Is there a time limit for medical insurance rehabilitation hospitalization?

There is no rule that medical insurance patients can't stay in hospital for more than a few days at a time.

In reality, some patients spend too long in hospital. In order to reduce the average hospitalization time, some hospitals will require patients to be hospitalized again after discharge. However, the medical insurance department has no regulations in this regard.

First, the social security hospitalization reimbursement process

Admission: Patients with medical insurance will register for social security with their ID cards, and then go to the ward for hospitalization. When discharged from hospital: the doctor arranges the patient to be discharged from hospital, and goes through the discharge settlement formalities at the inpatient charging office with the admission registration form and ID card. Then the hospitalization documents, charging documents, medical insurance cards and ID cards will be settled at the medical insurance office set up in the hospital. The reimbursement conditions must meet the reimbursement conditions of residents' medical insurance. The reimbursement ratio is based on the level of the hospital, and the hospital has set a starting point for reimbursement. Policies vary from place to place. At present, the process of reimbursement for hospitalization of urban workers' medical insurance has been simplified, and patients can directly settle accounts at the hospital site without going to the social security center for reimbursement.

Second, the hospitalization procedures

1, the doctor issued a notice of admission.

2, to the inpatient department to pay a fee, the specific amount can ask the doctor.

3. Go to the inpatient nurse station to go through the specific hospitalization procedures, fill in the patient information, and measure the weight and height.

4. If the medical insurance has been opened, give the medical card to the toll office for safekeeping and get it back when you leave the hospital.

5. Understand the hospital regulations and related matters, remember the patient's hospitalization number, ask the attending doctor and the nurse in charge, and make all the preparations for hospitalization in time.

Third, how long will it take to get effective after medical treatment in different places?

1. The purchase of social security or the new rural cooperative medical system generally takes effect on 1 day of the month when the tax department collects the premium. Among them, if it is the first time to participate in the basic medical insurance, the application will take effect the next month, that is, it will take nearly three months from the beginning of the application to the official entry into force. Among them, hospitalization reimbursement can only be enjoyed after continuous payment for 6 months.

2. Commercial medical insurance itself has no restrictions on the location of medical treatment, but part of the cost insurance is reimbursed after medical insurance, so it is affected by the reimbursement expenses of medical insurance. Long-term medical treatment in different places: medical treatment in different places must first be audited by relevant departments. Before seeking medical treatment in a different place, the insured person must register with the social security institution in the insured place and go through the formalities for filing medical treatment in a different place. After going through these procedures, the expenses of hospitalization in designated hospitals in other cities can be reimbursed according to the corresponding proportion of the insured places. After medical insurance reimbursement, commercial reimbursement claims will be made, and the total expenses will be deducted from the medical insurance reimbursement expenses and then reimbursed according to the proportion of commercial insurance. Referral for medical treatment in different places: if necessary, go through the referral procedures, issue the referral certificate to the local hospital, file with the local social security agency, and go through the hospitalization procedures in the target superior hospital. After the formalities are completed, you should go to the local social security agency for reimbursement with the hospital medical record, expense list, discharge summary, invoice, disease diagnosis certificate, ID card and social security card. If you can directly swipe the medical insurance card to settle the hospital in different places, you can directly swipe the card to settle the account. After completing the reimbursement procedures, take the above information and the infringement form or settlement form printed by the Social Security Bureau, and then reimburse the unreimbued part of medical insurance through business. There is no need for referral for medical treatment in different places. If the insured fails to go through the referral registration procedures outside the city or the permanent residence is in the mainland for medical treatment, the hospitalization medical expenses incurred by non-designated medical institutions in China will be paid in cash first, and then the relevant documents and materials will be used to apply to the municipal social insurance institution for reimbursement of medical expenses, but the reimbursement ratio will be reduced by 30%. The reimbursement amount of commercial medical insurance is the unabsorbed part of medical insurance after reducing the reimbursement ratio. Medical treatment in different places is not reimbursed by medical insurance. This situation depends on the actual situation. Some commercial insurance is divided into social security and non-social security versions. Sometimes due to occasional business trips, business trips are not within the scope of social security reimbursement, and the proportion of compensation will be reduced when making claims.

I hope the above contents are helpful to you. If in doubt, you can consult a professional lawyer.

Legal basis: Article 8 of the Social Insurance Law of People's Republic of China (PRC): If the medical expenses incurred by the insured in the agreed medical institutions meet the standards of the basic medical insurance drug list, diagnosis and treatment items and medical service facilities, they shall be paid from the basic medical insurance fund in accordance with state regulations. If the insured really needs emergency treatment and rescue, he can seek medical treatment in a non-agreement medical institution; The scope of drugs that must be used for rescue can be appropriately relaxed. The specific measures for the administration of emergency and rescue medical services of the insured shall be formulated by the overall planning area according to the local actual situation.