The medical insurance card can reimburse the following items:
1. Stereotactic radiation device using X-ray computed tomography device;
2. Cardiac and angiographic machines;
3. Nuclear magnetic resonance imaging equipment;
4. Single photon emission computer scanning device;
5, color Doppler, medical linear accelerator and other large medical equipment for inspection of medical projects.
The medical insurance card can reimburse the following treatment items:
1, extracorporeal shock wave lithotripsy, hyperbaric oxygen therapy, medical linear accelerator therapy, intensive care and rescue in CCU and ICU wards;
2. Kidney transplantation, heart valve transplantation, corneal transplantation, skin transplantation, blood vessel transplantation, bone transplantation, bone marrow transplantation and islet transplantation;
3. Replacement and installation of pacemaker, artificial joint, intraocular lens, artificial larynx, artificial hip joint and other artificial organs, heart bypass surgery and balloon dilatation of cardiac catheter;
4. Hemodialysis and peritoneal dialysis;
5. Cardiac laser drilling, anti-tumor cellular immunotherapy, interventional therapy and fast neutron therapy projects.
The medical insurance reimbursement process is as follows:
1. Hospitalization medical expenses shall be paid by individuals in advance. After discharge, medical insurance card, ID card, outpatient medical record, discharge summary, general list of expenses (detailed list of expenses), disease diagnosis certificate, valid bill (original invoice), doctor's advice, copy of the first page of medical record, certificate issued by the school, certificate of transfer to hospital and relevant certificate issued by the college shall be provided. For medical treatment in different hospitals, materials from different hospitals should be provided; In the same hospital, according to the different hospitalization time (before the expenses are written off, such as being treated in the same hospital after discharge), materials of hospitalization in different periods should also be provided;
2, after the opening of the credit card settlement function, the student himself or his guardian or client shall, within three days of hospitalization, go to the medical window of the service hall of the municipal medical insurance center with the student ID card, the provincial social security card, the medical record of the hospital, the certificate of disease diagnosis and the certificate issued by the college;
3. Treatment of emergency expenses of non-designated medical institutions: within 3-5 working days of emergency, first contact or entrust others to register with the municipal medical insurance management center through the student medical insurance management center of our hospital, and the medical expenses will be paid in advance by myself. At the time of reimbursement, apply for reimbursement to the municipal medical insurance center with the above reimbursement materials (non-medical insurance designated hospitals or clinics cannot be reimbursed).
In summary, ECG medical insurance reimbursement. According to the relevant laws and regulations of our country, the medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Legal basis:
Article 28 of People's Republic of China (PRC) Social Insurance Law
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.