How to reimburse medical expenses for Hunan tax and social security

First, how to reimburse medical insurance for urban residents in Hunan and the reimbursement ratio.

1. How to reimburse Hunan social security and medical insurance?

Hunan reimbursement is divided into rural residents and urban workers:

1, residents' reimbursement ratio: town health centers reimburse 60%; 40% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 30%.

2, urban residents, in a settlement year, the medical expenses that meet the scope of reimbursement are 65,438+10,000 yuan, the threshold for tertiary hospitals is 659 yuan, the reimbursement ratio is 50%, and the upper limit is 2,000 yuan; The Qifubiaozhun for hospitalization in secondary hospitals is 300 yuan, and the reimbursement rate is 55%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 60%.

3. You need to go back to your hometown (insured place) for reimbursement in different places, and the reimbursement ratio is 35-65%, which varies according to the level of the hospital.

2. What are the medical insurance reimbursement processes in Hunan?

(A) local hospitalization reimbursement

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 for hospitalization in medical institutions, and cash in advance.

(2) reimbursement for hospitalization in different places

1. If the insured person is sick in a tertiary hospital (or specialized hospital) in this city, it is difficult to make a diagnosis or there is no treatment, and he may apply to be transferred to a different place for hospitalization.

2, transfer must fill in the application form, signed by the designated hospitals above the third level in our city, and reported to the municipal medical insurance agency for examination and filing before being transferred to hospital for treatment.

3, the insured sudden illness in different places really need to be hospitalized in the local designated medical institutions, within 3 days after admission to the municipal medical insurance center for the record.

4, transfer and off-site emergency medical expenses paid by individuals, within one month after discharge to the city medical insurance center for reimbursement.

Two, Hunan Province, urban residents medical insurance online payment

Payment method:

1. Pay through the "Hunan Tax Social Security" APP developed by Hunan Provincial Taxation Bureau, the "Hunan Tax Social Security" WeChat applet or official website of Hunan Provincial Taxation Bureau;

2. Pay through online banking or mobile APP of Changsha Bank, Agricultural Bank, China Construction Bank, Industrial and Commercial Bank of China, Hunan Rural Commercial Bank, Huarong Xiangjiang Bank and China CITIC Bank;

3. Pay through the counters of Changsha Bank, Agricultural Bank, China Construction Bank, Industrial and Commercial Bank of China, Postal Savings Bank, China Bank, Hunan Rural Commercial Bank, Huarong Xiangjiang Bank, China CITIC Bank, China Merchants Bank or smart POS machines;

4. Residents registered with non-standard identity documents can pay through the "Hunan Tax Social Security" APP, the "Hunan Tax Social Security" WeChat applet and Changsha Bank.

Attached payment standard: 320 yuan/person.

Payment time: 202 1 September1till February 28th, 2022.