Where can I print the hospital expense settlement list? Which drugs can be reimbursed by social security? Can I print it a week after I leave the hospital?

The medical insurance settlement form has a special medical insurance settlement payment window when the patient leaves the hospital, and the charging window will be printed first when leaving the hospital.

A total of 2643 kinds of drugs can be reimbursed, including western medicine 1.322 kinds and Chinese patent medicine 1 kind (including 93 kinds of ethnic drugs); Chinese herbal pieces were managed by access system, and 892 pieces were included. Routine access to drugs, a basic balance between Chinese and western medicine, and an appropriate increase in the number of Class A drugs. There are 640 Class A drugs in the catalogue, 46 more than 20 17, including 398 western medicines and 242 Chinese patent medicines.

You can apply for printing at the hospital payment window within one week.

What is the medical insurance settlement list?

Every medical insurance patient will receive a hospitalization medical insurance statement when he leaves the hospital, which records the total hospitalization expenses, out-of-pocket expenses and medical insurance bookkeeping reimbursement expenses.

However, because many citizens are not clear about some medical insurance concepts, they are often confused by a lot of figures above when reading the statement.

According to the person in charge of the Medical Insurance Office of the Cancer Hospital affiliated to Guangzhou Medical University, it is not difficult for the public to understand the hospitalization medical insurance statement.

Although the hospitalization statements of medical insurance vary from place to place, the reimbursement ratio is also different, but they are all similar. The key is to understand the meaning of several key words.

Total amount: total hospitalization expenses, that is, all expenses spent by patients during hospitalization.

Out-of-pocket expenses: expenses beyond the scope of medical insurance catalogue.

Out-of-pocket expenses for some items: For Class B items within the scope of medical insurance catalogue, the insured person pays part of the expenses first.

For example, for drug A of Class B, 100 yuan, according to the proportion of 5%, the out-of-pocket expenses of some projects will be 5 yuan = 100×5%.

Deductible line: that is, the expenses below the deductible line standard. The Medical Insurance Bureau has formulated the corresponding deductible line standard according to different categories of insured persons and hospital grades.

Co-payment: the basic medical expenses are jointly paid by the medical insurance and the insured, and the calculation method is = total amount-out-of-pocket expenses-deductible line of some items, in which the medical insurance payment in the co-payment period = (total amount-out-of-pocket expenses-deductible line of some items) × 86%; The expenses paid by the insured during the co-payment period = (total amount-out-of-pocket expenses-deductible line for some items) × 14%.

For some employees who have purchased "enterprise supplement", they can also enjoy enterprise supplementary bookkeeping, and the calculation method is = (deductible line+out-of-pocket expenses of the insured during the co-payment period) ×70%.

At this time, the total amount of medical insurance accounting = (total amount-out-of-pocket expenses-deductible line for some items) ×86%+ (deductible line+co-payment expenses paid by the insured )× 70%.

Major illness allowance: refers to the insured person's major illness allowance accounting automatically when the total payment of basic medical insurance exceeds the limit of that year in the social security year.

Guangzhou Medical Insurance Bureau stipulates that different levels of hospitals have different reimbursement rates and bed fee settlement standards; Different types of insured persons have different qifubiaozhun.

Therefore, for the convenience of readers, hospitals generally print relevant policy information such as medical insurance payment ratio and minimum payment standard on medical insurance bulletin boards or brochures.

It should be noted that the amount of medical insurance bookkeeping is not simply "total hospitalization expenses × reimbursement ratio", but after excluding out-of-pocket expenses, Qifubiaozhun and out-of-pocket expenses of some items, medical insurance reimbursement will be made according to the proportion of basic medical insurance.