Current location - Trademark Inquiry Complete Network - Tian Tian Fund - Reimbursement process of staff outpatient service in Weihai City
Reimbursement process of staff outpatient service in Weihai City
Weihai staff outpatient reimbursement process includes the following steps:

1. Prepare the required materials: including the original and photocopy of the patient's ID card, the original and photocopy of the medical insurance card, the medical list, prescription list, medical record, medical expense receipt and insurance card.

2. Go to the social insurance agency in Weihai: Submit the prepared materials to the social insurance agency in Weihai and go through the relevant medical insurance reimbursement procedures.

3. Fill in the relevant reimbursement application form: fill in the patient's personal information in detail.

4. Submit the application form: submit the completed reimbursement application form to the agency, and the staff will complete the reimbursement procedures after review.

5. After the reimbursement is completed, the agency will issue a reimbursement voucher to prove that the reimbursement procedures have been completed.

In addition to the basic outpatient reimbursement process, there are some additional considerations:

1, the insured workers need to choose one of the designated medical institutions in the city as the designated management institution for their general outpatient treatment. Those who are not selected shall be determined by the designated service unit of the general outpatient service that meets the conditions for the first time. After being selected, you can change it three times a year. If it has not changed in that year, it will automatically continue to be the designated institution for the next year's treatment.

2, the insured workers in Chinese medicine hospitals at all levels of outpatient * * * economic security benefits Qifubiaozhun and payment ratio according to the lower hospital standards.

3, the insured workers fever clinic nucleic acid detection costs into the scope of protection, the specific payment policy according to the current hospitalization nucleic acid detection cost guarantee policy, not included in my general outpatient medical expenses annual payment limit.

General outpatient treatment of Weihai residents' medical insurance in 2023:

1, minimum payment standard: 100 yuan.

2. Maximum amount: 200 yuan for the first payment and 400 yuan for the second payment.

3. Reimbursement ratio: 50%.

To sum up, the reimbursement process of Weihai workers' outpatient service includes the steps of preparing materials, submitting applications, reviewing and issuing vouchers. In the application process, you need to pay attention to the selection of designated institutions and understand the minimum payment standard and payment ratio. Only in accordance with the prescribed procedures and requirements can outpatient reimbursement be successfully completed.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.