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How to reimburse Beijing children for seeing a doctor
1. Determine the type of medical insurance: First of all, you need to confirm the type of medical insurance that your child participates in, such as basic medical insurance for urban and rural residents in Beijing and employee medical insurance. Different types of medical insurance have different reimbursement ratios and processes.
2. Choose a designated hospital: Children need to choose a designated hospital to see a doctor in Beijing. The Beijing Municipal Medical Insurance Bureau stipulates that the insured can only enjoy medical insurance reimbursement if they see a doctor in a designated hospital. You can check the designated hospitals nearby through official website of Beijing Medical Insurance Bureau.
3. Medical treatment and reimbursement: When a child goes to a designated hospital in Beijing, he needs to bring a medical insurance card (or medical insurance electronic card) for medical treatment. During the visit, the medical expenses in the medical insurance catalogue will be automatically reimbursed according to the prescribed reimbursement ratio. It should be noted that different types of medical insurance reimbursement rates are different. Please consult the medical insurance department for the specific reimbursement ratio.
4. reimbursement for medical treatment in different places: if a child goes to Beijing for medical treatment, he needs to go to the medical insurance department of the insured place to go through the medical treatment procedures in different places in advance. When seeking medical treatment in different places, you need to choose a local designated hospital and bring a medical insurance card (or medical insurance electronic card) to see a doctor. Please consult the medical insurance department of the insured place for the proportion and process of reimbursement for medical treatment in different places.
Materials to be prepared for reimbursement of children's medical treatment in Beijing:
1, medical insurance card or medical insurance electronic card: children need to bring a medical insurance card or medical insurance electronic card for reimbursement in Beijing. The medical insurance card is a voucher for children to enjoy medical insurance benefits, and the medical insurance electronic card is an electronic version of the medical insurance card, which can be displayed by mobile devices such as mobile phones. When you see a doctor, you need to show your medical insurance card or medical insurance electronic card, so that the hospital can verify your child's medical insurance status and settle the account according to the prescribed reimbursement ratio.
2. Medical records: Children need medical records when they are reimbursed for medical treatment. The medical record is the record of the child's treatment in the hospital, including the date of treatment, diagnosis results, treatment process and other information. At the time of reimbursement, the medical insurance department will verify the child's condition and medical expenses according to the information in the medical record and determine the reimbursement amount.
3. List of medical expenses and bills of charges: When a child is reimbursed for medical treatment, it is also necessary to provide a list of medical expenses and bills of charges. The list of medical expenses is a detailed accounting of all kinds of medical expenses incurred during the hospitalization of children, including medicine expenses, examination expenses and treatment expenses. The bill of charge is the voucher for the child to pay the medical expenses when he is in hospital. At the time of reimbursement, the medical insurance department will verify the child's medical expenses according to the list of medical expenses and the bill of charges, and determine the reimbursement amount.
To sum up, the specific reimbursement policies and procedures may vary according to different regions and types of medical insurance. It is recommended that you understand the relevant policies and regulations before seeing a doctor to ensure that your child can be reimbursed smoothly.
Measures of Beijing Municipality on Basic Medical Insurance for Urban and Rural Residents
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In order to protect the basic medical rights and interests of urban residents, improve the basic medical security level of urban residents, improve the basic medical insurance system for urban residents, improve the social medical security system, and promote the economic development, harmony and stability of the capital, these measures are formulated in accordance with the relevant provisions of the state and this Municipality, combined with the actual situation of this Municipality.
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