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Wuhan Medical Insurance Reimbursement Policy
Wuhan Medical Insurance Reimbursement Policy

Individuals bear cash payment, and social security reimbursement is settled by the hospital to social security. Medical insurance includes general medical insurance, chronic disease outpatient medical insurance and serious illness hospitalization medical insurance:

1. General medical insurance: about 80% of hospitalization expenses will be reimbursed, and about 20% will be borne by individuals. The maximum reimbursement amount is tens of thousands of yuan. Outpatient expenses cannot be reimbursed.

2. Outpatient medical insurance for chronic diseases: outpatient expenses can be reimbursed.

3. Hospitalization medical insurance for serious illness: about 80% of hospitalization expenses will be reimbursed, and about 20% will be borne by individuals. The maximum reimbursement amount100000 yuan or more.

Extended data:

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Declaration and acceptance

The collection department of the medical insurance institution accepts the Declaration Form for the Change of Medical Insurance Payment Base reported by the insured unit, and requires the following information:

1, Salary Payment Schedule

2. List of Persons Participating in Medical Insurance;

3. Other information provided by medical insurance institutions.

Payment verification

1, the collection department of the medical insurance institution shall review the payment declaration and approval form and related materials provided by the insured unit. After passing the examination, the insured shall go through the formalities of approval or increase or decrease.

2. The collection department of the medical insurance institution shall, according to the declaration and verification of payment, record the time of enrollment and the current payment of wages and other information for the newly-added insured personnel in a timely manner. The collection and payment department of the medical insurance institution shall declare and approve the current payment base according to the insured unit.

3. The collection and payment department of the medical insurance institution shall calculate the payable amount according to the approved current payment base and payment rate of the insured unit, print the Notice of Medical Insurance Payment, and feed it back to the reporting unit for collection and payment on this basis.

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Social medical insurance

1. Medical insurance institutions can collect fees through the "income deposit" bank, or by cheque, cash, wire transfer or cashier's check, and issue special receipts. The financial management department of the medical insurance institution reconciles with the bank every month and feeds back the receipt to the collection department.

2. The collection and payment department of medical insurance institutions shall, according to the payment of medical insurance premiums fed back by the financial management department, issue a "Social Insurance Premium Reminder Notice" to the insured units that fail to pay medical insurance premiums in full and on time after the declaration. If it is not implemented within the time limit, it shall provide relevant information and materials to the administrative department of labor security, which shall make corrections within a time limit.

3. Before 25th of each month, if the insured unit fails to pay the fee, a late fee of 2‰ will be charged on a daily basis from the date of default. It can be paid in one lump sum for one month, one quarter, six months or one year. If it is paid quarterly or annually, it should be paid at the beginning of the quarter or the beginning of the year. Temporarily unable to pay, can apply for holdover, holdover time shall not exceed 2 months.