Students apply for medical insurance for urban residents in their schools, and the centralized and unified declaration and payment time is August and September each year. If you miss the unified payment time, you can make up for it, but you also need to pay the annual medical insurance fee. Students participating in medical insurance for urban residents can enjoy reimbursement for hospitalization and serious illness outpatient service, as follows:

First, hospitalization:

Insured residents must go to designated hospitals for medical treatment with certificates. The hospitalization expenses that meet the admission criteria shall be borne by the individual first, and the part above Qifubiaozhun shall be paid by the residents' medical insurance fund according to the regulations. The compensation ratio is as follows:

First-class hospital: The minimum deductible is 100 yuan in the same insurance year. For expenses above the minimum deductible, 70% of Class A expenses and 60% of Class B expenses are reimbursed.

Secondary hospital: In the same insurance year, the minimum deductible standard for the first hospitalization is 300 yuan, and the minimum deductible standard for the second and above hospitalization is 150 yuan. Above the minimum deductible, 60% of class A expenses are reimbursed, and 45% of class B expenses are reimbursed.

Tertiary hospitals: within the same insurance year, the deductible standard for the first hospitalization is 500 yuan, and the deductible standard for the second and above hospitalization is 250 yuan. Above qifubiaozhun, 50% of expenses in category A and 40% of expenses in category B shall be reimbursed.

Second, the outpatient treatment of serious illness:

Insured residents suffering from malignant tumor, Parkinson's syndrome, severe mental illness, systemic lupus erythematosus, aplastic anemia, hemophilia, and anti-rejection treatment after organ transplantation and uremia of chronic renal function may apply for medical insurance for urban residents. The outpatient department of serious illness implements the management of cost quota, and the expenses within the quota are reimbursed by 50%.

Three. Materials required for reimbursement:

Medical bills, expense details, disease diagnosis, copies of cases (stamped with the official seal of the hospital), medical insurance cards, original ID cards of patients, original XX bank passbook (card) and copies thereof, and the Application Form for Remote Referral of Basic Medical Insurance for Urban Residents in XX City is also required for patients who are referred to other places.

Note: If you need to copy the reimbursement materials, please do it yourself before handling the reimbursement business. The medical insurance department is not responsible for finding the reimbursement materials after accepting the business.

Extended data

Children's medical insurance and social/medical insurance card guide:

1. Required materials: the original household registration book+a copy of the first page of the household registration book and the baby's own page, and the original and copy of the agent's ID card.

2. Handling place: social security center where the household registration is located.

3. Handling fee: 25 social security cards/medical insurance cards, and 60 yuan medical insurance every year.

4. Enjoy treatment: hospitalization 50%, emergency 50%.

5. Note: Do it after you register your account. Pick up the card+medical record book 10 working day after registration, and bring the card book to see a doctor later.

Baidu Encyclopedia: Medical Insurance for Urban Residents