Medical insurance reimbursement to how to query

Medical insurance reimbursement to the query method is as follows:

1, directly to the hospital inpatient window, registered hospitalization, will tell the person is not a normal reimbursement;

2, social security of the medical insurance window query, or social security self-service ATM query, but also will learn about the status of the current health care contributions;

3, through the local social security Web site for Network query can also learn;

4, through the telephone 12333 query is also possible.

Medicare reimbursement regulations are as follows:

1. Use of partially self-paid medicines: individual first 10%, 90% included in the normal rate of reimbursement. Individual drug first 50%, 50% included in the normal proportion of reimbursement;

2, the use of materials costing more than 1,000 yuan per unit: the individual first 20%, 80% included in the normal proportion of reimbursement;

3, large-scale examination: the individual first 8%, 92% included in the normal proportion of reimbursement;

4, Positron Emission Tomography (PET): examination fees are to be paid by the individual, and the cost of the examination is to be reimbursed by the individual. PET): the examination fee shall be fully paid by the individual, and the use of contrast agents covered by medical insurance shall be reimbursed in accordance with the proportion;

5. The use of medicines, surgeries, operations, materials, and inspections that are within the medical insurance catalog but do not meet the indications for reimbursement by the medical insurance shall be paid by the individual at his/her own expense;

6. The use of medicines, surgeries, operations, materials, and inspections that are not within the medical insurance catalog shall be paid by the individual at his/her own expense;

7.

7. Artificial organs will be paid according to the maximum limit of medical insurance, and the part that exceeds the maximum limit will be paid at one's own expense, which is applicable to the above medical insurance categories. If the actual cost is lower than the standard maximum payment limit, the actual amount will be included in the reimbursement of medical insurance.

In summary, medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for the economic losses caused by the risk of illness. Through the employer and individual contributions, the establishment of a medical insurance fund, the insured person sick visit medical expenses incurred by the medical insurance organization to give them a certain amount of financial compensation.

Legal basis:

Article 29 of the Social Insurance Law of the People's Republic of China

The part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be settled directly between the social insurance administration organization and the medical institutions and pharmaceutical business units. The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.