What do the charges in the list of hospitalization expenses mean?

The amount on the medical insurance policy is reimbursement. The medical insurance bookkeeping on the hospitalization bill is to deduct the expenses of medical insurance reimbursement and does not need to be paid by myself.

There is a deductible for hospitalization expenses, and expenses below this standard are called self-care expenses.

Above the deductible line, the proportion of medical insurance reimbursement is the accounting fee, and a small number of individuals have to bear it.

Hospitalization expenses: refers to the medical expenses incurred in hospitalization due to illness, which are determined according to the receipt documents such as medical expenses and hospitalization expenses issued by medical institutions, combined with medical records, diagnosis certificates and other relevant evidence. If the obligor for compensation disagrees with the necessity and rationality of the treatment, he shall bear the corresponding burden of proof.

Many social security projects in hospitals are not reimbursed, such as surgery. The operation process is covered by medical insurance, and the tools used, such as scalpels, are not reimbursed. Your self-care expenses above are equivalent to the cost of scalpel, and you need to pay 100%.

The bookkeeping part is the part of social security reimbursement. Generally speaking, it is 85% for social security reimbursement, at one's own expense 15%.

Fees to be paid in the future = entrance threshold fee (500- 1000)+ self-payment+(bookkeeping-threshold fee) * 15%.

Extended data:

Medical insurance reimbursement

1, the original and photocopy of the insured's ID card (if entrusted by others, the original and photocopy of the client's ID card shall also be provided);

2. The original and photocopy of the insured's medical insurance card. If there is no medical insurance card, the insured shall provide the original and photocopy of his bank passbook (card);

3. The original and photocopy of the charge receipt;

4. Detailed list of hospitalization expenses (note: it is not a list of daily expenses);

5. Discharge summary or discharge record. If the discharge summary is handwritten on the medical record, copy the discharge summary and the cover of the medical record;

6, disease diagnosis certificate (death, death certificate must be provided);

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