Legal subjectivity: Medical insurance card How to reimburse hospitalization expenses How to pay hospitalization expenses with medical insurance card If you want to use the personal account of the medical insurance card to pay hospitalization expenses, inform the hospital's settlement staff before discharge settlement, and follow the normal card swiping procedures.
You can pay all of the personal burden in medical insurance with your medical insurance card (if the balance is sufficient), or you can pay part of it.
The so-called personal burden refers to the part below the minimum payment point (such as 2,000 yuan for a tertiary hospital), and the reimbursement ratio for the personal burden (such as 20% for a tertiary hospital).
Self-pay items cannot be paid with the personal account of the medical insurance card.
How to settle hospitalization expenses? The settlement of hospitalization expenses adopts the post-paid service settlement method.
(1) When the insured person is discharged from the hospital, the medical center can only charge the following fees: standard minimum fee, bed fee exceeding the prescribed standard, the individual should bear a proportion of the fee, and the cost of using the project at his own expense will not be covered by the overall fund
Pay range fees.
The above fees can be paid using personal accounts, and the shortfall will be paid in personal cash.
Expenses paid by the unified fund are settled by the medical center and the medical insurance department.
(2) The hospitalization bed fee shall be paid according to the prescribed standards; (3) If the insured person is hospitalized more than twice in a year, from the second time onwards, the deductible shall be 50% of the current year's deductible standard; (4) When the insured person is discharged from hospital
, the medical insurance office of the designated medical center should make three copies of all expense lists, one copy each for the medical center, the treatment insurance agency, and the insured person.
(5) In emergencies, there are also specific regulations for people who have settled abroad to see a doctor.
Legal objectivity: Article 28 of the "Social Insurance Law of the People's Republic of China" meets the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses, and shall be deducted from the basic medical insurance fund in accordance with national regulations.
Pay.
Article 29 of the "Social Insurance Law of the People's Republic of China" The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit.
The social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in other places to facilitate insured persons to enjoy basic medical insurance benefits.