Can medical insurance reimburse hospitalization expenses?

The amount of hospitalization expenses that can be reimbursed by medical insurance is as follows:

1. According to the level of hospitalization expenses, the proportion of medical insurance reimbursement for employees is 85% between 1300 yuan and 30,000 yuan, 90% between 30,000 yuan and 40,000 yuan, and 95% between 40,000 yuan and 100000 yuan.

2. Residents' medical insurance consists of urban residents' medical insurance and the new rural cooperative medical system. The reimbursement rate of the first-level hospital is 65%, and the deductible line is 300 yuan; The reimbursement rate of secondary hospitals below 6,000 yuan is 65%, and the reimbursement rate of hospitals above 6,000 yuan is 80%. The deductible line of county-level secondary hospitals is 400 yuan, and the deductible line of municipal secondary hospitals is 600 yuan. In 600 yuan, the deductible line of tertiary hospitals and county tertiary hospitals, the reimbursement rate is 65%, accounting for 80% above 6,000 yuan, while in 800 yuan, the reimbursement rate is 55% below12,000 yuan. 1.2 million yuan or more, the reimbursement rate is 75%.

The medical insurance reimbursement process for hospitalization expenses is as follows:

1. Prepare the original ID card and social security card;

2. Prepare relevant certificates of discharge, such as ID card, social security, medical records, prescriptions, expense list, discharge diagnosis certificate, etc.

3. Go to the cashier's office of the hospital for settlement and reimbursement.

To sum up, as long as it meets the hospitalization expenses within the scope of medical insurance reimbursement, it can be reimbursed.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.