Medical insurance reimbursement outside the province of Huaxi Hospital

I. Process of reimbursement for medical insurance in different places The process of reimbursement for medical insurance in different places is as follows: (1) If you want to enjoy reimbursement for medical insurance in different places, you must first file it with the medical insurance agency in the insured place, and you must clearly write down the reasons for filing and the place where you seek medical treatment. If you live in a different place for more than half a year, you can seek medical treatment in a different place for a long time. If you need to change the province where you live for a long time, you can make another record. If you don't live in a different place for a long time and need medical treatment in a different place, you can make a short-term record, but if you have a short-term record, it can only be valid at that time and can be handled multiple times. If the insured person needs medical treatment in other provinces during traveling and visiting relatives, he can make emergency records, but he must submit a copy of admission certificate to the medical insurance agency where the individual medical insurance is located. (2) medical treatment and hospitalization registration. Insured people can choose three designated hospitals when they apply for medical treatment in different provinces, and the insured people can choose hospitals among these three designated hospitals. (3) Enroll in school with a social security card. The insured person holds the social security card to the designated hospital for admission registration. After leaving the hospital, he can use the medical insurance card to reimburse medical expenses at the hospital's off-site settlement window. Second, the process of medical treatment in different places (1) Transfer-out process 1. The insured person shall register with the agency of the insured place before seeking medical treatment across provinces. 2, the insured agency shall handle the medical record filing procedures of the insured in different places in accordance with local regulations, establish a medical record library in different places and realize dynamic management. 3. The insured agencies will report the information of medical personnel in different places to Ministry of Human Resources and Social Security social insurance agencies (hereinafter referred to as ministerial agencies) to form a national database of medical personnel in different places for medical institutions and designated medical institutions to obtain the information of medical personnel in different places. (II) Settlement Process When the insured person is discharged from a different place for medical treatment, the agency at the place of medical treatment will transmit the hospitalization expenses and other information of the medical personnel in different places to the agency at the place of medical treatment in real time through the national settlement system for medical treatment in different places according to the unified national expense list. Third, the proportion of medical insurance reimbursement (1) The proportion of medical insurance reimbursement in the whole city is 92% in first-class hospitals, 90% in second-class hospitals, 85% in third-class hospitals, 2% in hospitals over 60 years old, 4% in hospitals over 60 years old, 89% in third-class hospitals, and 6% in hospitals over 80 years old. Similarly, it is 8%. Not more than 65,438+000% (2) The proportion and grade of medical insurance reimbursement for urban and rural residents. Paid hospital level 1 10065% 60% 55% 35% level 2 20090%80%65%50% level 3 30090%85%80%65% students 65438. 0.2+75) ÷ On the basis of 100, the age of 50-59 increased by 2%, and the age of 60-69 increased by 4%; For example, the 60-year-old increases by 87%+4% = 9 1%, the 70-79-year-old increases by 6%, and the 80-89-year-old also increases by 8%, not exceeding 65,438+.