medical insurance refers to social medical insurance, which is a social insurance system established to provide basic medical needs protection for workers within the scope of protection. The basic medical insurance premiums paid by individual employees are all included in individual accounts; The basic medical insurance premium paid by the employer is divided into two parts, one part is included in the personal account and the other part is used to establish the overall fund. In this article, I ask you to introduce the related knowledge about reimbursement of Shaoxing medical insurance. It mainly includes Shaoxing medical insurance reimbursement process, Shaoxing medical insurance reimbursement ratio and Shaoxing medical insurance reimbursement policy.

1. Shaoxing medical insurance reimbursement process and required materials What should I pay attention to in Shaoxing medical insurance reimbursement? 1. If the insured person needs to be transferred to a medical institution outside the city for hospitalization, he/she shall apply, and with the consent of the medical institution, he/she will be registered online by the hospital, and every time he/she is transferred to a medical institution outside the city for medical treatment, he/she will be confined to one hospital; If it is necessary to change the treatment hospital due to special circumstances, the change procedures shall be handled; 2, long-term business outside Shaoxing, migrant workers, school and other residents insured, hospitalized in the field and did not enjoy the treatment of foreign medical insurance, need to provide proof of business, migrant workers, school and other units; 3. If it is really necessary for outpatients with special diseases to be transferred to designated medical institutions outside the city for treatment, they should apply, and the approval form for transferring basic medical insurance for urban and rural residents in Shaoxing to other places for medical treatment will be issued by the deputy chief physician of the designated hospital and stamped with the official seal of the medical institution, which will be registered online by the hospital and reported to the Municipal Social Security Bureau for online approval, and only one medical institution can be selected for treatment; 4, transfer to other places for medical treatment in line with the scope of the residents' medical insurance fund payment of medical expenses, first by the individual according to the corresponding hospital to take care of a certain proportion of transfer (inpatient special hospital 1%, non-special hospital 25%, special disease outpatient non-special hospital 3%), and then according to the provisions of Shaoxing urban and rural residents' basic medical insurance settlement; 5, hospitalization and special disease outpatient medical expenses, not credit card reimbursement, at the latest in June 3 of the following year to the social security bureau for reimbursement, beyond the deadline will not be reimbursed; 6. Reimbursement settlement expenses shall be directly credited to the bank account associated with the social security card of the reimburser. In case of special circumstances, it shall be credited to other bank cards and not paid by cash or cash check.

2. Shaoxing medical insurance reimbursement ratio and related policy reimbursement ratio: Qifubiaozhun: 8 yuan, a tertiary medical institution, 6 yuan, a secondary medical institution, other medical institutions and township (street) community health service centers, hospitals and services under their jurisdiction that implement the national basic drug system. Qifubiaozhun for the number of hospitalizations: for the second hospitalization in the same medical insurance year, the second Qifubiaozhun is calculated at 5% of the hospitalization Qifubiaozhun, and the Qifubiaozhun is no longer calculated after the third hospitalization; Reimbursement ratio: within a medical insurance year, the expenses incurred by the insured at the same level in Shaoxing City for hospitalization and outpatient service for special diseases are within the policy scope: 1. The minimum payment standard is 5, yuan: (1) For medical treatment in primary medical and health institutions, 85% of employees are reimbursed and 9% of retirees are reimbursed; (2) For medical treatment in other medical institutions, 8% of employees are reimbursed and 85% of retirees are reimbursed; 2. 5, yuan to 1, yuan: (1) For medical treatment in primary medical and health institutions, 9% of employees and 95% of retirees are reimbursed; (2) For medical treatment in other medical institutions, 85% of employees and 9% of retirees are reimbursed; 3. For the part above 1, yuan to the maximum payment limit: 9% for employees on the job and 95% for retirees. Note: In a medical insurance year, the cumulative maximum payment limit for hospitalization and special disease outpatient service is now 24, yuan. Outpatient medical expenses reimbursement: Qifubiaozhun: 4 yuan; Reimbursement ratio: within a medical insurance year, the expenses incurred by the insured in the general outpatient service of designated medical institutions in Shaoxing city within the policy scope: the minimum threshold is above 4 yuan, and the maximum payment limit is below 5, yuan. For medical treatment in primary medical and health institutions, 7% of the employees are reimbursed, and 8% of the retirees are reimbursed; In other designated medical institutions, 6% of employees are reimbursed and 7% of retirees are reimbursed. Reimbursement of hospitalization medical expenses for urban and rural residents: Qifubiaozhun: tertiary medical institution 8 yuan, secondary medical institution 6 yuan, other medical institutions and primary medical and health institutions 4 yuan. The qifubiaozhun for outpatient service of special diseases is 4 yuan. Qifubiaozhun for the number of hospitalizations: If you are hospitalized for many times in the same medical insurance year, the second Qifubiaozhun will be calculated at 5% of the hospitalization Qifubiaozhun, and the Qifubiaozhun will not be calculated after the third hospitalization. Reimbursement ratio: (1) 8% for adults in primary medical and health institutions and 75% for adults in other designated medical institutions; (II) For the part of minors (students) whose Qifubiaozhun is above 6, yuan, 85% will be reimbursed for medical treatment in primary medical and health institutions and 8% for medical treatment in other designated medical institutions; From 6, yuan to 2, yuan, 95% of medical expenses are reimbursed in primary medical and health institutions, and 9% are reimbursed in other designated medical institutions. Outpatient medical expenses reimbursement: within one medical insurance year, the insured will be reimbursed 3% within the policy scope of general outpatient medical treatment in primary medical and health institutions, including 45% for Chinese herbal pieces and Chinese medical treatment projects. Tips: WeChat official account, the wechat of shaoxbdb University College Entrance Examination Network, has been opened to handle the inquiry business. The guide to the correct use and handling of medical insurance cards is on the WeChat platform. You can get relevant information as long as you send the keyword "medical insurance"!

scope of reimbursement the following medical expenses are not included in the payment scope of residents' medical insurance fund: (1) they should be paid from the work-related injury insurance fund; (2) It shall be borne by a third party; (3) should be borne by the public health; (4) seeking medical treatment abroad.