Job Recruitment Website - Social security inquiry - How to reimburse for hospitalization?
How to reimburse for hospitalization?
1. at one's own expense: during hospitalization, the hospital will provide corresponding medical services and issue invoices or receipts. According to the local medical insurance policy, patients need to pay their own expenses first, which is beyond the scope of reimbursement. 2. Advance payment deduction: When hospitalized, patients can use advance payment to deduct hospitalization expenses. But we should pay attention to the hospital's specific regulations on the use of advance payment. Some hospitals only allow advance payment to deduct hospitalization expenses, excluding other related expenses. 3. Discharge settlement: When leaving the hospital, the hospital will provide detailed settlement documents, including hospitalization fees, medicine fees and other expenses. Patients should pay their own expenses and properly keep relevant supporting materials for future reimbursement. 4. Reimbursement procedures: Patients need to bring ID cards, social security cards, hospitalization certificates and other relevant supporting materials to the local social security bureau for reimbursement procedures. According to the regulations, the Social Security Bureau will review the patient's identity and medical expenses and then return the medical insurance reimbursement to the patient.
What is the reimbursement rate for hospitalization? The proportion of hospitalization reimbursement varies according to different regions and policies. In some cities, medical insurance will fully reimburse hospitalization expenses; In some places, only certain items can be reimbursed. The specific proportion needs to be understood in combination with local policies.
In-hospital medical reimbursement needs to be partially self-funded, and then bring relevant supporting materials to the Social Security Bureau for reimbursement when leaving the hospital. Specific operation methods and policies need to be understood according to local regulations. When you need to buy medical equipment or drugs during hospitalization, you can use advance payment, but you should pay attention to the specific regulations of the hospital on the use of advance payment.
Legal basis:
Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, standards of medical service facilities and medical expenses for emergency rescue, and shall be paid from the basic medical insurance fund in accordance with state regulations. Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
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