Job Recruitment Website - Social security inquiry - Can the Jingchuan County Social Security Administration reimburse for traumatic injuries?
Can the Jingchuan County Social Security Administration reimburse for traumatic injuries?
Medical insurance reimbursement ratio:
1, outpatient and emergency medical expenses: the annual (January 1~December 31) part of the medical expenses of the active employees that are in line with the scope of the basic medical insurance exceeds 2,000 yuan in total.
2. Settlement ratio: 50% reimbursement for the part of over 2,000 yuan for dispatched staff during the contract period, and 50% out-of-pocket payment by individuals; the maximum amount of outpatient and emergency reimbursement paid to dispatched staff is 20,000 yuan cumulatively in a year.
3. The insured personnel should keep the outpatient medical bills (including receipts and prescription bottoms for the parts below the large amount) of the outpatient treatment in the designated hospitals as the vouchers for the reimbursement of medical expenses.
4, three kinds of special disease outpatient medical treatment: participants suffering from malignant tumors radiation therapy and chemotherapy, kidney dialysis, kidney transplantation to take anti-rejection drugs need to be in outpatient medical treatment, by the participant's second and third-class designated hospitals for medical treatment issued a "diagnosis of the disease certificate" and fill out the "medical insurance special disease declaration and approval form", reported to the regional medical insurance center for approval and filing. The form will be submitted to the district medical insurance center for approval and filing. Outpatient medical treatment and medicine collection for these three types of special diseases are limited to the approved designated hospitals, and cannot be purchased at designated retail pharmacies. The medical expenses incurred in accordance with the scope of outpatient special diseases, refer to the hospitalization for settlement.
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