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What do you mean, medical insurance doesn't pay?

Question 1: What do you mean by paying medical insurance and not paying medical insurance? First of all, you can find a problem by comparing the reimbursement of drugs and social insurance, and check the telephone number 12333.

The second kind of out-of-pocket expenses is the part paid by oneself, that is, the part paid by oneself is included in medical insurance, and the part not paid by oneself is not paid by oneself.

Third, you can consult local hospitals and units to understand specific policies.

Fourthly, it is suggested that conditional commercial insurance should be supplemented and improved.

Fifth, I wish you a smooth job, a developed career, a healthy life and a happy family.

Question 2: What does "not paying" mean in the medical insurance attribute? Non-self-payment means that these items are reported directly according to your reimbursement ratio ~

Self-funded (1) diagnosis and treatment items: self-help 8% first, and then report it according to your reimbursement ratio ~

(2) Drug items: First, report to 10% at your own expense according to your reimbursement ratio ~

All at your own expense is that this project is not reported at all, all by yourself!

Question 3: What are the "self-paid" and "self-paid" medical insurance? What is the difference? Personal expenses refer to all expenses that are borne by individuals outside the scope of reimbursement (such as off-list self-funded drugs and expenses exceeding the maximum reimbursement limit).

Personal out-of-pocket expenses refer to expenses that are within the scope of reimbursement, but need to be borne by individuals (generally, drugs of Class B or medical services of Class B need to be partially paid by individuals, and "B 10%" printed in the drug details on the invoice means that drugs of Class B are paid 10%).

Personal conceit is the expense that must be borne by the individual within the scope of reimbursement according to the medical insurance policy, which is generally a deductible.

Personal commitment and personal contribution are the same meaning.

Question 4: What do you mean by paying for medical insurance? The out-of-pocket ratio refers to the proportion of medical expenses that the insured person is allowed to pay by the medical insurance policy.

Question 5: Why didn't I pay the medical insurance? I don't understand, please answer. I think what you mean is that I didn't use my own medicine in the hospital. Why should I pay?

One is that there must be a deductible for medical insurance reimbursement, that is, how much money is spent to start reimbursement. This standard is different in different regions and at different times.

Second, no self-funded drugs were used, and no full reimbursement was made. There are Class A drugs and Class B drugs in the drug list, which are reimbursed according to a certain proportion, which is about 70% or 80%, instead of 100%. You still have to pay for the rest.

Third, others, such as bed fees, medical insurance is estimated to make up a little every day (we only make up 5 yuan locally), which is lower than the bed fees in hospitals, and so on.

Question 6: What do you mean by "not paying"? There is a student who doesn't study hard. When he encounters words that are difficult to write, he circles the words that he can't write. On this day, his uncle was ill in hospital. The student wrote a letter to his uncle. He was going to say, "Dear old uncle, I heard that you were ill. You should take good care of yourself and never get out of bed casually. " The meaning is quite good, but because I can't write a few words, I drew a circle to show it, which made a big joke. His letter reads: "Dear Lao, I heard that you have a ○. You should take good care of it and don't get off at will." The letter was sent to the ward, and his uncle was inconvenient to move, so he asked his aunt to read it to himself. When her aunt saw several circles on the letter, she asked, "How do you pronounce circles?" His uncle said, "Say' egg' when you meet a circle." So menstruation began to read: "Dear old egg, I heard that you have eggs. You should take good care of them and don't leave them anywhere. " After reading the letter, his uncle was almost angry. Hope to adopt.

Question 7: What do you mean by paying medical insurance? Some drugs, disposable items and special treatments (such as postoperative analgesia pump treatment) are not covered by medical insurance reimbursement, so they are paid, and you need to pay all or part of the expenses yourself.

Out-of-pocket items include (1) diagnosis and treatment items: 8% at one's own expense first and then reported in proportion to reimbursement.

(2) Drug items: at their own expense 10% according to the reimbursement ratio.

Question 8: Excuse me, all medical expenses are "(#) non-self-payment", but there is no "self-payment". Can medical insurance be reimbursed? Please answer, thank you! "Pay one by yourself" only appears in the table sample of card real-time settlement, that is, it is reflected after the expense is decomposed after entering the reimbursement procedure. "Non-self-payment" means that there is no need to pay any other fees except those that need to be paid by individuals in proportion.

Question 9: What are the meanings of "self-payment" and "full self-payment" in social security? General self-payment means that social security can be calculated according to a certain proportion and then included in the total amount, and full self-payment means that it should be completely eliminated, no matter how much it costs.

Question 10: What's the difference between self-funded and self-funded? At one's own expense means that you are not allowed to enter the settlement scope of social security funds, and all of them are paid by yourself; Out-of-pocket expenses are the rest after reimbursement according to a certain proportion.