Proportion of medical insurance reimbursement in Zhangzhou City

Proportion of medical insurance reimbursement in Zhangzhou City

How to reimburse Zhangzhou people for medical treatment in different places? What is the proportion of medical insurance reimbursement in Zhangzhou?

1, recommendation certificate. If you want to use a medical insurance card for reimbursement when you go to a foreign country to see a doctor, you must first issue a referral certificate at the local hospital. This certificate needs to be in a slightly larger local hospital, at least above the county level;

2. The seal of the hospital. After the referral certificate is issued in a hospital at or above the county level, it needs to be stamped. This chapter is not only the chapter of the hospital, but also the chapter of the hospital social security window where the referral certificate is issued; ?

3. Social Security Bureau registration. After opening the referral certificate and the seal of the hospital, I went to the local instrument bureau to register with relevant information. This registration is mainly filed in the Social Security Bureau to facilitate reimbursement of medical insurance in different places in the future;

4. Hospital invoice. The reimbursement for medical treatment in different places is mainly hospitalization. Let the hospital make an invoice after seeing a doctor, and be sure to keep the invoice, which is the basis for reimbursement; ?

5. Reimbursement by Social Security Bureau. When you come back from illness, you should go to the local social security bureau for reimbursement, and bring relevant materials, including invoices, ID cards, household registration books, social security cards, etc.

6. Outpatient reimbursement. Generally, it is more troublesome to reimburse hospitalization expenses in different places, but if it is outpatient expenses in different places, you don't have to bother. Just bring the invoice back to the Social Security Bureau for reimbursement.

What is the proportion of medical insurance reimbursement? ?

The proportion of medical insurance reimbursement varies from region to region:

I medical insurance for urban and rural residents 1. The hospitalization expenses of the insured residents within the designated medical institutions shall be paid by the urban and rural residents' medical insurance fund in proportion.

2. Outpatient reimbursement: village clinic: hospitalization payment ratio: 70%; Insured residents: 30%; Township hospitals and community health service centers: 60%; Insured residents: 40%?

3. Hospitalization reimbursement: not less than 85% for township hospitals, not less than 70% for county hospitals, not less than 60% for municipal hospitals and not less than 50% for provincial hospitals. If the referral procedures are not handled according to the graded diagnosis and treatment plan (except for the rescue of critically ill patients), the payment ratio will be reduced accordingly 15%.

Second, medical insurance for urban workers.

Medical insurance reimbursement for employees: the first-class charging standard is designated hospitals, and the minimum payment standard is 900 yuan, 1000 yuan or less 12%.

Designated hospitals with secondary charging standard: Qifubiaozhun is 600 yuan, and 9% will be reimbursed below 1 0,000 yuan.

Designated hospitals with three charging standards: the minimum payment standard is 300 yuan, and the reimbursement below 1000 yuan is 5%.

Three. Commercial medical insurance

The reimbursement rate of commercial medical insurance is generally above 80%. As long as there is no "threshold" for admission of commercial medical insurance in hospitals at or above the county level, the insured can be reimbursed at the rate of 80% within the coverage. Millions of medical insurance, with medical insurance can be reimbursed 100%, without medical insurance can be reimbursed 60%.