Medical insurance reimbursement for hepatitis B is divided into employee medical insurance reimbursement and resident medical insurance reimbursement, and the methods are different.
1. The medical expenses for employee medical insurance outpatient treatment are settled within the limit of a single disease, and the deductible is not calculated. The annual reimbursement limit is based on the local social security documents; if the insured person has a new special disease for less than one year in the current year, the reimbursement limit shall be based on the new
Calculation of actual months of Zengte disease.
Disease-related examinations, treatment expenses and drug expenses incurred by insured persons for outpatient treatment at designated medical institutions selected by themselves are included in the scope of reimbursement (within the limit, drugs are not restricted by the medical insurance drug catalog).
The outpatient medical expenses for special diseases of insured persons are calculated on an annual cumulative basis, and the medical expenses reimbursed within the limits are paid by the overall fund and the large-amount medical insurance fund respectively according to regulations.
2. Medical expenses for outpatient treatment under resident medical insurance shall be reimbursed according to proportional limits.
There is no reimbursement threshold for medical expenses within the scope of medical insurance for outpatient treatment. The reimbursement ratio is 80% for first-level medical institutions, 60% for second-level medical institutions, and 40% for third-level medical institutions. The annual reimbursement limit is based on local social security documents.
If you suffer from two or more special diseases and chronic diseases at the same time, for each additional one, the annual reimbursement limit will increase according to the local social security documents.
Methods for hepatitis B reimbursement 1. On-site online settlement. When the insured person is hospitalized, he or she only needs to bring his or her ID card and medical insurance card. When discharged, he or she can settle directly on-site online. The insured person only needs to pay the remaining reimbursement amount.
Turn in the lower part.
2. Off-site Internet settlement If the hospital cannot directly conduct on-site Internet settlement, then the insured should bring these things with him when he is discharged from the hospital: hospitalization invoice, hospitalization fee details, diagnosis certificate, discharge summary, and medical records, all of which require the hospital's seal.
OK.