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Hospitalization reimbursement ratio for targeted poverty alleviation households in Gansu
The hospitalization reimbursement ratio for targeted poverty alleviation households in Gansu is as follows:
1. The hospitalization medical expense reimbursement ratio of designated medical institutions in the insured county is 90%;
2. For those hospitalized in medical institutions outside the county: 80 for secondary medical institutions in the city, 65 for tertiary medical institutions; 50 for transfers to medical institutions outside the city.
Conditions for medical insurance reimbursement:
1. The insured must be a medical insurance participant in compliance with national regulations, that is, a person who has paid the corresponding medical insurance premiums under the national medical insurance system ;
2. Medical expenses must be medical services that comply with the national medical insurance catalog, including drugs, treatment items, examination items, surgical items, etc.;
3. Medical expenses must be within Medical insurance designated medical institutions are used for consumption, that is to say, insured persons can only enjoy medical insurance reimbursement services at designated medical insurance institutions;
4. Medical expenses must be submitted within the specified time. Medical insurance reimbursement applications are generally required to be submitted within the specified time. Submit the application within a certain period of time after seeking medical treatment;
5. The insured person's personal account balance must be sufficient, otherwise he will not be able to enjoy medical insurance reimbursement services.
In summary, the medical insurance card re-issuance process may be different in different regions and types of medical insurance. The specific re-issuance process needs to be determined based on local actual conditions and policies.
Legal basis:
Article 2 of the "Social Insurance Law of the People's Republic of China"
The state establishes basic pension insurance, basic medical insurance, and work-related injury insurance , unemployment insurance, maternity insurance and other social insurance systems to protect citizens’ rights to obtain material assistance from the state and society in accordance with the law in the event of old age, illness, work injury, unemployment, childbirth, etc.
Article 26
The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with national regulations.
Article 28
Medical expenses that comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue expenses shall be deducted from the basic medical insurance fund in accordance with national regulations. Pay.
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