1, the insured students register in the hospital with the campus card, and 30% of the medical expenses within the scope of reimbursement are paid by themselves.
2. The outpatient medical expenses referred by the school hospital to the off-campus linked hospital due to acute emergency or limited by the conditions of the school hospital (the referral of the same disease is effective within one month) meet the reimbursement scope of the school's free medical care (the maximum reimbursement limit is 2000 yuan per year). Outpatient and emergency medical expenses without referral from the school hospital or in other non-linked hospitals will not be reimbursed. (Note: You need to register for medical treatment at your own expense when you transfer to an emergency department outside the hospital, and you don't need a social security card)
3. Accidental injury (trauma, fracture, etc. ) Outpatient medical expenses (relevant medical records shall be submitted), which are in line with the scope of reimbursement by the school doctors, 30% shall be paid by the on-campus hospitals, 50% by the off-campus linked hospitals and 30% by the non-linked hospitals, with a maximum reimbursement limit of 2,000 yuan.
4. Birth and production: those who meet the family planning regulations will be reimbursed by 50% for prenatal examination, with the maximum reimbursement limit of 300 yuan; Before delivery in hospital, you need to go to the delivery hospital for birth registration, and implement it according to the relevant policies of the municipal medical insurance center, and settle the account directly with the social security card.
5. Suffering from serious outpatient diseases (including malignant tumor, severe uremia treated by hemodialysis (including peritoneal dialysis), anti-rejection treatment after organ transplantation, hemophilia, aplastic anemia and systemic lupus erythematosus) and outpatient psychosis (schizophrenia, schizoaffective disorder, paranoid psychosis, bipolar disorder, epileptic psychosis, mental retardation with mental disorder, depressive episode (moderate or severe) and obsessive-compulsive disorder). Outpatient serious illness still needs to be audited and printed by the nearest social security agency in the district. When seeing a doctor, you need to hold a social security card and a certificate of outpatient serious illness to see a doctor at a designated medical institution. Medical expenses within the scope of medical insurance shall be paid by the medical insurance fund 85%.
legal ground
People's Republic of China (PRC) social insurance law
Article 25 The state establishes and improves the basic medical insurance system for urban residents.
The basic medical insurance for urban residents combines individual contributions with government subsidies.
People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.