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Information on hospitalization for insured patients
  • Date:2024-06-05
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First, the insured patients who need to be hospitalized should go to the relevant departments to apply for inpatient medical insurance procedures with the hospitalization notice, ID card (pediatric patients can hold the family register), social security card or electronic voucher of medical insurance, and hand over the inpatient procedures and relevant documents to the medical staffs for verification after checking into the hospital ward. Patients who have not registered for medical insurance in time should go to the inpatient department to make up for the medical insurance formalities, otherwise it is regarded as giving up the reimbursement.

Second, the insured patients refer to the basic medical insurance for urban workers, basic medical insurance for urban and rural residents, basic medical insurance for urban workers and residents in other places, maternity medical insurance, basic medical insurance for the retired and medical insurance for work-related injuries.

Third, if a patient is hospitalized outside the province, he/she must first contact the health insurance bureau of the participating place for information filing (or follow the public number of the health insurance bureau of the participating place with his/her cell phone for filing), and then go to the hospitalization office with his/her ID card and social security card or the electronic voucher of the health insurance to apply for the network registration. The reimbursement rate of hospitalization shall be in accordance with the reimbursement regulations of the participating place, and the drugs and diagnostic and therapeutic services shall be in accordance with the reimbursement catalog of the place of medical treatment.

During the period of hospitalization, the patient's participation certificate, ID card or hukou book will be stored with the patient for verification. At the same time, they should consciously abide by the relevant policies and regulations of medical insurance, and are not allowed to be hospitalized in a hospital with a registered bed or leave the ward without authorization. When they move around in the hospital, they need to obtain the consent of the physician and inform the nurse on duty of the specific direction, or else they will be disqualified for reimbursement.

When you need to use drugs or consumables out of the catalog or ask for special services (e.g. living in a high room) due to your condition, the medical staff will need to sign a self-payment agreement with you, so please cooperate with us.

During the hospitalization of patients with work-related injuries, they have to be reported to the Industrial Injury Section of the Human Resources and Social Security Bureau by the insured units for work-related injury certification, and will be reimbursed only after the approval of the Industrial Injury Section of the Human Resources and Social Security Bureau.

When being discharged from the hospital, please hold a discharge certificate, ID card (pediatric patients can hold a household register), social security card or electronic voucher of medical insurance, and patients with special drugs need to hold a special drug approval form.

Accidental injury patients need to be investigated and approved by the Medical Insurance Bureau, with the patient's ID card, social security card or medical insurance electronic vouchers, to the Office of the Medical Insurance to verify the investigation, and then settle the reimbursement at the hospitalization office. (The Medical Insurance Bureau will inform the approval by SMS, please pay attention to check.)

IX. For hospitalized delivery of employees participating in maternity insurance in Liaocheng City, they need to provide the Family Planning Service Manual and a copy of it. For hospitalized delivery of insured residents, they are required to provide the Family Planning Service Manual and the Basic Information Card for Women of Childbearing Age, and they can be discharged from the hospital to enjoy the maternity reimbursement treatment.

X. Hospitalization thresholds and reimbursement rates for insured patients in various regions

 


地区

类别

首次起付线

第二次起付线

第三次及以后

报销比例



聊城

 

 

邢台

城乡居民

900

450

0

60%

城镇职工

800

400

0

85%

工伤、离休

0

0

0

100%

城乡居民

2500

2500

2500

55%

城镇职工

600

600

0

83%

注:报销比例为纳入统筹范围内的费用按此比例结算。


    XI. Maternity compensation for insured patients by region



地区

一胎

二胎

三胎

聊城居民

1000

2000

3000

聊城职工

纳入统筹的100%报销。

邢台居民

持住院病历、发票、费用清单、结婚证复印件、准生证复印件、出生医学证明复印件、社保卡复印件回当地经办机构报销。

邢台职工


XII. Reimbursement for newborns (newborns are defined as children born within a natural year)


新生儿相关报销政策

地区

政策

聊城居民

新生儿住院时已参保或出院前办理完参保手续的,凭户口本、社保卡或医保电子凭证在医院报销。

邢台居民

新生儿住院需到当地医保局办理社保卡后,凭户口本、社保卡或医保电子凭证在医院报销。


XIII. For other unspecified matters, please contact the Medical Insurance Office for consultation.

Main Campus: 2366016 Huamei Campus 7121015