Suzhou medical insurance card reimbursement how to reimbursement

1, admission or discharge must hold medical insurance C card to the medical insurance management window of each designated medical institution for hospital registration procedures. 2、The starting line of the integrated fund after the hospitalization of the insured 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. Within one basic medical insurance settlement year, the medical fees for multiple hospitalizations are calculated cumulatively. 3. If the insured person needs to be referred (hospitalized) due to his/her condition, he/she 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 (hospitalization), and his/her unit will fill out an application form, which will be reviewed and agreed to by the medical insurance management department of the designated medical institution and reported to the social security institution of the city (district) for approval to carry out the procedures of referral (hospitalization). 4. When discharged from the designated medical institution, the designated medical institution will calculate the amount of reimbursement and the amount of personal out-of-pocket payment in accordance with the relevant policies, and the reimbursement amount will be settled by the designated medical institution and the urban social insurance agency, while the amount of personal out-of-pocket payment will be settled by the designated medical institution and the insured person himself/herself. 5, in the designated hospitals when you show your health insurance card to prove the identity of the insurance and registration, individuals do not need to pay before reimbursement, directly from the health insurance and hospital settlement of the part of the health insurance reimbursement, only in the checkout, the part of the out-of-pocket payment by their own health insurance card balance or cash

Social Insurance Law, Article 23 Employees shall participate in the basic medical insurance of the employees, and the employer and the employer shall be responsible for the basic medical insurance. Medical insurance, by the employer and the employee in accordance with the provisions of the State *** with the payment of basic medical insurance premiums. Individual industrial and commercial households without employees, part-time workers who do not participate in the basic medical insurance for employees in their employing units, and other flexibly employed persons may participate in the basic medical insurance for employees, and individuals shall pay the basic medical insurance premiums in accordance with the state regulations. Article 28 of the Social Insurance Law: Medical expenses in accordance with the basic medical insurance drug list, diagnostic and therapeutic items, standards of medical service facilities, as well as emergency treatment and rescue, shall be paid out of the basic medical insurance fund in accordance with state regulations.