What is the reimbursement ratio of newborn social security in Harbin?

What is the reimbursement ratio of newborn social security in Harbin?

In China, social insurance is an important part of the social security system, occupying a core position in the whole social security system. Next, I will sort out the reimbursement ratio of newborn social security in Harbin, hoping to help you!

What is the reimbursement ratio of newborn social security in Harbin?

(1) Newborns were hospitalized in designated medical institutions at the first, second and third levels, and the reimbursement rate was 75%; In community health service centers and township hospitals, the payment ratio is 90%.

(2) There is no threshold for patients with mental illness to be hospitalized in designated medical institutions, and the proportion of reimbursement is 85%.

(3) Tuberculosis patients were hospitalized in designated medical institutions, and the reimbursement rate was 80%.

(4) Patients with MDR-TB were hospitalized in designated medical institutions, and the reimbursement rate was 85%.

(5) If a person with difficulties is hospitalized in a designated medical institution at or below the first level, there is no Qifubiaozhun, and the reimbursement ratio is increased by 5 percentage points accordingly.

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I. local reimbursement process

The insured persons of the basic medical insurance for urban residents hold the medical insurance card to swipe their cards at the designated medical institutions where they seek medical treatment. The expenses that meet the requirements of basic medical insurance and serious illness insurance shall be paid in advance by the hospital, and the expenses after deducting the reimbursement amount of basic medical insurance and serious illness insurance shall be paid by individuals in cash.

Second, off-site reimbursement process

Insured residents in different places for emergency treatment, medical treatment in different places and long-term medical treatment in different places apply for individual sporadic medical expenses reimbursement in China Life City Branch. After reviewing the materials and verifying the expenses, the expenses that meet the requirements of basic medical insurance and serious illness insurance shall be transferred to individual bank accounts by the Municipal Medical Insurance Management Center and China Life Insurance Heilongjiang Branch respectively.

Third, other reimbursement processes.

For the reimbursement of anti-rejection drugs used by the insured after renal transplantation, it is necessary to provide prescriptions for drugs purchased in designated hospitals, receipts for medical expenses of hospitals or pharmacies (indicating the name and quantity of drugs purchased), and approval forms for outpatient treatment of special diseases (photocopies). According to the above materials, establish a personal illness file, confirm the operation period, and issue a certificate of outpatient treatment for special diseases. At the end of each quarter, submit an expense account to the municipal medical insurance management center between 20th and 25th.

Third, the reimbursement conditions

1. The applicant has gone through the insurance formalities and paid the medical insurance premium in full.

2, cooperative medical designated medical institutions for medical treatment.

3. The medical expenses incurred by the insured in hospitalization in medical institutions shall be paid in cash in advance, and relevant documents and materials shall be kept.

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