Proportion of reimbursement for medical treatment in different places in Guangxi medical insurance

1. Due to the different degree of internetization of medical insurance filing in different places, online filing channels have been opened in places that want to apply for medical treatment in different places online.

2. Generally speaking, you can apply for medical treatment in different places through online channels such as the website of the Human Resources and Social Security Bureau of the insured place, the social security app of the insured place, Alipay city service or life number, WeChat city service or WeChat official account.

3. Which online channels can be used for medical treatment in different places, and the online filing channels opened in the insured place shall prevail. You can call the social security hotline of the insured place or the national unified social security hotline 12333 for consultation.

If you want to use medical insurance for reimbursement, you must register with your own medical insurance card when you register. The cardholder of the medical insurance card must be himself. Go to the payment window of the hospital, wait for the staff to settle the corresponding expenses, then pay the bill yourself and give the social security card to the staff. The staff will use the social security card to help you reimburse your medical expenses. Many drugs are within the scope of national reimbursement, and some are not within the scope of medical insurance reimbursement, so they must be paid at their own expense.

Legal basis:

Regulations of People's Republic of China (PRC) Municipality on Basic Medical Insurance for Urban Workers

Twenty-eighth personal accounts are used to pay medical expenses beyond the scope of the overall fund; If the personal account is insufficient to pay, it shall be borne by me.

Twenty-ninth serious illness hospitalization medical expenses, according to the following methods to pay:

(a) Qifubiaozhun in principle control in the city, county, autonomous county last year, the average social wage of workers 9%-0%.

(two) the maximum payment limit is controlled in principle at 3-5 times of the average social wage of employees in cities, counties and autonomous counties in the previous year.

(three) medical expenses above the minimum deductible and below the maximum payment limit are mainly paid by the overall fund, and individuals bear a certain proportion. Give appropriate care to the proportion of retirees who bear medical expenses.

The scope of serious diseases, the specific standards of Qifubiaozhun and the maximum payment limit, and the proportion of sharing medical expenses above Qifubiaozhun and below the maximum payment limit shall be determined by the provincial people's government.

Thirtieth medical expenses below Qifubiaozhun and above the maximum payment limit shall not be paid by the overall fund.