Hospitalization Information for Insured Patients

  一、The insured persons who need to be hospitalized must go to the hospitalization office to register at the settlement office of medical insurance and agricultural cooperation with the “Notice of Hospitalization” filled out by the physician, “Medical Insurance” or “Agricultural Cooperation Certificate” and “Identity Card”, and as long as they provide the corresponding documents to maintain the information at the hospitalization office, the hospital will handle the treatment and settle the billing business after the first treatment. The hospitalization procedures and relevant documents will be handed over to the staff on duty for verification in the inpatient ward. Those who are not registered at the window of medical insurance in time for the night shift must register at the settlement window of the medical insurance within three days, or else it will be regarded as giving up the reimbursement.

  Second, during the hospitalization, “medical insurance” or “agricultural cooperative card”, “ID card” (or household register) 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 reimbursement will be disqualified.

  During the hospitalization period, if your condition requires the use of drugs or materials outside the catalog, or special services (such as living in a high room), the physician in charge will need to sign a self-payment agreement in duplicate with you: one copy will be stored in the medical record, and one copy will be kept by you, and will be submitted to the Hospital Medical Insurance Settlement Office for review and filing when you are discharged from the hospital.

  Fourth, stent implantation and emergency blood use for urban workers, you need to bring the application form filled out by the physician and the admission record to the hospital medical insurance office and the municipal medical insurance office for review and approval before use and reimbursement. Emergency patients can make up the approval procedures within 24 hours. For blood products and protein products, the residents' medical insurance is only limited to hematologic diseases included in the scope of reimbursement, first approval and then use.

  V. The amount of drugs discharged from the hospital by insured patients shall not exceed 3 days for acute diseases and 7 days for chronic diseases.

  Sixth, when discharged from the hospital, please take the “Discharge Certificate”, “Medical Insurance” or “Agricultural Cooperative Card”, “ID Card” (Household Register) and related materials, and go directly to the hospitalization office for settlement and reimbursement.

Except for provincial platform employee health insurance and resident patients who provide discharge records. Other out-of-province agricultural cooperative and medical insurance patients can only be reimbursed by applying for the following materials from the hospitalization area when they are discharged: the first page of the medical record, the admission record, the discharge record, the medical order form, and the diagnostic certificate.

  The hospitalization threshold and hospitalization reimbursement ratio of insured patients in each region:

    VIII. Amount of pregnancy subsidy or hospitalization reimbursement for insured patients by region

Region

Natural childbirth

Caesarean section

Remarks

Residents of Texas

800 Yuan

1000RMB

Reimbursement back to the township human society office

Qinghe New Agricultural Cooperative

500 Yuan

Execution of disease standard

Reimbursed by our hospital

Linxi County urban and rural residents

500 yuan for single birth, 800 yuan for multiple births

2000 RMB for single birth, 2500 RMB for multiple births

Reimbursement from this hospital for planned

Xingtai Medical Insurance

Before admission, you need to get the maternity registration form (in triplicate) from the local medical insurance center, then go to the hospital medical insurance office for stamping, then go back to the center to get the maternity approval code, and then be discharged from the hospital for reimbursement at the hospital.

Liaocheng City Residents

Please return to the township birth control office to get the subsidy, except for sick pregnancy.


  IX. Outpatient Chronic Disease and Special Disease Policies:

  1, Liaocheng City, urban and rural residents of chronic disease patients can copy the medical records in May and September each year to the township chronic disease approval procedures, reimbursement does not set a starting line, reimbursement ratio of 65%, non-six major diseases patients capped line of 10,000 yuan per person per year.

  2, Linxi County patients with special diseases, reimbursement set a starting line of 400 yuan per year, the cap line and hospitalization reimbursement of the cumulative total of not more than 60,000 yuan.

  X. Reimbursement for newborn babies (newborn babies are those born within one natural year)

    XI, insured patients hospitalized trauma: insured patients within 72 hours with the receiving physician issued by the accidental injury approval form, admission records, hospitalization certificate to go to the medical insurance office to complete the formalities, our hospital and the agency medical insurance office to confirm the audit before reimbursement.

Note: Linxi County, urban and rural residents trauma back to the local health insurance center, Xiajin County residents back to the township human society, Qinghe County, the new rural cooperative trauma back to the local administrative examination and approval hall, Gaotang County, urban and rural residents back to the local residents Section

 Twelve, urban and rural residents and the new rural cooperative major disease compensation policy:

  1, shandong province urban and rural residents compensation for major diseases: the starting line of 12,000 yuan, the individual burden of the accumulated 12,000 yuan to 100,000 yuan reimbursement of 50%, 10-20 million yuan reimbursement of 60%, 200,000 yuan or more reimbursement of 65%, the ceiling line of 300,000 yuan.

  2、Linxi County urban and rural residents hospitalized due to natural diseases (excluding trauma and pregnancy), reimbursement for personal burden exceeding 10,000 yuan after basic medical insurance, reimbursement rate of not less than 50%, capped at 300,000 yuan

  3、Xingtai City insured employee patients hospitalized during the medical insurance implementation of the ceiling of 60,000 yuan, exceeding the part please return to the insured place of the medical insurance center for the work of the major disease assistance.

  XIII. For other unspecified matters, please contact the medical insurance office internal line 82016, 86017 external line 0635-2366016 2366017