1, the insured employees and residents are hospitalized, and the hospitalization expenses that meet the basic medical insurance regulations in the overall planning area occur.

2, insured workers and residents suffering from special chronic diseases (coronary heart disease, malignant tumor, organ transplantation anti-rejection treatment, etc.). ), after application, identification and confirmation, can be treated in outpatient medical expenses. The specific chronic diseases of employees and residents shall be stipulated by the overall planning area.

3, outpatient special examination, special treatment of medical expenses.

4. It can be used to pay the medical expenses incurred by the insured and their spouses, parents and children in designated medical institutions, as well as the expenses incurred by individuals in purchasing medicines, medical devices and medical consumables in designated retail pharmacies.

Payment standard

1, the basic medical expenses incurred by the insured during the designated outpatient time due to emergency treatment directly to the town (street) community health service center shall be paid by the overall fund according to the regulations.

2, the insured person directly to the town (street) community health service center outpatient rescue of basic medical expenses, as a whole fund to pay in accordance with the provisions; The proportion of basic medical expenses incurred by direct visits to designated outpatient clinics and outpatient rescue in medical institutions outside the town (street) community health service center will be reduced by 10%.

3, the designated outpatient referral to the community health service center, the overall fund in accordance with the provisions of payment; Transferred to the outpatient department of the town (street) designated hospital headquarters or the outpatient department of the municipal designated specialized hospital headquarters, the proportion of overall fund payment decreased by10%; Transfer to the outpatient department of the designated tertiary hospital in the city, and the payment ratio will be reduced by 20%; Transferred to other medical institutions, the overall fund will not be paid.

The above content is referenced from Baidu Encyclopedia-Integral Payment.