How to go to the administrative center for reimbursement of medi
Insurance editor to help you answer, more questions can be answered online
if you don't have an in-service unit, you can't use it now. You have to have a medical record book of urban employees in Hangzhou to use it. Besides, the reimbursement is also after you pay the medical insurance premium. It seems that 300% of your medical insurance card will be printed at the beginning of the year every year, and then the money will be used up, and you can only pay more than 1000% of the medical expenses at your own expense
please accept if you are satisfied
You don't have an in-service unit. Now you can't use it. You have to have the medical records of urban employees in Hangzhou. Besides, the reimbursement is also after you pay the medical insurance premium. It seems that 300% of the reimbursement will be printed on your medical insurance card at the beginning of the year every year. When the money is used up, you can only pay more than 1000% of the medical expenses at your own expense
please accept if you are satisfied
Insurance editor to help you answer, more questions can be answered online
first of all, you need to issue a certificate in a hospital in Hangzhou: the certificate indicates that you are transferred to another hospital (this is a must, transfer certificate). Even if you are not transferred to another hospital, you also need such a thing. You can find a more familiar hospital to open such a certificate for you
secondly, you need to go to Hangzhou social security center to register: indicate which hospital you want to transfer to (only one hospital), so you need to find a hospital you want to go to first, and then open a certificate and register in Hangzhou
then you can see a doctor in other places at your own expense and come to Hangzhou for reimbursement
my friend was also ill last month. If he is not in Hangzhou, he has to go to Shanghai. Social security requires my friend to do so
he had no choice but to find someone he knew to open a certificate from Hangzhou hospital, and then he went to social security to apply for a specific hospital in Shanghai. If he wanted to apply for two hospitals, he might have to choose. Social Security said no, either change or one
First of all, you need to open a certificate in Hangzhou hospital: the certificate indicates that you are transferred to another hospital (this is a must, transfer certificate). Even if you are not transferred to another hospital, you also need such a thing. You can find a more familiar hospital to open such a certificate for you
secondly, you need to go to Hangzhou social security center to register: indicate which hospital you want to transfer to (only one hospital), so you need to find a hospital you want to go to first, and then open a certificate and register in Hangzhou
then you can see a doctor in other places at your own expense and come to Hangzhou for reimbursement
my friend was also ill last month. If he is not in Hangzhou, he has to go to Shanghai. Social security requires my friend to do so
he had no choice but to find someone he knew to open a certificate from Hangzhou hospital, and then he went to social security to apply for a specific hospital in Shanghai. If he wanted to apply for two hospitals, he might have to choose. Social Security said no, either change or one
Medical insurance is a policy formulated by the state to protect the rights and interests of workers. People who have paid for medical insurance should know more about it. What is the scope of medical insurance reimbursement? The following is the latest Hangzhou employees' medical insurance reimbursement conditions, Hangzhou medical insurance reimbursement materials and processes carefully arranged by Xiaobian. I hope it can help you
as for the reimbursement of medical insurance in Hangzhou in 2016, from the perspective of the insured population, after the implementation of the new measures, it will cover all the population, including employees (retirees), urban and rural residents (college students, children and the elderly), achieving the goal of everyone enjoying medical insurance. At present, from tertiary medical institutions to community service centers, there are more than 2000 designated medical insurance institutions in Hangzhou. It is more convenient for the insured to seek medical treatment and purchase medicine
what is the reimbursement ratio of medical insurance in Hangzhou in 2016? What is the latest coverage of medical insurance reimbursement in Hangzhou? 76% before retirement in tertiary medical institutions; 80% before retirement in secondary medical institutions; 84% before retirement in other medical institutions; 86% of the cases occurred in community health service institutions before retirement. 82% before retirement if it is more than 20000 yuan to 40000 yuan (inclusive) in tertiary medical institutions; 85% before retirement in secondary medical institutions; 88% before retirement in other medical institutions; In the community health service institutions, 90% before retirement. 88% before retirement if it occurs in a tertiary medical institution, ranging from more than 40000 yuan to 180000 yuan (inclusive); 90% before retirement in secondary medical institutions; In other medical institutions and community health service institutions, 92% occurred before retirement. The proportion of Medicaid for major diseases is 88% in tertiary medical institutions; 90% of secondary medical institutions; Other medical institutions and community health service institutions accounted for 92%<
2016 Hangzhou medical insurance reimbursement standard, new policy of medical insurance reimbursement
reimbursement proportion
outpatient treatment:
in a settlement year, the general outpatient medical expenses of basic medical insurance insured personnel in line with the scope of medical insurance expenses are first paid by the funds of the current year in the personal account, and the funds of the current year in the personal account are insufficient to pay, The standard payment for an outpatient service is 1000 yuan. The proportion of medical expenses above the standard of outpatient payment is: 24% in tertiary medical institutions; 20% in secondary medical institutions; 16% in other medical institutions; 14% of the cases occurred in community health service institutions
hospitalization benefits:
1. Bear a starting payment standard for hospitalization, specifically: 800 yuan for Level 3 and corresponding medical institutions (hereinafter referred to as level 3 medical institutions), 600 yuan for Level 2 and corresponding medical institutions (hereinafter referred to as level 2 medical institutions), and 300 yuan for other medical institutions and community health service institutions
2. The proportion borne by the overall planning fund is:
76% before retirement if it occurs in a tertiary medical institution and the starting payment standard is above 20000 yuan (inclusive); 80% before retirement in secondary medical institutions; 84% before retirement in other medical institutions; 86% of the cases occurred in community health service institutions before retirement
more than 20000 yuan to 40000 yuan (inclusive), in tertiary medical institutions, 82% before retirement; 85% before retirement in secondary medical institutions; 88% before retirement in other medical institutions; In the community health service institutions, 90% before retirement
88% before retirement for those above 40000 yuan to 180000 yuan (inclusive) in tertiary medical institutions; 90% before retirement in secondary medical institutions; In other medical institutions and community health service institutions, 92% occurred before retirement
over 180000 yuan, which is jointly borne by Medicaid fund for major diseases and indivials. The proportion of Medicaid fund for major diseases is: 88% of tertiary medical institutions; 90% of secondary medical institutions; Other medical institutions and community health service institutions accounted for 92%
reimbursement proportion of medical insurance in Hangzhou
warm tips: if you have any questions, you can also call the labor security consulting service line 12333 to transfer to 1-city labor security consulting service line (Monday to Friday, 8:45-12:00, 13:30-17:00, except holidays) for consultation< (1) the expenses of Western medicine, Chinese patent medicine and Chinese Herbal Pieces listed in the drug catalogue of basic medical insurance stipulated by the state and the province< (2) the expenses listed in the basic medical insurance items stipulated by the state and the province< (3) the expenses listed in the national, provincial and municipal standards for basic medical insurance and medical service facilities< (4) the expenses of self-made preparations of designated medical institutions included in the reimbursement scope of basic medical insurance
(5) medical expenses that meet the reimbursement scope of basic medical insurance e to emergency treatment in non designated medical institutions or non-profit medical institutions outside the city