From Hangzhou Guanlan to medical insurance service center

Hangzhou insurance personnel need to go to Hangzhou Medical Insurance Department. You can go to Hangzhou Medical Insurance Administration and service bureau (No. 248, Zhonghe Middle Road) or go to the medical insurance window of the citizen center. You need to bring your ID card and one inch photo (the agent needs the agent's ID card)

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medical insurance is a policy formulated by the state to protect the rights and interests of employees. People who have paid for medical insurance should know more about it. What is the scope of medical insurance reimbursement? The following is the latest Hangzhou employees' medical insurance reimbursement conditions, Hangzhou medical insurance reimbursement materials and processes carefully arranged by Xiaobian. I hope it can help you
as for the reimbursement of medical insurance in Hangzhou in 2016, from the perspective of the insured population, after the implementation of the new measures, it will cover all the population, including employees (retirees), urban and rural residents (college students, children and the elderly), achieving the goal of everyone enjoying medical insurance. At present, from tertiary medical institutions to community service centers, there are more than 2000 designated medical insurance institutions in Hangzhou. It is more convenient for the insured to seek medical treatment and purchase medicine
what is the reimbursement ratio of medical insurance in Hangzhou in 2016? What is the latest coverage of medical insurance reimbursement in Hangzhou? 76% before retirement in tertiary medical institutions; 80% before retirement in secondary medical institutions; 84% before retirement in other medical institutions; 86% of the cases occurred in community health service institutions before retirement. 82% before retirement if it is more than 20000 yuan to 40000 yuan (inclusive) in tertiary medical institutions; 85% before retirement in secondary medical institutions; 88% before retirement in other medical institutions; In the community health service institutions, 90% before retirement. 88% before retirement if it occurs in a tertiary medical institution, ranging from more than 40000 yuan to 180000 yuan (inclusive); 90% before retirement in secondary medical institutions; In other medical institutions and community health service institutions, 92% occurred before retirement. The proportion of Medicaid for major diseases is 88% in tertiary medical institutions; 90% of secondary medical institutions; Other medical institutions and community health service institutions accounted for 92%<
2016 Hangzhou medical insurance reimbursement standard, new policy of medical insurance reimbursement
reimbursement proportion
outpatient treatment:
in a settlement year, the general outpatient medical expenses of basic medical insurance insured personnel in line with the scope of medical insurance expenses are first paid by the funds of the current year in the personal account, and the funds of the current year in the personal account are insufficient to pay, The standard payment for an outpatient service is 1000 yuan. The proportion of medical expenses above the standard of outpatient payment is: 24% in tertiary medical institutions; 20% in secondary medical institutions; 16% in other medical institutions; 14% of the cases occurred in community health service institutions
hospitalization benefits:
1. Bear a starting payment standard for hospitalization, specifically: 800 yuan for Level 3 and corresponding medical institutions (hereinafter referred to as level 3 medical institutions), 600 yuan for Level 2 and corresponding medical institutions (hereinafter referred to as level 2 medical institutions), and 300 yuan for other medical institutions and community health service institutions
2. The proportion borne by the overall planning fund is:
76% before retirement if it occurs in a tertiary medical institution and the starting payment standard is above 20000 yuan (inclusive); 80% before retirement in secondary medical institutions; 84% before retirement in other medical institutions; 86% of the cases occurred in community health service institutions before retirement
more than 20000 yuan to 40000 yuan (inclusive), in tertiary medical institutions, 82% before retirement; 85% before retirement in secondary medical institutions; 88% before retirement in other medical institutions; In the community health service institutions, 90% before retirement
88% before retirement for those above 40000 yuan to 180000 yuan (inclusive) in tertiary medical institutions; 90% before retirement in secondary medical institutions; In other medical institutions and community health service institutions, 92% occurred before retirement
over 180000 yuan, which is jointly borne by Medicaid fund for major diseases and indivials. The proportion of Medicaid fund for major diseases is: 88% of tertiary medical institutions; 90% of secondary medical institutions; Other medical institutions and community health service institutions accounted for 92%
reimbursement proportion of medical insurance in Hangzhou
warm tips: if you have any questions, you can also call the labor security consulting service line 12333 to transfer to 1-city labor security consulting service line (Monday to Friday, 8:45-12:00, 13:30-17:00, except holidays) for consultation< (1) the expenses of Western medicine, Chinese patent medicine and Chinese Herbal Pieces listed in the drug catalogue of basic medical insurance stipulated by the state and the province< (2) the expenses listed in the basic medical insurance items stipulated by the state and the province< (3) the expenses listed in the national, provincial and municipal standards for basic medical insurance and medical service facilities< (4) the expenses of self-made preparations of designated medical institutions included in the reimbursement scope of basic medical insurance
(5) medical expenses that meet the reimbursement scope of basic medical insurance e to emergency treatment in non designated medical institutions or non-profit medical institutions outside the city

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Hangzhou Medical Insurance Center: 248 Zhonghe Middle Road, Shangcheng District, postcode: 87041850
the nearest bus stop is Pishi Lane (one-way stop); Zhongan bridge.
the bus routes stopping at Pishi lane are: 14, 18, 31, 59, 186, 805
the bus routes stopping at Zhongan bridge are: 14, 18, 31, 59, 60, 68, 186, 517, 591
3 / F, Jinzhu building, 538 Stadium Road, hall of Zhejiang Provincial Medical Insurance Service Center
149 Xihu Avenue, Hangzhou medical insurance service acceptance center

There is no separate card type medical insurance card in Hangzhou. The citizen card has the function of medical insurance card after opening medical insurance
to participate in medical insurance in Hangzhou, you need to go to the medical insurance department in Hangzhou. You can go to Hangzhou Medical Insurance Administration and service bureau (No. 248, Zhonghe Middle Road) or go to the medical insurance window of the citizen center. You need to carry your ID card and one inch photo when you handle it

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can be handled in the public service hall or service center. The citizen card in Hangzhou includes the medical insurance card service, so you can go to the place where you apply for the citizen card