College students' participation in insurance is organized by the school. At the beginning of the new school year, the school is responsible for collecting college students' insurance information and going through the registration formalities at the municipal medical insurance center. Payment methods are generally collected by colleges and universities.
Proportion of medical insurance reimbursement in Peking University
College students participate in the basic medical insurance for urban and rural residents, and the insurance year is from July 1 day of that year to June 30 of the following year. The basic medical insurance benefits will take effect from July 1 day, and medical expenses will be reimbursed according to the provisions of minor medical insurance.
1, clinic
(1) In the outpatient department of the school hospital, the medical expenses that meet the public medical care items in the year are below 3,000 yuan (including 3,000 yuan), and the personal burden is10%; For the part exceeding 3,000 yuan, the individual shall bear 5%. The medical expenses transferred from the school hospital to the contract hospital according to the prescribed procedures shall be borne by the individual10%; Personal burden of medical expenses in non-contract hospitals 15% (outpatient medical expenses inside and outside the school are not accumulated, and outpatient medical expenses and hospitalization medical expenses are not accumulated).
(2) During the winter and summer vacations, students will go to other hospitals by themselves. Reimbursement requires proof of the hospital (department), emergency medical records or emergency diagnosis certificates of public hospitals, charging documents and prescriptions, and is reimbursed at three times the monthly standard medical expenses, and the excess part is taken care of by itself.
(3) Students who are ill and treated during their internship or social practice need to submit their own department certificates, hospital emergency medical records or emergency diagnosis certificates, and receive a receipt for reimbursement according to the standard fee per person/month stipulated by the state, and take care of the excess.
2. Hospitalization
If you are hospitalized in the school hospital or transferred to the contract hospital by the school hospital according to the prescribed procedures, the personal burden of medical expenses will be 5%.
3. Referral reimbursement
① With the referral form of Peking University Hospital, the invoice of the current month will be reimbursed in the current month, and the expenses incurred at the end of the month will be postponed to 5 working days next month at the latest. The signing reimbursement time is from Monday to Friday morning, and the reimbursement will stop on Tuesday of the second week of each month and the last working day of each month.
(2) The inspection fee, laboratory fee, treatment fee, rescue fee, operation fee and material fee shall be listed in detail; When the oral treatment is reimbursed, the medical records and treatment list shall be provided, and the reimbursement content and category shall be implemented according to the provisions of the municipal medical insurance center.
(3) To get medicine from other hospitals, you should fill in two copies with medical insurance prescription instructions, one of which is used for reimbursement, and there is a detailed list of medicines.
(4) Large-scale special inspection (such as nuclear magnetic resonance and CT) shall submit a copy of the inspection result report.
⑤ Inpatients should submit one original and one copy of hospitalization details.
4. Emergency compensation
If you can't go to the designated medical unit for medical treatment due to emergency, you must attach the emergency diagnosis certificate, unit certificate, invoice and prescription to the nearest designated medical insurance unit for reimbursement of medical expenses (limited to this emergency).