Job Recruitment Website - Social security inquiry - Can Xinchang Zhangshi Orthopedic Hospital reimburse with medical insurance card?
Can Xinchang Zhangshi Orthopedic Hospital reimburse with medical insurance card?
The Department of Human Resources and Social Security and the Provincial Department of Finance issued the Interim Measures for the Overall Management of General Outpatients with Basic Medical Insurance for Urban and Rural Residents in Hunan Province (hereinafter referred to as the Interim Measures) to standardize the overall management of general outpatient services. Outpatient co-ordination does not require residents to pay extra, focusing on ensuring common outpatient diseases, frequently-occurring diseases and chronic diseases of insured residents.
Payment scope of outpatient co-ordination fund:
First, the basic medical services provided by village clinics that are compatible with their functions;
Two, township hospitals, community health service centers in accordance with the functional positioning provided by the classification of medical services, to provide outpatient medical services in line with the basic medical insurance "three directories" range;
Three, into the basic medical insurance fund to pay the scope of general medical expenses;
Four, the insured residents and the family doctor service team signed a basic medical service package;
Five, other expenses included in the scope of payment by the Provincial People's Social Welfare Department.
The outpatient medical expenses incurred by insured residents in designated primary medical and health institutions only need to pay the personal burden according to the policy; The part that should be paid by the outpatient co-ordination fund shall be settled regularly by the medical insurance agency for urban and rural residents and the designated primary medical and health institutions.
Extended data
The level of medical insurance reimbursement for urban residents announced by the Human Resources and Social Security Bureau includes the elderly, students and children, and unemployed residents. , will be raised, the outpatient reimbursement ceiling line will be raised from 2000 yuan to 3000 yuan, and the hospitalization reimbursement ceiling line will also be raised to 654.38+0.8 million yuan. At the same time, the reimbursement rate of serious illness insurance for urban and rural patients with serious illness has also increased by 10%.
Since 20 13, the serious illness insurance system for urban and rural residents has been implemented. After the seriously ill patients were reimbursed by the new rural cooperative medical system or urban residents' medical insurance in the same year, the high medical expenses within the policy scope can enjoy the "second reimbursement". Moreover, this kind of reimbursement does not require personal declaration, and the medical insurance system automatically settles, and the reimbursement expenses are directly credited to the insured's passbook.
This time, under the premise of not increasing the payment burden of the insured, the medical insurance capping line for urban and rural residents will be unified: the medical insurance capping line for urban residents will be unified from 2,000 yuan to 3,000 yuan, which means that the annual reimbursement amount for urban residents including the elderly, students, children and unemployed people will increase by 1000 yuan; The hospitalization capping line was also unified from 6.5438+0.7 million yuan to 6.5438+0.8 million yuan.
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