Go to the social security center for reimbursement a few days af

1.

After discharge, you can go to the hospital for reimbursement. Generally, the first half of the year will be reimbursed in the second half of the year, and the second half of the previous year will be reimbursed in the first half of the year

according to the basic requirements of basic medical insurance payment in China, the insured must go to the designated medical institutions of basic medical insurance to pay for their own medical expenses, which generally meets the following conditions:

(1) the insured must go to the designated medical institutions of basic medical insurance to buy medicine, Or purchase drugs from designated retail drugstores determined by social insurance institutions with prescriptions issued by doctors of designated hospitals

(2) the medical expenses incurred by the insured in the process of seeing a doctor must meet the scope and payment standard of the drug catalogue, diagnosis and treatment items, medical service facilities standard of the basic medical insurance, and can be paid by the basic medical insurance fund according to the regulations

(3) among the medical expenses of the insured who meet the payment scope of the basic medical insurance, the expenses above the starting standard of the social medical co-ordination fund and below the maximum payment limit shall be paid by the social medical co-ordination fund in a unified proportion

extended data:

medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for 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 role of medical insurance: first, it is concive to improving labor proctivity and promoting the development of proction

Medical insurance is the inevitable result of social progress and proction development. Conversely, the establishment and improvement of medical insurance system will further promote social progress and proction development. On the one hand, medical insurance relieves workers' worries and makes them work at ease, which can improve labor proctivity and promote the development of proction; On the other hand, it also ensures the physical and mental health of workers and the normal reproction of labor force

Second, adjust the income gap to reflect social equity

medical insurance is an important means of income redistribution for the government to adjust the income gap by collecting medical insurance fees and paying medical insurance service fees

Third, it is an important guarantee for maintaining social stability

Medical insurance is an important social mechanism to adjust social relations and social contradictions

Fourthly, it is an important means to promote social civilization and progress

the social system of medical insurance and social mutual assistance reflects the new social relationship of "one party has difficulties, all parties support" by sharing the risk of disease expenses among the insured, which is concive to promoting social civilization and progress

Fifth, it is an important guarantee to promote the reform of economic system, especially the reform of state-owned enterprises

2. After discharge, the reimbursement is generally valid within 3 months

"new rural cooperative medical system", full name of new rural cooperative medical system, refers to the mutual medical assistance system for farmers, which is organized, guided and supported by the government, participated by farmers voluntarily, financed by indivials, collectives and the government in many ways, and based on the overall planning of serious diseases

the new rural cooperative medical system is a mutual aid medical security system created by Chinese farmers, which plays an important role in ensuring farmers to obtain basic health services, alleviating poverty caused by illness and returning to poverty e to illness. The reimbursement scope of NCMS includes outpatient compensation, hospitalization compensation and serious illness compensation

the reimbursement scope of the new rural cooperative medical system is as follows:

the part (i.e. effective medical expenses) that the medical expenses, examination expenses, laboratory expenses, operation expenses, treatment expenses, nursing expenses, etc. of the participants who are hospitalized in the designated hospital e to illness ring the overall planning period are in line with the reimbursement scope of medical insurance for urban employees

the new rural cooperative medical fund has set the starting payment standard and the maximum payment limit. The hospitalization expenses below the standard paid by the hospital every year shall be paid by the indivial. For those who reach the minimum payment standard in the same overall planning period, the hospitalization expenses incurred by two or more times of hospitalization can be reimbursed accumulatively. If the hospitalization expenses exceed the starting payment standard, it shall be calculated by sections and reimbursed accumulatively. There is a maximum amount of reimbursement for each person every year<

reimbursement ratio of medical insurance (Taking Chongqing as an example):

1. Outpatient and emergency medical expenses: the part of medical expenses that meet the basic medical insurance regulations in the current year (January 1 to December 31) is more than 2000 yuan

2. Settlement ratio: 50% for the part of dispatched personnel over 2000 yuan ring the contract period, and 50% for indivial payment; In a year, the maximum amount of outpatient and emergency reimbursement for dispatched personnel is 20000 yuan

3. The insured should take good care of the outpatient medical documents (including the receipt of the part below the large amount, the prescription, etc.) as the medical expense reimbursement voucher

4. Outpatient treatment of three kinds of special diseases: when the insured person is suffering from malignant tumor radiotherapy and chemotherapy, renal dialysis, and anti rejection drugs after kidney transplantation, the second and third level designated hospital of the insured person shall issue the "disease diagnosis certificate" and fill in the "application and approval form for special diseases of medical insurance", and report to the district medical insurance center for approval and filing. The outpatient treatment and medication for these three special diseases are limited to the designated hospitals approved for treatment, and cannot be purchased from the designated retail pharmacies. If the medical expenses meet the specified scope of outpatient special diseases, settlement shall be made with reference to hospitalization

5. Hospitalization

after 20 years of medical insurance payment, you can enjoy the medical insurance reimbursement after retirement.

3.

Social security reimbursement has nothing to do with staying in the hospital for a few days

the reimbursement is based on the reimbursement proportion, reimbursement scope and hospitalization starting line

the annual starting payment standard for the first hospitalization was 1300 yuan, and the starting payment standard for each hospitalization in the following year was 650 yuan; 360 days is a settlement cycle for the patients with three kinds of special psychosis; The indivial payment proportion of retirees is 60% of that of in-service employees; The maximum annual payment limit of the fund is 70000 yuan

extended data

I. outpatient service

(I) use the medical insurance card to go to the outpatient service for real-time settlement without reimbursement

(2) if you go to the outpatient clinic without medical insurance card, please use the "Beijing Medical Insurance Manual" (medical blueprint)

1. Reimbursement scope: the general outpatient and emergency expenses of the insured in the designated hospital or specialized hospital of medical insurance, traditional Chinese medicine hospital and class a hospital

2. Outpatient starting line: the total cost of general outpatient emergency in a natural year is more than 1800 yuan

3. Reimbursement proportion: 70% in hospitals, 90% in communities, and 20000 yuan in capping line

4. Required materials:

original ID card

original medical diagnosis certificate

outpatient medical records, examination, test results report and other original medical information

original receipt of general outpatient and emergency charges,

detailed list of outpatient charges or original prescription (the prescription is pasted on the back of the receipt by date)

5. Submission time: from the 1st to 10th of each month, the expenses of the current month should be submitted in the next month, and the expenses of the current year should be submitted before January of the next year

6. Handling process: in a natural year, if the total amount exceeds the minimum payment standard, the unit operator will input all the documents into the enterprise version software, and report the generated electronic information and reports to the medical insurance center. The medical insurance center will complete the audit, settlement and reimbursement within 30 working days

(2) hospitalization

1) reimbursement scope: the hospitalization expenses of the insured in the designated hospital or specialized hospital of medical insurance, traditional Chinese medicine hospital and class a hospital

2. Hospitalization starting line: in a natural year, the first hospitalization starting standard is 1300 yuan, and then 650 yuan each time

3. Reimbursement proportion: 90% in the first level hospital, 87% in the second level hospital, and 85% in the third level hospital, with a total reimbursement of 300000 yuan

4. Handling process: please use the "Beijing Medical Insurance Manual" when seeing a doctor. If the unit pays in full, the indivial only needs to pay part of the hospitalization prepayment to go through the hospitalization proceres. The medical expenses incurred should meet the scope of medical insurance. When leaving the hospital, the hospital and the indivial should settle the part of their own expenses, and the reimbursement amount of the overall fund should be settled by the hospital and the district medical insurance center

4.

The main hospitalization can be reimbursed after discharge, there is no regulation on the number of days

Reimbursement of medical insurance:

1. Outpatient and emergency medical expenses: the part of medical expenses that meet the basic medical insurance regulations in the current year (from January 1 to December 31) is more than 2000 yuan

2. Settlement ratio: 50% of the dispatched personnel over 2000 yuan will be reimbursed and 50% will be paid by the indivial ring the contract period; In a year, the maximum amount of outpatient and emergency reimbursement for dispatched personnel is 20000 yuan

3. The insured should keep the outpatient medical documents (including the receipt of the large amount or less, the prescription, etc.) as the medical expense reimbursement voucher

4. Outpatient treatment of three kinds of special diseases: when the insured person is suffering from malignant tumor radiotherapy and chemotherapy, renal dialysis and anti rejection drugs after renal transplantation, the secondary and tertiary designated hospitals of the insured person shall issue the "disease diagnosis certificate" and fill in the application and approval form for special diseases of medical insurance, and report to the district medical insurance center for approval and filing. The outpatient treatment and medication for these three special diseases are limited to the designated hospitals approved for treatment, and cannot be purchased from the designated retail pharmacies. If the medical expenses meet the specified scope of outpatient special diseases, settlement shall be made with reference to hospitalization

5. Hospitalization

extended data

hospitalization reimbursement proceres

proceres are as follows:

1. Admission: Patients with medical insurance, with ID card for social security registration proceres, and then to the ward for hospitalization

2. When discharged: the doctor arranged the patient to be discharged, and went to the charge office to handle the discharge settlement proceres with the admission registration form and ID card

at present, the reimbursement process has been simplified. Patients do not need to go to the social security center for reimbursement, and can settle accounts directly in the hospital

the so-called hospitalization reimbursement of medical insurance is not that you pay cash in advance and then pay with bills, but that 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 receive the "part of the reimbursement" - the overall payment part

5.

bus line: metro line 15, the whole journey is about 15.0km

1. Walk about 1.1km from Wukou to Xikou station of Qinghua East Road

2. Take Metro Line 15, after 9 stops, to Wangjing east station

3. Walk about 700m to xinhuicheng shopping center

6.

About 30 days. Materials to be provided for medical insurance reimbursement in other places:

1

2. Take the transfer certificate issued by the hospital to the city and District Social Security Department (Medical Insurance Department) for examination and approval

3. The original invoice of the hospital in other places

4. Original cost list of machine taxi

5. One valid of the medical record (valid with the seal of the hospital)

6. One of ID card

there are two cases of medical insurance reimbursement in different places:

first, it is temporary to go to different places for medical treatment. In this way, you can come back with your own hospitalization certificate, including medical record, charge receipt, etc., go to your own unit's medical insurance supervisor to seal it, and then go to the provincial medical insurance center for reimbursement every Monday

Second, if you live in a different place for a long time, you have to go to the original medical insurance center to apply for relocation in March every year. After filling out the relocation form, you can also get reimbursement when you see a doctor in the designated medical hospital

extended data:

reimbursement proceres for medical treatment in other places:

carry patient's ID card, two one inch color photos and new rural cooperative medical certificate to the county cooperative medical management office for referral and filing

carry ID card, NRCMS certificate and referral registration proceres to the referral hospital for medical treatment, and go through NRCMS hospitalization proceres

after leaving the hospital, the patient's ID card (or household register) and new agriculture added medical card, of medical record, hospitalization statement (in many forms of invoice), list of hospitalization expenses, check and record proceres, and reimbursement management

7.

There is a time limit for social security reimbursement. The specific time limit is slightly different in different cities. Serious illness is usually stipulated in the period of 6 months to 1 year. Sporadic reimbursement of insured personnel should be applied within 1-3 months from the date of receipt issued by medical institutions

How to buy insurance, which is better, hand in hand to teach you to avoid these "pits" of insurance

8. Cooperative medical service for labor service workers: 90% of the inpatient medical expenses of the first-class hospitals; The proportion of medical expenses paid for referral to secondary, tertiary and non municipal hospitals was 80%, 70% and 60% respectively. Inpatient care: 90% of the basic medical expenses of inpatients are paid by the overall fund (95% for retirees)

9. If I choose one, I suggest going to the Oriental Pearl Tower, first of all, the Oriental Pearl Tower is more famous. I admired it a long time ago. Two is the best view in the Oriental Pearl. Because she is 360 ° Spinning ball, you can have a panoramic view of the scenery of Shanghai

besides, the view is not in height but in angle
World Financial Center, the advantage is high, what else is nothing, and the Oriental Pearl is very popular.

10. Liming square

get on at Liming Square Station
get off at 3 stations of Metro Line 1 (direction of 13th Street)
get off at Zhongjie station (exit a)

walk 440 meters

get on at dongzhongjie station
get off at No.105 Road 5 station
get off at Cuiyuan community station

walk 200 meters

Shenyang Shenhe District Government Affairs Service Center