Job Recruitment Website - Social security inquiry - How to reimburse hepatitis B medical insurance?
How to reimburse hepatitis B medical insurance?
1, employee medical insurance
The medical expenses for outpatient treatment shall be settled according to the single disease limit, regardless of the deductible line, and the annual reimbursement limit shall be subject to the local social security documents; For the insured, if the new special disease is less than one year, the reimbursement limit shall be calculated according to the actual number of months of new special disease. The expenses of examination, treatment and drugs related to diseases incurred by the insured in outpatient treatment at the designated medical institution I choose are included in the scope of reimbursement (the drugs within the limit are not restricted by the medical insurance drug list).
The medical expenses for outpatient special diseases of the insured are calculated on an annual cumulative basis, and the medical expenses reimbursed within the limit standard are paid by the overall fund and the large medical insurance fund respectively according to the regulations.
2. Residents' medical insurance
The medical expenses for outpatient treatment shall be reimbursed according to the proportional limit. There is no reimbursement deductible line for medical expenses in medical insurance coverage, and the reimbursement ratio is 80% for first-class medical institutions, 60% for second-class medical institutions and 40% for third-class medical institutions. The annual reimbursement limit depends on the local social security documents.
For those who suffer from two or more special diseases and chronic diseases at the same time, the annual reimbursement limit will be increased according to the provisions of local social security documents for each additional one.
Methods of reimbursement for hepatitis B
1, on-site networking for direct settlement
When the insured person is hospitalized, it is enough to bring his ID card and medical insurance card. When he is discharged from the hospital, he can settle the account directly online, and the insured only needs to hand in the remaining reimbursement.
2. Online settlement in different places
If the hospital can't directly settle accounts online, the insured person should take these things with him when he leaves the hospital: hospitalization invoice, detailed hospitalization expenses, diagnosis certificate, discharge summary and medical records, all of which need the seal of the hospital. After leaving the hospital, take these materials to the insured place for reimbursement.
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