Can emergency be reimbursed by Mente?

If you are sick, you can pay in the emergency room, and then you can reimburse Menter. Emergency can be reimbursed. Emergency medical treatment, as long as the hospital is a designated hospital for medical insurance, the treatment items are within the scope of medical insurance reimbursement, the expenses after outpatient treatment reach the deductible line, and the hospitalization expenses for follow-up hospitalization observation can be reimbursed according to local medical insurance regulations. The emergency expenses incurred by the insured in the designated medical insurance institutions shall be included in the general outpatient department for overall settlement and reimbursement after being audited by the medical insurance management department of the designated medical institutions. However, the emergency medical expenses of designated medical institutions incurred by the insured in the general outpatient service of non-medical insurance designated institutions shall not be paid.

If you are sick, you can pay in the emergency room, and then you can reimburse Menter. The insured person will submit the relevant documents to the unit or social security office, and the unit will submit the documents to the medical insurance center. The medical insurance center can complete the audit, settlement and payment on the same day.

Medical insurance card hospitalization reimbursement materials are as follows:

1, hospitalization reimbursement materials, my ID card, medical insurance card, original invoice, medication list, medical records and other materials.

2, outpatient reimbursement materials general outpatient and emergency receipts, medical insurance prescription (prescription double price), check the details of treatment costs.

3, outpatient special disease reimbursement materials my ID card, medical insurance card, original invoice, medication list, medical records and other materials. Proportion of hospitalization reimbursement for medical insurance card

1.3 million yuan, 85% for on-the-job reimbursement and 91%for retirement reimbursement;

2, 30,000-40,000 yuan, 90% for on-the-job reimbursement and 94% for retirement reimbursement;

30,000 yuan and above, 95% for on-the-job reimbursement and 97% for retirement reimbursement. Proportion of outpatient reimbursement of medical insurance card

First, the proportion of outpatient reimbursement

1, in a natural year, the total outpatient expenses of employees exceed 2020 yuan, and the excess is reimbursed by 50%;

2. More than 70% of the total outpatient expenses of retirees exceed 1.300 yuan.

Two, outpatient special disease reimbursement ratio is the same as hospitalization. The settlement period of outpatient special diseases is 360 days.

To sum up, if you are sick and pay in the emergency room, you can use Mente to reimburse you. Emergency can be reimbursed. Emergency expenses can be reimbursed. In terms of medical insurance, when the patient is confirmed to be hospitalized in emergency, the emergency medical expenses within 7 days before hospitalization can be reimbursed through medical insurance.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

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.

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.