After the insured person has gone through the confirmation procedures for medical treatment in different places, he can go to designated medical institutions in different places for medical treatment. The amount of his personal medical account can be withdrawn through any business outlet of the medical insurance card, which is used to support the expenses of outpatient general diseases and the expenses of drug purchase and dispensing in pharmacies.
If the insured person is hospitalized (including outpatient specific treatment), he can go to the local designated medical institution for inpatient and outpatient specific treatment, and the medical expenses shall be paid in advance by the individual. Within 1 month from the date of discharge, the insured unit shall apply for reimbursement to the municipal medical insurance center with the following information;
1, copy of the front and back of the medical insurance card;
2. A copy of the confirmed application form for medical treatment in different places;
3. The discharge or diagnosis certificate shows that the medical expenses of specific outpatient items must be accompanied by a copy of the "Mente Application Form" approved by the Municipal Medical Insurance Center (except for emergency observation);
4. Detailed list of medical expenses;
5. Official receipt of medical expenses (with the signature of the reimbursement person on the back).
Extended data:
Guarantee content
1, security object. The object of serious illness insurance is urban residents' medical insurance and the insured of the new rural cooperative medical system.
2. Scope of protection. The coverage of serious illness insurance should be connected with urban residents' medical insurance and the new rural cooperative medical system. The medical insurance for urban residents and the new rural cooperative medical system should provide basic medical security according to the policy.
On this basis, the major illness insurance mainly guarantees the eligible medical expenses of urban residents compensated by medical insurance and the new rural cooperative medical system when the insured (co-insured) is seriously ill and the medical expenses are high.
High medical expenses can be judged by the fact that the accumulated annual compliance medical expenses of individuals exceed the annual per capita disposable income of urban residents and the annual per capita net income of rural residents announced by local statistical departments, and the specific amount is determined by local governments.
Compliance medical expenses refer to the actual and reasonable medical expenses (which can be stipulated not to be paid), which are determined by the local government. All localities can also start to carry out serious illness insurance from diseases with heavy personal burden.
3. Protection level. In order to avoid catastrophic medical expenses for urban and rural residents and reasonably determine the compensation policy for serious illness insurance, the actual payment ratio is not less than 50%.
The proportion of payment is determined according to the level of medical expenses. In principle, the higher the medical expenses, the higher the payment ratio. With the continuous improvement of financing, management and security, the proportion of reimbursement for serious illness will be gradually increased, and the burden of personal medical expenses will be reduced to the greatest extent.
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