1, when admitted to the hospital, the patient will have medical insurance, register for social security with his ID card, and then go to the ward;
2. When leaving the hospital, the doctor will arrange for the patient to leave the hospital, and go through the discharge settlement procedures with the admission registration form and ID card.
Then the hospitalization documents, charging documents, medical insurance cards and ID cards will be settled at the medical insurance office set up in the hospital. The reimbursement conditions must meet the reimbursement conditions of residents' medical insurance. The reimbursement ratio is based on the level of the hospital, and the hospital has set a starting point for reimbursement. Policies vary from place to place. At present, the process of reimbursement for hospitalization of urban workers' medical insurance has been simplified, and patients can directly settle accounts at the hospital site without going to the social security center for reimbursement.
The scope of reimbursement includes medical expenses, auxiliary examinations, electrocardiogram, X-ray fluoroscopy, filming, laboratory tests, physiotherapy, acupuncture, CT, nuclear magnetic resonance and other examination expenses, 200 yuan; Surgical expenses (refer to the national standard, reimbursement exceeding 1000 yuan 1000 yuan). The elderly over 60 years old are hospitalized in Xingta Town Health Center, and the daily treatment and nursing expenses are compensated 10 yuan, with the limit of 200 yuan.
legal ground
Article 27 of the Social Insurance Law of People's Republic of China (PRC) * * * If an individual who participates in the basic medical insurance for employees reaches the statutory retirement age and the accumulated payment reaches the fixed number of years stipulated by the state, he will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state. Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue 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.