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Quxian county medical insurance bureau telephone inquiry

Hello, the telephone number of the relevant telephone office of Quxian Medical Insurance Bureau (08 18-722680 1 72 15277) and the telephone number of medical consultation in different places (08 18-72 15897, 722688).

① Medical Insurance Reimbursement The scope of medical insurance reimbursement in cities and towns refers to all employers in cities and towns, as follows: including enterprises (state-owned enterprises, collective enterprises, foreign-invested enterprises, private enterprises, etc.). ); Organs, institutions, social organizations, private non-enterprise units and their employees participate in the basic medical insurance; Some towns stipulate that township enterprises and their employees, owners of urban individual economic organizations and their employees should be gradually incorporated into the basic medical insurance coverage (the last one depends on different local policies) and can enjoy medical reimbursement. Urban medical reimbursement mainly refers to hospitalization, medication, hospitalization, surgery, etc. Medical expenses can be reimbursed by medical insurance card in accordance with relevant regulations. Urban medical insurance is relatively specific, with large scale and wide coverage, but the compensation for major diseases or accidents is limited. At this point, the author suggests that the insured can purchase commercial supplementary medical insurance for serious illness and social security to reduce their economic losses.

② There are two types of reimbursement for commercial medical insurance: one is to reimburse only the expenses within the scope of medical insurance, and the self-funded part is not reimbursed. The other is the full reimbursement of the rest of the social medical insurance inside and outside. However, it should be noted that many commercial medical insurances have deductibles.

③ Commercial medical insurance reimbursement process: First, report the case in time, and then prepare the claim data. As a medical insurance claim, we should not only prepare general materials, but also prepare hospital medical records, medical expense invoices and detailed expense lists. Continue to wait for the insurance company to review. Finally, pay the insurance premium.

4 how to reimburse social medical insurance? Class A: 100% can be reimbursed. Category B: Partial reimbursement. For this part of the expenses that are not reimbursed, the personal account of the medical insurance card will be swiped with the medical insurance card if there is money, and will be paid in cash if there is no money. What should be reminded here is that if it is urban medical care and new rural cooperative medical system, it is good to pay cash directly. Class C: At its own expense. Most imported drugs and specific drugs are within this range, and the money that is not reimbursed must be paid by yourself.

⑤ Social medical insurance reimbursement process: go through the reimbursement application procedures first, continue to wait for the material review, and finally complete the reimbursement application.