What is the reimbursement ratio of medical insurance in Wuhan Aier Eye Hospital?
With the continuous improvement and reform of the medical insurance system, people enjoy more medical benefits. In Wuhan, Aier Eye Hospital, as a well-known ophthalmic hospital, also has certain regulations on the proportion of medical insurance reimbursement. The medical insurance reimbursement policy of Wuhan Aier Eye Hospital will be described in detail from four aspects: medical insurance reimbursement scope, reimbursement proportion, reimbursement method and reimbursement process.
1、 Medical insurance reimbursement scope
The medical insurance reimbursement scope of Wuhan Aier Eye Hospital includes but is not limited to ophthalmic outpatient service, eye surgery, eye disease treatment and other ophthalmic related projects. For items that meet the medical insurance policy, patients can enjoy medical insurance reimbursement treatment.
For example, common myopia surgery (such as laser myopia surgery) is within the scope of medical insurance reimbursement. For items within the scope of medical insurance, patients can enjoy different reimbursement rates according to different medical insurance policies.
2、 Proportion of medical insurance reimbursement
The reimbursement ratio of medical insurance of Wuhan Aier Eye Hospital varies according to the type of medical insurance of patients. Generally, the proportion of medical insurance reimbursement is between 70% and 80%. The specific proportion is subject to the local medical insurance policy. At the same time, the medical insurance policy will also be adjusted according to the patient's medical conditions. For special circumstances, the reimbursement rate can be increased.
It should be noted that some high-end ophthalmic surgery or treatment items may not be covered by the medical insurance reimbursement, and patients need to choose according to their own conditions.
3、 Medical insurance reimbursement method
The medical insurance reimbursement methods of Wuhan Aier Eye Hospital are generally divided into two types: real-time card swiping and background reimbursement.
Real time swiping refers to that patients use their own medical insurance card for swiping settlement when they visit the hospital, and deduct the personal payment according to the proportion specified in the medical insurance policy on the spot. For patients reimbursed in this way, no additional operation process is required.
Background reimbursement refers to that the patient submits the received invoice and medical insurance settlement document to the social insurance department after treatment, and the social insurance department reimburses according to the medical insurance policy. For patients who are reimbursed in this way, they need to go to the social security department to go through the formalities by mail or in person.
4、 Medical insurance reimbursement process
The medical insurance reimbursement process of Wuhan Aier Eye Hospital is generally divided into the following steps:
The first step is that the hospital issues invoices and medical insurance statements after the patient visits.
The second step is to select the medical insurance reimbursement method according to the patient's own situation, and select real-time card swiping or background reimbursement.
Step 3: If real-time card swiping is selected, the patient will swipe the card for settlement and pay part of the personal expenses during the visit.
Step 4: If background reimbursement is selected, the patient will mail the invoice and medical insurance statement or go to the social security department to handle reimbursement procedures in person.
Step 5: After the social security department verifies the information, the reimbursement will be made according to the proportion specified in the medical insurance policy.
Step 6: The patient receives medical insurance reimbursement.
Summary
Through the above introduction, we understand the scope, proportion, method and process of medical insurance reimbursement of Wuhan Aier Eye Hospital. Patients should carefully understand their own medical insurance policies, choose their own reimbursement methods, and operate according to the specified process before visiting the hospital, so as to successfully obtain medical insurance reimbursement.
