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What does low-rate medical insurance mean?

Medical insurance low-rate cases are cases where the average daily cost is less than 0.4 times the average daily cost of the disease group.

Medical insurance card application process 1. Prepare application materials, original and copy of ID card, one inch photo, resignation procedures, copy of household register, renewal of medical insurance card, medical records; 2. Then go to the pension insurance institution where the household registration is located to receive social insurance.

Fill out the insurance financial subsidy form and hand it in, and submit all the prepared information; 3. The staff will review the information provided, and the payment receipt will be issued on the same day; 4. Make regular transfers based on the bank information on the payment receipt

That’s it; 5. Bring the first payment slip to the medical insurance hall to get the medical insurance card. Some places will have medical records. The medical records have photos and stamps on them. You can just bring them with you when you see a doctor.

The reimbursement scope of the medical insurance package includes: 1. Outpatient and emergency medical expenses, and the accumulated medical expenses that meet the scope of basic medical insurance for active employees in the year exceed 2,000 yuan.

2. Settlement ratio: During the contract period, 50% of the dispatched personnel’s expenses exceeding 2,000 yuan will be reimbursed, and the individual will pay 50% out of pocket; the maximum amount of outpatient and emergency reimbursement paid to dispatched personnel in one year is 20,000 yuan; 3. Outpatient services for three special diseases

For medical treatment, when an insured person needs to seek medical treatment in an outpatient clinic after undergoing radiotherapy and chemotherapy for malignant tumors, renal dialysis, or kidney transplantation after taking anti-rejection drugs, a "disease diagnosis certificate" will be issued by the designated secondary or tertiary hospital where the insured person seeks medical treatment.

, and fill out the "Medical Insurance Special Disease Application Approval Form" and submit it to the district medical insurance center for approval and filing.

Outpatient medical treatment and medicine collection for these three special diseases are only available in designated hospitals approved for treatment, and cannot be purchased at designated retail pharmacies.

If the medical expenses incurred fall within the prescribed range for outpatient special diseases, they will be settled with reference to hospitalization.

Legal basis: Article 7 of the "Social Insurance Law of the People's Republic of China" The social insurance administrative department of the State Council is responsible for the management of social insurance nationwide, and other relevant departments of the State Council are responsible for relevant social insurance work within the scope of their respective responsibilities.

The social insurance administrative departments of local people's governments at or above the county level are responsible for the social insurance management work in their respective administrative regions. Other relevant departments of local people's governments at or above the county level are responsible for relevant social insurance work within their respective scope of duties.

Article 28 Medical expenses that comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue expenses shall be paid from the basic medical insurance fund in accordance with national regulations.