Outpatient reimbursement process of medical insurance for employees in Xiangtan city

Many residents in Xiangtan have medical insurance. Sometimes residents who are sick or even hospitalized can be reimbursed by medical insurance. Just submit the corresponding information. Recently, a citizen friend asked which institution Xiangtan medical insurance reimbursement was handled? I. In which institution does Xiangtan medical insurance reimburse the cash reimbursement business of urban medical insurance? The cash reimbursement business is managed according to the location of the insured person, and the urban medical insurance department of each branch of the municipal social insurance fund management is responsible for it. Two. Xiangtan medical insurance reimbursement processing materials residents medical insurance expense reimbursement materials 1. Admission approval and hospitalization medical records 2 copies. Expense list 3. Valid bill 4. Medical insurance card 5. Discharge diagnosis certificate 6. Summary of medical insurance expense reimbursement materials for employees after discharge 1. Medical insurance card 2. Emergency medical records 3. Prescription 4. Cost summary 5. Discharge diagnosis certificate 6. Discharge summary 7. When you leave the hospital, go to the hospital's inpatient charge office to settle the discharge expenses. Then the hospitalization documents, charging documents, medical insurance cards and ID cards are settled in the medical insurance office set up by the hospital. Employee medical insurance expense reimbursement process 1, the applicant submits the reimbursement related materials to the affiliated institution 2, and the audit department conducts the preliminary examination; 3. Supervise the review by the Finance Department; 4. Audit department review; 5, in charge of the secretary for examination and approval; 6. Payment by the Finance Department. Four. Xiangtan Medical Insurance Reimbursement Ratio The Qifubiaozhun for hospitalization in designated medical institutions in this city is: 200 yuan, 400 yuan, 700 yuan and community health service centers. The basic medical expenses above the deductible line 100 yuan shall be paid by the medical insurance fund in the following proportions: 25% for the first-level medical institutions, 30% for the second-level medical institutions and 40% for the third-level medical institutions. Community health service center: 20% of the fund payment ratio: 75% for first-class medical institutions, 70% for second-class medical institutions, 60% for third-class medical institutions and 80% for community health service centers.