Current location - Trademark Inquiry Complete Network - Tian Tian Fund - What does it mean to carry forward medical insurance reimbursement for outpatient services across years?
What does it mean to carry forward medical insurance reimbursement for outpatient services across years?

The balance of the medical insurance personal account will be carried forward to the new annual medical insurance personal account.

This money can be continued to be used after being carried forward.

For employees’ medical insurance and urban and rural residents’ medical insurance patients whose continuous hospitalization time is less than one year and who still need to be hospitalized for multiple years due to illness needs, the deductible payment standard and number of hospitalizations, the segment calculation standard and maximum payment limit of the overall fund, critical illness medical insurance (or civil servant medical insurance)

Subsidy) installment payment amount will be settled based on the year of discharge settlement date. Patients can choose whether to handle one-time settlement before December 31.

Special reminder: For inpatients whose medical insurance relationship has been interrupted, please handle discharge settlement in a timely manner.

Extended information (1) Procedures for discharged patients.

Insured patients who are discharged from the province for medical treatment in other places during the annual carryover period shall return to the insured place with relevant medical records and receipts according to regulations to handle basic medical care, critical illness insurance, critical illness supplementary medical insurance, and medical assistance reimbursement procedures. Medical treatment in other places within the province shall be directly settled at designated points.

Medical institutions should upload patient hospitalization information to the Urban and Rural Residents Medical Insurance Management Information System in accordance with regulations.

For insured patients who are discharged from the hospital during the annual carryover period, the reimbursement procedures will be suspended and will be reimbursed at designated medical institutions after 9:00 on January 5, 2021.

(2) Procedures for newly admitted patients.

For newly admitted patients during the carryover period, the patient type will be temporarily admitted as "self-pay". After 9:00 on January 5, 2021, the Urban and Rural Residents Medical Insurance Management Information System will automatically identify the insurance status of inpatients in 2021.

Designated medical institutions promptly change the type of insured patients to "Urban and Rural Residents Medical Insurance" in the hospital HIS system, and at the same time carefully check the patient's insured status to ensure the safety of medical insurance funds.

Patients newly admitted to hospitals outside the province during the carryover period.

Electronic referral registration will not be processed for the time being. After 9:00 on January 5, 2021, designated medical institutions will communicate with the coordinating regional medical insurance agency to re-register.

(3) Neonatal patients.

For newborns who are hospitalized in multiple years and enjoy urban and rural residents' medical insurance benefits with their parents in 2020, if they are insured in 2021, all hospitalization medical expenses will still be reimbursed as the insured parent according to the 2021 policy, and their basic medical care, critical illness insurance, and critical illness insurance

All supplementary medical insurance and medical assistance reimbursement expenses will be accumulated to 2021.

For those who are not insured in 2021, only their hospitalization medical expenses in 2020 will be reimbursed according to regulations.