Go to the medical insurance center for reimbursement
Publish: 2021-05-06 14:28:01
1. It depends on the specific regulations of the medical insurance center where you are insured. Generally, it is necessary to provide invoice, diagnosis certificate, detailed expense list, of medical insurance card, of ID card, of my bank passbook, traffic police department's certificate of responsibility for traffic accident, unit certificate, hospitalized cases, etc.
2. How to apply for reimbursement of medical insurance
is a problem that many people are concerned about
in fact, there are many people around us who lack the correct way to open medical insurance
this is not a chance to collect the socialist wool<
aunt Baiyun is optimistic about you ~
today, let's talk about the correct way to open medical insurance reimbursement
first, what is medical insurance
a social insurance system established to compensate workers for the economic losses caused by disease risks<
through the payment of employers and indivials, the medical insurance fund is established.
after the medical expenses of the insured are incurred, the medical insurance institution will give them certain economic compensation<
the establishment and implementation of the basic medical insurance system has gathered the economic strength of the units and members of the society.
coupled with government subsidies, the sick members of the society can get the necessary material help from the society,
rece the burden of medical expenses, and prevent the sick members of the society from "poverty caused by illness"
to put it bluntly, when we are sick, the state pays to help us see a doctor to rece the financial burden of migrant workers.
moreover, there is no requirement for the insured population< Second, there are two ways of payment: one is the medical insurance for urban employees paid by ordinary office workers who have signed labor agreements, and the other is the social security that the state forces employers to pay,
the amount of payment is composed of two parts:
one is a part of the company's payment (accounting for the majority)
one is a part of the indivial's responsibility (accounting for the minority)
the other is the medical insurance for urban and rural residents paid by unemployed or self-employed people
this medical insurance for urban and rural residents is to integrate the medical insurance for urban residents and the new rural cooperative medical system, Establish a unified medical insurance system for urban and rural residents
this system enables both rural and urban residents to participate in the insurance
but the fees need to be paid by themselves, and the amount paid is less than the employee's medical insurance, but it is not mandatory
moreover, the payment standard of medical insurance in each city is different, which should be subject to the local medical insurance management center
how to pay<
1. Medical insurance for urban employees
generally, employers and indivials should pay the percentage of the local social security base (or a certain salary) every month,
the money will be directly dected from the salary,
the insured men are over 60 years old and women are over 55 years old,
the payment period for men is not less than 25 years, Women should pay for no less than 20 years,
among them, the actual payment of basic medical insurance must be no less than 15 years, and they can enjoy medical insurance benefits after retirement
if the minimum number of years is not met before retirement, the medical expenses of the actual payment years can be made up at one time
however, it still depends on whether the local government has a supplementary payment policy<
2. The payment fee of medical insurance for urban and rural residents is much lower than that for urban employees.
there is no requirement for the payment period of medical insurance for urban and rural residents, and they can enjoy one year's treatment if they pay one year's fee
however, when the employee's medical insurance reaches the retirement age, it must be paid for at least 25 years
the premium is paid once a year. In principle, the payment time is from July to December of each year.
the next year of payment, the urban and rural residents enjoy medical insurance treatment.
there is no retirement treatment for urban and rural residents, but the government will also give certain subsidies<
Third, reimbursement ratio
because the two kinds of medical insurance pay different fees, so they enjoy different treatment.
employees pay more insurance premiums, so their treatment is relatively better.
the reimbursement ratio of employees' medical insurance is 10% - 20% higher than that of residents' medical insurance<
for example,
my father was in business in his early years, and now he doesn't work at home
and he doesn't reach the retirement age,
so he paid local residents' medical insurance
but his old friends all paid employee's medical insurance
every time he came back from the hospital, he would complain to me that the reimbursement rate was too low,
is a problem that many people are concerned about
in fact, there are many people around us who lack the correct way to open medical insurance
this is not a chance to collect the socialist wool<
aunt Baiyun is optimistic about you ~
today, let's talk about the correct way to open medical insurance reimbursement
first, what is medical insurance
a social insurance system established to compensate workers for the economic losses caused by disease risks<
through the payment of employers and indivials, the medical insurance fund is established.
after the medical expenses of the insured are incurred, the medical insurance institution will give them certain economic compensation<
the establishment and implementation of the basic medical insurance system has gathered the economic strength of the units and members of the society.
coupled with government subsidies, the sick members of the society can get the necessary material help from the society,
rece the burden of medical expenses, and prevent the sick members of the society from "poverty caused by illness"
to put it bluntly, when we are sick, the state pays to help us see a doctor to rece the financial burden of migrant workers.
moreover, there is no requirement for the insured population< Second, there are two ways of payment: one is the medical insurance for urban employees paid by ordinary office workers who have signed labor agreements, and the other is the social security that the state forces employers to pay,
the amount of payment is composed of two parts:
one is a part of the company's payment (accounting for the majority)
one is a part of the indivial's responsibility (accounting for the minority)
the other is the medical insurance for urban and rural residents paid by unemployed or self-employed people
this medical insurance for urban and rural residents is to integrate the medical insurance for urban residents and the new rural cooperative medical system, Establish a unified medical insurance system for urban and rural residents
this system enables both rural and urban residents to participate in the insurance
but the fees need to be paid by themselves, and the amount paid is less than the employee's medical insurance, but it is not mandatory
moreover, the payment standard of medical insurance in each city is different, which should be subject to the local medical insurance management center
how to pay<
1. Medical insurance for urban employees
generally, employers and indivials should pay the percentage of the local social security base (or a certain salary) every month,
the money will be directly dected from the salary,
the insured men are over 60 years old and women are over 55 years old,
the payment period for men is not less than 25 years, Women should pay for no less than 20 years,
among them, the actual payment of basic medical insurance must be no less than 15 years, and they can enjoy medical insurance benefits after retirement
if the minimum number of years is not met before retirement, the medical expenses of the actual payment years can be made up at one time
however, it still depends on whether the local government has a supplementary payment policy<
2. The payment fee of medical insurance for urban and rural residents is much lower than that for urban employees.
there is no requirement for the payment period of medical insurance for urban and rural residents, and they can enjoy one year's treatment if they pay one year's fee
however, when the employee's medical insurance reaches the retirement age, it must be paid for at least 25 years
the premium is paid once a year. In principle, the payment time is from July to December of each year.
the next year of payment, the urban and rural residents enjoy medical insurance treatment.
there is no retirement treatment for urban and rural residents, but the government will also give certain subsidies<
Third, reimbursement ratio
because the two kinds of medical insurance pay different fees, so they enjoy different treatment.
employees pay more insurance premiums, so their treatment is relatively better.
the reimbursement ratio of employees' medical insurance is 10% - 20% higher than that of residents' medical insurance<
for example,
my father was in business in his early years, and now he doesn't work at home
and he doesn't reach the retirement age,
so he paid local residents' medical insurance
but his old friends all paid employee's medical insurance
every time he came back from the hospital, he would complain to me that the reimbursement rate was too low,
3. 1. Indivial medical insurance mainly includes employee medical insurance paid as flexible employees, urban residents medical insurance or rural cooperative medical insurance
2. Indivials who are insured mainly enjoy hospitalization medical reimbursement, but outpatients generally can't be reimbursed. If you are hospitalized, take your ID card and medical insurance card to the local designated hospital for medical treatment, and pay the deposit. When you are discharged from the hospital for settlement, you can dect the burden from the deposit, refund more and make up less. If the medical insurance is reimbursed, the medical insurance and the hospital will make settlement, so you don't need the insured to pay in advance
3. In addition, if the unit is insured and enjoys outpatient reimbursement, dental diseases can be reimbursed, and non therapeutic medical expenses such as tooth washing and dental inlay cannot be reimbursed.
2. Indivials who are insured mainly enjoy hospitalization medical reimbursement, but outpatients generally can't be reimbursed. If you are hospitalized, take your ID card and medical insurance card to the local designated hospital for medical treatment, and pay the deposit. When you are discharged from the hospital for settlement, you can dect the burden from the deposit, refund more and make up less. If the medical insurance is reimbursed, the medical insurance and the hospital will make settlement, so you don't need the insured to pay in advance
3. In addition, if the unit is insured and enjoys outpatient reimbursement, dental diseases can be reimbursed, and non therapeutic medical expenses such as tooth washing and dental inlay cannot be reimbursed.
4.
Medical insurance center reimbursement, all the documents lost, the treatment is as follows:
1: first of all, there must be a certificate issued by the neighborhood committee in the jurisdiction
2: second, go to the hospital to issue an invoice, the original lost certificate is OK
to learn more about insurance, you can enter > > "more insurance, more insurance" for free consultation
5. Medical insurance reimbursement process for urban employees: at present, the reimbursement process has been simplified. Patients do not need to go to the social security center for reimbursement, but can settle accounts directly at the hospital site. The process is as follows:
on admission: Patients with medical insurance will go through the social security registration proceres with their ID cards, and then go to the ward for hospitalization
when discharged: the doctor arranges the patient to leave the hospital, and goes through the discharge settlement proceres at the inpatient charge office with the admission registration form and ID card. For reference.
on admission: Patients with medical insurance will go through the social security registration proceres with their ID cards, and then go to the ward for hospitalization
when discharged: the doctor arranges the patient to leave the hospital, and goes through the discharge settlement proceres at the inpatient charge office with the admission registration form and ID card. For reference.
6. Medical insurance hospitalization reimbursement? In addition to self payment, class B expenses can be "reimbursed" if they exceed 10% of the threshold fee
it's not that you pay cash in advance for reimbursement with bills, but when you are hospitalized in a designated hospital of medical insurance, you issue a medical insurance card to let the unified medical insurance settlement system read the information of the insured and handle the hospitalization number. When you are discharged from the hospital, the medical insurance system will not charge you the "part of reimbursement" - the overall payment part
the payment of 5000 belongs to the medical advance collection, and the expenses on the list belong to the expenses that have been incurred or recorded.
it's not that you pay cash in advance for reimbursement with bills, but when you are hospitalized in a designated hospital of medical insurance, you issue a medical insurance card to let the unified medical insurance settlement system read the information of the insured and handle the hospitalization number. When you are discharged from the hospital, the medical insurance system will not charge you the "part of reimbursement" - the overall payment part
the payment of 5000 belongs to the medical advance collection, and the expenses on the list belong to the expenses that have been incurred or recorded.
7. You don't have to go anywhere. When you leave the hospital, the hospital's settlement center and the medical insurance center are online. You can automatically calculate how much your personal settlement and reimbursement are. You just need to pay your personal expenses, and you don't have to care about the reimbursement. Hospitals and medical insurance centers automatically settle accounts. You can see the list as soon as you read it. You only need to give them the medical insurance card when you are in hospital and pay some deposit (the deposit of the first, second and third level hospitals is different). When you are discharged, you need to return the medical insurance card.
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