How long is the interval between two hospitalizations?

How long is the interval between one hospitalization and two hospitalizations?

1, the interval between two hospitalizations is less than 30 days, which can be regarded as one hospitalization. The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations. 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.

2. Legal basis: Article 29 of People's Republic of China (PRC) Social Insurance Law.

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.

Article 30

The following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(3) borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.

Second, what is the hospitalization reimbursement process?

The hospitalization reimbursement process is:

1, when entering or leaving the hospital, you must go through the registration formalities at the medical insurance management window of each designated medical institution with a medical insurance IC card;

2, the insured after hospitalization as a whole fund deductible is divided into three files. In a basic medical insurance settlement year, the cumulative calculation of medical expenses for multiple hospitalizations;

3. If the insured needs referral due to illness, I will put forward referral opinions after diagnosis by the deputy chief physician or director of the department at the designated medical institution, and the unit to which I belong will fill in the application form, which will be reviewed and approved by the medical insurance management department of the designated medical institution and reported to the urban social security institution for referral procedures. The transfer is limited to provincial specialized hospitals, and the expenses are paid by me first. The reimbursement standard is 10% first, and then the reimbursable amount is calculated according to local regulations.

4. When the designated medical institutions are discharged from the hospital, the reimbursement amount and the amount payable by individuals shall be calculated by the designated medical institutions, and the reimbursement amount shall be settled by the designated medical institutions and urban social insurance agencies, and the amount payable by individuals shall be settled by the designated medical institutions and the insured.