Proportion of medical insurance reimbursement for Hangzhou residents

Medical Insurance for College Students in Hangzhou

1, full-time undergraduate studying in Hangzhou;

2. Full-time graduate students studying in Hangzhou;

3. The insured person has no household registration restrictions, and those who drop out of school due to illness but retain their school status can also participate in the insurance;

Foreign students are not covered by insurance.

Hangzhou college students' medical insurance agent

1. Processing time: June to10 every year;

2. Handling method: handled by the school.

Payment standard of medical insurance for college students in Hangzhou

Each person goes to 240 yuan every year, of which the individual pays 60 yuan, and the financial subsidy is 180 yuan. It should be reminded that college students who hold disability certificates and family difficulties certificates in Shenbao Town can be fully subsidized by the government. Proportion of medical insurance reimbursement for college students in Hangzhou

First, general outpatient service.

1, Qifubiaozhun: There is no Qifubiaozhun for medical institutions on campus, and Qifubiaozhun for 300 yuan off campus;

2. Reimbursement ratio:

A level iii and corresponding medical institutions: 40%; B, secondary and corresponding medical institutions: 50%;

C In other medical institutions and community health service institutions: 70%.

Remarks: Medical expenses incurred by designated retail pharmacies and ambulances that meet the scope of medical insurance expenses shall be borne by the fund according to the general outpatient standards of secondary medical institutions.

Two, hospitalization and outpatient medical expenses.

1. Qifubiaozhun: tertiary medical institution 800 yuan, secondary medical institution 600 yuan, other medical institutions and community health service institution 300 yuan; 2, hospitalization Qifubiaozhun marked as 6.5438+0.8 million yuan reimbursement ratio:

A. Level III and corresponding medical institutions: 71%;

B, secondary and corresponding medical institutions: 75%;

C In other medical institutions and community health service institutions: 80%.

3. 1.8 million yuan or more: 80%.

Remarks:

1, hospitalization expenses are calculated cumulatively according to the discharge date.

2, a settlement year, only bear a hospitalization Qifubiaozhun.

3, 180000 yuan of medical expenses, borne by the overall fund and individual * * *.

4, a settlement year, the provisions of outpatient medical expenses according to a hospitalization settlement, but there is no Qifubiaozhun.

How to reimburse medical insurance for college students in Hangzhou?

First, how to reimburse medical insurance during school?

There is no capping line and no maximum payment limit, and medical treatment in the school hospital or Hangzhou medical insurance designated hospital can be reimbursed according to the above ratio.

Second, during the winter and summer vacations, how to reimburse medical insurance due to illness or internship? College students need medical treatment in medical insurance designated medical institutions in their places of residence and practice. If the designated hospital is the designated hospital in the main city, they can directly settle the reimbursement; If not, individuals can pay medical expenses in advance and settle them with the relevant urban medical insurance agencies.

Third, how to reimburse medical insurance when going out temporarily?

After the individual pays in full, it will be settled by the medical insurance agency in Hangzhou or district.

Fourth, how to reimburse medical insurance for treatment in different places?

The medical expenses that meet the scope of medical insurance transferred to Shanghai and Beijing shall be paid in full by the individual, and shall be paid by the medical insurance agency of the city or district where they are located 10% by the individual first, and then settled according to the regulations. Among them, outpatient medical expenses can be settled in designated medical institutions on campus according to regulations.

Materials needed for medical insurance reimbursement of college students in Hangzhou

1, my social security card (or ID card);

2. My bank card;

3. For reimbursement of outpatient expenses, it is necessary to provide the original receipt of valid medical expenses, the original medical records at that time, and the original or photocopy of the medical expenses list;

4. For reimbursement of hospitalization expenses, the original or photocopy of valid medical expense receipt, discharge record and detailed list of hospitalization expenses shall be provided;

5. When reimbursing the medical expenses of trauma, it is also necessary to provide the description of trauma. Involving liability identification or commercial insurance claims, it is necessary to provide a traffic police accident identification book, a court judgment, a court execution record, a mediation book or an insurance claim form, one original and one copy each;

6. Entrust others to do it for you, and you also need to bring the social security card (or ID card) of the agent.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

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