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It is reported that some people in the normal reimbursement after the second reimbursement, how can medical insurance second reimbursement? Participants enjoy the basic medical insurance treatment for urban residents in the year, the individual out-of-pocket medical expenses (already enjoy the amount of medical assistance from the civil affairs department to make the corresponding deduction) more than the previous year, the part of the per capita disposable income of urban residents in the city, included in the scope of payment of the insurance for the major illnesses. Now go to see how can medical insurance second reimbursement.
How can the medical insurance second reimbursement
"Second reimbursement" is the urban residents of the medical insurance or the new rural cooperative residents, if the last year to see the doctor has a high cost, in addition to the normal reimbursement, but also can be reimbursed once again the big disease insurance, and does not set a ceiling line. In general, the second reimbursement is reimbursed by the citizen's organization. The coverage of the insurance includes the first part of the individual's burden and the part that exceeds the ceiling line, while the current out-of-pocket medicines and items cannot be reimbursed.
About how can the medical insurance second reimbursement, the human resources department emphasized that at present the urban residents of the big disease insurance can only second reimbursement related to the out-of-pocket medical expenses, out-of-pocket medical expenses can not second reimbursement. Out-of-pocket medical expenses refer to the medical expenses that should be borne by individuals proportionally within the three catalogs of Beijing's basic medical insurance, industrial injury insurance and maternity insurance drug catalogs. Out-of-pocket medical expenses refer to the medical expenses incurred by individuals who use medicines and items not included in the catalogs.
To receive the secondary subsidy, you must hold the original and a copy of the second-generation ID card of the person who is entitled to the secondary subsidy, as well as the original and a copy of the bank card or passbook of the city (except for the account number of the Agricultural and Commercial Bank of China), and the original and a copy of the second-generation ID card of the person who is authorized to act for the person who is entitled to the secondary subsidy, if the person doesn't come to do the job in person.
This is how the second reimbursement of health insurance is introduced, the Beijing Municipal Bureau of Human Resources and Social Security issued a "notice on doing a good job of urban residents of the work of big disease insurance" clearly participate in the city's urban residents of the health insurance students and children, urban elderly, unemployed residents and the disabled four categories will be able to second reimbursement of six personal out-of-pocket medical expenses. The next step is to see what expenses can be reimbursed twice.
What expenses can be reimbursed twice?
1. Medical expenses below the starting standard of the basic medical insurance fund for urban residents;
2. Medical expenses above the starting standard and below the maximum payment limit of the basic medical insurance fund for urban residents that should be borne by the individual according to the proportion of the medical expenses;
3. Medical expenses for the use of large-sized medical equipments in the examination and treatment programs and the cost of a single item of more than 200 yuan should be borne by the individual in advance;
4. The medical expenses that should be borne by the individual in advance;
4. The medical expenses that should be borne by the individual in advance in Category B of the catalog of diagnostic and treatment items of the basic medical insurance and the scope of the medical service facilities, and also to understand how to reimburse the second time of the medical insurance;
5. The medical expenses that should be borne by the individual in advance of the Category B medicines in the Catalog of Medicines of Beijing Municipal Basic Medical Insurance, Workers' Compensation Insurance, and Maternity Insurance;
6.
6. Medical expenses above the maximum payment limit of the Basic Medical Insurance Fund for Urban Residents that can be included in the scope of reimbursement with reference to the payment regulations of the Basic Medical Insurance Fund for Urban Residents, as well as medical expenses in line with the above three items 3, 4 and 5.
The above is the second reimbursement of six expenses, now also know how to health insurance second reimbursement, and now the reimbursement of major medical insurance in accordance with the principle of the design of the ceiling, the urban residents of major medical insurance to implement the "segment calculation, cumulative payment", outpatient and hospitalization costs are included in the reimbursement of major medical insurance cumulative calculation. The outpatient and hospitalization expenses are all included in the reimbursement scope of the medical insurance for major diseases. I hope to help you reimbursement of medical insurance.