Yesterday (June 24), the Harbin Municipal Human Resources and Social Security Bureau and the Municipal Emergency Center issued the latest regulations: the ambulance mileage fee and stretcher fee items that were not originally within the payment scope will be included in the payment scope of the municipal medical insurance personal account.
This means that the medical care visit fees, drug fees, mileage fees and stretcher fees in the "120" emergency emergency emergency single-time fee program can all be paid for by medical insurance. Regarding the hot issues of pre-hospital emergency in "120" pre-hospital emergency, the head of the Medical Insurance Office of the Municipal Emergency Center gave the following authoritative answers. What are the reimbursement scopes for
?
According to the "Notice on Including Pre-hospital Emergency Aid in the Scope of Use of Urban Employee Basic Medical Insurance Personal Accounts" issued by Harbin Human Resources and Social Security, the scope of reimbursement is: Pre-hospital Emergency Aid Reimbursement in the Urban Area should comply with the "Drug Catalog", "Diagnosis and Treatment Catalog", and " Medical Service Facilities Projects, including medical care visits, medicines, ambulance fares, stretcher fees, etc.
If you fight, fight, get drunk, refer to hospital, or seek medical treatment outside the city, and do not rescue first aid, other expenses that are not paid shall not be reimbursed before hospital first aid. What is the charge for an ambulance?
"120" emergency emergency aid single charge is divided into four parts:
1. medical care visit fee, 60 yuan;
2. drug fee, price is charged according to the price of the medical insurance catalog;
3. mileage (delivery) fee (round trip fee) , 30 yuan is charged for every 10 kilometers, and 3 yuan is charged for every kilometer over 1 kilometer;
4. stretcher fee is 55 yuan, and 5 yuan is charged for every 4th floor or above (there is no additional fee for an elevator).
Currently, these can be paid for by medical insurance.
What does personal account payment mean?
The personal account of the city medical insurance refers to the city medical insurance card . When reimbursing, you need to have money in the personal medical insurance card to be reimbursed; if there is no money in the medical insurance card, the incurred expenses cannot be reimbursed.
Can the hospital’s own ambulance be reimbursed?
cannot. Emergency rescue fees for ambulances outside the Municipal Emergency Center 120 do not fall within the scope of reimbursement of this policy.
How to reimburse hospitalized patients?
After the emergency aid of the "120" ambulance, the patient who was hospitalized after being sent to the hospital must be discharged from the hospital and settled with the hospital before he can handle the medical insurance card, ID card and emergency receipt. If the patient is still hospitalized, medical insurance reimbursement cannot be reimbursed before the "120" pre-hospital emergency.
Can provincial medical insurance be reimbursed?
At present, only a system for payment of personal accounts in the city’s medical insurance has been opened. The implementation scope is for in-service and retired personnel who participate in the basic medical insurance for urban employees to establish personal accounts. The provincial medical insurance, railway medical insurance and new rural cooperative medical insurance system have not yet been opened.
Can you swipe other people's medical insurance card?
The patient's ID card, medical insurance card, first aid bill and other personal information must be consistent, and they must be rigorously impersonated and fraudulent. Once fraud is found, the adverse consequences arise will be borne by individuals. Can I still reimburse my 120 call in
?
On June 20, 2016, the system for the "120" pre-hospital emergency expenses were included in the payment scope of medical insurance personal account. Therefore, all the expenses incurred in the past are not within the scope of reimbursement. Can
be used as an agent?
is OK. The agent must hold the original ID card, a copy of the patient's ID card, the medical insurance card and the "120" first aid fee receipt, and shall be processed within 30 days from the first aid fee receipt.
You must pay attention to these things when reimbursing:
provides materials:
The original and copy of the patient's ID card, the medical insurance card, the original pre-hospital emergency charge receipt, the notice form, the original and copy of the agent's ID card.
Processing time:
Monday to Friday 9:00 to 11:00, 13:00 to 15:30, and statutory holidays are closed.
Processing address:
Harbin Emergency Center Medical Insurance Office (No. 109, Satellite Road, Daowai District).
Bus route:
You can take: 13, 14 , 55, 61, 74, 89, 90, 93, 203, 205, 357 buses in the city, and red flags in Furniture City or the Second Municipal Hospital get off.
Contact number:
0451-82469228
Bai Lu New Evening News reporter Shi Jing
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-