According to the national and provincial regulations, insured persons who participate in medical insurance in Liaocheng can enjoy medical insurance reimbursement when they seek medical treatment in different places. The specific reimbursement rate is 70% of the original reimbursement rate. Among them, the proportion of reimbursement for outpatient and hospitalization is: 60% for first-class hospitals, 55% for second-class hospitals and 50% for third-class hospitals; The reimbursement rate of chronic disease outpatient service is 90%. In addition, the insured participating in Liaocheng medical insurance need to go through the relevant procedures at the local medical insurance bureau before seeking medical treatment in different places, and receive the "Liaocheng Inter-provincial Medical Treatment Expense Settlement Certificate". When seeking medical treatment, you need to provide the hospital with a medical certificate and personal identification. After seeing a doctor, the insurer needs to collect and provide medical records, expense lists and other related materials to apply for reimbursement. It should be noted that Liaocheng medical insurance reimbursement for medical treatment in different places involves specific hospitals and other factors, and the specific reimbursement ratio and process may be different. Therefore, the relevant insurance personnel need to know the local policies and regulations in advance and consult the relevant staff.
Is there a quota limit for medical reimbursement of Liaocheng medical insurance? In Liaocheng City, when the insured who participates in medical insurance goes to a different place for medical treatment, the reimbursement ratio is 70% of the original reimbursement ratio, but there is no total limit. That is, the insurer can apply for reimbursement according to the actual situation until all the expenses that meet the reimbursement conditions are reimbursed.
Liaocheng's medical insurance reimbursement rate is 70% of the original reimbursement rate, but there is no total limit. Insurers need to know the policies and regulations in advance and go through the relevant procedures at the local medical insurance bureau before seeking medical treatment. You need to bring relevant materials when you go to the hospital, collect and submit relevant materials in time after you go to the hospital, and apply for reimbursement according to the process.
Legal basis:
Article 42 of "People's Republic of China (PRC) Medical Insurance Law" * * * If the insured persons of basic medical insurance for urban workers and basic medical insurance for urban and rural residents seek medical treatment across provinces (autonomous regions and municipalities), the medical expenses shall be reimbursed according to the current standards and payment methods in the place where they seek medical treatment, and the reimbursement expenses shall not exceed the limits of the current similar medical expenses standards and payment methods in the place where they seek medical treatment. The insurer shall pay the medical insurance premium to the insured within the prescribed time, and shall not default.