What is the reimbursement process of Anhui medical insurance in different places?

Anhui medical insurance off-site reimbursement process:

1, the patient himself carries the ID card and the new rural cooperative medical certificate to the participating institutions for referral and filing procedures;

2. Carry the above information to handle the hospitalization procedures of the new rural cooperative medical system; The patient was hospitalized;

3, after discharge, with the patient's ID card, new rural cooperative medical certificate, copy of medical records, hospitalization expenses list and referral filing procedures to the participating institutions for reimbursement.

The scope of reimbursement of the basic medical insurance fund for urban residents is as follows:

1, hospitalization expenses;

2. Medical expenses within 7 days before emergency observation and hospitalization;

3, in line with the provisions of the urban residents special disease outpatient medical expenses;

4. Other expenses that meet the requirements. The law determines the scope of reimbursement by excluding enumeration.

The reimbursement ratio of medical insurance for urban residents is as follows:

1, for medical treatment in tertiary medical institutions, 60% will be paid by residents' basic medical insurance fund, and 40% will be borne by individuals;

2, in the secondary medical institutions for medical treatment, 70% paid by the residents' basic medical insurance fund, personal burden of 30%;

3, in a medical institution, township hospitals for medical treatment, by the residents' basic medical insurance fund to pay 80%, personal burden of 20%.

To sum up, in the reimbursement process of Anhui medical insurance in different places, patients bring their ID cards and certificates of the new rural cooperative medical system to the agencies in the insured areas for referral and filing procedures; Carry the above information to handle the hospitalization procedures of the new rural cooperative medical system; The patient was hospitalized; After discharge, the patient will submit his/her ID card, new rural cooperative medical certificate, a copy of medical records, a list of hospitalization expenses and referral filing procedures to the participating institutions for reimbursement.

Legal basis:

Article 4 of People's Republic of China (PRC) Social Insurance Law

Employers and individuals in People's Republic of China (PRC) pay social insurance premiums according to law, and have the right to inquire about payment records and personal rights records, and require social insurance agencies to provide social insurance consultation and other related services.

Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.