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中国医学科学院肿瘤医院

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就医指南

医保常识

城乡居民基本医疗保险常见问题

来源:医疗保险办公室 发布时间:2017-12-29 浏览次数:
字号:
+-14

门诊挂号、交费、办理住院登记时请您主动出示医保卡!


1、城乡居民基本医疗保险患者如何到我院就医?

 城乡老年人、劳动年龄内居民需到基层医院转诊后方可到我院持医保卡就诊。


2、城乡居民基本医疗保险患者在我院就医的起付线、封顶线、报销比例?

分 类

起付标准(元)

支付比例

最高支付限额(元)

门诊待遇

550

50%

3000

住院待遇

(老年人及劳动年龄内居民)

1300

75%

20万

住院待遇

(学生儿童)

650

75%

20万

备注: 城乡老年人及劳动年龄内居民第二次及以后住院起付标准减半 


3、城乡居民医保患者未发卡期间发生的医疗费用如何报销?

未发卡期间的医疗费用不能实时结算,由个人全额垫付,再到本人居住地社保所进行手工报销。


4、可以手工报销的情形?

1)急诊未持卡发生的医疗费用;

2)手工报销期间、补换社保卡期间、参保后未发卡期间发生的医疗费用;

3)符合报销标准的异地就医医疗费用;

4)符合外购规定的外购药费用。

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