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Can Shanghai college students take hospital bills to the medical insurance bureau for reimbursement of medical expenses?
1. How much can medical insurance for college students reimburse me for outpatient treatment after I get sick? A: According to the current outpatient reimbursement policy of our school, 80% of the outpatient expenses that meet the reimbursement policy are borne by the school and 20% by the individual; According to the reimbursement policy, 30% of off-campus clinics are reimbursed by the school and 70% are borne by individuals. The reimbursement invoice for outpatient service is valid in the current month, and the monthly maximum for outpatient service (on campus+off campus) is 100 yuan, and the annual maximum is 1.200 yuan (implemented from September 1 day, 2006).

Second, how to reimburse the school hospital for medical treatment after enrollment? Answer: Go to the school hospital for medical treatment → get the receipt after paying the fee.

→ After seeing a doctor the next month 10 working day (suggested next month 15)→ With the receipt and B student ID card.

Go to the Finance Department (administrative annex 1 floor left hall) to receive cash reimbursement.

3. What is the reimbursement process for off-campus outpatient treatment? Answer: the school hospital sees a doctor → the school doctor puts forward a referral and issues a C referral form.

→ Go to the designated hospital for medical treatment → Bring the D invoice of the designated hospital.

My medical records.

Back to school → college students' medical insurance office registration → registration in the next month 15 days → financial department receives reimbursement.

4. I heard that there are restrictions on reimbursement for college students' medical insurance outpatient service. What is the scope of reimbursement? A: Generally speaking, the expenses of normal illness and medical treatment belong to the scope of reimbursement. Such as common cold and fever, enteritis and gastritis, allergic skin rash, etc. Examples that cannot be reimbursed are: referral without the consent of the school hospital, injuries caused by illegal crimes, preventive vaccines and other items that do not meet the reimbursement requirements of schools and national outpatient clinics.

5. I was taken to the hospital by an ambulance when I suddenly fell ill, and I didn't have time to refer to the school hospital. Can I reimburse you? A: In this case, you can submit a referral form in the school hospital, with emergency medical records, student ID cards and other relevant supporting materials, and then submit the reimbursement according to the off-campus outpatient emergency policy.

6. Can the expenses arising from holidays or actual medical treatment in different places be reimbursed? A: For diseases that occur outside (emergency only), you can go to the local designated medical insurance hospital for medical treatment, and then go back to the school to apply for approval, so you can enjoy the corresponding medical security benefits.

7. I am a graduate and will leave school in June. Can I get the outpatient reimbursement in advance? Answer: Yes, the outpatient medical expenses incurred by fresh graduates in June each year can be reimbursed in cash at the Finance Department immediately after going through the F "Graduate Receipt" procedure.

8. Why can't outpatient expenses incurred in September and June be reimbursed for 5438+ 10? A: Students who have been insured and completed the payment registration can get reimbursement. The premium collection period is from September to 1 1 every year. Usually, after completing the enrollment registration in June+February, 5438, you can receive the outpatient reimbursement expenses incurred from September to June+February, 5438.

It is said that college students' medical insurance premium is 60 yuan every year. Why do I pay 185 yuan now?

A: Since the implementation of the basic medical insurance for urban residents in our city, the policies and handling operations have been greatly adjusted. The medical insurance payment standard for college students in 20 15 years was 60 yuan, and it was adjusted to 185 yuan in 20 16 years.

X. can you be more specific about the part that can't be reimbursed for outpatient service? Answer: Items that will not be reimbursed: (according to the catalogue of basic medical insurance in Hubei Province) 1. Registration fee, out-of-hospital consultation fee and medical record fee; 2. Various beauty and bodybuilding projects and non-functional beauty and plastic surgery; 3. Special service fees, such as visiting fees, examination and treatment plus emergency consultation fees, nominal operation additional fees, high-quality segment prices, self-invited special care, etc. 4. Various health checks; 5. All kinds of weight loss, weight gain and height increase projects; 6. Various prevention and health care treatment projects; 7. All kinds of treatment consultation and medical appraisal fees; 8 glasses, dentures, artificial eyes, artificial limbs, hearing AIDS and other rehabilitation devices; 9. Qigong therapy, music therapy, healthy nutrition therapy, etc. ; 10. Diagnosis and treatment projects of various infertility (pregnancy) and sexual dysfunction; 1 1. TCM scientific research and clinical verification diagnosis and treatment projects; 12. Disposable medical materials that cannot be charged separately as stipulated by the provincial price department; 13. Other medical treatment items that will not be reimbursed.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.