Proportion of hospitalization reimbursement of Hebei social security card in Beijing

1, and the medical insurance reimbursement rate is 85%.

2. The threshold of charging standard for secondary hospitals is 400. The proportion of medical insurance reimbursement is 70%.

3. The threshold of charging standard for a class of hospitals is 600. The proportion of medical insurance reimbursement is 60%.

4, a class of hospitals to the province for medical treatment, the starting point of the charging standard is 600. The proportion of medical insurance reimbursement is 60%.

5, a class of hospitals outside the province, the starting point of the charging standard is 600. The proportion of medical insurance reimbursement is 55%.

6, an insurance year hospitalization for many times, the first and second hospitalization Qifubiaozhun shall be borne by the individual. Qifubiaozhun for the third and above hospitalization shall be paid by the overall fund. The maximum payment limit of the overall fund in an insurance year is 50 thousand.

For medical insurance hospitalization, except for the self-paid part and self-paid 10%, the part exceeding the hospitalization medical insurance deductible line enjoys the proportion of overall payment. Different levels of hospitals have different threshold fees and enjoy different proportions of overall payment. Medical insurance for employees accounts for more than 80%, and medical insurance for residents accounts for about 70%. From this point of view, the proportion of out-of-pocket expenses for medical insurance hospitalization is uncertain. All out-of-pocket expenses are paid by oneself, and all threshold fees are paid by oneself. Class B expenses will be paid by itself first, 65,438+00%, plus Class A expenses, 20% will be paid by itself. In fact, the computer system will automatically calculate them. Medical insurance hospitalization, show the medical insurance card, read the card into the medical insurance system, pay the deposit (usually the threshold fee), and enter the fee into the system. The system automatically classifies it as self-funded, Class A, Class B, etc. Class B pays 65,438+00% first, and then enters the basic medical care. According to the annual number of inpatients (more than 1 threshold fee halved), hospital level (different threshold fees,

How to reimburse

1. When the patient is admitted to the hospital, the hospital will verify the patient's identity document, hand over the medical insurance hospitalization handbook to the admission office, and then pay a certain deposit (remember to ask for the deposit receipt) before admission.

2. Before using special drugs in the treatment process, hospitals generally ask patients whether they have medical insurance, that is to say, if they have medical insurance, they will try to use drugs within the scope of medical insurance reimbursement. If they don't have health insurance, they don't have to worry about the drug category.

3. When going through the discharge formalities after the cure, a diagnosis certificate shall be issued to the attending doctor. When you go through the discharge formalities with the certificate, you should print out a list of expenses. After deducting the outpatient expenses (you have to pay in full, without discount), you have to pay 20% of the remaining expenses, and 80% will naturally be settled by the medical insurance department, which is what we call medical insurance reimbursement.