At present, most hospitals can settle accounts online. Inpatients only need to carry their ID cards and medical insurance cards, go through the relevant formalities at the admission office, and settle accounts directly when they leave the hospital. Patients only need to pay the remaining hospitalization expenses. For example, hospitalization costs 5,000 yuan, reimbursement costs 3,000 yuan, and patients only need to pay 2,000 yuan. This reimbursement is relatively simple.
Second, online settlement in different places.
For hospitals that cannot make on-site online settlement, patients need to bring:
1, hospitalization invoice (hospital seal)
2, hospitalization expenses details (hospital seal)
3, diagnosis certificate (hospital seal)
4, discharge summary (hospital seal)
5, medical records (hospital seal)
6, some areas need information confirmation or referral form (doctor's signature, hospital seal).
After discharge, bring the above information to the insured place for reimbursement.
Proportion of reimbursement of medical insurance for urban residents
1, students, children. In a settlement year, medical expenses below RMB 6,543,800+0,800 yuan that meet the scope of reimbursement occurred. The threshold for tertiary hospitals is 500 yuan, and the reimbursement ratio is 55%; The qifubiaozhun for secondary hospitals is 300 yuan, and the reimbursement rate is 60%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 65%.
2. Older people over 70 years old. In a settlement year, medical expenses below RMB 6,543,800+that meet the scope of reimbursement occur, and the threshold of tertiary hospitals is 500 yuan, and the reimbursement ratio is 50%; The qifubiaozhun for secondary hospitals is 300 yuan, and the reimbursement rate is 60%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 65%.
3. Other urban residents. In a settlement year, medical expenses below RMB 6,543,800+that meet the scope of reimbursement occur, and the threshold of tertiary hospitals is 500 yuan, and the reimbursement ratio is 50%; The Qifubiaozhun for hospitalization in secondary hospitals is 300 yuan, and the reimbursement rate is 55%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 60%.
Urban residents hospitalized for more than two times in a settlement year, starting from the second hospitalization, no longer charge Qifubiaozhun fees. Transfer or hospitalization for more than two times, make up the difference of Qifubiaozhun in accordance with the provisions of transfer or hospitalization again. For example, if a child is hospitalized in a tertiary hospital, the medical expenses that meet the requirements are 60,000 yuan, and 32,725 yuan can be reimbursed [(60,000 yuan -500 yuan) × 55%]; If you are hospitalized in a first-class hospital, the medical expenses are 5,000 yuan, and you can reimburse 3,250 yuan (5,000 yuan ×65%).
Second, Ningxia urban residents' medical insurance online payment method 1 WeChat payment
Open the "WeChat" client, click "I → Payment → City Service → Positioning → Social Security → Social Security Payment → Medical Insurance for Urban and Rural Residents" in turn, enter the self-service payment page, enter the ID number, name and payment period of the insured residents as required, confirm the insured place, and click Next to complete the payment after paying the payment amount.
2 Alipay payment
Open Alipay, click "Home → All → Urban Services in Convenience Life → Positioning → Social Security → Residents' Medical Insurance Payment" in turn, enter the self-service payment page, enter the ID number, name and payment period of the insured residents as required, confirm the insured place, and click Next to complete the payment after paying the payment amount.
3 Bank online payment
Please consult the staff of the undertaking bank for the online payment method of the cooperative commercial bank.