Hospitalization (including observation in emergency observation room) sets the minimum payment standard for medical expenses incurred by urban and rural residents participating in medical insurance every hospitalization, specifically: first-level medical institution 50 yuan, second-level medical institution 100 yuan, and third-level medical institution 300 yuan. More than Qifubiaozhun above part of the medical expenses, residents' medical insurance fund to pay according to the following proportion:
(1) 90% for the elderly aged 60 or above and severely disabled people who are hospitalized in community health service centers (or first-class medical institutions); Secondary medical institutions pay 80%; Third-level medical institutions pay 70%.
② Persons under the age of 60 who are hospitalized in community health service centers (or first-class medical institutions) will be paid 80%; Secondary medical institutions pay 75%; Third-level medical institutions pay 60%.
Extended data:
Hospitalization reimbursement: that is, the reimbursement of related expenses arising from going to the hospital to see the cause of hospitalization. Explain that hospitalization reimbursement must bring my ID card and medical insurance card, as well as the scope of medical insurance reimbursement. In addition, I also need medical cases and related drug expenses. If you are an emergency patient and need to go through the formalities, please declare to the doctor that you are the insured.
Note: the scope of medical insurance reimbursement is limited to hospitalization period and expenses and the expenses of taking medicines outside the hospital. The previous outpatient examination and treatment expenses cannot be reimbursed. The expenses for examination and treatment after discharge cannot be reimbursed.
So I suggest:
1. If you have been hospitalized after preliminary examination, try not to do too much examination and treatment in the outpatient clinic. Go to the hospital as soon as possible, and then do detailed examination and treatment after admission. Only the examination and treatment during hospitalization will be reimbursed.
2. Although the medical insurance regulations stipulate the discharge standards and medication standards. But if possible, try to be treated in the hospital and try not to leave the hospital early for other reasons. When you leave the hospital, if possible, ask the doctor to prescribe medicine for a few more days. After you come out, you will no longer enjoy the reimbursement treatment, so that you can enjoy the benefits of hospitalization reimbursement to the maximum extent.