Proportion of hospitalization reimbursement of medical insurance for employees in Changsha in 2022

Proportion of medical insurance reimbursement in Changsha

1. 70% of tertiary standard hospitals (including township hospitals and community health service institutions);

2. 60% of the secondary charging standard hospitals;

3. 50% of the first-class standard hospitals;

4. Reimbursement for special diseases is 50%;

5. 50% reimbursement for ordinary students, minors and college students;

6. Emergency rescue and death rescue (72 hours) 50% reimbursement for hospitalization and rescue medical expenses, with no Qifubiaozhun.

Changsha medical insurance reimbursement standard

(1) township hospitals and community health service institutions 100 yuan;

(2) 200 yuan, a third-class charging standard hospital;

③ 400 yuan, a secondary charging standard hospital;

(4) 700 yuan, a first-class standard hospital.

⑤ Ordinary students, minors and college students are 6,543,800 yuan, and adults are 60,000 yuan.

Changsha medical insurance reimbursement conditions

1. Primary and secondary school students and children (minors);

2./kloc-non-employed residents (non-employed residents) over 0/8 years old and under 60 years old;

3. Residents aged 60 or above (elderly residents).

Changsha medical insurance reimbursement application materials

1. Original and photocopy of the insured's ID card and household registration book;

2. A two-inch bareheaded recent photo;

3. Minors need to bring the original and photocopy of the student ID card;

4 medical insurance manuals for family members who have participated in the basic medical insurance system for urban workers or the new rural cooperative medical system;

5 residents shall provide the original and photocopy of the "minimum living guarantee certificate for urban residents";

6 severely disabled persons should also provide the original and photocopy of the People's Republic of China (PRC) Disabled Persons' Card;

7 "three noes" personnel should also provide the original and photocopy of relevant certificates issued by the municipal civil affairs department;

8. Flexible employees need to provide their ID card, household registration book and three one-inch bareheaded color photos.

Changsha medical insurance reimbursement processing flow

1. Declaration

The insured person takes the family as a unit and carries relevant materials to the community labor and social security service center where the household registration is located to declare;

2. Qualification examination

The community labor and social security service center conducts qualification examination, determines the payment type, calculates the payment amount and prints the payment notice;

bear the cost

Insured residents pay fees at Changsha Bank outlets with payment notices, and the bank issues social insurance fund receipts;

Get a manual

The insured person holds the social insurance fund receipt to the street labor security center where the account is located to receive the "Changsha Basic Medical Insurance Manual for Urban Residents".

legal ground

According to the relevant provisions of the "Trial Measures for Basic Medical Insurance for Urban Residents in Changsha", residents who participated in medical insurance for urban residents before April 30 this year have no waiting period for hospitalization, that is, they are insured in the current month and enjoy treatment in the next month. Residents who are insured after May 1 (including that day) have to wait for 3 months to enjoy insurance benefits. However, there is no waiting period for the newborn (born within 6 months) to be insured and hospitalized, that is, the payment will be made in the current month and the treatment will be enjoyed in the next month.