How to reimburse the medical service fee?

Question 1: How to reimburse the medical service fee? There are no specific regulations in the city, but all districts and counties are allowed to make appropriate adjustments according to the exhibition level of their own districts and counties. Different districts and counties are also different.

Question 2: What is the reimbursement standard of medical service fees for those who enjoy free medical care? The reimbursement standard for medical service fees refers to the reimbursement standard for medical insurance patients.

Question 3: Can people with medical insurance in different places report medical service fees when they see a doctor in Beijing? The Examination and Approval Form of Beijing Medical Insurance Application in Different Places (Transferred to a Hospital) explains in detail how to handle the medical insurance procedures in different places.

Application for approval in different places

1. medical personnel in different places need to go to the county medical insurance center through the insured unit or the street social security office for examination and approval of resettlement, and apply for a "medical insurance resettlement declaration and approval form" in "

2. Go to the medical insurance department of a different hospital (you choose to go to the medical insurance office of the municipal hospital) and stamp it.

3. Return the "Application Form for the Relocation of Medical Insurance in XX City (Transfer to a Hospital)" to the agency where the application is located, waiting for approval.

4. The time limit for examination and approval in different places is one year (i.e. from the date of handling to the date of the following year), which shall not be changed within one year; After the expiration of the approval period, if the resettlement personnel still need medical treatment in different places, they shall be re-approved.

Selection of hospitals in different places

There are different regulations on how many hospitals you can choose for medical treatment in different places, usually two or three. If it is stipulated to choose a secondary hospital, you can choose a tertiary general hospital and then choose a hospital nearby; If you choose three hospitals, you can choose a specialized hospital related to your own disease on the basis of the first two hospitals.

Off-site reimbursement

1. When outpatients and inpatients seek medical treatment in different places, they need to produce expense receipts and lists, prescriptions, detailed lists, medical insurance manuals and disease diagnosis certificates (be as detailed as possible to avoid refusing visas due to incomplete diagnosis). At the same time, it is necessary to issue a grade certificate of the hospital, submit it to the employer (or social security office) for summary, and report it to the county medical insurance center for review and settlement.

2. Medical expenses incurred in designated hospitals in different places can be reimbursed back to the original city by mailing reimbursement documents and family members' declarations. The scope and standard of reimbursement are completely implemented in accordance with the medical insurance benefits of the city where they are located. Reimbursement can be collected by family members or by setting up a special passbook.

Question 4: Can medical service fees and maternity insurance be reported? I don't know,

Maternity insurance benefits shall be applied by the employing unit to the social insurance agency within 18 months after the delivery or operation of the employee. When applying, the employer shall fill in the application form for maternity insurance benefits of the employee and provide the following information:

Birth certificate issued by the family planning administrative department;

Original materials such as reproductive medical certificate, outpatient medical records, discharge summary, and family planning operation records;

A baby's birth certificate.

The social insurance agency shall, within 15 working days from the date of accepting the application, review the information provided by the employer, and after the completion of the review, allocate the maternity insurance premium to the employer where the employee is located, and the employer shall distribute it to the employee according to the maternity insurance treatment items and standards stipulated in the present Measures.

If the employer fails to handle the maternity insurance procedures for the employees as required, the maternity insurance expenses incurred by the employees shall be paid by the employer in accordance with the maternity insurance treatment items and standards stipulated in these Measures.

The materials required for reimbursement are:

Declaration form for medical expenses;

My ID card or social medical security card;

I have a bank card with UnionPay logo;

My medical record book;

Original production cost;

A detailed list of expenses;

Summary of discharge. You'd better take your birth certificate. If someone else picks it up, you need to bring the ID card of the person who picks it up.

Question 5: Is there a standard for the collection and reimbursement of medical service fees in Tianjin? Starting from this Saturday, Tongren Hospital, Jishuitan Hospital and Tiantan Hospital will simultaneously start separate pilot projects for medicines. These three hospitals will cancel 15% of drug addition, registration fee and medical treatment fee, and all drugs will be sold at the purchase price. At the same time, the charging standards for medical services will be formulated and graded pricing will be implemented. Outpatient medical service fees are reimbursed to 40 yuan by medical insurance quota. So far, counting the former Chaoyang Hospital and Friendship Hospital, five hospitals in this city have piloted "separation of medicine".

Reimbursement standard of medical service fee and medical insurance

(Unit: RMB/person-time)

Classified charging standards, personal expenses.

Ordinary number 42 2

No.60 Deputy Chief Physician 20

Chief physician number 80 40

Well-known expert number 100 60

Emergency number 62 2

(Note: Except for emergency medical insurance 60 yuan/person-time, other medical insurance quotas are reimbursed to 40 yuan/person-time. )

Learning and providing interpolation for central defender.

Question 6: Can people with medical insurance in different places report medical service fees in Beijing? Medical insurance in different places cannot be directly reimbursed. You need to come to Beijing Medical Insurance Hospital at your own expense after applying for referral approval locally, and then go back to apply for manual reimbursement with all kinds of documents. Whether your medical insurance department will reimburse the registration fee should be consulted with your medical insurance department.

The above is for reference only.

Question 7: Does the medical service fee belong to the disguised price increase of registration fee? Medical service fee is a newly established item in this reform. Its purpose is to compensate part of the operating costs of medical institutions, reflect the technical labor value of medical staff and promote graded diagnosis and treatment. The corresponding original fees are drug addition, registration fee and medical treatment fee.

In regulating the prices of medical services, Beijing will adjust the prices of 435 medical services, with some going up and some going down-

The prices of beds, nursing, general treatment, surgery, traditional Chinese medicine and other items that reflect the value of medical staff's technical services are raised. Reduce the price of large-scale equipment inspection items such as CT and nuclear magnetic resonance.

Question 8: Is it possible for Beijing to reimburse public medical care that can be reimbursed by medical insurance? Does the medical service fee belong to the scope of reimbursement for public medical care? Reimbursement of medical service fees in Beijing's public medical care refers to medical insurance reimbursement.

40 yuan is reimbursed by the Beijing Medical Service Clinic, and most of them are borne by some individuals. General outpatient service 42 yuan, deputy chief physician 60 yuan, chief physician 80 yuan, well-known expert outpatient service 100 yuan. The expenses that individuals need to pay include 2 yuan, 20 yuan, 40 yuan and 60 yuan.

Emergency reimbursement 60 yuan, medical service fee 62 yuan, individual pays 2 yuan.

Question 9: The social security status is incorrect, and the medical service fee is paid by the social security card for the first time. This shows that there is not a problem with your social security card identity, but the medical service fee is self-funded and not reimbursed. Medical insurance designated hospitals also have many services, examinations and drugs that cannot be reimbursed by medical insurance cards.

Question 10: With Beijing Social Security Card, can medical service fees be reimbursed? I went two days ago, and the situation is similar to yours. It says 42, in fact, as long as 2 yuan!