How much does Fuyang People's Hospital reimburse for hospitalization?

Medical insurance residents in designated medical institutions (first-class hospitals, community health service centers) outpatient medical treatment, a outpatient medical expenses more than 30 yuan, 160 yuan, the medical insurance fund according to the proportion of 60% reimbursement. In an insured year, insured residents can enjoy up to 4 times of general outpatient medical reimbursement treatment.

The reimbursement rate of children suffering from leukemia, congenital heart disease, cerebral palsy and other serious diseases will be increased by 5% on this basis. The reimbursement rate for transferring to other places for treatment is reduced by 5% according to the above standards.

Patients with chronic diseases can declare up to two diseases, and be reimbursed according to the annual reimbursement limit in designated medical institutions.

After the insured suffers from a serious illness and the basic medical insurance is reimbursed, the personal burden exceeds the minimum deductible (20,000 yuan), and the serious illness insurance is reimbursed in proportion, up to 85%.

In a medical insurance year, the maximum payment capacity of basic medical insurance for urban residents is 200,000 yuan for minors and 6,543.8+0.5 million yuan for adults.

Non-reimbursable expenses

Registration fee, out-of-hospital consultation fee, medical record fee, house call fee, expedited fee for examination and treatment, surcharge for roll call operation, special medical service and health examination fee; Medical insurance such as medical consultation, medical appraisal, bed fee, ambulance fee, myopia orthopedic surgery, magnetic therapy, plastic surgery, infertility (pregnancy) and sexual dysfunction will not be reimbursed.

Extended data:

The following situations will not be reimbursed

Purchase drugs in non-designated medical institutions (except emergency) or non-designated retail pharmacies.

Self-injury caused by fighting, drug abuse or other illegal acts.

Treatment for alcoholism, suicide, self-mutilation, etc.

Injuries caused by traffic accidents, medical accidents or other liability accidents.

Medical insurance shall not be paid to those who seek medical treatment abroad, including those in Hongkong, Macao Special Administrative Region and Taiwan Province Province.

According to national or local regulations, it should be paid by individuals.

Medical insurance reimbursement process

Need to provide reimbursement documents and materials.

1. On-site (emergency) consultation: receipt, drug prescription, details of examination and treatment fee.

2. Hospitalization expenses: receipts, expense lists, statements and medical certificates.

3. All kinds of inspection reports must be accompanied by details.

Arrange the medical expense documents and related materials in chronological order and submit them to the unit (or social security office) for reimbursement.