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 paper, I ask you to introduce the related knowledge about reimbursement of Changsha medical insurance. It mainly includes information about the reimbursement process, reimbursement ratio and reimbursement policy of Changsha medical insurance.

1. The reimbursement process of Changsha medical insurance and the reimbursement conditions of required materials 1. The applicant has gone through the insurance procedures and paid the medical insurance premium in full 2. The cooperative medical system has designated medical institutions for medical treatment; 3. The insured person incurred hospitalization expenses in the medical institution for filing, and paid cash in advance, and kept relevant documents and materials.

Processing materials Local: medical insurance card, ID card in different places: 1. Original receipt; 2, hospitalization expenses statement; 3, discharge diagnosis certificate; 4. Copy of observation certificate or death certificate; 5, drugs, examination and treatment costs, emergency observation need to be stamped with the "emergency chapter" of the medical insurance prescription or emergency prescription of the emergency department; 6, social security card, "city medical insurance handbook"; 7, the hospital full checkout certificate and unit description.

Process for reimbursement of local hospitalization 1. The applicant has gone through the insurance procedures and paid the medical insurance premium in full; 2. The cooperative medical system has designated medical institutions for medical treatment; 3. The insured person incurred hospitalization medical expenses when he went to the medical institution for medical treatment, and paid cash in advance for reimbursement of local hospitalization. 1. The insured person should go to the designated medical institution for medical treatment, and the medical expenses incurred when he was hospitalized with a medical insurance card (he can hold an ID card or household registration book without a medical insurance card) can be directly settled at the settlement window of the designated hospital when he was discharged from the hospital. 2. The medical expenses incurred when he did not go to the designated hospital for medical treatment or hospitalization will not be reimbursed. Reimbursement for hospitalization in different places 1. If the insured person is ill in a tertiary hospital (or specialized hospital) in this city and it is difficult to be diagnosed or there is no treatment, he may apply for transfer to a different place for hospitalization. 2, transfer to another place must fill in the application form, signed by the designated hospitals above the third level in our city, and reported to the municipal medical insurance agency for examination and filing before being transferred to another place for treatment. 3, the insured in different places sudden illness really need to be hospitalized in the local designated medical institutions, within 3 days after admission to the municipal medical insurance center for the record. 4, transfer and off-site emergency medical expenses paid by individuals, within one month after discharge to the city medical insurance center for reimbursement. Reimbursement materials: transfer approval form; Detailed list of hospitalization expenses; Invoice documents; Make a discharge summary and save relevant documents and materials.

Second, the reimbursement ratio of Changsha medical insurance and related policy reimbursement ratio and scope. 9 yuan, a standard medical institution; 65 yuan, a second-class standard medical institution; Class III standard medical institutions (including township hospitals and community health service institutions) 48 yuan. Note: If the insured is hospitalized several times in a settlement year, the minimum threshold will be reduced gradually. The second hospitalization will be calculated according to 5% of the specified minimum threshold, and the third and above hospitalization will be calculated according to 3% of the specified minimum threshold. Reimbursement scope: (1) Hospitalization medical expenses within the policy; (two) general outpatient medical expenses (including special disease outpatient medical expenses, ordinary students, minors and college students in accordance with the provisions of the accidental injury outpatient medical expenses); (3) Maternity allowance.