What is the proportion of medical insurance reimbursement in different places in Hubei Province?

Proportion of reimbursement for medical treatment in different places in Hubei Province:

1, 65% of the employees in the first-level hospitals can be reimbursed by medical insurance;

2. Staff in secondary hospitals can be reimbursed 60% for medical insurance;

3, tertiary hospital staff, medical insurance can be reimbursed 50%.

For reimbursement after medical treatment in different places, the parties concerned should first go through the registration procedures for medical treatment in different places in the medical insurance handling department of the insured place. If the insured place and the medical treatment place realize the medical insurance network settlement, after going through the medical treatment procedures in different places in accordance with the relevant provisions of local medical insurance, you can swipe the medical insurance card at the medical treatment place to directly settle the medical expenses.

There are three reimbursement methods for medical insurance in different places:

1. According to the local medical insurance regulations, people who go to other places for medical treatment should first go through the registration procedures for medical treatment in other places at the medical insurance agency in the insured place, and the medical expenses incurred by medical treatment in other places should be paid in advance by themselves. After the medical treatment, you should go through the reimbursement procedures with the relevant bills to the medical insurance agency in the insured area.

2. If the medical insurance network settlement is realized between the insured place and the medical treatment place, the personnel who need medical treatment in different places can go through the medical treatment procedures in different places according to the relevant provisions of local medical insurance, and then go to the medical treatment place to brush the medical insurance card for medical treatment, and directly settle the medical expenses without paying the medical expenses in advance. This method has been realized in some provinces, and in some places, inter-provincial network settlement has been realized.

3. The insured place and the medical place where the insured person wants to go have established a cooperative relationship of medical insurance reimbursement, so that the insured person can directly entrust the medical insurance agency in the medical place to handle the medical expenses reimbursement in the medical place after the medical insurance agency in the insured place has gone through the relevant registration and filing procedures.

4. If you are hospitalized, the reimbursement of medical insurance in different places needs to be reported to the local medical insurance bureau for the record. When I leave the hospital, I will go to the local medical insurance bureau to settle the hospitalization expenses with the hospital's diagnosis certificate, discharge summary, medication list, medical expense receipt and medical guarantee. If I can't come, I can also entrust an agent to handle medical insurance reimbursement in different places.

Legal basis:

"People's Republic of China (PRC) Social Insurance Law" Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

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

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.