Does Beijing Massage Hospital reimburse social security?

Social security reimbursement of Beijing Massage Hospital.

Medical insurance can generally reimburse the reasonable and necessary medical expenses caused by illness or accidental injury, and the bed fee is obviously a reasonable and necessary medical expense.

Social security medical insurance reimbursement scope:

1. General outpatient and emergency expenses incurred by the insured in designated hospitals for medical insurance or specialized hospitals, traditional Chinese medicine hospitals and tertiary hospitals (Friendship, Xuanwu, Guang 'anmen Traditional Chinese Medicine, Tongren, Sheikh, Beijing Third Hospital, Peking University People, Peking University First, Jishuitan, Chaoyang, Gong Jian and Liangxiang) selected by individuals.

Proportion of social security medical insurance reimbursement:

1. In a natural year, the average outpatient and emergency expenses incurred by on-the-job personnel total more than 2,000 yuan, 50% of which is paid by the large medical mutual aid fund with more than 2,000 yuan, and 50% is paid by individuals.

2. For retirees who have accumulated more than 1300 yuan, 70%, 30%, 80% and 20% will be paid by the large medical mutual fund over 70 years old and individuals respectively.

The maximum payment limit in a natural year is 20000 yuan.

Social security medical insurance reimbursement process:

1. If the accumulated amount exceeds the minimum payment standard in a natural year, the insured shall submit the documents to the unit or social security office, which will enter the documents into the enterprise version and declare the electronic information and documents to the medical insurance center.

2. The medical insurance center shall complete the review, settlement and payment within 15 working days.

Social security medical insurance reimbursement application materials:

1. General outpatient and emergency receipts, medical insurance prescriptions (dual-price prescriptions), and detailed examination and treatment expenses.

To sum up: if this medical insurance is to be reimbursed, then this condition mainly includes the scope of the project. As long as it is within this reimbursement range, then medical insurance can be reimbursed without other unnecessary conditions.

Laws and regulations:

Article 28 of People's Republic of China (PRC) Social Insurance Law

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

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.

Article 30

The following medical expenses are not included in the payment scope 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.