What are the procedures for reimbursement after discharge?

Procedures for reimbursement for medical insurance after discharge:

1. The insured shall pay the medical expenses in advance: after discharge, the insured shall settle at the settlement window of the hospital first, that is, the insured shall also pay the medical expenses by himself. If you have basic medical insurance, you can generally reimburse and settle directly at the settlement window of the hospital;

2. Submit reimbursement materials to the insurance company: submit the prepared reimbursement materials to the insurance company, such as outpatient medical records, discharge records, discharge diagnosis, hospitalization invoices, general list of hospitalization expenses, medical insurance statements, CT/ ultrasound/electrocardiogram and other related inspection reports required for reimbursement of medical expenses;

3. Review: The insurance company will review the reimbursement materials submitted by the insured and confirm the reimbursement scheme. For example, after deducting the medical expenses and deductibles that have been reimbursed by the basic medical insurance or other medical insurance, the remaining medical expenses can be reimbursed. For example, if a medical insurance is covered by social security, it can be reimbursed 1%, and if it is not, it can be reimbursed 8%.

4. reporting: the auditor of the insurance company will report the audit results and plans, and the special person will sign and approve them;

5. Reimbursement: The insurance company will notify the insured to receive the reimbursement, but it can generally be credited to the bank account designated by the insured;

6. Closing the case: after the claim is settled, the case will be closed.

article 28 of the social insurance law of the people's Republic of China

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

article 29

the part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be directly settled by the social insurance agency, medical institutions and pharmaceutical trading units.

the social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in different places, so as to facilitate the insured to enjoy the basic medical insurance benefits.

How to get social security if you have paid for it yourself

Legal analysis: those who have paid for it at their own expense can generally be reimbursed by medical insurance, but only the expenses within the scope of medical insurance can be reimbursed. If the insured has gone through the insurance procedures, paid the medical insurance premium in full, and sought medical treatment in a designated medical institution, all they need to do is to bring their ID cards, medical insurance cards, hospital emergency medical records and check their hospitalization expenses after paying cash in advance and keeping relevant documents and materials.

legal basis: social insurance law of the people's Republic of China

article 4 the people's Republic of China and employers and individuals within China pay social insurance premiums according to law, and have the right to inquire about payment records and personal rights and interests records, and ask social insurance agencies to provide social insurance consultation and other related services.

individuals enjoy social insurance benefits according to law and have the right to supervise the payment made by their own units.

article 74 social insurance agencies shall obtain the data needed for social insurance work through business handling, statistics and investigation, and the relevant units and individuals shall provide them in a timely and truthful manner.

the social insurance agency shall establish a file for the employer in time, completely and accurately record the social insurance data such as the participants and payment, and properly keep the original vouchers for registration and declaration and the accounting vouchers for payment and settlement.

the social insurance agency shall timely, completely and accurately record the personal rights and interests of individuals participating in social insurance, the payment made by the employer for them, and the enjoyment of social insurance benefits, and send the personal rights and interests records to me free of charge on a regular basis.

Employers and individuals can inquire and check the records of payment and social insurance benefits from social insurance agencies free of charge, and ask social insurance agencies to provide social insurance consultation and other related services.

Tips

The above answers are only made for the current information combined with my understanding of the law. Please refer to them carefully!

if you still have questions about this issue, I suggest you sort out relevant information and communicate with professionals in detail.

Flow chart of discharge procedures

Discharge procedures:

1. When discharging from hospital, first go through the relevant procedures at the nurse station to check whether there is any medicine discharged from hospital and confirm the discharge settlement time and related matters.

2. Self-funded personnel carry the receipt of hospitalization deposit and go through the settlement formalities directly at the discharge window of the inpatient department;

3. The settlement of retired and medical insurance personnel shall be sent by the nurses' station first, and then be reviewed by the Medical Insurance Office before they can be discharged from the hospital. When they leave the hospital, they must bring the hospitalization deposit receipt and medical insurance card to the discharge window for settlement.

4. When discharged from the hospital, the patients of the new rural cooperative medical insurance system will carry the receipt of hospitalization deposit, the cooperative medical certificate and a copy of the ID card of the manager, and go through the settlement formalities at the discharge window.

5. If there are any discharged patients with medicine after the checkout is clear, they need to take the prescription to the central pharmacy or the outpatient traditional Chinese medicine pharmacy to get the medicine.

according to the social insurance law, the state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to get material help from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.

What do you bring for reimbursement of discharge procedures?

1. The doctor issues a discharge order. The doctor will inform the news of discharge during the ward round, and will issue a discharge order after the ward round;

2. The nurse verifies the doctor's advice. After receiving the discharge doctor's advice, the nurse will verify and handle the related affairs needed for discharge. After the discharge is approved successfully, the nurse will print the discharge notice;

3. After receiving the discharge notice, patients or their families need to prepare relevant documents before going through the discharge formalities, including deposit receipt, ID card, medical insurance card/medical certificate, bedside card, etc., and return the meal card and access card together;

4. After preparing the required materials, go to the settlement office for discharge, and print the general list of expenses after the settlement is successful;

5. if the expenses are not directly settled as a whole, but need to be reimbursed separately, please obtain relevant vouchers when you leave the hospital. Including: payment invoice, general list of hospitalization expenses, discharge summary and discharge diagnosis certificate. Among them, the discharge summary and discharge diagnosis certificate are filled out and printed by the doctor, and handed over to the nurse for seal. After the nurse gives it to the patient, the patient also needs to take the diagnosis certificate to the settlement office for seal;

6. Patients who have been discharged with medicine will get medicine with invoices after settlement.

The latest regulations for foreigners to see a doctor in Beijing 222

According to Beijing Daily, on the evening of November 13th, the the State Council client updated the relevant epidemic prevention and control policies for "entering Beijing", and made it clear that-

the positive judgment standard for entry personnel is that the nucleic acid Ct value is less than 35, and entry personnel strictly implement "5-day centralized isolation +3-day home isolation".

county personnel who have local epidemic within 7 days are strictly restricted from entering and returning to Beijing. Other personnel entered and returned to Beijing normally with the negative certificate of nucleic acid within 48 hours and the green code of "Beijing Health Treasure".

The personnel returning to Beijing will carry out "three days and two inspections", and they will not have dinner, get together or go to crowded places for seven days.

according to CCTV news, on November 13th, Beijing held the 412th press conference on COVID-19 epidemic prevention and control.

At the press conference, Liu Xiaofeng, deputy director of the Beijing Center for Disease Control and Prevention, introduced that 17 new cases of COVID-19 virus infection were reported from : to 15: on November 13th. Among them, there were 156 isolated observers and 14 social screening personnel; There are 59 cases in Chaoyang District, 2 cases in Tongzhou District, 14 cases in Dongcheng District and Haidian District, 13 cases in Changping District and Daxing District, 12 cases in Fengtai District, 9 cases in Shunyi District, 8 cases in Xicheng District, 4 cases in Mentougou District, 2 cases in Fangshan District, and 1 case in Shijingshan District and Economic and Technological Development Zone. There were 1 case of common type, 97 cases of mild type and 72 cases of asymptomatic infection.

at the press conference, Xu Hejian, spokesman of Beijing municipal government, said that it is necessary to dynamically optimize and improve the epidemic prevention management policies for returning to Beijing, unblock relief channels and improve the processing time limit. For medical treatment, commuting, students, freight drivers, etc., we should adhere to the principle of "one thing, one discussion" and "effective relief" to maximize the smoothness of medical channels, improve commuting efficiency, and ensure market supply. Continue to carry out special relief for people stranded outside Beijing, carry out normalized relief work, sort out the situation of people living in risky counties outside Beijing, and dynamically update the information base of permanent residents. Timely accept complaints from citizens on 12345 WeChat WeChat official account and hotline to return to Beijing, timely verify relevant risks, and ensure that the prevention and control of imported risks are more accurate.