How to settle the hospitalization expenses in the social securit
1. The part of medical expenses that should be borne by the indivial should be settled with the hospital by the indivial; Should be the burden of medical insurance fund, indivials do not need to take money, by the agency and the hospital settlement
2. In the non insured medical insurance hospitals in this city, the part of medical expenses that should be borne by the indivial should be settled with the hospital by the indivial; Should be the burden of medical insurance fund, indivials do not need to take money, by the hospital accounting. The medical expenses recorded shall be settled by the local agencies and the municipal agencies
3. If the inpatient medical expenses of medical insurance hospitals can be settled in different places within and outside the province, the part that should be borne by the indivial should be settled by the indivial with the hospital; For the part that should be borne by the medical insurance fund, the indivial does not need to take money, and the medical hospital keeps accounts. For the part of hospital accounting, the local agency is responsible for the settlement with the hospital, and the provincial agency is responsible for the settlement
(4) the medical expenses of a hospital can not be settled directly outside the city, but should be paid in full by the indivial. Within six months after the end of diagnosis and treatment, the urban residents should apply for reimbursement through the labor and social security work station and school in the community, and the county (City) residents should apply for reimbursement by the indivial with the relevant information to the local agency. The agency shall check and approve the reimbursement of medical expenses according to the regulations and allocate them to the insured5. The year of hospitalization is determined according to the date of discharge settlement
6. College and secondary school students who stay in non insured places ring school suspension, winter and summer vacation, legal holiday and teaching practice should go to the medical insurance hospital where their family or internship unit is located and report to their school within 7 working days. Within six months after the end of diagnosis and treatment, with the relevant materials, apply for reimbursement through the school to the insurance agency. The agency shall check and approve the reimbursement of medical expenses according to the regulations and allocate them to the insured
7. When the residents are discharged from hospital, the hospital should ask them or their relatives to verify the details of hospitalization expenses and sign. Otherwise, the medical insurance fund will not be paid. In case of any dispute, it shall be reported to the agency at the same level for handling
extended data
discharge process:
first of all, when handling hospitalization proceres: Patients with medical insurance should show their ID card and medical insurance certificate, then go through hospitalization proceres and register for hospitalization. Only in this way can we ensure that part of the expenses in the hospital are included in the scope of medical insurance reimbursement
then, if you want to leave the hospital, you need the attending doctor to issue a diagnosis certificate and go to the outpatient charge office to seal it; Hospitalization notice, hospitalization deposit receipt; ID card, medical insurance card
take the above proceres and materials, and go to the window for hospitalization proceres to handle discharge and reimbursement. After processing, the staff will give you a discharge notice, including details of various expenses, reimbursement scope, reimbursement amount, etc
Line 2, line 10, Nanjing East Road
Yes, after Nanjing East Road subway station of line 2 comes out, walk a little bit
Spanish visa center
address: 3 / F, Jiushi business building, 213 Sichuan middle road, Huangpu District, Shanghai
[2] if the exchange participates in business such as yu'ebao and financial management, there will be bankruptcy
the above two items can be used as a reference for whether the exchange is closed or not, resulting in the funds can not be transferred out in time.
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reimbursement of hospitalization expenses of social security card: if you pay 100% of the expenses by yourself in the drugstore, you can enjoy the proportion of reimbursement in the hospital (also within the scope of medical insurance). Hospitalization within the scope of medical insurance, according to the actual amount of expenditure, such as: spend 10000 reimbursement between 55% - 65%. When seeing a doctor, show the medical insurance card to the designated hospital to prove the insured identity and registration. The reimbursement part of the medical insurance is settled by the medical insurance and the hospital, and the indivial does not need to pay before reimbursement. When settling the account, the indivial's self paid part is paid by himself with the balance of the medical insurance card and cash. When reimbursement for hospitalization, there is an initial payment line (the initial payment standard is generally 10% of the average annual salary of the city's employees in the previous year). That is to say, the money of the initial payment line needs to be paid by oneself, and the part beyond the initial payment line can be reimbursed according to the local medical insurance regulations. The reimbursement proportion varies from place to place, and different hospitals and different projects are also different. Social security card reimbursement process: (1) all the inpatients who need to return to the Social Security Bureau for reimbursement of hospitalization medical expenses shall be prepared within 7 working days after discharge: 1. Copy of ID card; 2. Original and of hospitalization charge receipt; 3. Diagnosis certificate; 4. Daily medication list; 5. Detailed list of hospitalization expenses; 6. Discharge summary; 7. Allow the settlement card and other information to go through the reimbursement proceres at the business hall window of the Municipal Social Security Bureau 2 After checking and receiving the reimbursement data, the window staff will issue the receipt of hospitalization medical expenses of the insured to the insured 3 After receiving the information, the audit is completed within 15 working days, and the reimbursement payment of the basic medical insurance co-ordination fund is transferred from the Maoming Branch of GDB to the financial account of GDB smart IC card of the inpatients, who withdraw cash from the Maoming Branch of GDB with the IC card 4 After 15 working days, according to the need, the inpatients can get the medical reimbursement calculation form of social medical insurance at the business hall window of the Municipal Social Security Bureau with the receipt of inpatient medical expenses of the insured. The form should be kept properly, and it will not be replaced if it is lost