How to reimburse the hospitalization of the third grade social security

Legal analysis: 1. When you are admitted or discharged from the hospital, you must go to the medical insurance management window of each designated medical institution with your medical insurance IC card to register for hospitalization. When hospitalized, individuals should pay 2000 yuan in advance for medical expenses, and more or less after the discharge checkout. Medical fees incurred before hospitalization registration shall not be included in the scope of payment of basic medical insurance. If you are hospitalized due to an emergency and fail to apply for hospitalization registration procedures in time, you should go to the medical insurance management window on the next day after admission to the hospital (postponed on holidays) with a certificate of emergency to make up for the hospitalization procedures, and you will be responsible for your own medical fees if the time limit is exceeded. 2. The starting line of the integrated fund for the hospitalized insured persons is divided into three grades: 1,000 yuan for the third-level hospitals, 600 yuan for the second-level hospitals, and 400 yuan for the first-level hospitals. In a basic medical insurance settlement year, the medical fees for multiple hospitalizations are calculated cumulatively.3. If an insured person needs to be referred to a hospital due to his condition, he must be diagnosed by the deputy chief physician or the head of the department of the designated medical institution (above the third level) and put forward the opinion of referral to a hospital, and then his unit will fill in the application form, and then submit it to the municipal social security institution for approval after the examination and approval of the medical insurance management department of the designated medical institution. Procedures. The transfer is limited to the provincial special hospital, and the expenses will be paid by the person first, and the reimbursement standard will be 10% of the person's own expenses first, and then the reimbursable amount will be calculated according to the local regulations. 4. When discharged from the fixed-point medical institution, the fixed-point medical institution will calculate the reimbursement amount and the amount that the person should pay according to the relevant policies, and the reimbursement amount will be settled by the fixed-point medical institution and the urban social insurance agency, and the amount that the person should pay will be settled by the fixed-point medical institution and the participant himself. The reimbursement amount will be settled by the designated medical institution and the urban social insurance agency, and the amount that the individual should pay out of pocket will be settled by the designated medical institution and the insured person. Legal basis: "People's Republic of China *** and the State Social Insurance Law" Article 26 The basic medical insurance for employees, the new type of rural cooperative medical care and basic medical insurance for urban residents in accordance with national regulations.