How to calculate medical insurance settlement after hospitalization?

In the case of social medical insurance, the hospitalization expenses are directly settled with the hospital by the social security bureau, and the settlement formula is: (total expenses-self-payment line-non-social security drugs) X.

80%

The rest is paid from the hospitalization deposit (that is, the money is paid by itself); Suppose you are hospitalized in Zhongshan Medical College, Guangzhou, and the total cost is 10000, and the self-funded medicine is 1500, then the social security will be settled automatically (10000-2000-1500) *

80%=5200; Pay 4800 yourself.

In the case of commercial insurance, there are generally two kinds: one is itemized, within the limit of each project, social security drugs 100% are reimbursed, but it is difficult to calculate, and I don't know how much to reimburse before making claims; The other is regardless of the project, and the formula is: (total cost-non-social security drugs) *

Reimbursement proportion (80 or 90%)= reimbursement expenses, and the rest will be paid by yourself.

Answer supplement

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