■ Online review of insurance information
The school logs on to Changzhou Labor and Social Security Network (www.jscz.lss.gov.cn), and through college students' participation in the online medical insurance service system, the information of the insured college students is entered into the computer to generate declaration information for the municipal social security center to review. The Municipal Social Security Center will uniformly distribute school codes for 1 1 colleges and universities in the city, and all colleges and universities will log in students to participate in the medical insurance online service system through their own school codes. The municipal social security center will summarize the approved student insurance information to generate the payment amount, which will be fed back to colleges and universities through college students' participation in the medical insurance online service system.
■ The school uniformly issues medical insurance.
With the notice of payment, the school manager will directly deposit the premium in line with the notice into the account number of Bank of Communications designated by the Municipal Medical Insurance Center (account name: Changzhou Employee Medical Insurance Fund Management Center, account number: 32400626001801001765438), and all branches of Bank of Communications can pay the fee. The municipal social security center provides medical security for student residents to the school, and the school provides medical security for student residents.
■ Special handling of two special cases
Who meet the exemption conditions of poor students and some disabled students, the school needs to collect the corresponding "Changzhou minimum living guarantee card" or "People's Republic of China (PRC) disabled card" copy, and provide it to the municipal social security center for review. At the same time, the low-income insurance or disability certificate number of the exemption students should be entered and declared together.
If students have Changzhou residents' medical insurance, they can transfer to college medical insurance and do not need to reissue it.
What insurance benefits can I enjoy after joining the insurance?
Hospitalization-The medical expenses incurred by the insured in hospitalization that meet the requirements shall be settled according to the following methods: 60% of the medical expenses between the Qifubiaozhun and the maximum amount shall be paid by the fund, and the medical expenses below the Qifubiaozhun and above the maximum amount shall be borne by the individual. First-and second-level medical institutions hospitalization Qifubiaozhun is 400 yuan/time, and third-level medical institutions hospitalization Qifubiaozhun is 800 yuan/time; In 2009, the maximum accumulated medical expenses of inpatients and seriously ill outpatients covered by residents' medical insurance were 654.38+10,000 yuan.
Outpatient service for critical illness —— The expenses of blood and peritoneal dialysis treatment, anti-rejection drugs after organ transplantation, radiotherapy and chemotherapy for malignant tumor, drugs for leukemia, hemophilia and aplastic anemia of the insured can enjoy the subsidy for outpatient service for critical illness. The qifubiaozhun for serious illness outpatient settlement subsidy is 800 yuan/year. The expenses below Qifubiaozhun shall be borne by the individual, and the expenses exceeding Qifubiaozhun shall be paid according to the hospitalization settlement method.
General outpatient service-colleges and universities continue to do daily medical work in accordance with existing regulations.
The medical insurance benefits for residents in 20 10 years will be further adjusted on the basis of 2009, and the specific contents will be notified separately.
How to reimburse hospitalization and serious illness outpatient expenses?
The insured must see a doctor in a designated medical institution of residents' medical insurance in order to enjoy the prescribed insurance benefits. Need hospitalization, with the "Changzhou urban residents' basic medical insurance certificate" and my identity card for hospitalization procedures, only need to pay the individual pays part when leaving the hospital, and the fund payment part is settled by the municipal employee medical insurance fund management center and the hospital; Need outpatient treatment of serious illness, confirmed by the city employee medical insurance fund management center, can enjoy outpatient serious illness subsidies, the cost settlement method is the same as hospitalization.
Can I enjoy insurance benefits during my suspension from school?
If the insured person needs to be treated in a hospital other than the place where the university is located, he can be treated in the designated medical institution of medical insurance where he is practicing or where his household registration is located. The medical expenses for serious illness in the inpatient and outpatient departments meet the provisions of the basic medical insurance.