Job Recruitment Website - Social security inquiry - North Medical Center can be reimbursed by Medicare
North Medical Center can be reimbursed by Medicare
One, the medical insurance reimbursement scope refers to the basic medical needs to protect the participants, standardize the management of basic medical insurance medication, diagnosis and treatment, the basic medical insurance provides for the reimbursement scope of the drug directory, diagnostic and therapeutic items and medical service facilities (commonly referred to as the "three directories"). The medical expenses incurred by insured persons at designated hospitals in accordance with the three catalogs are paid by the medical insurance fund in accordance with the regulations.
The scope of reimbursement for medical insurance in cities and towns refers to all employers in cities and towns as follows:
1. including enterprises (state-owned enterprises, collective enterprises, foreign-invested enterprises, private enterprises, etc.);
2. organs, institutions, social organizations, private non-enterprise units and their employees, are required to participate in basic medical insurance;
2. organs, institutions, social organizations, private non-enterprises and their employees;
3. some cities and towns stipulate that township and village enterprises and their employees, as well as owners of self-employed economic organizations in cities and townships and their employees, shall gradually be included in the scope of the basic medical insurance (the last one depends on the policy of each place), and then they can enjoy medical reimbursement. Urban medical reimbursement mainly refers to the hospital to see a doctor, medicine, hospitalization, surgery, etc., can be through the medical insurance card in accordance with the relevant provisions of the medical expenses reimbursement, urban medical insurance is more specialized, the project size and coverage is larger, but its major diseases or accidents in the payment is limited, the author suggests that the participants can be purchased in addition to the commercial catastrophic medical supplemental insurance and social security for a combination of ways to alleviate their financial losses, to reduce their financial losses.
Three, the basic insurance does not pay for the cost of the scope of treatment items:
(a) services
1, registration fees, out-of-hospital consultation fees, medical records, such as the cost of books;
2, consultation fees, examination and treatment of expedited fees (except for emergencies), surcharge on the name of the surgical surcharges, high quality and premiums, self-employment of special nurses fees and other special needs medical services.
(2) non-disease treatment program category
1, a variety of cosmetic (cosmetic life, medical cosmetology) fitness program as well as messy non-functional cosmetic surgery, orthopedic surgery, etc.;
2, a variety of weight loss, gain weight, increase in height program;
3, a variety of health checkups;
4, a variety of preventive, health care diagnostic and therapeutic program;
3, a variety of health checkups;
4, a variety of preventive, health care diagnostic and treatment program.
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