Can the public medical insurance of Dalian Eye Hospital be reimbursed?
As a public medical institution, Dalian Eye Hospital enjoys certain reimbursement treatment under the medical insurance policy, which provides certain economic security for the citizens. The following is a detailed description of whether the public medical insurance of Dalian Eye Hospital can be reimbursed from four aspects.
1、 Public nature of hospital
As a public hospital, Dalian Eye Hospital is funded by the government to provide basic medical services for the general public. According to the national policy, public hospitals enjoy reimbursement under the medical insurance policy. Therefore, the medical expenses of Dalian Eye Hospital can be reimbursed through the public medical insurance.
Compared with private hospitals, public hospitals have higher guarantees in medical technology, professional level and service quality. Therefore, when Dalian Eye Hospital is selected for diagnosis and treatment of eye diseases, it can not only enjoy reimbursement of public medical insurance, but also obtain professional eye medical services.
It is worth noting that the reimbursement scope of public medical insurance is in accordance with the national medical insurance directory, and some special items and drugs may need to be reimbursed by individuals at their own expense or special medical insurance.
2、 Medical insurance reimbursement scope
According to national regulations, medical insurance reimbursement mainly includes medical expenses and drug expenses.
The medical expenses of Dalian Eye Hospital include registration fee, diagnosis and treatment fee, operation fee, examination fee, etc. These expenses are within the scope of public medical insurance, and part or all of them can be reimbursed through medical insurance.
In terms of drug costs, medical insurance usually divides drugs into three categories: Class A, Class B and Class C. Among them, Class A drugs are fully reimbursed by the medical insurance, Class B drugs are partially reimbursed, and Class C drugs need to be fully reimbursed by individuals. The drugs used by Dalian Eye Hospital generally belong to Class A or Class B, so part of the drug expenses can be reimbursed through the public medical insurance.
3、 Proportion of medical insurance reimbursement
The reimbursement ratio of medical insurance refers to the reimbursement ratio of medical insurance fund to medical expenses. Dalian Eye Hospital is within the scope of public medical insurance, and the reimbursement proportion of expenses is generally about 70% to 80%. The specific proportion is subject to the provincial medical insurance policy.
That is to say, if the patient provides medical services in Dalian Eye Hospital, the total cost is 1000 yuan. According to the 70% reimbursement ratio of medical insurance, the patient can reimburse 700 yuan through medical insurance, and the individual needs to pay 300 yuan at his own expense.
It should be noted that there is a difference between the reimbursement proportion of inpatient expenses and that of outpatient expenses. The specific proportion is subject to local policies. Before incurring expenses, patients can consult the medical insurance department of the hospital about the specific reimbursement ratio.
4、 Reimbursement process of public medical insurance
The public medical insurance reimbursement process of Dalian Eye Hospital is generally divided into three steps: registration, medical treatment and reimbursement.
First of all, when patients register in the hospital, they need to provide medical insurance card, personal ID card and other relevant information, and the medical insurance department will swipe or record the medical treatment fees in the system.
Next, after the patient completes the visit, the hospital will settle the expenses and issue an invoice. Patients need to take relevant bills and medical insurance cards to the medical insurance window of the hospital to handle reimbursement procedures. After checking, the medical insurance department will transfer the reimbursement amount to the patient's personal medical insurance account.
Finally, the patient can withdraw the reimbursement amount through the medical insurance account, or deduct the medical expenses at the next visit.
Summary
To sum up, as a public medical institution, Dalian Eye Hospital can be reimbursed through public medical insurance. Patients only need to carry medical insurance card, personal ID card and other relevant information when they visit the hospital. According to the reimbursement ratio specified in the medical insurance policy, they can enjoy certain reimbursement treatment. However, it should be noted that the reimbursement scope and proportion of medical insurance are subject to local policies, and the specific expenses and reimbursement proportion should be consulted with the medical insurance department of the hospital.
