Current location - Recipe Complete Network - Catering franchise - I am engaged in rural insurance in Changshan, Quzhou, Zhejiang. How much can a child born in another province be reported?
I am engaged in rural insurance in Changshan, Quzhou, Zhejiang. How much can a child born in another province be reported?
First of all, reimbursement requires a public hospital (if it is not a well-known tertiary hospital, remember to issue a hospital grade certificate to the medical insurance bureau where the hospital is located). Reimbursement ratio: 60% in tertiary hospitals (hospitalization threshold 800), 65% in secondary hospitals (hospitalization threshold 800) and 70% in hospitals below secondary hospitals (hospitalization threshold 400).

Hospitalization in other provinces (outpatient and emergency expenses will not be reimbursed) can be reported as a discount of 15% of the total medical insurance license fee. Then reimburse according to Changshan standard.

Pay in full after discharge, and submit invoices, discharge summary, expense list, inspection documents, hospital grade certificate, copy of Changshan Credit Union card number and other related documents to the township medical insurance acceptance window of the insured area. Generally, it will be credited to the personal credit cooperative account after one month.

For example, hospitalization in secondary hospitals in other provinces requires 15000 yuan (for example, medical insurance certification fee 12000 yuan). Then you can quote a discount of12000 *15% =1800 (12000-1800) * 65% = 61/kloc.