Hot Topic:: With regard to reimbursement of medical insurance for Beijing
Experts answer: employee out-patient medical expenses, according to "Beijing provides the basic medical insurance" is owned by the large amount of medical health care mutual fund costs, in the "Beijing Basic Medical Insurance provides that" 37th article clearly states: the establishment of mutual help system for large medical expenses. Large medical expenses mutual funds pro-rata payment of employees and retirees in a fiscal year total of more than a certain amount of out-patient, emergency medical expenses and more than the basic medical insurance pool fund the maximum payment (excluding Qifubiaozhun and personal burden of the following section) of the Medical costs. On payment methods and the amount in the "rule" stipulates the 40th: "large medical expenses mutual funds to meet the basic medical insurance requirements of the large medical expenses paid in accordance with the following approaches: (1) employee in a fiscal year out-patient, emergency medical total cost of more than 2,000 yuan part of large medical expenses to pay 50% of mutual funds, individuals pay 50%. (b) of retirees in a fiscal year out-patient, emergency medical expenses up to more than 1,300 yuan part of discontent 70 years of age retirees, large medical expenses to pay 70% of mutual funds, individual pays 30%; of retirees over the age of 70, large medical expenses for 80% of mutual funds, individuals pay 20%. (c) large medical expenses mutual funds accumulated in a fiscal year employees and retirees to pay out-patient, emergency medical expenses for a maximum amount of 20,000 yuan. (d) ... ... ... "According to these provisions, the employee deductions for out-patient costs at their own expense the amount of medicine part of the part of more than 2,000 yuan can be provides reimbursement of 50%. Apply for reimbursement of medical expenses of workers of specific processes and requirements: to carry employees I "Beijing Medical Insurance Handbook" and the units of "social insurance registration certificate", the best unit to carry out forms after the official seal or stamp return to his unit; medication and treatment, examination, laboratory tests and other expenses of the document must belong to her choice of designated medical institutions, specialist designated, Beijing Hospital, designated Chinese Medicine Hospital, A class medical institutions and designated medical institutions in Beijing, emergency medical expenses incurred; the employing unit should be no arrears of the basic medical large health care insurance and mutual funds; all of the drugs must be accompanied by documentation (Medicare only) the words of the doctor's prescription; examination and treatment costs should be charged with a list of details; handle name of the department: The area of Labor and Social Security Bureau Health Insurance Service Management Center medical insurance to pay the window handle. Processing time: 1 -20 days each month (except holidays) to the Health Insurance Center to pay their medical expenses receipts and fill out the registration form, by the Health Insurance Center staff reviewed documents drugs.
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