The scope of medical insurance reimbursement is as follows:
1. Bed fee: the highest is township hospitals 12 yuan/day, and municipal and above medical institutions 15 yuan/day;
2. Drug cost: the scope of drug use shall be subject to the drug list stipulated by the province;
3. Inspection expenses: inspection, laboratory test, etc. , limited to 600 yuan;
4. Treatment fee: 300 yuan and 300 yuan shall be settled according to the facts, and 50% of them shall be included in the reimbursement scope;
5. Surgery fee: according to the prescribed charging standard;
6. Blood transfusion fee: the maximum amount of hospitalization for surgery or rescue is 500 yuan;
7. Material cost: the maximum amount of hospitalization is 2,000 yuan each time;
8, all kinds of tumor patients with radiotherapy, chemotherapy and renal failure need dialysis outpatient expenses, as hospitalization expenses for compensation.
The materials required for reimbursement are as follows:
1, original hospitalization invoice;
2. Discharge record;
3, medical expenses list or doctor's advice, provided by the hospital;
4. My identity certificate: a copy of ID card or household registration certificate;
5. Others: recommendation certificate, work place certificate, etc.
Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC).
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.