Overall reimbursement of medical insurance is one of the cores of China's medical insurance system. The insured can reduce the burden of medical expenses to a certain extent by paying certain medical insurance premiums. Specifically, the overall reimbursement of medical insurance means that the medical insurance fund pays a certain proportion of medical expenses within the prescribed scope, and the insured person applies for reimbursement to the local medical insurance institution in accordance with the prescribed procedures and requirements. The specific proportion, scope and reimbursement process of medical insurance reimbursement vary from region to region. Generally speaking, the government will formulate corresponding medical insurance policies and implementation rules to ensure the fairness and standardization of medical insurance legislation, management and service. Moreover, medical insurance institutions will adjust and improve according to the actual situation to adapt to social changes and the needs of the masses.
What are the qualifications and standards for medical insurance reimbursement? The eligibility for medical insurance reimbursement is generally based on the identity of the insured person, which requires the insured person to pay the corresponding medical insurance expenses and meet the corresponding medical insurance regulations and requirements. The standard of medical insurance reimbursement depends on different medical items and disease diagnosis and treatment, and is usually limited to a certain proportion of reimbursement.
The overall reimbursement of medical insurance is an important part of China's medical insurance system and has important social security functions. Insured persons should know and master their local medical insurance reimbursement policies and implementation rules in time, so as to obtain medical insurance benefits and guarantees in time. At the same time, earnestly fulfill the obligations of medical insurance, pay medical insurance premiums according to law, and build a good medical insurance system and service system.
Legal basis:
Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities and emergency and rescue medical expenses standards, and shall be paid from the basic medical insurance fund in accordance with state regulations.