Under the protection of different basic medical insurance, our hospitalization expenses are roughly divided into three parts: individual pays and individual pays. Medical treatment items, service facilities or drugs are within the scope of medical insurance payment, and individuals pay their own expenses, which is beyond the policy scope, and medical insurance cannot be reimbursed, such as many imported drugs, expensive drugs, treatment items and medical materials. Similarly, hospitalization expenses in Bao Hui are divided into three categories, which can be reimbursed by the basic medical insurance. If the medical insurance has not been fully reported because of the deductible line and reimbursement ratio, Bao Hui can report another part, which belongs to the expenses that cannot be reimbursed by medical insurance and is not in the catalogue. The deductible line of 654.38+0.2 million yuan is reimbursed in steps. In short, if the basic medical insurance can't be reported, Bao Hui can! This part is very useful for residents' medical insurance, because the proportion of residents' medical insurance reimbursement is low. This part is very useful for residents' medical insurance and employees' medical insurance, because neither of them is reported, and self-funded drugs are also the main reason for looking down on the disease. Bao Hui is the supplementary medical insurance of Huizhou social basic medical insurance, which meets the basic medical needs of Huizhou citizens and guarantees their basic medical problems. On this basis, Bao Hui will expand and improve the amount of protection and expand the scope of drug protection other than medical insurance.

legal ground

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

Article 4 Employers and individuals who pay social insurance premiums according to law in People's Republic of China (PRC) 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 of their own units. Fifth people's governments at or above the county level shall incorporate social insurance into the national economic and social development plan.

The state raises social insurance funds through multiple channels. People's governments at or above the county level shall give necessary financial support to social insurance.

The state supports social insurance through preferential tax policies. Article 6 The State exercises strict supervision over social insurance funds.

The State Council and the people's governments of provinces, autonomous regions and municipalities directly under the Central Government shall establish and improve the supervision and management system of social insurance funds to ensure the safe and effective operation of social insurance funds.

People's governments at or above the county level shall take measures to encourage and support all sectors of society to participate in the supervision of social insurance funds.