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How to reimburse medical insurance for fever clinic?
On February 7th, the Municipal Medical Insurance Bureau issued the Notice on Comprehensively Optimizing the Medical Insurance Handling Service during the Prevention and Control of Pneumonia Infection in novel coronavirus, starting with optimizing the workflow, innovating the service mode, reducing the gathering of people and facilitating the people to handle affairs, taking various measures simultaneously, further deepening the implementation of the decision-making arrangements of the CPC Central Committee and the State Council and the epidemic prevention and control requirements of the municipal party committee and municipal government, and comprehensively optimizing the medical insurance handling service in our city to ensure the patients' confidence in seeing a doctor, the hospitals' confidence in seeing a doctor and the citizens' confidence in prevention. * * * put forward 12 specific measures to optimize medical insurance handling services, including 6 measures to facilitate the people, 3 measures to strengthen hospital service guarantee, and 3 measures to optimize services for enterprises to reduce burdens.

Convenience and welfare measures

1. Patients who need to go to designated medical institutions of fever clinics registered by the health department can settle accounts in real time with social security cards and enjoy medical insurance reimbursement.

2. For patients who need long-term medication after diagnosis, under the premise of ensuring the safety of medication, doctors can appropriately increase the dose according to the condition and reduce the number of medical visits.

3. Individuals can change designated hospitals online through enterprises or social security offices, or entrust enterprises to send necessary information to the medical insurance (social security) department by email or fax to apply for maternity allowance, which can be issued after qualified registration.

4. Patients who are stranded in other places and can't return to Beijing in time can seek medical treatment locally because of their illness. After returning to Beijing, you can entrust an enterprise or social security office to handle medical treatment procedures in different places, and individuals can advance medical expenses in advance for manual reimbursement according to the reimbursement regulations.

5, outpatient special disease file sink to the hospital, patients can complete the filing procedures in the process of seeing a doctor, don't have to go to the enterprise and the district medical insurance department.

6 stranded in the field can not return to Beijing in time, and the insured patients who need to go through the formalities of filing or renewal of outpatient special diseases can go through the formalities at the medical insurance department after the epidemic. During this period, individuals can enjoy outpatient special disease treatment without interruption.

Strengthen hospital service guarantee measures.

7, large-scale medical insurance designated hospitals, at the end of each month to receive the next month's medical insurance fund. For the designated hospitals for treatment in COVID-19, special funds for treatment will be paid in advance according to actual needs to ensure sufficient funds for treatment.

8. Renew the medical insurance agreements of designated hospitals and pharmacies in 2020, and fully implement electronic management. Hospitals and pharmacies are not allowed to run, and the whole process is handled online.

9. Designated hospitals that interrupt or terminate the agreement can apply for resuming the agreement online if they undertake rescue tasks in COVID-19.

Measures to optimize service for enterprises' burden reduction

10, 1 and the collection period of social insurance premiums in February 2020 is extended to the end of March 2020, and the time limit can be further relaxed according to the epidemic situation, and individuals can enjoy personal treatment during the extended period. Ten types of industrial enterprises, such as tourism and accommodation, which are greatly affected by the epidemic, may apply for holdover until the end of July 2020 if they have difficulties in operation. If the enterprise fails to register and pay the employee's insurance within the time limit, it will complete the replacement within three months after the end of the epidemic, and will not charge late fees, which will not affect the record of personal rights and interests and reduce the business pressure of the enterprise.

1 1. Social insurance registration, collection, change, payment and other services are all handled online by the "Beijing Social Insurance Online Service Platform", and enterprises do not need to run or pick up.

12. For enterprises, units and hospitals that need to declare medical expenses to the medical insurance department, the declaration time limit is extended. If the pressure of fund advance is great, you can make an appointment with the medical insurance department in advance to declare the time and advocate making an appointment to declare.