First, college students' medical insurance reimbursement methods
1, the medical expenses that should be borne by the individual shall be settled by the individual at one time when leaving the hospital.
2. Maternity expenses shall be subsidized in a fixed amount. The quota standard is: normal delivery in 800 yuan, cesarean section 1600 yuan. If the birth cost is lower than the limit standard, the subsidy shall be given according to the actual expenditure; Higher than the quota standard, according to the quota standard subsidies.
3. The scope of accidental injuries in outpatient service includes three diseases: fracture, joint dislocation and foreign body in respiratory tract. Suicide, self-mutilation (except mental illness), traffic accidents, fights, alcoholism, drug abuse and other diseases caused by crimes or violations of the Law on Public Security Administration Punishment will not be reimbursed by the overall fund.
4. The scope of outpatient emergency rescue includes coma, severe shock, massive hemorrhage, poisoning, severe dehydration, febrile convulsion, severe dyspnea caused by severe trauma, spontaneous or traumatic pneumothorax, hemopneumothorax, laryngeal infarction, tracheobronchial obstruction, severe arrhythmia, life-threatening internal and external bleeding caused by various reasons, acute heart failure, respiratory failure, renal failure and other major changes in vital signs.
5. Students who need to be hospitalized in different places due to critical illness during holidays, internships and suspension from school can go to the local designated medical institutions or public hospitals nearby, and the medical expenses incurred will be paid in full by individuals first. Collect and summarize college bills and report them to the municipal medical insurance agency for settlement.