The difference between medical insurance conceit and classified conceit

"Conceit" refers to the medical expenses within the settlement scope of medical insurance; "Classified self-payment" refers to the expenses paid by the insured individuals in cash according to the specified proportion or difference among some expenses paid by the basic medical insurance.

2. Different costs:

"Conceit" refers to the expenses borne by individuals in accordance with medical insurance regulations after deducting the expenses of "classification conceit"; "Classification at your own risk" refers to the expenses such as drugs, medical services and bed fees paid according to classification.

Extended data:

Reimbursement conditions

Article 28 of the Social Insurance Law stipulates that 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.

According to the basic requirements of the payment of basic medical insurance benefits in China, the insured person who goes to the medical insurance institution to reimburse the medical expenses incurred by himself for medical treatment generally meets the following conditions:

(1) The insured must go to the designated medical institution of basic medical insurance or to the designated retail pharmacy determined by the social insurance institution with the medical prescription issued by the doctor in the designated hospital.

(2) The medical expenses incurred by the insured in the process of medical treatment must conform to the basic medical insurance drug list, diagnosis and treatment items, the standard scope of medical service facilities and payment standards, and be paid by the basic medical insurance fund according to regulations.

(III) Among the medical expenses that the insured meets the scope of payment of basic medical insurance, the part that is higher than the Qifubiaozhun of the social medical co-ordination fund and lower than the maximum payment limit shall be paid by the social medical co-ordination fund in a unified proportion.

What does the name of Shanghai Social Security Bureau mean-medical insurance expense settlement?