Job Recruitment Website - Social security inquiry - Wudi county medical insurance office telephone number
Wudi county medical insurance office telephone number
Medical insurance refers to social medical insurance. It is a social insurance system that meets the basic medical needs of the state and society according to laws and regulations when workers are sick.
20 16 65438+ 10/2 the State Council issued "opinions on integrating the basic medical insurance system for urban and rural residents" to promote the integration of medical insurance for urban residents and the new rural cooperative medical system, and gradually establish a unified national medical insurance system for urban and rural residents.
On February 20th, 2065438+0616, Ministry of Human Resources and Social Security held a video conference on the nationwide networking of basic medical insurance and direct settlement of medical treatment in different places, and signed letters of responsibility with the first batch of 22 provinces including Beijing, which applied for nationwide networking of basic medical insurance and direct settlement of medical treatment in different places, marking the formal implementation stage of direct settlement of medical treatment in different places.
According to the statistical bulletin of June 20021year, the number of people participating in the national basic medical insurance in 2020 is 136 13 1 10,000, and the participation rate is stable at over 95%.
The process of applying for medical insurance reimbursement is as follows: 1. After the patient is hospitalized, the medical insurance patient can go through the social security registration formalities in the hospital with his ID card, medical insurance card and other documents; 2. When the patient is discharged from the hospital to settle the medical expenses, it is necessary to wait until the admission fee office handles the discharge settlement formalities with the admission registration form and ID card, and there is no need to submit an expense account to the social security center; After being audited by relevant departments, the applicant can receive the Social Medical Insurance Medical Expense Reimbursement Form for reimbursement. 3. For reimbursement of medical expenses, if the medical expenses incurred by the insured in the agreed medical institutions meet the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards, they can only be paid from the basic medical insurance fund in accordance with state regulations. The emergency expenses and medical service expenses of the insured shall be reimbursed according to the local actual situation and the formulation of specific management measures.
"Detailed Rules for the Implementation of the Social Insurance Law of People's Republic of China (PRC)" Article 8 If the medical expenses incurred by the insured in the agreed medical institutions meet the standards of the basic medical insurance drug list, diagnosis and treatment items and medical service facilities, they shall be paid by the basic medical insurance fund in accordance with state regulations. If the insured really needs emergency treatment and rescue, he can seek medical treatment in a non-agreement medical institution; The scope of drugs that must be used for rescue can be appropriately relaxed. The specific measures for the administration of emergency and rescue medical services of the insured shall be formulated by the overall planning area according to the local actual situation.
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