Taiyuan City, urban residents of basic medical insurance related issues:
A, how to choose the first hospital
Participating residents to participate in the insurance premiums in the residents of the medical insurance determined by the list of the first hospital designated hospitals to choose one as the first hospital for their own medical treatment, the first hospital designated hospitals can be re-selected once a year, but not adjusted in each medical year.
Second, the residents enrolled in the insurance how to get medical treatment, see a doctor
In the first hospital for normal medical treatment: the insured residents for medical treatment first to the first hospital of their choice (except for emergencies), with my "urban residents medical insurance treatment manual", in the first hospital outpatient can use my outpatient account balance.
When the balance of the outpatient account is insufficient, I will pay in cash, and when I need to be hospitalized or referred, I will bring my Diagnostic and Treatment Handbook to the medical insurance department of the first hospital to go through the relevant procedures, and then be hospitalized and discharged according to the relevant provisions of the Resident's Medical Insurance.
Expanded Information:
The following are not reimbursed by the Rural Cooperative Medical Insurance:
1. Self-medical treatment (medical treatment in unspecified hospitals or without referral orders), self-ordered medicines, medicines not reimbursed by the public medical service regulations, and medical treatment not in line with family planning
2, outpatient treatment fees, consultation fees, hospitalization fees, meals, companion fees, nutritional fees, blood transfusion fees (except for those with family blood storage, which will be reimbursed in accordance with the relevant regulations), heating and cooling fees, ambulance fees, special care fees and other expenses;
3, car accidents, fights, suicides, alcoholism, workplace accidents, and medical malpractice medical expenses;
4, orthopaedic, cosmetic surgery , dentures, prostheses, organ transplants, named surgery fees, consultation fees, etc.;
5, reimbursement within the scope of the part outside the limit.
Many farmers have purchased some commercial medical insurance after purchasing the New Farmers' Cooperative, and if you purchase commercial medical insurance, you will have to reimburse the costs of the New Farmers' Cooperative first, and then seek reimbursement from the insurance company for the rest of the costs.
Baidu Encyclopedia - Medical Insurance Reimbursement Scope