What is the telephone number for medical insurance reimbursement and labor service?

In addition to consulting directly at the medical insurance counters of social security institutions, there is also a unified labor security consultation telephone number: 12333. You can inquire about all kinds of policy questions and work guides about labor security through this phone.

The number of medical insurance centers varies in different regions. Therefore, users need to call the local medical insurance service management center according to their current city and region. In addition, because the medical insurance policy has obvious regionality, it is best to call the city accurately.

: Precautions

Pay attention to the age limit: the age of the insured has a certain relationship with the occurrence of disease risk, so the insurer has an age limit for those who participate in medical insurance. Different insurance companies have different regulations on the minimum insurance age, generally ranging from 90 days after birth to 16 years old, while the maximum insurance age limit is roughly the same, generally not exceeding 65 years old.

Pay attention to the scope of insurance liability: insurance liability is the risk insured by the insurance company and the economic compensation liability that should be borne. In hospitalization medical insurance, not all hospitalization risk insurance companies will cover it. At the same time, there are some differences in the insurance liability of insurance companies. For example, there are a large number of the insured's critical illness insurance in the market, which only covers the diseases listed in the insurance clauses, and it is the first time that the patient has been diagnosed after insurance, such as asthma, diabetes, tuberculosis, etc., and this kind of insurance is not covered. The insurance company shall not be liable for the liability that is not covered by the insurance.

The general formula for reimbursement of medical insurance is as follows:

Reimbursement amount = [total cost of treatment-deductible line-self-funded part] _ reimbursement ratio (70%-90%)

Note: deductible means that medical expenses can only be reimbursed if they exceed the minimum limit. The deductible line varies from region to region, which is generally 1 1,000-2,000 yuan.

The maximum amount of reimbursement, that is, the amount of money reimbursed, cannot exceed the maximum amount, and there are differences in different regions, usually hundreds of thousands.

When we are sick, we will encounter three situations: outpatient service, hospitalization and serious illness:

General outpatient and emergency department: headache and brain fever, hang a number and pat your ass and leave after seeing the disease.

Hospitalization: It takes a period of intensive treatment, such as childbirth and heart surgery. The expenses include all kinds of beds, diagnosis and treatment, surgery and nursing expenses during hospitalization.

Serious diseases: such as cancer, uremia, organ transplantation, etc. The medical expenses are huge and need special reimbursement.