Wuhan hospitalization social security how to reimbursement process

Hospitalization medical insurance reimbursement process and notes:

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 go through the registration procedures for entering and leaving the hospital. When you are hospitalized, you have to pay the medical fee deposit in advance, and then you have to pay more or less after you are discharged from the hospital. Medical fees incurred before hospitalization registration are not covered by basic medical insurance. If you are hospitalized due to an emergency and cannot complete the hospitalization registration procedures in time, you should go to the medical insurance management window on the next day after you are admitted to the hospital with a certificate of emergency to complete the hospitalization procedures (if postponed in case of holidays), and you will be responsible for the medical fees incurred in case the time limit is exceeded.

2. The starting line of the integrated fund after hospitalization: the starting line varies from place to place and is generally 10% of the average annual salary of the city's employees in the previous year, and the medical fees for multiple hospitalizations are calculated cumulatively within a basic medical insurance settlement year.

3. If the insured person needs to be referred or transferred to another 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 at or above the third level and then put forward the opinion of referral, and then his unit will fill in the application form, which will be reviewed and agreed by the management of the medical insurance department of the designated medical institution and reported to the municipal (district) social security institutions for approval to carry out the procedures of referral.

The transfer is limited to the provincial special hospitals, the cost of which is first advanced by the person, and its reimbursement rate should be 10% first, and then calculate the reimbursable amount in accordance with local regulations.

4. When discharged from a designated medical institution, each designated medical institution will calculate the amount of reimbursement and the amount that an individual should pay out of pocket in accordance with the relevant policies; the reimbursement amount will be settled between the designated medical institution and the municipal social insurance agency, and the amount that an individual should pay out of pocket will be settled between the designated medical institution and the insured person himself/herself.

Extended reading: insurance how to buy, which is good, hand to teach you to avoid the insurance of these "pits"