What is the reimbursement rate for diabetes hospitalization?

The proportion of hospitalization reimbursement for diabetes is as follows:

1, if the medical expenses are between 0 and 40 thousand yuan, then the medical insurance can be reimbursed about 85%;

2. If the medical expenses are 40,000-80,000 yuan, then the medical insurance can be reimbursed by about 90%;

3. If the medical expenses are more than 80,000 yuan, then the medical insurance can reimburse about 95%.

How to use the medical insurance card:

1. Scope of use of medical insurance card: When insured employees buy medicines in designated hospitals and pharmacies, they can swipe their cards on POS machines with their passwords, but they cannot withdraw cash or transfer money;

2. Inquire about the balance of medical insurance card: Insured employees can inquire about the balance by telephone, or at the Bank Savings Office of China or the designated hospitals and pharmacies in the urban area. You can also log in to the social security inquiry system online;

3. Inquiry of medical insurance card transaction: Insured employees can print medical insurance card transaction records, including personal account payment records and consumption records, at China Bank Savings Office with their ID cards and medical insurance requirements. If you have any questions about the transaction records, you can go to the retail business department of Bank of China for enquiry.

4. Medical insurance card password: The insured employees can change their passwords by phone or bring their ID cards to the Bank of China Savings Office. If the insured employee forgets the password, he can report the loss of the original password and change the password with his ID card at China Bank Savings Office;

5. Custody of medical insurance card: Insured employees should keep the medical insurance card properly. If they accidentally lose it, please immediately issue a letter of proof to the unit and stamp it in the medical insurance office for confirmation. Then, they will take their ID cards to China Bank Savings Office to report the loss and go through the formalities. After 7 days, they can get a new card.

To sum up, when the number of medical insurance card transactions reaches 60, the insured employees must go to China Bank Savings Office to print the transaction records, or stop using the card. After the transaction record is printed, the card can continue to be used. In the pharmacy 100% will bear it by itself, and hospitalization can only enjoy the reimbursement ratio (which must be within the scope of medical insurance). If the hospitalization belongs to medical insurance coverage, the reimbursement amount shall be determined according to the actual expenditure.

Legal basis:

Article 27 of People's Republic of China (PRC) Social Insurance Law

Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

Article 29

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.