Provisions on reimbursement of Tianshui medical insurance in Gansu Province

The medical insurance reimbursement regulations in Tianshui City, Gansu Province mainly include the payment scope of medical insurance pooling fund, hospital grade, outpatient and inpatient ratio, etc. The medical insurance policy is constantly updated, so it is recommended to pay attention to policy changes in time and abide by relevant regulations.

The medical insurance reimbursement regulations in Tianshui City, Gansu Province mainly involve the following contents: 1. The payment scope of medical insurance fund includes outpatient service, hospitalization, special drugs, basic drugs, serious illness relief and other projects; 2. Hospital grade: Gansu Tianshui Medical Insurance can reimburse the expenses of the second-level and above hospitals, but some specialized medical institutions and pilot areas can reimburse part of the medical expenses of the first-level hospitals; 3. Outpatient and hospitalization ratio: outpatient reimbursement ratio is 50%-70%, and hospitalization reimbursement ratio is 60%-90%. Among them, the proportion of basic drugs and outpatient medical insurance for special diseases has increased to more than 60%; 4. Other regulations: you must apply for a certificate before seeing a doctor; Can not enjoy medical insurance benefits at the same time with other medical insurance; Cannot be reimbursed repeatedly, etc. It should be noted that the medical insurance policy is constantly updated. It is recommended to pay attention to policy changes in time and abide by relevant regulations. At the same time, in the process of medical treatment, it is necessary to keep relevant bills and vouchers for smooth reimbursement.

Can medical insurance reimbursement be cross-provincial? Of course. According to the Regulations on Medical Insurance and the Interim Measures for the Administration of Designated Medical Institutions in Different Provinces, online settlement of medical treatment in different provinces is implemented, and the insured can settle and reimburse in designated medical institutions in different provinces. It should be noted that inter-provincial medical reimbursement needs to provide some specific information, such as the vouchers of the original designated medical institutions and maternity insurance certificates. , should be implemented according to the specific provisions of the local medical insurance policy.

The medical insurance reimbursement regulations in Tianshui City, Gansu Province involve hospital grades, outpatient hospitalization ratio and other aspects, which need to be carefully observed. At the same time, the medical insurance policy is constantly updated, so it is suggested to pay attention to the policy changes in time in order to carry out the correct reimbursement operation.

Legal basis:

"People's Republic of China (PRC) medical insurance regulations" article forty-fifth the insured to buy drugs, medical materials, medical items, etc. Medical and health care services are provided in the prescribed medical institutions and according to the prescribed procedures, and the expenses are paid by the fund.