Can hospitalization expenses be reimbursed?

Can hospitalization expenses be reimbursed?

The inspection fee during hospitalization can be reimbursed if it belongs to the inspection items within the scope of social security reimbursement.

According to the provisions of Article 28 of the Social Insurance Law of People's Republic of China (PRC), 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 of the Social Insurance Law of People's Republic of China (PRC) stipulates that the part of the insured's medical expenses that should be paid by the basic medical insurance fund shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.

What is the proportion of medical insurance reimbursement scope?

The difference between medical insurance drugs and non-medical insurance drugs, reimbursement deductible line is also different according to the level of the hospital. Generally, Class A drugs can enjoy full coverage, Class C drugs need to be paid at their own expense, and Class B drugs are reported at 80% and pay 20% by themselves. The scope of medical insurance reimbursement ratio:

1, outpatient and emergency medical expenses: the medical expenses that meet the requirements of basic medical insurance for employees in the year (1 10/February 31February) exceed 2,000 yuan.

2. Settlement ratio: 50% of the part of the dispatched personnel above 2,000 yuan will be reimbursed during the contract period, and 50% will be paid by the individual; The maximum reimbursement for outpatient and emergency services paid by dispatched personnel within one year is 20,000 yuan.

3. The insured shall properly keep the outpatient medical documents (including receipts and prescriptions below a large amount) in the designated hospitals as medical expense reimbursement vouchers.

Can hospitalization expenses be reimbursed?