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What is the reimbursement telephone number of Suixian People's Hospital?

0370-8 129827

Hospital medical insurance services include:

The hospitalization medical subsidy for entitled groups is based on the basic medical insurance for urban workers, the basic medical insurance for urban residents and the new rural cooperative medical system, and the remaining self-funded part after reimbursement is subsidized in proportion.

The specific subsidy ratio shall be given to Medicaid according to the following standards, and the annual cumulative subsidy shall not exceed 4,000 yuan;

First, 95% of disabled soldiers in Grade 1-4 and 90% of disabled soldiers in Grade 5-6;

Two, in the rural demobilized soldiers subsidy 60%;

Three, seven to ten disabled soldiers, martyr's doctor's advice, sacrifice military wills in the line of duty, sacrifice 40% of military wills for some reason;

Four, in the countryside sick veterans, retired personnel subsidies 30%.

Note: The maximum annual cumulative subsidy for the minimum living allowance ratio shall not exceed 5,000 yuan.

The new rural cooperative medical system includes:

Handling process of new rural cooperative medical system:

First, the patients of the new rural cooperative medical system need to go through the examination and approval and electronic referral procedures at the local rural cooperative medical system (joint management office) after issuing a referral form at the county (district) level hospital.

Second, the outpatient doctor in our hospital diagnosed and issued a hospitalization certificate.

Third, the patient holds the hospitalization card to the toll booth on the first floor of the ward building where he lives, and then holds the referral slip, hospitalization card, deposit slip, rural cooperative book (card) and patient ID card to register at the new rural cooperative medical system window. (Emergency and mental patients need to provide emergency certificate)

Four, when discharged from the hospital, with the referral approval form, deposit, and informed consent of the participating inpatients, directly check out and leave the hospital at the toll booth on the first floor of the ward building.

Note: 1. For patients who have been hospitalized for the first time or many times and have not gone through the referral procedures or electronic referral procedures, the reimbursement ratio will be reduced by 20%. During hospitalization, contact the local rural cooperative association for electronic referral and register the new rural cooperative medical system in time.

2, emergency, mental patients within three days (including the day of hospitalization) for the electronic referral of the new rural cooperative medical system, with emergency proof (mental patients need to provide proof of diagnosis) for the new rural cooperative medical system registration, not to reduce the proportion of reimbursement.

3. After the ordinary patients of the new rural cooperative medical system are directly subsidized by the hospital, they will no longer come to the medical insurance office for seal.

Compensation scope of new rural cooperative medical system;

First, the new rural cooperative medical fund can only be used to compensate the medical expenses of the participants. The medical expenses incurred in the following circumstances are not included in the reimbursement scope of the new rural cooperative medical fund:

1, borne by public health;

2, should be paid from the industrial injury insurance fund;

3, shall be borne by the third party responsible person;

4, due to crime, alcoholism, drug abuse, suicide, self-mutilation, fighting, accidental injury, etc. ;

5. Go abroad for medical treatment;

6, beyond the scope of reimbursement of new rural cooperative medical care of basic drugs, basic diagnosis and treatment projects and medical service facilities.

II. Deductible and capping line

Designated medical institutions hospitalization deductible, township level 100 yuan, county-level 400 yuan, provincial and provincial 2000 yuan.

In the same year in the same level of medical institutions hospitalized twice or more, deductible reduced to half of the same level of medical institutions.

/kloc-children under 0/4 years old (including 14 years old) are hospitalized, and the deductible is reduced to half of the deductible of the corresponding medical institution.

The annual compensation limit for common diseases of the new rural cooperative medical system is 200,000 yuan, and the annual compensation limit for serious illness insurance of the new rural cooperative medical system is 300,000 yuan.

Third, the compensation ratio.

Proportion of reimbursement compensation for the new rural cooperative medical system: excluding self-funded expenses, hospitalization expenses are included in the scope of compensation:

2,000 yuan, 7,000 yuan, 50,000 yuan, and 90% of medical expenses are more than 80,000 yuan.