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Can hepatitis B be reimbursed by social security?
However, the situation varies from place to place, and the proportion and policies of reimbursement are different. The expenses of examination, treatment and drugs related to diseases incurred by the insured in outpatient treatment at the designated medical institution I choose are included in the scope of reimbursement (the drugs within the limit are not restricted by the medical insurance drug list).
Generally speaking, according to the underwriting results, insurance companies have five ways to deal with it: consider risks within the normal range and underwrite at the standard rate; Considering that the risk is higher than normal and requiring additional insurance; The risk is unacceptable, but the scope is limited, except for the agreed liability; Considering that the nature of the risk is unknown, it is agreed to observe for a period of time and postpone the underwriting; Think the risk is too great and refuse to underwrite.
Reimbursement ratio and policy:
1. After the patient is admitted to the hospital, the medical insurance patient can go through the social security registration formalities in the hospital with his ID card, medical insurance card and other documents.
2. When the patient is discharged from the hospital to settle the medical expenses, it is necessary to wait until the admission fee office handles the discharge settlement formalities with the admission registration form and ID card, and there is no need to submit an expense account to the social security center; After being audited by relevant departments, the applicant can receive the Social Medical Insurance Medical Expense Reimbursement Form for reimbursement.
3. For reimbursement of medical expenses, if the medical expenses incurred by the insured in the agreed medical institutions meet the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards, they can only be paid from the basic medical insurance fund in accordance with state regulations.
4, the insured's first aid expenses, rescue medical service fees, etc. , according to the local actual situation and formulate specific management measures to be reimbursed.
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