How to calculate it?
6700*70%=4690 yuan What you have to spend = 6700-4690=2010 yuan 1. Urban employee medical insurance a. Upon admission: the doctor issues an admission certificate, and a prepayment of 30% of the estimated total cost is paid at the charging office, and the patient supervisor verifies
Identify the patient and sign on the copy of the identity. Within 24 hours, bring the patient's medical insurance card and 2 copies of the ID card to the medical insurance reimbursement office to enter the medical insurance reimbursement system; b. When discharged: go through discharge procedures and present the original and copy of the medical certificate
Discharge certificate (stamped by the Medical and Education Department), settle at the Medical Insurance Reimbursement Office; 2. Urban Resident Medical Insurance a. Admission: The doctor will arrange admission with the ID card, and a certain hospitalization deposit must be paid first.
b. When discharged: The doctor will arrange the discharge, and go to the hospitalization fee office to settle the discharge-related expenses.
Then bring the hospitalization receipt, charge receipt, insured medical insurance card and ID card to the medical insurance office of the hospital for on-site settlement.
3. New Rural Cooperative Medical Insurance a. Upon admission: With ID card and doctor’s arrangement, the insured person first goes to the hospitalization fee office of the hospital to go through the admission procedures and pay the hospitalization deposit.
b. When discharged: Discharge according to the doctor's arrangement, go through discharge procedures and expense settlement, and then bring the receipt, hospitalization receipt, ID card, and medical insurance card to the medical insurance office to handle hospitalization reimbursement.
Turn left | Turn right Extended information: What is the scope of medical insurance reimbursement?
When it comes to reimbursement, many people don’t quite understand why some drugs are reimbursed but others are not. They are especially curious about why others can reimburse for the same medical insurance for drugs they cannot reimburse.
It also brings emotions of joy or sorrow to different insured persons.
Therefore, we have a comprehensive understanding of the reimbursement scope of medical insurance. Medical insurance is fair to everyone. Whether we can enjoy the benefits it brings to us depends on whether we are familiar with the "rules of the game."
4. Outpatient compensation reimbursed by rural medical insurance: (1) 60% of the reimbursement for village clinics and village central clinics, with a limit of 10 yuan for prescription drugs per visit, and a limit of 50 yuan for prescription drugs for temporary rehydration by doctors at the health center.
(2) The town health center reimburses 40% of the fees for each visit, with a limit of 50 yuan for various examination fees and surgical fees, and a limit of 100 yuan for prescription drugs.
(3) 30% reimbursement for visits to secondary hospitals, with a limit of RMB 50 for examination fees and surgical fees for each visit, and a limit of RMB 200 for prescription drugs.
(4) 20% reimbursement for visits to tertiary hospitals, with a limit of RMB 50 for examination fees and surgical fees for each visit, and a limit of RMB 200 for prescription drugs.
(5) There is a limit of 1 yuan per prescription attached to the traditional Chinese medicine invoice.
(6) The annual compensation limit for town-level cooperative medical outpatient clinics is 5,000 yuan.
5. Scope of hospitalization compensation reimbursement: A. Medication expenses: Auxiliary examinations: ECG, X-ray, film, laboratory tests, physical therapy, acupuncture, CT, MRI and other examination fees are limited to 200 yuan; surgery fee
(Refer to national standards, if the amount exceeds 1,000 yuan, it will be reimbursed at 1,000 yuan).
B. For elderly people over 60 years old who are hospitalized in Xingta Town Health Center, treatment and nursing fees will be compensated 10 yuan per day, with a limit of 200 yuan.
Reimbursement ratio: Town health center reimburses 60%; second-level hospitals reimburse 40%; third-level hospitals reimburse 30%.
6. Compensation from town risk fund for serious illness compensation: All inpatients participating in rural cooperative medical insurance whose one-time or annual cumulative medical expenses reimbursed exceed 5,000 yuan will be compensated in stages, that is, 65% will be compensated for 5,001-10,000 yuan, and 65% will be compensated for 10,001-18,000 yuan.
70%.
The annual limit of compensation for town-level cooperative medical inpatient and uremia outpatient hemodialysis, cancer outpatient radiotherapy and chemotherapy is 11,000 yuan.