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|These four cases cannot be reimbursed! Do you know the scope of urban employee medical insurance reimbursement? Attached standard! Koga Shinto Story|
|Author: Anonymous Medicare: Site author Hits: Updated: 2019-12-24|
How to reimburse special diseases is very simple. 1. Designated hospitals or outpatients are special. You only need to bring your ID card. You can swipe your card and hold a medical insurance card at the designated hospitals. When you pay for admission or inpatient outpatient treatment of special diseases, you can get in and out of hospitals and outpatient special diseases. For the procedures, the necessary advance payment must be paid to the designated hospital, and the medical expenses of the department will be used to receive the current medical treatment. When the medical expenses are settled at the end of the treatment cycle, the hospital will treat the special diseases one at a time, with more refunds and less compensation. Advance payment. There are four major categories of special diseases that can be outpatient 2. Which diseases can be identified? , Sen's disease, scleroderma, thalassemia, dryness sign, myasthenia gravis, hyperthyroidism or hypothyroidism, rheumatoid arthritis, tuberculosis type 4 malignant tumor, postoperative anti-rejection treatment, hemophilia, regeneration Obstructive anemia, abnormal myeloproliferative sign or myeloproliferative tumor, systemic lupus erythematosus, nephrotic sign, chronic kidney disease3. How to treat special outpatient diseases? (1) For the first time, please list the first type of Alzheimer's disease, cerebrovascular energy disturbance, epilepsy energy disturbance, schizophrenia, mania, depression, bipolar disorder, according to the doctor's diagnosis. Scorch disease, obsessive-compulsive disorder, type II primary hypertension, diabetes, heart disease (wind heart disease, high heart disease, coronary heart disease, pulmonary heart disease), unintended sequelae of cerebrovascular disease, type III chronic chronic hepatitis, liver cirrhosis, parkin For the identification of special disease diseases in outpatient clinics, please find a certified hospital, which can basically identify three tertiary hospitals in the city; after the disease identification (2) is passed, you can choose the hospital that facilitates treatment, and you can choose a special disease treatment plan. Apply to the doctor for outpatient special treatment; the case has been applied for (3), please be here within 3 months for the hospital to be treated with peace of mind; when the month is over (4) 3, pay for medical treatment. Need to continue to pay attention to attention: For example, please start again and apply again, please apply from the second step plan, if there is a new disease, the new disease needs to be identified as the same. ? If you need to be hospitalized during the treatment of outpatient special diseases 4. If you are hospitalized during the treatment of outpatient special diseases, you can still use your health insurance card to pay for admission and discharge
The 12-month cost of medical security currently only needs to continue to pay the basics of urban workers, and basic medical treatment can be enjoyed. It is the first after 3 months of payment, but it must be remembered that if you continue to pay the fee, you will be reimbursed if you are unable to stay in the hospital or treat outpatient special diseases. Otherwise, you will not be able to enjoy the basic medical treatment. This is the main reason. point! Within 4 months, the payment is included, so that you can enjoy a timely repayment
Expenses in the area of disability cannot be reimbursed 1. Medical expenses that are not a basic medical insurance, assault, illegal crime and other dangers include the following: (1) Medical expenses incurred for medical treatment due to drug abuse, fighting; infertility (2) ) Cosmetic orthopedics, psychological defects and non-compliance; Medical expenses incurred for treatment of sexually transmitted diseases, etc. (3) Self-injury, suicide, drunkenness, detoxification; Medical expenses for medical disturbances (3) Traffic disturbances, medical records, medical office equipment and diagnosis and treatment Project sources, medical materials, and medical expenses outside the scope of the receiving standard are not allowed to receive medical expenses incurred abroad. Photo source: Photograph Network 501203337 2. Fundamental medical safety medicine items. significance? It ’s okay (I do n’t know what, this environment :) The first time is the following four, the minimum payment line of the town employee medical insurance is not reported below the second payment line, the line is 6 in the previous year, the average salary of Chengdu employees Above the third cap line, it will not be reported as the cap of urban medical insurance for urban employees. If you go to the hospital to see the disease, you will find that the personal expenses department will not report it. The drugs prescribed as "B" or "C" will be marked with " "Class A", 00% reimbursement for Class A drugs, department reimbursement for Class B drugs, and point C reimbursement for Class C drugs, "medicine contents" This is medical insurance. Generally speaking, the new special-effect drugs are classified as Class C drugs, imported anticancer drugs, targeted drugs, and publicly-paid drugs. Therefore, they are not reimbursed for medical insurance. The fourth is that it belongs to the scope of medical insurance reimbursement. If the self-paying department does not report, it will be paid above the line and capped below the line. The cost of a department will still be there. The higher the level, the lower the proportion of reimbursement for hospitals, the higher the proportion. ] × The reimbursement ratio must remember the inpatient medical expenses incurred in the designated medical institutions before reimbursing it. Note: Inpatient medical expenses reimbursement formula: [Total inpatient expenses-minimum payment standard-personal expenses ~
Expense reimbursement scale 1. Inpatient medical treatment, the hospital level related to medical expenses is related to the insured staff spring and autumn, and the record process :) 2. Outpatient clinic special medical expenses reimbursement scale is also compared with insured staff spring and autumn, hospital level, and disease category The scale of reimbursement of hospitalization in different places is different from the scale of hospitalization reimbursement that occurs in designated medical institutions in Chengdu.
|Medical insurance entry: admin Responsible editor: admin|
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