Yantai Yuhuangding Hospital outpatient reimbursement process

Yantai Yuhuanding Hospital outpatient reimbursement process is as follows:

1, first of all, Yantai Yuhuanding Hospital can support the reimbursement of the different places, with social security card to the hospital medical insurance office for the record first registration.

2, secondly, after the visit to the outpatient fee payment window, inform the fee collector is a foreign medical insurance.

3, and finally you can pay the difference instant settlement, you can be reimbursed.

Yantai second reimbursement process for major illnesses

1, the individual burden of compliance with the medical cost of more than 10,000 yuan, less than 100,000 yuan part of the reimbursement of no less than 50%; 100,000 yuan or more part of the reimbursement of no less than 60%.

2. In 2015, the financing standard for residents' major medical insurance is 32 yuan per person. In terms of treatment protection for participants, in 2015, the starting standard for residents' major medical insurance is 10,000 yuan, the starting standard above the individual burden of compliance with medical expenses, according to the amount of medical expenses to be compensated in segments, that is, the individual burden of compliance after the reimbursement of the residents' medical insurance secondary reimbursement. No less than 50% of the individual burden of the compliant medical expenses above 10,000 yuan and below 100,000 yuan will be compensated, and no less than 60% of the portion above 100,000 yuan will be compensated, with a maximum annual compensation limit of 200,000 yuan for an individual. Specific compensation standards are determined through negotiations with selected commercial insurance organizations.

In summary, the social security outpatient reimbursement scope and reimbursement process social security medical insurance, also known as the basic medical insurance, the head production is generally divided into the overall fund as well as individual accounts composed of two parts, different accounts can be reimbursed for different ranges of expenses, different medical expenses can be reimbursed by different ratios are also different.

Legal basis:

The People's Republic of China*** and the State Social Insurance Law

Article 28

In line with the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical services and facilities, as well as emergency, rescue medical expenses, in accordance with state regulations from the basic medical insurance fund.

Article 29

The portion of the medical expenses of insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance administration organization and the medical institutions and drug business units.

The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.