How can Tibetan patients go to Chengdu to see a doctor?

Big medical insurance reimbursement policy

Even more obscure

should be

Medical insurance reimbursement policy for cross -provinces and other places

Reimbursement scope, reimbursement ratio

In the end, it should be based on the policy of participating

Still according to the policy of medical treatment

Who should I listen to the starting line between the two places?

Medical Place Catalog Medical Insurance Policy Policy

Medical insurance for medical insurance refers to the medical behavior that occurred outside the region of the insured. Tibetan employees have medical treatment in the medical institutions of Chengdu (except Tibetan Hospital), and are medical treatment across provinces.

Tibetan employee medical insurance cross -provincial medical settlement settlement follows one principle: the place of medical treatment, the policy of insurance!

1

Catalog of medical treatment: Cross -provincial medical treatment scope and relevant regulations on the implementation of the medical place in principle (the basic medical insurance drug catalog, diagnosis and treatment items and medical service facilities). That is to say, what can be reimbursed for cross -provincial and different places, and which cannot be reimbursed, which are based on the catalog of medical treatment.

2

Policy in the place of insurance: Basic Medical Insurance Coordinating Fund's Payment Standard, Payment Performance, and Maximum Payment Limits In principle, the policy of participation is implemented.

Because the current medical insurance directory of various provinces is slightly different, there will be corresponding differences in the scope of medical insurance payment in the insured when crossing the province.

Assuming that Zhuoma is an insured employee in Lhasa, because the eyelids are turned in a third -level hospital in Chengdu (except for the Tibetan Chengqi Hospital) (except for Tibetan Hospital), (except for Tibetan Hospital) (except for the medical treatment for different places).

Lhasa employee medical insurance stipulates 93%of the reimbursement of hospitalization fees for tertiary hospitals, with a basic medical limit of 600,000. Among them, the surgery cost of the eyelid can be included in reimbursement.

Chengdu Medical Insurance requires 85%of the reimbursement of hospitalization expenses for tertiary hospitals, and the basic medical limit is 6 times the average salary of the previous year. Among them, the cost of inside the eyelid surgery is at its own expense.

Then this time Zhuoma went to a hospital in Chengdu to see a doctor for medical treatment. The reimbursement ratio can be reported at 93%in accordance with the standards of hospitalization in Lhasa, with a limit of 600,000. However, medical insurance drugs, diagnosis and treatment items and service facilities must be reimbursed in accordance with the regulations of Chengdu. In other words, this time in the eyelids is at all at its own expense.

Knock the blackboard! Points!

Tibetan employees do not count on medical treatment across provinces!

Patients with medical insurance for employees in Tibet do not need to apply for medical treatment in a hospital for medical treatment!

Although the Chengqi Hospital is located in Chengdu, it belongs to the designated medical institution of basic medical insurance in Tibet Autonomous Region. It is consistent with the three -level hospitals in the Tibet Autonomous Region!

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