Beijing 1800 Medical Insurance Reimbursement

Beijing 1800 Medical Insurance Reimbursement means that Beijing citizens can get certain economic compensation through medical insurance reimbursement when they enjoy medical services according to relevant policies and regulations.

First, understand the medical insurance policy

Beijing's medical insurance policy has certain reimbursement provisions for citizens' outpatient medical expenses. First of all, citizens need to know the deductible line, reimbursement ratio and scope of medical insurance, so as to make rational use of medical insurance resources when seeking medical treatment.

Second, medical care and cost accumulation.

When seeking medical treatment, citizens should choose designated medical institutions for medical insurance. Accumulated outpatient medical expenses for citizens within one year. When the accumulated amount exceeds the medical insurance deductible line (generally 1800 yuan), the excess expenses can be reimbursed according to the specified proportion.

Third, submit an application for reimbursement

When the accumulated outpatient medical expenses of citizens exceed the deductible line, they can apply for reimbursement to the medical insurance agency or social security center of their unit. Relevant medical expense invoices, prescriptions, medical insurance cards and other supporting documents shall be provided when applying.

Four. Audit and reimbursement

The medical insurance agency or social security center will review the application for reimbursement submitted by citizens. After approval, the medical expenses exceeding the deductible line will be reimbursed according to the prescribed proportion, and the reimbursement amount will be directly credited to the citizen's medical insurance account or the designated bank account.

To sum up:

Beijing 1800 Medical Insurance Reimbursement is a system in which some outpatient medical expenses are reimbursed by medical insurance according to relevant policies when Beijing citizens enjoy medical services. Citizens need to know the specific contents of the medical insurance policy, choose the designated medical institutions for medical insurance when seeking medical treatment, and submit an application for reimbursement after the accumulated medical expenses exceed the deductible line. After the examination and approval, the medical expenses outside the deductible line shall be reimbursed according to the prescribed proportion.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 28 provides that:

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Provisions of Beijing Municipality on Basic Medical Insurance

Article 17 stipulates:

The medical expenses incurred by the insured who meet the requirements of the city's basic medical insurance drug list, diagnosis and treatment project list, the scope of medical service facilities and the scope of supplementary reimbursement for students and children shall be directly settled by himself and designated medical institutions; The medical expenses paid by the basic medical insurance fund shall be settled by the designated medical institutions and medical insurance agencies.