How to reimburse the medical social security in Fuzhou

Generally speaking, the unit unified payment of health insurance is the next month can be hospitalized reimbursement

Personal identity to pay the health insurance generally need to pay half a year or more than a year, you can enjoy the reimbursement treatment.

When you go through the hospitalization procedure, you should submit your medical record and card to the hospital's inpatient department, so that you can use your medical insurance account without any problems. If you can't submit them at that time because of an emergency, you should submit your medical record and card to the hospital in a timely manner. Generally speaking, there is a starting line for reimbursement of medical insurance, and different hospitalization starting lines are set up according to different levels of hospitals, the higher the level, the higher the starting line. The higher the level, the higher the threshold. The threshold for hospitals within the city is 100 RMB for level 1 and below, 200 RMB for level 2 hospitals within the city, 300 RMB for level 3 hospitals within the city, and 400 RMB for hospitals outside of the city. Reimbursement is not supported without reaching the starting line. In other words, you must be above the threshold to be reimbursed. The portion above the threshold is reimbursed according to the regulations. In addition, there may be some medicines that are not covered by medical insurance and you have to pay for them yourself), so you will need to pay a portion of the cash at the time of hospitalization.

Medicare reimbursement is on a sliding scale, with different rates for hospitalization at different levels. It usually fluctuates around 70 percent. The percentage and amount of reimbursement is related to your own tests and medication, medical grade and other factors. An example will be clearer, Class A drugs can enjoy full reimbursement, Class C will need to pay all out-of-pocket expenses, while Class B reported 80%, 20% out-of-pocket ratio.

Let's say, for example, that the hospitalization threshold is 1,000 yuan, 500 yuan of out-of-pocket expenses, and let's say someone's medical expenses total 5,000 yuan. The reimbursement is 85 percent and the deductible is 15 percent.

The health insurance can be reimbursed = (5000-1000-500)X85% = 3500X85% = 2975 yuan, this part of the money is not to pay, by the hospital directly with the health insurance bureau;

Also need to pay cash = 1000 + 500 + (5000-1000-500)X15% = 1500+525 = 2025 yuan, this part of the money is not to pay. 2025 dollars, which is a cash payment.

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