Taking Taihu County as an example, the hospitalization expenses of households with five guarantees will be reimbursed directly when they are discharged, and they only need to pay their own expenses.

In accordance with the relevant provisions of the "Implementation Plan for the Comprehensive Medical Security System for the Rural Poverty-stricken Population in Taihu County", when the poor are discharged from the hospital, the compliant medical expenses incurred by the networked designated medical institutions will be settled through the comprehensive medical insurance "one-stop" settlement information system , instant settlement of basic medical insurance, critical illness insurance, medical assistance, government coverage and personal out-of-pocket expenses.

Poor people only need to pay personal out-of-pocket expenses, and basic medical insurance, critical illness insurance, medical assistance and government funds are advanced by medical institutions. Compliant medical expenses incurred by poor people at non-networked designated medical institutions will be settled through the "one-stop" settlement information system at the county joint management center. Individuals only need to bear out-of-pocket expenses, and other expenses will be paid by the county joint management center.

Extended information:

Take Taihu County as an example. For the medical expenses reimbursement of the five-guarantee households, they only need to be reimbursed directly according to the settlement system when they are discharged. The personal portion of the personal expenses must be paid. That’s it.

After hospitalization, individuals only need to bear out-of-pocket expenses, and other expenses will be advanced by the county joint management center. The institution will then advance the medical insurance expenses for regular settlement. At the end of each month, medical institutions will classify and summarize the advanced expenses and related bills, and send them together with the remittance account information to the county joint management center.

The county joint management center notified the commercial insurance company and the civil affairs department that undertook the New Rural Cooperative Medical Care Critical Illness Insurance to retrieve the relevant bills for advance payments from medical institutions and the county joint management center. Each department should complete the review within 10 working days and pay the advance payment to the medical institution or county joint management center within 5 working days after completing the review.

Original bills such as invoices, medication lists, discharge summaries, settlement sheets, etc. are kept by the county joint management center. Commercial insurance companies and civil affairs departments that undertake critical illness insurance provide monthly advance fund summaries and copies of settlement sheets. Basis for settlement.

Anle Village Pioneer Network, Mituo Town, Taihu County-Taihu County Comprehensive Medical Security System for Rural Poor People