Chancheng residents' medical insurance cross-regional fixed-point

For example, a hospital in Chancheng District, Foshan is a designated center for residents' medical insurance (hospitalization), a designated center for urban workers' medical insurance (hospitalization) and a specific outpatient service.

Calculation method of employee medical insurance

Medical insurance fund payment = total hospitalization expenses-expenses not included in the scope of medical insurance-Qifubiaozhun × reimbursement ratio. The balance is paid by the individual. The Qifubiaozhun for employees' medical insurance participants is in 400 yuan, and the reimbursement rate is 98%; Pay it to 300 yuan after retirement, and the reimbursement ratio is 100%.

Calculation method of residents' medical insurance

Medical insurance fund payment = total hospitalization expenses-expenses not included in the scope of medical insurance-Qifubiaozhun × reimbursement ratio. The balance is paid by the individual. The reimbursement rate is 85%, and the minimum payment standard is 400 yuan.

Reimbursement method

1. Medical insurance patients in Chancheng District of Foshan City can directly settle accounts in our hospital, and medical insurance patients in other districts can go back to the local medical insurance office for reimbursement after discharge.

2, Foshan city medical insurance for urban workers patients in the hospital direct settlement.

maturity

1, the new insured can only enjoy medical insurance benefits after going through the insurance formalities and paying for 90 consecutive days.

2 interruption of payment for more than 30 days, as a new insurance.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.