1. Generally, hospitals settle accounts and reimburse patients once in the middle of the year, and then continue to be hospitalized with the same disease, so that the deductible will not be deducted for the second reimbursement next year. This is because the drugs, medical treatment items or disposable materials reimbursed by the medical insurance card may change in the next year, and the policy of the next year can be used for reimbursement to the maximum extent;

2. If there is no reimbursement before discharge, it depends on the relevant policies of the medical insurance management center, and the cases of the previous year will be reimbursed in the next year. The general reimbursement method is to compensate according to the policy of previous years. In previous years, personal compensation reached the top line, and it will not be reimbursed.

Hospitalization medical expenses can be reimbursed in the medical insurance card, and the reimbursement time limit of the medical insurance card is three months. Generally, at the end of the year, local management centers will issue corresponding solutions.

legal ground

People's Republic of China (PRC) social insurance law

Twenty-seventh individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with state regulations; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state. Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits. Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(three) shall be borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party. Thirty-first social insurance agencies may, according to the needs of management services, sign service agreements with medical institutions and pharmaceutical business units to standardize medical service behavior.

Medical institutions shall provide reasonable and necessary medical services for the insured.