Can Beijing East District Children's Hospital reimburse medical insurance?

Beijing East District Children's Hospital can be reimbursed by medical insurance.

1. Take the initiative to show your social security card and medical insurance when going through hospitalization procedures, electronic certificate. Failing to show the social security card of medical insurance in electronic certificate, the hospitalization expenses will not be reimbursed.

2. During hospitalization, electronic certificate shall not have any transaction with the social security card, including registration, payment and refund, otherwise the hospitalization expenses will not be reimbursed.

3. During hospitalization, if you go to the other hospital for examination according to the requirements of the doctor, you should bring the application form, payment invoice and details of the other hospital to the medical insurance office for review before leaving the hospital, and apply for reimbursement according to the medical insurance policy.

Medical insurance reimbursement:

Outpatient and inpatient medical expenses for the treatment of special diseases, and hospitalization medical expenses for the treatment of other diseases can be included in the scope of reimbursement for special diseases.

To sum up, the reimbursement rules for Beijing children's medical insurance outpatient service are as follows: within one year, the threshold for outpatient medical expenses is 650 yuan, and the maximum payment limit is 1.700 yuan; In the outpatient department of community health institutions, the drugs and treatment items within the scope of medical insurance will be used by swiping the card, and the 300 yuan will be spent first, and the rest will be reimbursed according to the proportion of 55%. The proportion of reimbursement for children's medical insurance in Beijing is mainly divided into outpatient reimbursement and hospitalization reimbursement, and the proportion is generally between 50% and 70%. The scope of reimbursement for children's medical insurance: simply speaking, it is one plus five, one is hospitalization expenses, and the other is serious illness in five outpatient departments.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.