Hospitalization cost 10,000 secondary reimbursement

The conditions and process of secondary reimbursement are as follows:

1, retired workers have handled hospitalization settlement procedures in one year, including home beds and out-of-town medical treatment;

2, the accumulated personal out-of-pocket payment for the whole year, minus the part of the C cost above 10,000 yuan;

3, carry the hospitalized patient's ID card or household registration book, the cooperative medical certificate, the certificate of hospitalization, the receipt of the medical fee receipts, and a detailed list of hospitalization expenses;

4. Go to the designated medical institutions of the city's basic medical insurance for secondary reimbursement;

5. Submit other materials required according to the regulations of the cooperative medical management agencies of the counties and municipalities.

Social security reimbursement policy:

1, reimbursement scope: covers the reimbursement of medical expenses, drug reimbursement, hospitalization expenses reimbursement;

2, reimbursement rate: according to different regions and social security policy, the reimbursement rate will be different, usually in accordance with a certain percentage of reimbursement;

3, reimbursement process: including medical registration, cost settlement,

3. The reimbursement process: including registration, expense settlement, submission of reimbursement application, review of reimbursement information, and issuance of reimbursement;

4. Eligibility for reimbursement: Participants need to seek medical treatment at the prescribed medical institutions and pay the social security fees in full and on time;

5. Special circumstances: For major diseases and special diseases, the social security department will have special reimbursement policies and procedures.

In summary, retired workers can make secondary reimbursement only if they meet the conditions and procedures of having been hospitalized and settled within the year, having personal out-of-pocket expenses exceeding 10,000 yuan, bringing the necessary documents and receipts to the designated medical institutions and submitting the relevant materials in accordance with the requirements of the local cooperative medical management institutions.

Legal basis:

The Social Insurance Law of the People's Republic of China

Article 29

The portion of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be settled directly by the social insurance administration organization with the medical institutions and the drug business units.

The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.