Discharge medical insurance reimbursement procedures:
1. The insured pays the medical expenses in advance: after being discharged from the hospital, the insured must first settle the account at the settlement window of the hospital, that is, the insured needs to pay the medical expenses himself first. If you have basic medical insurance, you can generally reimburse and settle directly at the settlement window of the hospital;
2. Submit the reimbursement materials to the insurance company: submit the prepared reimbursement materials to the insurance company, such as outpatient medical records, discharge records, discharge diagnosis, hospitalization invoices, general list of hospitalization expenses, medical insurance statements, CT/ ultrasound/electrocardiogram and other relevant inspection reports required for reimbursement of medical expenses;
3. Review: The insurance company reviews the reimbursement materials submitted by the insured and confirms the reimbursement plan. For example, the reimbursement of medical expenses can only be reimbursed after deducting the medical expenses and deductibles that have been reimbursed by basic medical insurance or other medical insurance. For example, a medical insurance can be reimbursed 100% with social security and 80% without social security;
4. Reporting: the auditor of the insurance company reports the audit results and plans, and the special person signs for approval;
5. Reimbursement: The insurance company will notify the insured to receive the reimbursement, but it can generally be credited to the bank account designated by the insured;
6. Closing the case: After the claim is settled, the case is closed.
Article 28 of People's Republic of China (PRC) Social Insurance Law
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.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
I have paid for it at my own expense. How to get social security?
Legal analysis: Out-of-pocket expenses can generally be reimbursed by medical insurance, but only expenses within the scope of medical insurance can be reimbursed. If the insured has gone through the insurance procedures, paid the medical insurance premium in full, and sought medical treatment in a designated medical institution, then after paying cash in advance and keeping the relevant documents and materials, he only needs to carry his ID card, medical insurance card, hospital emergency medical records, inspection and laboratory reports, invoices, medical expenses list and other materials to go through the relevant reimbursement procedures.
Legal basis: People's Republic of China (PRC) Social Insurance Law.
Article 4 Employers and individuals who pay social insurance premiums according to law in People's Republic of China (PRC) have the right to inquire about payment records and personal rights and interests records, and ask social insurance agencies to provide social insurance consultation and other related services.
Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.
Seventy-fourth social insurance agencies through business handling, statistics, investigation and other means to obtain the data needed for social insurance work, the relevant units and individuals should provide timely and truthful.
The social insurance agency shall establish a file for the employer in a timely manner, completely and accurately record the social insurance data such as personnel's participation in social insurance and payment, and properly keep the original vouchers for registration and declaration and accounting vouchers for payment and settlement.
The social insurance agency shall timely, completely and accurately record the individual's personal rights and interests such as social insurance payment, employer's payment and social insurance benefits, and regularly send the personal rights and interests records to me free of charge.
Employers and individuals can inquire and check the records of payment and social insurance benefits from social insurance agencies free of charge, and ask social insurance agencies to provide social insurance consultation and other related services.
skill
The above answer is only for the current information combined with my understanding of the law, please refer carefully!
If you still have questions about this issue, I suggest you sort out relevant information and communicate with professionals in detail.
Flow chart of discharge procedure
Discharge procedure:
1. At the time of discharge settlement, first go through the relevant formalities at the nurse station, check whether there are discharged drugs, and confirm the discharge settlement time and related matters.
2, at their own expense personnel carrying hospitalization deposit receipt, directly to the hospital discharge window for settlement procedures;
3, retirement, medical insurance personnel settlement, first transmitted by the nurse station, and then by the medical insurance office audit rear can handle the discharge settlement, discharge, need to bring the hospitalization deposit receipt, medical insurance card to the discharge window for settlement procedures;
4, the new rural cooperative medical system patients with hospitalization deposit receipt, cooperative medical certificate, a copy of the agent's ID card, to the discharge window for settlement procedures.
5. After the settlement is clear, if there is any medicine discharged from the hospital, you need to take the prescription to the central pharmacy or the outpatient Chinese pharmacy to get the medicine.
According to the Social Insurance Law, the state has established social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in case of old age, illness, industrial injury, unemployment and maternity.
What should I bring for reimbursement of discharge procedures?
1. The doctor issued a discharge order. The doctor will inform the news of discharge during the ward round, and will issue a discharge form after the ward round;
2. The nurse verifies the doctor's advice. After receiving the discharge doctor's advice, the nurse verifies and handles the related affairs needed for discharge. After the discharge approval is successful, the nurse prints the discharge notice;
3. After receiving the discharge notice, patients or their families need to prepare relevant documents before going through the discharge formalities, including deposit receipt, ID card, medical insurance card/diagnosis certificate, bedside card, etc. , and take the meal card and access card back together;
4. After preparing the required materials, go to the settlement office for discharge, and print the general list of expenses after the settlement is successful;
5. If the expenses are not directly settled as a whole, but need to be reimbursed separately, please ask for relevant vouchers when you leave the hospital. Including: payment invoice, general list of hospitalization expenses, discharge summary and discharge diagnosis certificate. Among them, the discharge summary and the discharge diagnosis certificate are filled out and printed by the doctor and sealed by the nurse. After the nurse gives it to the patient, the patient also needs to take the diagnosis certificate and stamp it at the settlement office;
6. The patient was discharged with medicine, and received the medicine with the invoice after settlement.
Beijing 2022 latest regulations for foreigners to see a doctor
According to Beijing Daily, on the evening of165438+1October13rd, the client in the State Council updated the epidemic prevention and control policy related to "going to Beijing", making it clear that-
The criterion of positive judgment for entry personnel is that the Ct value of nucleic acid is less than 35, and entry personnel strictly implement "5-day centralized isolation +3-day home isolation".
Personnel in counties and districts with local epidemics within 7 days are strictly restricted from entering and returning to Beijing. Other personnel normally enter and leave Beijing with the negative nucleic acid certificate within 48 hours and the green code of "Beijing Health Treasure".
Personnel returning to Beijing will be subject to "three days and two inspections", and they will not have dinner, get together or go to crowded places within seven days.
According to CCTV news 4 1 13 10, Beijing held a press conference on COVID-19 epidemic prevention and control on 4 12.
At the press conference, Liu Xiaofeng, deputy director of Beijing CDC, introduced that there were110 people from 0: 00 on 13 to 15, and there were 70 new cases of COVID-19 virus infection. Among them, isolated observers 156 cases, social screening personnel 14 cases; There are 59 cases in Chaoyang District, 20 cases in Tongzhou District, 0/4 cases in Dongcheng District and Haidian District, 0/3 cases in Changping District and Daxing District, 0/2 cases in Fengtai District, 9 cases in Shunyi District, 8 cases in Xicheng District, 4 cases in Mentougou District, 2 cases in Fangshan District, Shijingshan District and Economic and Technological Development Zone. Ordinary type 1 case, mild type in 97 cases, asymptomatic infection in 72 cases.
At the press conference, Xu Hejian, spokesman of the Beijing Municipal Government, said that it is necessary to dynamically optimize and improve the epidemic prevention management policy for returning to Beijing, unblock the rescue channels, and improve the timeliness of handling. Used for medical treatment, commuting, students, freight drivers, etc. We should adhere to the principles of "one case, one discussion" and "effective relief", unblock medical channels to the maximum extent, improve commuting efficiency and ensure market supply. Continue to carry out special assistance for people stranded outside Beijing, carry out normalized assistance work, sort out the situation of residents in risk counties outside Beijing, and dynamically update the information base of permanent residents. Timely accept complaints from citizens returning to Beijing through 12345 WeChat official account and hotline, timely verify relevant risks, and ensure more accurate prevention and control of imported risks.