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Reimbursement ratio for hospitalization in Guangzhou
Guangzhou's health insurance policy is as follows:
1. Reimbursement for medical treatment in a different place. If you pay medical insurance in Guangzhou, the reimbursement rate is eighty percent.
2. Outpatient reimbursement. In the community outpatient coordination designated institutions can be reimbursed half of the outpatient, reimbursement rate of 60% to 70%.
3. Reimbursement for major diseases. If you suffer from a serious illness, you can apply for medical aid for major illnesses. The benefits are paid in accordance with the relevant regulations and standards.
4. Reimbursement ceiling. The reimbursement ceiling for medical insurance is set according to the relevant regulations and the actual situation of the locality.
5, medical insurance reimbursement rate. According to the specific medical insurance policy, the hospitalization reimbursement rate in Guangzhou is 80%.
To see a doctor to reimburse the medical insurance materials:
1, medical insurance card: hold a valid medical insurance card;
2, medical records: need to provide medical records, including the consultation department, the date of consultation, diagnosis results, treatment programs, etc.;
3, the prescription pad: need to provide the original prescription pad and a copy of the original, including the name of the drug, the dosage, the use of medicine, the use of time and other information
4, receipts: you need to provide the original and copies of receipts for the purchase of drugs or treatment costs, including the name of the drug, the number of unit price, the amount of money and other information;
5, hospitalization records: if you are hospitalized, you need to provide inpatient hospital records, discharge summary and other hospitalization records;
6, other related materials: such as the outpatient medical expenses settlement statement, the inpatient medical expenses settlement statement, hospital-issued inspection reports, laboratory reports, etc..
In summary, the process of medical insurance reimbursement may be slightly different in different regions, and the specific operation steps can be adjusted according to the local policy regulations and actual situation.
Legal basis:
Article 2 of the Social Insurance Law of the People's Republic of China
The State establishes a social insurance system for basic pension insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance, etc., and guarantees the right of citizens to obtain material assistance from the State and society in accordance with the law in the event of old age, sickness, industrial injury, unemployment and maternity.
Article 3
The social insurance system adheres to the policy of broad coverage, basic protection, multi-level and sustainability, and the level of social insurance shall be commensurate with the level of economic and social development.
Article 4
Employing units and individuals within the territory of the People's Republic of China*** and the State pay social insurance premiums in accordance with the law, and have the right to inquire about the records of payment of premiums and the records of individual rights and interests, and to request that the social insurance administration agencies provide social insurance counseling and other related services.
Individuals enjoy social insurance benefits in accordance with the law, and have the right to supervise the payment of contributions for them by their own units.
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