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Taizhou medical insurance reimbursement policy
Legal analysis: Taizhou medical insurance reimbursement process and required materials Reimbursement materials 1, medical insurance calendar 2, IC card 3, list of medical expenses 4, receipts 5, certificate of grade of the medical institution and medical records 6, discharge summary of hospitalized patients and other related materials. Reimbursement Procedure Reimbursement will be made at the local health insurance organization with the above documents. Starting standard: RMB 600 for designated medical institutions of the first level or below within the scope of the insured area; RMB 800 for designated medical institutions of the second level or above within the scope of Taizhou City; and RMB 1,000 for designated medical institutions of the second level or above outside the scope of Taizhou City (the second level is limited to public institutions outside the province). Starting standard for the number of hospitalizations: If you are hospitalized for more than two times within the same medical insurance year, the starting standard for each hospitalization from the second time onwards will be calculated at 50% of the starting standard for admission to a designated medical institution.
Legal basis: "The Chinese People's **** and State Social Insurance Law"
Article 2 The State establishes a social insurance system of basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance and other social insurance systems, to protect the right of citizens to obtain material assistance from the State and society in old age, sickness, industrial injury, unemployment and maternity, etc. in accordance with the law.
Article 26 The standards of treatment for basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State.
Article 28 Medical expenses that conform to the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical service facilities, as well as those for emergency and rescue shall be paid from the basic medical insurance fund in accordance with the state regulations.
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