Recently, many designated hospitals remind patients to bring their medical insurance cards, so the medical insurance policy in COVID-19 has attracted attention. The following is the latest news of COVID-19's medical insurance policy. Can COVID-19's medical insurance be reimbursed? How much is the reimbursement?
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The latest news of COVID-19's medical insurance policy 65438+On February 9th, Jiao Yahui, director of the Department of Medical Administration of National Health Commission, said at the press conference of the joint prevention and control mechanism of the State Council Office that all medical institutions should treat positive patients before COVID-19 is positive, and it is not allowed to distinguish whether to treat them by nucleic acid results. Patients don't have to worry about the hospital not accepting patients.
Whether the medical insurance reimbursement policy should be adjusted still needs to be determined by the central document. However, it is expected that in actual implementation, specialized institutions for severe treatment such as infectious disease hospitals, designated treatment institutions and shelters can still be reimbursed according to the original policy. In addition to these institutions, positive patients will pay for medical treatment in other medical institutions according to normal diseases.
Can COVID-19 medical insurance be reimbursed? COVID-19 medical insurance can be reimbursed. Some designated hospitals in COVID-19 began to remind COVID-19 patients to carry their medical insurance cards with them for subsequent policy adjustment. At present, the expenses incurred by the patients diagnosed in COVID-19 in outpatient and emergency departments need to be borne by themselves, that is, the medical insurance is settled normally or the patients pay by themselves. It's best to bring a medical insurance card to the hospital and follow what policy.
How much is the medical insurance reimbursement in COVID-19?
The proportion of medical insurance reimbursement varies from region to region and depends on local policies. The premise of medical insurance reimbursement for the elderly over one year old is to meet the scope of medical insurance reimbursement, and the medical expenses incurred must be below 654.38+ 10,000 yuan. In a settlement year, a first-class hospital can reimburse up to 65%, and there will be no threshold. Up to 55% can be reimbursed in secondary hospitals; In tertiary hospitals, up to 50% can be reimbursed, and the minimum payment standard in 500 yuan is also set. 2. The premise of medical insurance reimbursement for students or children residents is to meet the scope of reimbursement, and the medical expenses incurred must be below 6.5438+0.8 million yuan. In a settlement year, the highest reimbursement rate of a first-class hospital is 65%, and there will be no reimbursement and qifubiaozhun. Secondary hospitals can be reimbursed up to 60%; Third-level hospitals can be reimbursed up to 55%.
3. Urban and rural residents of other age groups
The premise of residents' medical insurance reimbursement is to meet the scope of reimbursement, and the medical expenses incurred are below 654.38+10,000 yuan. In a settlement year, a first-class hospital can reimburse up to 60%, and there will be no threshold. Secondary hospitals can be reimbursed up to 55%; Third-level hospitals can only reimburse 50% at most.
Generally speaking, COVID-19 medical insurance can be reimbursed, but the follow-up policies may be adjusted. The reimbursement ratio is subject to the actual reimbursement of the hospital.