Emergency expenses are usually included in hospitalization expenses and can be reimbursed according to the provisions of basic medical insurance. Different regions and types of medical insurance may have different provisions on the reimbursement conditions and proportion of emergency expenses, and patients need to determine the possibility of reimbursement according to the specific policies in their own regions.
Scope of application of emergency compensation:
1, the patient who died in the field first aid or transshipment, died in the emergency room, and died in the hospital after being rescued by pre-hospital emergency personnel.
2. Patients transferred after on-site first aid shall be reimbursed if they meet the following emergencies. The reimbursement scope of emergency medical insurance includes: acute cerebral hemorrhage, acute massive cerebral infarction, acute heart failure, acute myocardial infarction, severe arrhythmia, hypertensive crisis, pulmonary embolism, pneumothorax, acute shock, coma, status asthma, status epilepticus, massive hemoptysis, upper gastrointestinal bleeding, functional uterine bleeding, emergency operation acute abdomen, acute severe poisoning, moderate and above burns. Other diseases are not reimbursed.
3. After the on-site first aid, the patients who failed to be hospitalized will not be reimbursed.
To sum up, whether the emergency expenses during hospitalization can be reimbursed and the specific reimbursement standards need to be determined according to the local medical insurance policy and the specific situation of patients.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 28
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.