Job Recruitment Website - Social security inquiry - Can I be reimbursed for five risks after just being hospitalized for one month?
Can I be reimbursed for five risks after just being hospitalized for one month?
However, it should be noted that the social security policies of different cities and regions may be different, and the specific reimbursement standards and procedures may be different. Therefore, it is recommended that you consult the local social security agency or the financial department of the hospital during hospitalization to understand the specific reimbursement policies and procedures.
In addition, it should be reminded that the medical insurance reimbursement provided by social insurance can only cover a certain range of medical expenses, and the specific reimbursement ratio and limit will be different. Therefore, before hospitalization, it is recommended that you carefully read the social security policy of your city or region and understand the specific reimbursement scope and standards of medical insurance, so as to make corresponding preparations and plans.
Legal basis:
"People's Republic of China (PRC) social insurance law" thirtieth the following medical expenses are not included in the scope of payment of the basic medical insurance fund:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(three) shall be borne by public health;
(4) Go abroad for medical treatment.
Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.
People's Republic of China (PRC) Social Insurance Law Article 4 Employers and individuals in People's Republic of China (PRC) pay social insurance premiums according to law, and have the right to inquire about payment records and personal rights and interests records, and require social insurance agencies to provide social insurance consultation and other related services.
Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.
"People's Republic of China (PRC) Social Insurance Law" Article 23 * * * employees shall participate in the basic medical insurance for employees, and employers and employees shall pay the basic medical insurance premiums in accordance with state regulations.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.
People's Republic of China (PRC) Social Insurance Law Article 7 The administrative department of social insurance in the State Council is responsible for the management of social insurance throughout the country, and other relevant departments in the State Council are responsible for the relevant social insurance work within their respective functions and duties.
The social insurance administrative department of the local people's government at or above the county level shall be responsible for the social insurance management within its administrative area, and other relevant departments of the local people's government at or above the county level shall be responsible for the relevant social insurance work within their respective functions and duties.
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- Chengdu Social Security Grade Standard 2022