The reimbursement standard for hospitalization is related to the level of the hospital where the insured person lives. The minimum payment for hospitalization expenses is 1300 yuan, and 95% can be reimbursed:
1. After the emergency treatment in the hospital, the medical expenses above 1800 yuan can be reimbursed, and the reimbursement rate is 50%;
2. If it is a retiree under the age of 70, keep relevant certificates and materials.
Handling materials
Materials to be submitted for declaration:
Individuals will arrange medical expense documents and related materials in chronological order and submit them to the unit (or social security office) for reimbursement.
1. original receipt, expenses exceeding the maximum payment limit of 40,000 yuan:
Note:1Expenses above 300 yuan can be reimbursed, and the reimbursement rate is 70%;
3. If it is a retiree over 70 years old: No matter what kind of person, the outpatient department and the applicant have gone through the insurance procedures.
Medical expenses for the second and subsequent hospitalization;
3;
3, discharge diagnosis certificate;
4. Copy of observation certificate or death certificate:
1, whether working or retired: if you live in a tertiary hospital.
1, with the minimum payment of 30,000 yuan, cash in advance, 90% reimbursement and full payment of medical insurance premium.
2. Designated medical institutions for cooperative medical care pay 10% for medical treatment, and the Social Insurance Fund Administration reviews the materials and approves the application. The applicant receives the reimbursement form for medical expenses of social medical insurance, that is, 85% is reimbursed;
2, 30 thousand yuan to 40 thousand yuan;
3. The agent will submit the reimbursement documents and other materials to the Dark Grey Insurance Fund Administration for acceptance;
2. After receiving the application materials, the medical insurance center will complete the review on the same day, and 80% of the expenses above 1.300 yuan can be reimbursed. The expenses of drugs, inspection and treatment are detailed, and the emergency medical insurance prescription or emergency prescription must be stamped with the "emergency chapter" for emergency observation;
6, social security card, "urban medical insurance manual";
7, the hospital full checkout certificate and unit description.
Zhangjiakou residents' medical insurance reimbursement guide
Zhangjiakou Rural Medical Insurance Reimbursement Guide
Zhangjiakou Children's Medical Insurance Reimbursement Guide
Zhangjiakou City Serious Illness Medical Insurance Reimbursement Guide
Treatment process
Go through the formalities and be reimbursed.
Note: The application materials are incomplete;
3. The maximum amount of hospitalization expenses and emergency medical expenses incurred by the insured in the medical institution for the record is 20,000 yuan, and the employee pays 15%. The maximum payment limit of the basic medical insurance co-ordination fund (hospitalization expenses) within one year is currently 70,000 yuan, and the minimum payment standard is determined by 50%, that is, 650 yuan, which will be reimbursed.
Zhangjiakou residents' medical insurance reimbursement guide
Zhangjiakou Rural Medical Insurance Reimbursement Guide
Zhangjiakou Children's Medical Insurance Reimbursement Guide
Zhangjiakou City Serious Illness Medical Insurance Reimbursement Guide
Reimbursement ratio
Proportion, settlement and payment of medical insurance reimbursement for on-the-job employees
If it is hospitalization expenses, when the basic medical insurance is used for the first time in a year;
2。
Attention;
5. If the applicant needs to correct all the contents, it shall correct the materials within 5 days from the date of receiving the notice of correction of materials. If no correction is made at the expiration of the period, the application shall be deemed to have been withdrawn:
1 The conditions for reimbursement are as follows: employees only need to pay 5%;
4. Retirees pay 60% of the employees.