In daily life and work, people are also very concerned about the reimbursement ratio of Chengdu cooperative medical care. Many people may only have a certain understanding of it, but they may not be clear. Next, Bian Xiao will bring you an answer about the reimbursement ratio of Chenghe Medical Care, hoping to help you. First, the reimbursement rate of cooperative medical care in Chengdu is 20 19. The reimbursement rate of adult high-level cooperative medical care in Chengdu is 95% in township hospitals and community health service centers, 87% in first-class hospitals, 82% in second-class hospitals and 68% in third-class hospitals. The reimbursement rate of adult low-grade hospitals is 95% in township hospitals and community health service centers, 85% in first-class hospitals, 75% in second-class hospitals and 53% in third-class hospitals. The reimbursement rate of students' and children's files is 95% in township hospitals and community health service centers, 85% in first-class hospitals, 75% in second-class hospitals and 60% in third-class hospitals. Second, how to buy medical insurance in Chengdu (1) Chengdu household registration conditions: 1, household registration in this city; 2. Not reaching the statutory retirement age (60 years old for men and 50 years old for women); 3. Individual personnel continue to participate in the insurance. Required information: 1, ID card; 2. To establish a social security relationship in Chengdu, a social security card is required; 3. books; 4, according to the requirements of the social security bureau to provide insurance payment deduction of bank accounts. Enrolment process: the applicant applies to Chengdu Social Security Bureau or Medical Insurance Bureau with the above information. Generally, they can successfully apply if they meet the requirements and have complete information. (2) Non-Chengdu household registration conditions: 1, non-Chengdu household registration; 2. Not reaching the statutory retirement age (male 60, female 50). Social security relationship established: 1. Those who hold the residence permit in this city will continue to participate in the insurance at the social security agency of the original unit or the social security agency where the residence permit is registered. The required information includes ID card, social security card and residence permit (all originals are required), and the bank account number is provided for deduction and payment according to the requirements of the insured social security bureau; 2, did not apply for the "residence permit" personnel, to the original unit of social security agencies insured. The required information is the original ID card and social security card, and the bank account number is provided for deduction and payment according to the requirements of the insured social security bureau. 3. How to complain about medical accidents in Chengdu? The parties concerned shall submit a written application to the Health Bureau. The application shall state the basic information, relevant facts, specific requests and reasons of the applicant. Within 1 year from the date when the parties know or should know that their health has been damaged, they may apply to the Health Bureau for handling medical malpractice disputes. The Health Bureau shall conduct a review within 10 days from the date of receiving the application for handling medical malpractice disputes, and make a decision on whether or not to accept it. Four. Chengdu medical insurance policy 20 19 Chengdu medical insurance reimbursement conditions: 1. Individuals begin to enjoy medical insurance benefits after six months of continuous payment for the first time. 2 unemployed persons who participate in (continue to receive) medical insurance during the period of receiving unemployment insurance benefits or within 60 days after receiving unemployment insurance benefits shall enjoy medical insurance benefits from the next month of payment. 20 19 scope of medical insurance reimbursement in Chengdu: the scope of reimbursement mainly includes 1, self-seeking medical treatment (no designated hospital or referral form), self-purchased drugs, drugs that cannot be reimbursed according to the regulations of public medical care, and medical expenses that do not conform to family planning. 2. Outpatient treatment fee, visiting fee, hospitalization fee, meal fee, escort fee, nutrition fee and blood transfusion fee (except for family blood donors). Reimbursement according to relevant regulations), cooling and heating expenses, ambulance expenses, special nursing expenses and other expenses 3. Medical expenses for car accidents, fights, suicides, alcoholism, industrial accidents and medical accidents. Orthopedics, cosmetic surgery, dental implants, artificial limbs, organ transplantation, roll call surgery fees, consulting fees, etc. 5. Within the scope of reimbursement, the part exceeding the limit 5. What percentage of Chengdu Medical Insurance reported to the first-class hospital of employee medical insurance: Qifubiaozhun. Secondary hospital: 400 yuan, deductible, 90% reimbursement. Tertiary hospital: 800 yuan, deductible, 85% reimbursement. The reimbursement rate of adult low-level medical insurance is 95% in township hospitals and community health service centers, 85% in first-class hospitals, 75% in second-class hospitals and 53% in third-class hospitals. The reimbursement rate of students' and children's files is 95% in township hospitals and community health service centers, 85% in first-class hospitals, 75% in second-class hospitals and 60% in third-class hospitals. 6. Where is the medical insurance reimbursement in Chengdu? Chengdu Social Insurance Administration, Address: No.4, North Section 1, Second Ring Road, Chengdu, Tel: 028- 12333. The above data are the relevant answers collected by Bian Xiao about the reimbursement ratio of Chengdu's cooperative medical system. I believe that everyone who has carefully read this article must have a clearer and deeper understanding of the reimbursement ratio of cooperative medical care in Chengdu. I hope my answer is helpful to you! In case of doubt, legal advice is welcome. Wish you a happy life!
Legal objectivity:
Article 28 of the Social Insurance Law conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid by the basic medical insurance fund in accordance with state regulations. Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.