1. Printing at the social security center: Bring your personal ID card and medical insurance card to the service hall of the local social security center and ask the staff to help print it.
2. Print from the social security official website: Use a computer browser (Google Chrome version 94.0.4606.61) to log in to the local human resources and social security network, enter your ID number, verification code and other information to log in, and then you can query and print.
3. The medical insurance reimbursement list is at the hospital settlement window. Make a list when checking out, and then the hospital will stamp it.
Medical insurance settlement form refers to the list of data submitted by medical insurance designated medical institutions when applying for fee settlement to the medical insurance department after providing inpatient, outpatient and other medical services.
The proportion of reimbursement that the medical insurance card can reimburse 1. Reimbursement proportion: The minimum payment standard for the first hospitalization within a calendar year is 1,300 yuan, and 650 yuan each time thereafter.
The payment ratio is divided into three levels. Taking a tertiary hospital as an example, the rising standard is: 30,000 yuan, 85% in employment, 91% in retirement, 90% in employment between 30,000 and 40,000 yuan, 94% in retirement, and 95% in employment above 40,000 yuan.
Retirement 97%.
2. A settlement cycle is 90 days for general hospitalization.
360 days for psychiatric hospitalization constitute a settlement period, and the fluctuation standard is halved.
The maximum overall fund payment within a calendar year is RMB 70,000.
The maximum payment for major hospitalization is 100,000 yuan, and the payment ratio for major hospitalization is 70%; 3. Reimbursement scope: hospitalization expenses incurred by insured persons in medical insurance designated hospitals or specialized hospitals, traditional Chinese medicine hospitals and Class A hospitals chosen by the insured person
; 4. Medical treatment management: If the unit pays the fee in full, the individual only needs to pay part of the hospitalization prepayment to go through the hospitalization procedures.
The medical expenses incurred must comply with the scope of the three major catalogs of medical insurance; 5. Reimbursement process: When discharged, the hospital and the individual settle the self-pay and self-pay amounts, and the overall fund reimbursement amount is settled by the hospital and the district medical insurance center.
Nowadays, the arrival time of medical reimbursement usually has the following two situations.
First of all, the reimbursement will arrive in the account within a short time. The reimbursement settlement will arrive immediately or within a few days. As long as the insured brings the relevant materials and goes to the designated location to apply for reimbursement, the reimbursement expenses can be paid directly in cash or remitted to the designated account at that time.
The other is a long-term payment, usually within 1-2 weeks or even 1-3 months.
If you handle medical insurance settlement in another place, the medical insurance reimbursement can be received in real time.
Whether patients with medical insurance in other places within the province can directly settle hospitalization expenses at the hospital shall be subject to the actual credit card swiping information of the patient's medical insurance card.
If you have any questions during the application process, you can go to the hospital’s medical insurance office for consultation.