Hangzhou medical insurance reimbursement requires you to receive medical services first and then submit a reimbursement application. The reimbursement ratio is related to the individual payment base and the drugs and treatment items in the medical insurance catalog.
In Hangzhou, medical insurance reimbursement requires you to receive medical services first and then submit a reimbursement application. The specific process is: swipe the medical insurance card when seeking medical treatment, pay part of the out-of-pocket expenses, and submit the medical expense list, invoice, diagnosis certificate and other materials to the hospital information window after the hospital issues it. The hospital will settle the fees according to medical insurance regulations and print out the individual's actual payment amount. Afterwards, individuals can submit a reimbursement application on the medical insurance website or community medical insurance service center. After approval, the medical insurance will refund a corresponding proportion of the cost. The reimbursement ratio is related to the individual payment base and the drugs and treatment items in the medical insurance catalog. Generally speaking, basic medical insurance will reimburse related medical expenses according to different proportions of individual payment bases, while supplementary medical insurance can cover more types of drugs and treatment items and increase the reimbursement ratio. In addition, for some specific groups such as poor families and people living on minimum living allowances, medical insurance reimbursement standards have also been increased accordingly.
What items are included in the reimbursement scope of Hangzhou’s medical insurance? The Hangzhou Basic Medical Insurance Catalog includes common outpatient, hospitalization, emergency, surgery, examination, examination, and diagnostic categories of medical services, and also covers reimbursement for some chronic disease management and special drugs. In addition, supplementary medical insurance can further expand reimbursement coverage. However, it should be noted that medical expenses must be reasonable, necessary and standard, otherwise they will not be reimbursed.
For medical insurance reimbursement in Hangzhou, you must first receive medical services and then submit an application for reimbursement. The reimbursement ratio is related to the individual payment base and the drugs and treatment items in the medical insurance catalog. When enjoying medical insurance reimbursement, you need to pay attention to the fact that medical expenses must be reasonable, necessary and standardized.
Legal basis:
Article 3 of the "Social Insurance Regulations of the People's Republic of China" The scope of collection of basic pension insurance premiums: state-owned enterprises, urban collective enterprises, foreign investment Enterprises, urban private enterprises and other urban enterprises and their employees, public institutions that implement enterprise management and their employees. The scope of collection and payment of basic medical insurance premiums: state-owned enterprises, urban collective enterprises, foreign-invested enterprises, urban private enterprises and other urban enterprises and their employees, state agencies and their staff, public institutions and their employees, private non-enterprise units and their employees Employees, social groups and their full-time personnel. The scope of collection and payment of unemployment insurance premiums: state-owned enterprises, urban collective enterprises, foreign-invested enterprises, urban private enterprises and other urban enterprises and their employees, public institutions and their employees. The people's governments of provinces, autonomous regions, and municipalities directly under the Central Government may, based on local actual conditions, stipulate that urban individual industrial and commercial households be included in the scope of basic pension insurance and basic medical insurance, and may stipulate that social groups and their full-time personnel, private non-enterprise units and their employees, and related Urban individual industrial and commercial households that employ workers and their employees are included in the scope of unemployment insurance. The base and rate of social insurance premiums shall be implemented in accordance with relevant laws, administrative regulations and the provisions of the State Council.