Hospitalization Information for Insured Patients

  First, the insured person who needs to be hospitalized will go to the Hospitalization Registration Office of the Health Insurance with the “Notice of Hospitalization” filled out by the physician, the “Medical Certificate” or “Agricultural Cooperative Card” and the “Identity Card” to review and sign the Hospitalization Procedures, and then go to the hospitalization ward to hand over the hospitalization procedures and the relevant documents to the staff on duty for verification.



  Second, during the hospitalization period, the “medical insurance” or “agricultural cooperative card” and “identity card” (or household register) are stored with the patient for verification. At the same time, the patient should consciously abide by the relevant policies and regulations of the Medical Insurance or New Farmers' Cooperative, and is not allowed to be hospitalized (including going home after infusion), and is not allowed to leave the ward without authorization, and must be agreed by the physician and informed by the nurse on duty of the specific direction of the activities within the hospital, or else the reimbursement will be disqualified.



  During hospitalization, if your condition requires the use of drugs or materials outside the directory, or special services (such as living in a high room), the physician in charge shall sign a self-payment agreement in duplicate with you: one copy shall be kept in the medical record and the other one shall be kept by you, and then be submitted to the hospital's medical insurance inpatient registry for review and filing when you are discharged from the hospital.



  Fourth, urban workers and residents of the medical insurance patients, such as the use of 500 yuan or more of large-scale instrumentation for examination, placed in the body of the disposable materials, you need to bring the physician to fill out an application form and admission records to the hospital medical insurance office, the city medical insurance office review and approval before you can use, reimbursement. Emergency patients can make up for the approval procedures within 24 hours.



  V. The amount of drugs discharged from the hospital by insured patients shall not exceed 7 days for acute diseases and 15 days for chronic diseases.



  Sixth, when discharged from the hospital, please take the “discharge certificate”, “medical certificate” or “agricultural cooperation certificate” and “ID card” to the hospitalization registration office of medical insurance to review and settle the bill, and then go to the hospitalization office for reimbursement procedures.



  The reimbursement rate for Liaocheng New Agricultural Cooperative Patients is 53% for 80,000 yuan (including 80,000 yuan), and 70% for more than 80,000 yuan. The starting line is 500 yuan, and the maximum annual reimbursement is 100,000 yuan. Linqing NAC patients who need to be transferred to other hospitals should go to Linqing Health Bureau's Cooperation Management Office to complete the formalities (with NAC certificate, ID card, and two photos). The starting line for Xiajin Nongjia patients is 500 RMB, and the reimbursement rate is 44%, and the starting line for Linxi Nongjia is 1500 RMB, and the reimbursement rate is 55% - 60%.



  Eight, the outpatient compensation for chronic diseases of enrolled patients, no starting line, reimbursement rate of 50%, the ceiling line of 10,000 yuan per person per year.



  Nine, urban workers in a medical year, the first hospitalization starting line is 500 yuan, the second is 250 yuan, the third and later no starting line, the starting line above into the co-ordination of the fund 0-20000 yuan in-service reimbursement of 80%, retirement reimbursement of 83%; 20000-50000 yuan in-service reimbursement of 82%, retirement 85% reimbursement; RMB 50,000-70,000 84% reimbursement in-service and 87% reimbursement in retirement, and RMB 70,000-250,000 90% reimbursement.



  In a medical year, the starting line for the first hospitalization of urban residents is RMB 300 yuan, the second is RMB 150 yuan, and there is no starting line for the third and subsequent hospitalizations. If the starting line - RMB 30,000 yuan is included in the unification fund, the reimbursement rate for adult urban residents is 55%; the reimbursement rate for under-aged urban residents included in the unification fund is 65%; RMB 30,000 yuan - 80,000 yuan The reimbursement rate is 60% for adult residents and 70% for minor residents.



  X. If the mother of a newborn child born between the last payment period and the next payment period in accordance with the national family planning policy participates in the New Farmers' Cooperative Program, the medical expenses incurred in the current year can enjoy the New Farmers' Cooperative Program in the capacity of his/her mother.

  

  Medical Insurance Office of Liaocheng Second People's Hospital



  Tel: 2342373 2342282 2366018