Where the money is credited after Medicare reimbursement

Medicare reimbursement after the money hit the insured person's social security card, health insurance card. Specific standards are as follows:

1, if the social security in the medical insurance reimbursement, foreign medical treatment, that is, not through the region of the health insurance department for the record, went to a foreign hospital for medical treatment, you need to advance medical expenses, to be discharged from the hospital, and then return to the local health insurance department with the hospitalization information to apply for reimbursement procedures. In this case, the reimbursement funds are directly credited to the social security card, which, in addition to its social security functions, also has financial functions.

2, in the health insurance co-ordination area hospitalization, belong to the health insurance reimbursement part, this is not need to play into the social security card, also do not need to play to my other bank card, basically in the hospital for real-time settlement, by the hospital advance and then reimbursement to the health insurance department, do not need to personal through the advance after reimbursement;

3, in the case of the hospitalization of the hospital, the hospital is not the only one in the hospital, the hospital is not the only one in the hospital, but the hospital is the only one in the hospital, and the hospital is the only one in the hospital. /p>

3, because according to the health insurance regulations, whether the payment of employee health insurance or urban and rural residents health insurance personnel, only hospitalization, special outpatient disease, chronic disease outpatient costs are involved in the reimbursement of health insurance, designated hospitals can be directly reimbursed, do not need to be personally advancing funds.

The specific standards for reimbursement are as follows:

1, the reimbursement rate for residents: town health center reimbursement of 60%; secondary hospitals reimbursement of 40%; tertiary hospitals reimbursement of 30%;

2, the urban residents, in a billing year, incurred in line with the scope of reimbursement of medical expenses of less than 100,000 yuan, tertiary hospitals, the starting standard of 659 yuan, reimbursement of 50% of the upper limit is 2,000 yuan; second-level hospitals hospitalization starting standard is 300 yuan, reimbursement rate of 55%; first-level hospitals do not set a starting standard, reimbursement rate of 60%;

3, foreign reimbursement, reimbursement needs to go back to the old place of insurance, reimbursement rate of 35-65%, depending on the level of the hospital and the proportion of different.

In summary, the reimbursement rate of each regional health insurance are not the same, urban and rural residents living in a different place for a long time, men aged 60 years old, women aged 55 years old, urban and rural residents and urban and rural residents in a different place of work, students and children living with them, for the record of registration for medical treatment in a different place, in the registration record of the hospitalization of hospitalization in the hospital starting line standard for the first level of hospitals 400 yuan, the second level of 800 yuan, three levels The reimbursement rate is the same as that of the local designated hospital.

Legal basis:

Article 28 of the Social Insurance Law of the People's Republic of China

Medical expenses that are in line with the basic medical insurance drug list, diagnostic and therapeutic items, standards of medical services and facilities, as well as those for emergencies and rescues, shall be paid out of the basic medical insurance fund in accordance with state regulations.

Article 29

The portion of the medical expenses of insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance administration organization and the medical institutions and drug business units.

The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.