Is the hospital bed fee reimbursed by medical insurance?

If the ordinary bed fee is reimbursed by medical insurance, if you live in a double ward or a single ward, the bed fee beyond the scope of medical insurance reimbursement shall be borne by you.

The scope of medical insurance reimbursement First of all, the difference between medical insurance drugs and non-medical insurance drugs, the reimbursement deductible line is also different according to the hospital level.

Generally, Class A drugs can enjoy full coverage, while Class C drugs need to bear all the expenses, while Class B drugs will be charged 80% and bear 20% of the expenses.

A person spends 10000 yuan in a hospital. If he is hospitalized in a first-class hospital, 500 yuan will be deducted first; If you are hospitalized in a secondary hospital, first subtract 1000 yuan; If you are hospitalized in a tertiary hospital, you can deduct 2000 yuan first, which is the difference of deductible.

1. Special medical expenses include organ and tissue transplantation due to illness, organ and tissue purchase and use of anti-rejection drugs and immunomodulatory drugs beyond the scope of medical insurance reimbursement for Zhenjiang employees;

2. Work-related injuries and occupational diseases;

3. Female workers give birth;

4. Rogue fights;

5. Injuries caused by alcoholism;

6. Traffic accidents;

7. Others intentionally hurt;

8. Medical malpractice;

9. Beauty and health examination;

10, other expenses not paid by the social medical insurance fund.

1 1. When the insured employees are on a business trip or visiting relatives in other places, they will only be reimbursed for emergency expenses in different places that meet the requirements of medical insurance. If you are hospitalized for non-emergency reasons, all expenses will not be reimbursed.

12. Insured employees who have lived in other places for more than 6 months will be reimbursed for medical expenses according to the nature of long-term residence.

13. Long-term residents in other places shall be certified by the unit, and two designated hospitals (local medical insurance designated medical institutions) shall be identified, and medical expense reimbursement cards for long-term residents in other places in Zhenjiang shall be handled in time.

14, employees who live in other places for a long time must adhere to the principle of economy and prescribe drugs in a limited amount according to regulations (for each visit, the acute dosage is within 3 days, the chronic dosage is within 10 days, and the dosage of tuberculosis, hypertension and diabetes can be extended to 30 days). Those who exceed the above standards will not be reimbursed for medicine.

15, the referral of long-term resident workers in different places needs the signature of the local designated hospital, and the referral is made step by step according to the principle of territoriality. Referral hospital is a special hospital determined by medical insurance for employees in our city. The individual pays 65438+ 00% of the total expenses first, and then reimburses the expenses according to the medical insurance regulations. Other hospitals and individuals pay 20% of the total expenses first, and then reimburse medical expenses according to medical insurance regulations.

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