Within five days of admission, the patient or his relatives shall notify the specialized personnel of the institution to go to the medical insurance agency for filing.
If you are treated in multiple hospitals in different places, you must have a referral certificate between hospitals at the same level or from a lower hospital to a higher hospital.
Visiting relatives, traveling, etc. In case of emergency hospitalization expenses or hospitalization expenses, the individual shall bear 10% first, and then the medical insurance pooling fund shall pay them according to the Qifubiaozhun and payment ratio of different levels of hospitals.
During the internship period, winter and summer vacations, suspension due to illness, and off-site (running a university in two places), the emergency hospitalization expenses need not be borne by individuals 10%, and are paid directly by the medical insurance pooling fund according to different qifubiaozhun and payment proportion of the hospital.
Legal basis:
Notice on Doing a Good Job in Direct Settlement of Medical Expenses for Medical Treatment in Different Provinces of Basic Medical Insurance Article 27 When the insured person is discharged from hospital, the agency in the place of medical treatment will convert the detailed information of hospitalization expenses into national unified large-sum information and transmit it to the insured place through the national and provincial medical treatment settlement systems. The insured place shall calculate the amount payable by the insured person and various medical insurance funds according to local policies and regulations, and return the results to the designated medical institutions at the place where the medical treatment is sought.