Dear citizens and friends,
According to the requirements of the relevant documents of Hulunbeier Medical Security Bureau, Inner Mongolia Forestry General Hospital officially opened the outpatient co-ordination and account * * * business from June 1 2022.
First, outpatient co-ordination.
1. Adapted population: urban workers insured in Hulunbeier City;
2. Settlement process: The insured person holds his social security card or medical insurance electronic certificate to see a doctor (buy medicine) at a designated medical institution in the general outpatient department, and directly implements online settlement, and the insured person only needs to pay personal expenses. In addition to emergency and rescue, the medical insurance fund will not pay the expenses incurred by the insured in non-medical insurance designated medical institutions.
3. Reimbursement standard: In a natural year, the cumulative deductible standard of general outpatient medical expenses incurred by the insured within the scope of the overall fund policy is 1 000 yuan per person per year, and the maximum payment limit of the overall fund is 4,000 yuan for employees and 5,000 yuan for retirees. On-the-job employees pay 50% in three-level designated medical institutions. Retirees pay 55% in three designated medical institutions. Pre-hospital first aid expenses are not paid according to the proportion of hospitalization, but according to the general outpatient co-ordination policy.
Second, the family members' accounts * * *
1. Adapting to the crowd: The spouses, parents and children of employees' medical insurance participants can enjoy the treatment of employees' own medical insurance accounts.
2. Handling process: If you need to apply offline to the local medical insurance agency, or open the "National Medical Insurance Service Platform" app on the user's mobile phone, click "Local" on the home page, click "Inner Mongolia Autonomous Region", then select the application type of "Business Handling-family account * * *", fill in the user information and sign the letter of commitment. Click "Business Handling-My Office" to check the status of family economic authorization review and apply for opening.
3. Instructions for use: After opening, users should show their valid certificates such as electronic medical insurance certificate or original medical insurance card when seeking medical treatment. The medical expenses borne by the individual shall be paid by the user's personal account first. If the fund in the user's personal account is zero or the balance is insufficient to pay the medical expenses, it shall be paid by the authorized person's personal account. Can also be used for spouses, parents, children to participate in residents' medical insurance, large medical expenses subsidies for employees, long-term care insurance and other personal contributions, and shall not be used for expenses such as free medical care, fitness or health care consumption that are not covered by basic medical insurance.