Job Recruitment Website - Social security inquiry - Sichuan hospitalization reimbursement ratio is in Chongqing.
Sichuan hospitalization reimbursement ratio is in Chongqing.
Rural medical insurance in Sichuan can be reimbursed to 500 yuan in other places, so the reimbursement rate is 65%. The reimbursement rate of the new rural cooperative medical system in different places is calculated as follows: the deductible line for medical treatment in township hospitals is 100 yuan, and the reimbursement rate is 90%; County-level designated hospitals for medical treatment, deductible line 200 yuan, reimbursement rate of 82%; Municipal designated hospitals for medical treatment, deductible for 500 yuan, the reimbursement rate is 65%.
The reimbursement process for hospitalization in different places is as follows:
1. According to the medical insurance policy for urban residents, the insured must first register with the medical insurance agency in the insured place for medical treatment in different places. (Emergency patients in other places need to be hospitalized in time, and the medical insurance agency in the insured place will call for the record within 3 days after hospitalization), in which the medical expenses incurred by the insured person must be paid in full by the individual first;
2. After discharge 1 month, the insured person can go through the medical expense reimbursement procedures at the medical insurance agency where the household registration is located with his ID card, group residence booklet, resident medical insurance card, discharge certificate, medical expense invoice, detailed list of hospitalization expenses, certificate of residence in different places or temporary residence permit.
3. Medical personnel must report to the medical insurance center of the insured place for the record when they are hospitalized. If the insured fails to go through the filing formalities according to the regulations, the medical insurance institution will not reimburse the medical expenses incurred in hospitalization. When reimbursing in different places, you must first register with the medical insurance agency in the insured place, and the medical expenses spent should be paid in advance. Some proof materials to be reimbursed after discharge shall be reimbursed by the medical insurance agency where the insured person's household registration is located.
To sum up, the treatment standards of medical insurance, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Legal basis:
The "Regulations" of People's Republic of China (PRC) city basic medical insurance for urban workers twenty-seventh.
Employers who pay the basic medical insurance premiums in accordance with these regulations enjoy the basic medical insurance benefits.
Article 28
Personal accounts are used to pay medical expenses beyond the scope of the overall fund payment; If the personal account is insufficient to pay, it shall be borne by me.
Article 29
The hospitalization expenses for major diseases are paid in the following ways:
(a) Qifubiaozhun in principle control in the city, county, autonomous county last year, the average social wage of workers 9%-0%.
(two) the maximum payment limit is controlled in principle at 3-5 times of the average social wage of employees in cities, counties and autonomous counties in the previous year.
(three) medical expenses above the minimum deductible and below the maximum payment limit are mainly paid by the overall fund, and individuals bear a certain proportion. Give appropriate care to the proportion of retirees who bear medical expenses.
The scope of serious diseases, the specific standards of Qifubiaozhun and the maximum payment limit, and the proportion of sharing medical expenses above Qifubiaozhun and below the maximum payment limit shall be determined by the provincial people's government.
Article 30
Medical expenses below Qifubiaozhun and above the maximum payment limit will not be paid by the overall fund.
Article 31
The basic medical insurance fund to pay part of the cost of diagnosis and treatment projects and class B drugs list, the proportion of individual pays, determined by the provincial people's government.
Article 32
The medical expenses of Class A infectious diseases such as cholera and plague are all paid by the overall fund. The medical expenses of explosive and epidemic infectious diseases confirmed by the administrative department of health shall be solved by the people's government.
Article 33
State civil servants and other qualified personnel shall, on the basis of participating in basic medical insurance, implement Medicaid.
In order to solve the medical expenses above the maximum payment limit for personnel other than those specified in the preceding paragraph, the provincial people's government may organize the implementation of supplementary medical insurance.
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