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How to handle medical insurance in Zhen 'an County?

Insurance Bian Xiao helps you answer, and more questions can be answered online.

Medical insurance for urban workers is for people who work in factories and units, and they also buy it themselves, which is often referred to as medical insurance in "five insurances and one gold". It is the insurance that the state requires enterprises to buy for individuals. This kind of medical insurance has a wide range of uses. You can buy medicine, go to the clinic, stay in hospital, and enjoy reimbursement for serious illness clinic and maternity insurance. This medical insurance cost is relatively high.

At present, the reimbursement process has been simplified, and patients do not need to go to the social security center for reimbursement, but can settle accounts directly at the hospital.

The process is:

Admission: Patients with medical insurance will register for social security with their ID cards, and then go to the ward for hospitalization.

When discharged from hospital: the doctor arranges the patient to be discharged from hospital, and goes through the discharge settlement formalities at the inpatient charging office with the admission registration form and ID card.

Medical insurance for urban residents is aimed at the unemployed, children without medical insurance, the elderly and so on. Pay a fixed fee every year, generally 60 yuan, ranging from 30 to 30, depending on local policies. Residents' medical insurance participants can enjoy small outpatient expenses reimbursement and proportional hospitalization reimbursement.

At present, it can also be settled directly in the medical insurance office set up in the hospital.

The process is:

On admission: the insured shall pay the hospitalization deposit first with his ID card and the doctor's admission arrangement.

Discharge: The doctor arranges discharge and goes to the hospital to settle the discharge expenses. Then the hospitalization documents, charging documents, medical insurance cards and ID cards will be settled at the medical insurance office set up in the hospital. The reimbursement conditions must meet the reimbursement conditions of residents' medical insurance. The reimbursement ratio is based on the level of the hospital, and the hospital has set a starting point for reimbursement. Depends on local policies.

The new rural cooperative medical insurance is a medical insurance system established by the state for rural household registration personnel, and it is the most extensive new rural cooperative medical insurance in China at present. Pay around 50 yuan every year, and you can enjoy reimbursement of hospitalization expenses. Outpatient expenses can also be reimbursed in proportion. At present, in some areas, doctors in rural areas can reimburse part of the expenses.

The reimbursement for medical insurance hospitalization of the new rural cooperative medical system is similar to that of urban residents. Now it is also directly settled and reimbursed in the hospital medical insurance office.

The process is:

When staying in hospital, the insured will go to the hospital charge office to go through the hospitalization formalities and pay the hospitalization deposit with his ID card and doctor's arrangement.

When leaving the hospital, according to the doctor's arrangement, go through the discharge formalities and expenses settlement, and then go to the medical insurance office for hospitalization reimbursement with the receipt, hospitalization documents, ID card and medical insurance card.

The reimbursement of the above three kinds of medical insurance has now simplified the process, which is very convenient for the insured to reimburse. But the laws and policies vary from place to place. Specific operations also need to follow local procedures.