituted a crime, the establishment of this circumstance is the crime of medical malpractice. 3, under the pretext of medical units in the occurrence of medical malpractice provocation, disturbing the normal order of medical work, the circumstances are serious and constitute a crime. The establishment of the crime in line with the circumstances of the Criminal Law Article 293 provoking trouble and Article 290, paragraph 1 of the crime of gathering people to disturb the social order and other crimes. The amendments to the Criminal Law added the crime of medical liability, according to the Criminal Law, medical personnel due to serious irresponsibility, causing the death of the patient or serious damage to the health of the patient, shall be sentenced to less than three years of fixed-term imprisonment or detention. The object of the establishment of this crime is or license hospital diagnosis and treatment personnel and nursing staff, its medical fault caused by the patient's physical damage to the results of the damage, and there is a causal relationship. The medical insurance relocation back to the original place of medical treatment can be reimbursed, has been for the relocation of hospitalization medical expenses or outpatient medical expenses of special diseases, college students holiday in the place of residence or internship during the internship in the hospitalization of medical expenses can be reimbursed.