How to reimburse hospitalization expenses and medical insurance for weather forecast in Hechi city, Guangxi

People who have paid medical insurance can only go to the designated medical insurance hospital to reimburse hospitalization expenses, and they can go through hospitalization procedures as long as they show their ID cards and social security cards when they are admitted to the hospital. After completing the hospitalization procedure, we must first pay a fee, which is the minimum threshold, which is what we all call the threshold fee. However, this threshold fee is not paid for nothing, and it is also included in the medical expenses, but the medical expenses generated by this part of the expenses cannot be reimbursed.

The hospitalization expenses above Qifubiaozhun belong to the scope of medical insurance reimbursement. Within the scope of medical insurance reimbursement, excluding the expenses such as examination, surgery and self-funded drugs that I should pay, it belongs to the scope of medical insurance reimbursement in proportion. Every day, the hospital will settle the patient's expenses. According to the settlement list, there is a detailed list, which lists how much I paid for the day's expenses and which belong to medical insurance reimbursement.

The expenses paid by individuals, except the Qifubiaozhun and the self-funded part, belong to the scope of medical insurance reimbursement, which have been deducted at the time of hospital settlement and do not need to be paid by family members.

When leaving the hospital, there is a general statement, including total expenses and medical insurance reimbursement. Patients or their families only need to pay off their personal expenses, even if they have completed the reimbursement procedures, they can be discharged from the hospital and no longer need to go to the medical insurance department for reimbursement. If there is commercial insurance, it needs to be paid by the insurance company according to the commercial insurance contract.

To sum up, people who pay medical insurance, whether they pay employees' medical insurance or urban and rural residents' medical insurance, pay their claims in the hospital in real time, and the hospitalization expenses need not be paid in advance, and then go to the medical insurance institution for reimbursement.

If the direct subsidy settlement of the medical treatment platform in different places is unsuccessful, you can apply for sporadic reimbursement with the following materials. Urban and rural residents report to the township joint management office, and urban workers report directly to the lobby window of the county medical insurance bureau:

1, copy of the patient's ID card (there is no ID card in the household registration book).

2. Original official invoice for medical expenses.

3. Original discharge record or discharge summary.

4. Detailed list of hospitalization medical expenses.

5. Copy of the bank card or passbook of the patient's local bank (urban and rural residents are limited to credit union accounts, and try to use the "one-card" passbook. If the user name is not the patient himself, a copy of the passbook holder's ID card or household registration book is required).

6. Approval Form for Referral and Referral or Registration Form for Medical Treatment in Different Places (A person who has been working or living outside for a long time and is hospitalized in a designated hospital in his place of residence may be deemed to have approved the transfer by proof of work permit, student ID card, residence permit and other documents. )

7, outpatient chronic disease expense reimbursement need to provide the corresponding inspection report, inspection report, prescription, outpatient special chronic disease special medical record copy of the first page.

8. For reimbursement of special drugs for serious illness, a copy of the approval form for special drugs and a hospital prescription shall be provided.

9, trauma need to provide proof of third party responsibility.