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Proportion of reimbursement for medical treatment in Karamay in different places
According to the national medical insurance policy, people who participate in the basic medical insurance for urban workers and urban residents enjoy the same treatment when they seek medical treatment in different places, and can get no less than the reimbursement for outpatient medical expenses of local residents. In Karamay, the reimbursement rate for medical treatment in different places is 90%. Specifically, before seeking medical treatment in a different place, you need to go through the relevant procedures in the local social security agency and pass the examination, and submit the reimbursement with the "Beijing Cross-regional Off-site Medical Outpatient Expense Settlement Record Certificate". At the same time, it should be noted that different types of medical insurance cards, such as Beijing unified social security card (residents' medical insurance) and Beijing unified social security card (employees' medical insurance), may enjoy slightly different reimbursement benefits. In addition, for some specific diseases, such as tumor and uremia, you can enjoy a higher proportion of reimbursement treatment. Specific standards and handling procedures can be consulted with local social security institutions.
What medical expenses are included in the scope of reimbursement for medical treatment in different places? The scope of reimbursement for medical treatment in different places includes outpatient medical expenses, basic drug expenses, medical consumables expenses and medical technical expenses such as clinical examination, laboratory tests, radiation, surgery and anesthesia, which are not listed in the basic medical insurance catalogue. But it does not include hospitalization expenses.
Karamay's reimbursement rate for medical treatment in different places is 90%, and residents' medical insurance is the same as employees' medical insurance. When enjoying the treatment of reimbursement for medical treatment in different places, you need to pay attention to handling relevant procedures and filing in time, carrying relevant supporting materials, and using medical resources in strict accordance with the prescribed payment standards.
Legal basis:
"Regulations on Basic Medical Insurance for Urban and Rural Residents in Karamay City" Article 21 The medical expenses of insured residents seeking medical treatment in different places shall be paid by the medical insurance fund of the destination residents. Before seeking medical treatment in different places, it is necessary to hold cross-regional medical records and reimburse medical expenses according to the payment standards stipulated by the state and local governments.
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