How much medical insurance can I report for medical treatment in different places?

Hospitalization in different places requires individuals to pay in advance and then be reimbursed by the Social Security Bureau. The reimbursement rate for hospitalization should be at least 50%.

Medical insurance reimbursement:

1, outpatient and emergency medical expenses: the medical expenses that met the requirements of the basic medical insurance in that year (1 10/February/31February) exceeded 2,000 yuan.

2. Settlement ratio: 50% of the part of the dispatched personnel above 2,000 yuan will be reimbursed during the contract period, and 50% will be paid by the individual; Within one year, the maximum amount of accumulated reimbursement for outpatient and emergency services of dispatched personnel is 20,000 yuan.

3. The insured shall properly keep the medical documents (including receipts and prescriptions for large amounts) in the outpatient department of the designated hospital. ), as a medical expense reimbursement certificate.

4. Outpatient treatment of three kinds of special diseases: when the insured person needs to take anti-rejection drugs after radiotherapy and chemotherapy for malignant tumor, renal dialysis and renal transplantation, the second-and third-level designated hospitals where the insured person is treated will issue the Certificate of Disease Diagnosis, fill in the Application and Approval Form for Special Diseases of Medical Insurance, and report it to the district medical insurance center for approval and filing.

Outpatient treatment and drug collection for these three special diseases are limited to designated hospitals that have approved treatment, and cannot be purchased in designated retail pharmacies. The medical expenses incurred meet the prescribed scope of outpatient special diseases, with reference to hospitalization settlement.

Extended data:

Medical regulations

(Regional regulations may vary)

1. The insured can only seek medical treatment in designated medical institutions in different places after going through the confirmation procedures for medical treatment in different places. The amount of his personal medical account can be withdrawn through any business outlet of the medical insurance card, which is used to support the expenses of outpatient general diseases and the expenses of drug purchase and dispensing in pharmacies.

If the insured person is hospitalized (including outpatient specific treatment), he can go to the local designated medical institution for inpatient and outpatient specific treatment, and the medical expenses shall be paid in advance by the individual. Within 1 month from the date of discharge, the insured unit shall apply for reimbursement to the municipal medical insurance center with the following information;

1) copy of the front and back of the medical insurance card;

2) A copy of the confirmed application form for medical treatment in different places;

3) The discharge certificate or medical expenses of specific outpatient items must be accompanied by the diagnosis certificate of a copy of the Mente Application Form approved by the Municipal Medical Insurance Center (except for emergency observation);

4) Detailed list of medical expenses;

5) Official receipt of medical expenses (with the signature of the reimbursement person on the back);

2. When the insured goes to other places (excluding Hong Kong, Macao and Taiwan) to travel, study and visit relatives, he can go to the local public hospital for medical treatment, and the outpatient medical expenses shall be borne by the insured; The expenses incurred by the approved hospitalization (including emergency observation and treatment) shall be paid in advance by the insured, and the unit manager shall apply for sporadic reimbursement to the municipal medical insurance center with the following information:

1) certificate of the insured unit;

2) Copies of the front and back of the medical insurance card;

3) discharge or diagnosis certificate;

4) Detailed list of medical expenses;

5) Medical expense invoice (followed by the name of the reimburser);

6) copy of hospitalization medical records.

Reference source: Baidu Encyclopedia-medical insurance in different places