Is the annual online outpatient service capped at 20,000 yuan in Beijing? Is it reimbursement or invoice fee reimbursement?

The online outpatient service in Beijing is capped at 20,000 every year, and it is actually reimbursed. The medical level in some big cities has also improved relatively, and some people with diseases will choose to go to Beijing and other big cities for treatment. At present, most hospitals in Beijing settle accounts immediately, and there is a column in the machine invoice that deducts social security after exceeding the payment bottom line. This number does not exceed 20,000.

First, the number of online outpatient visits is capped at 20,000 per year.

The upper limit line of medical insurance reimbursement actually refers to the upper limit of the total reimbursement expenses that the medical insurance fund can give. For the medical insurance capping line, the standards of each city are different and not uniform, and the capping lines of employee medical insurance and resident medical insurance are also different. The standard is proportional reimbursement within the maximum limit. At present, most hospitals in Beijing settle accounts immediately, and there is a column in the machine invoice that is the amount deducted after the social security exceeds the payment bottom line, so this amount does not exceed 20,000. Or "reimbursed."

Second, the scope of medical insurance reimbursement

What is the scope of medical insurance reimbursement? At the time of reimbursement, many people don't quite understand why some drugs can be reimbursed and some drugs can't, especially wondering why others can reimburse the same medical insurance and drugs that they can't reimburse. It also brings joy or worry to different insured. Therefore, it is necessary to fully understand the reimbursement scope of medical insurance. Medical insurance is fair to everyone, and whether you can enjoy the benefits depends on whether you are familiar with the rules of the game. "Medical insurance First of all, the difference between medical insurance drugs and non-medical insurance drugs, the reimbursement deductible line is also different according to the hospital level. Generally, Class A drugs can enjoy full coverage, while Class C drugs need all out-of-pocket expenses, and Class B drugs report 80% and pay 20%.

To sum up, medical insurance is a good guarantee for people, which can reduce the burden on patients and their families, and can also make this person get good treatment. Therefore, it is necessary to pay medical insurance in time to prevent the delay in payment from having some impact on yourself. "